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Questions and Answers
What is the primary component of the cell wall of Mycobacterium tuberculosis?
What is the primary component of the cell wall of Mycobacterium tuberculosis?
What is the optimal pH range for the growth of Mycobacterium tuberculosis?
What is the optimal pH range for the growth of Mycobacterium tuberculosis?
Which of the following is NOT a characteristic of Mycobacterium tuberculosis?
Which of the following is NOT a characteristic of Mycobacterium tuberculosis?
What is the generation time of Mycobacterium tuberculosis?
What is the generation time of Mycobacterium tuberculosis?
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Which of the following is a rapid-growing mycobacterium?
Which of the following is a rapid-growing mycobacterium?
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What is the optimal temperature for the growth of Mycobacterium tuberculosis?
What is the optimal temperature for the growth of Mycobacterium tuberculosis?
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What is the primary means of transmission of Mycobacterium tuberculosis?
What is the primary means of transmission of Mycobacterium tuberculosis?
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Which of the following is a common symptom of tuberculosis in the spine?
Which of the following is a common symptom of tuberculosis in the spine?
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What is the primary method of diagnosis for pulmonary tuberculosis?
What is the primary method of diagnosis for pulmonary tuberculosis?
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Which of the following is a risk factor for developing tuberculosis?
Which of the following is a risk factor for developing tuberculosis?
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What is the characteristic feature of Miliary tuberculosis?
What is the characteristic feature of Miliary tuberculosis?
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What is the term used to describe the sulfates attached to the disaccharide (trehalose) in Mycoside Cord Factor?
What is the term used to describe the sulfates attached to the disaccharide (trehalose) in Mycoside Cord Factor?
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Which of the following Mycobacterium species has been isolated from tuberculosis patients in both immunocompetent and immunocompromised individuals?
Which of the following Mycobacterium species has been isolated from tuberculosis patients in both immunocompetent and immunocompromised individuals?
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What is the primary function of the most common virulence factor for M.tuberculosis?
What is the primary function of the most common virulence factor for M.tuberculosis?
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What is the characteristic appearance of rough colonies of M.tuberculosis?
What is the characteristic appearance of rough colonies of M.tuberculosis?
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What is the purpose of the BCG strain of Mycobacterium bovis?
What is the purpose of the BCG strain of Mycobacterium bovis?
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What is the mode of transmission of Mycobacterium bovis to humans?
What is the mode of transmission of Mycobacterium bovis to humans?
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What is the characteristic of Mycobacterium bovis growth on Egg-based media?
What is the characteristic of Mycobacterium bovis growth on Egg-based media?
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What is the primary function of albumin in serum agar-based media?
What is the primary function of albumin in serum agar-based media?
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Which medium is specifically designed for heavily contaminated specimens?
Which medium is specifically designed for heavily contaminated specimens?
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What is the name of the oxygen sensor used in the MGIT 960 system?
What is the name of the oxygen sensor used in the MGIT 960 system?
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Which of the following inhibitory agents is NOT used in Middlebrook 7H11 medium?
Which of the following inhibitory agents is NOT used in Middlebrook 7H11 medium?
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What is the primary advantage of the BACTEC 12B system?
What is the primary advantage of the BACTEC 12B system?
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What is the name of the test used for extrapulmonary specimens?
What is the name of the test used for extrapulmonary specimens?
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Which of the following species of Mycobacterium is known to produce yellow to orange pigmented colonies even without light exposure?
Which of the following species of Mycobacterium is known to produce yellow to orange pigmented colonies even without light exposure?
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What is the most common site of colonization by Mycobacterium avium complex?
What is the most common site of colonization by Mycobacterium avium complex?
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What is the growth rate of Mycobacterium xenopi?
What is the growth rate of Mycobacterium xenopi?
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Which biochemical test is variable in Mycobacterium avium complex?
Which biochemical test is variable in Mycobacterium avium complex?
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What is the major species of Mycobacterium avium complex?
What is the major species of Mycobacterium avium complex?
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Study Notes
Mycobacteria General Characteristics
- Mycobacteria are aerobic, slow-growing, and non-spore forming bacilli
- They are non-motile, catalase positive, and non-encapsulated
- They produce granules, and their cell wall contains N-glycolylmuramic acid and mycolic acid
- They are obligate aerobes, with growth enhanced by increased CO2
- They have a pH requirement of 6.5-6.8 and a generation time of over 12 hours
- Some species are slow growers, taking over 2 weeks to incubate, while others are rapid growers, taking around 3 days
Mycobacterium Tuberculosis Complex
- The complex includes M. tuberculosis (Koch's bacillus), M. bovis, M. africanum, M. canetti, M. microti, and M. pinnipedii and M. caprae
- M. tuberculosis is a slow-growing, non-spore forming, non-motile, and non-encapsulated bacterium
- It is an obligate aerobe, with a pH requirement of 6.5-6.8 and a generation time of over 12 hours
- It can cause tuberculosis, which is typically diagnosed through a positive tuberculin test
Non-Tuberculous Mycobacteria (NTM)
- NTM includes slow-growing and rapid-growing mycobacteria
- Slow-growing NTM includes M. avium complex, M. gordonae, M. kansasii, M. marinum, M. terrae complex, M. ulcerans, and M. xenopi
- Rapid-growing NTM includes M. fortuitum, M. chelonae, and M. abscessus subsp. abscessus
Biochemical Tests
- Positive tests for Mycobacterium include niacin, nitrate reduction, and pyrazinamidase
- Negative tests for Mycobacterium include urease, thiophene-2 carboxylic acid (T2H) inhibition test, and catalase test
Mycobacterium Microti
- M. microti is a slow-growing, non-spore forming, non-motile, and non-encapsulated bacterium
- It has been isolated from tuberculosis patients in both immunocompetent and immunocompromised individuals
- It is found in rodents and is considered an agent of tuberculosis in animals
Mycobacterium Pinnipedii and Caprae
- M. pinnipedii and M. caprae were first isolated from animals, and further studies showed that they can also be transmitted to humans
Related Infections and Diseases
- Tuberculosis is a potentially fatal form of disseminated TB characterized by millet-seed-like granuloma formation in various organs
- It arises from a primarily pulmonary infection that spreads hematogenously
- Common sites of infection include the spleen, lungs, bone marrow, kidneys, adrenal glands, and eyes
- Miliary tuberculosis is a potentially fatal form of disseminated TB
Virulence Factors
- Virulence factors for Mycobacterium include sulfides, mycoside cord factor, and wax D
- The most common virulence factor for M. tuberculosis is a complicated mycoside that acts as an adjuvant and activates the protective cellular immune system
Mycobacterium Bovis
- M. bovis is an attenuated strain used for vaccination
- It is acquired by humans through the ingestion of contaminated milk from infected cows
- It can also be transmitted through exposure to different animals
- Culture: Egg-based media, slow growing, small, smooth, rounded, and non-pigmented
Screening for Pulmonary PTB in Adults
- Lowenstein-Jensen medium is the most commonly used medium for screening
- American Thoracic Society medium is used for CSF and BM
- Petragnani medium is used for heavily contaminated specimens
- Wallenstein medium is used for M. avium complex
- Serum agar-based media (transparent media) are mainly composed of bovine albumin, glycerol, malachite green, oleic acid, and B-catalase
- The purpose of albumin is to protect AFB against toxic agents in the culture media
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Description
Test your knowledge of Mycobacteria, including Mycobacterium tuberculosis complex. Learn about their characteristics, cell wall composition, and growth requirements.