Mycobacteria: General Characteristics
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Questions and Answers

What is the primary component of the cell wall of Mycobacterium tuberculosis?

  • Teichoic acid
  • Peptidoglycan
  • N-glycolylmuramic acid (correct)
  • Lipopolysaccharide
  • What is the optimal pH range for the growth of Mycobacterium tuberculosis?

  • 7.0 - 7.5
  • 5.5 - 6.5
  • 7.5 - 8.0
  • 6.5 - 6.8 (correct)
  • Which of the following is NOT a characteristic of Mycobacterium tuberculosis?

  • Aerobic
  • Spore-forming (correct)
  • Motile
  • Catalase positive
  • What is the generation time of Mycobacterium tuberculosis?

    <p>&gt;12 hours</p> Signup and view all the answers

    Which of the following is a rapid-growing mycobacterium?

    <p>Mycobacterium fortuitum</p> Signup and view all the answers

    What is the optimal temperature for the growth of Mycobacterium tuberculosis?

    <p>35-37°C</p> Signup and view all the answers

    What is the primary means of transmission of Mycobacterium tuberculosis?

    <p>Inhalation of airborne droplet nuclei</p> Signup and view all the answers

    Which of the following is a common symptom of tuberculosis in the spine?

    <p>Severe back pain</p> Signup and view all the answers

    What is the primary method of diagnosis for pulmonary tuberculosis?

    <p>Tuberculin test</p> Signup and view all the answers

    Which of the following is a risk factor for developing tuberculosis?

    <p>Malnourished patients</p> Signup and view all the answers

    What is the characteristic feature of Miliary tuberculosis?

    <p>Millet-seed-like granuloma formation in various organs</p> Signup and view all the answers

    What is the term used to describe the sulfates attached to the disaccharide (trehalose) in Mycoside Cord Factor?

    <p>Sulfides</p> Signup and view all the answers

    Which of the following Mycobacterium species has been isolated from tuberculosis patients in both immunocompetent and immunocompromised individuals?

    <p>Mycobacterium microti</p> Signup and view all the answers

    What is the primary function of the most common virulence factor for M.tuberculosis?

    <p>Activating the protective cellular immune system</p> Signup and view all the answers

    What is the characteristic appearance of rough colonies of M.tuberculosis?

    <p>Curved strands of bacilli exhibiting 'cording'</p> Signup and view all the answers

    What is the purpose of the BCG strain of Mycobacterium bovis?

    <p>To vaccinate newborns against tuberculosis</p> Signup and view all the answers

    What is the mode of transmission of Mycobacterium bovis to humans?

    <p>Through contaminated milk from infected cows</p> Signup and view all the answers

    What is the characteristic of Mycobacterium bovis growth on Egg-based media?

    <p>Slow growing, small, and non-pigmented</p> Signup and view all the answers

    What is the primary function of albumin in serum agar-based media?

    <p>to protect AFB against toxic agents in the culture media</p> Signup and view all the answers

    Which medium is specifically designed for heavily contaminated specimens?

    <p>Petragnani medium</p> Signup and view all the answers

    What is the name of the oxygen sensor used in the MGIT 960 system?

    <p>Fluorescence quenching-based oxygen sensor</p> Signup and view all the answers

    Which of the following inhibitory agents is NOT used in Middlebrook 7H11 medium?

    <p>Trimethoprim lactate</p> Signup and view all the answers

    What is the primary advantage of the BACTEC 12B system?

    <p>Reduced processing time for the isolation of AFB</p> Signup and view all the answers

    What is the name of the test used for extrapulmonary specimens?

    <p>XPERT MTB/RIF test</p> Signup and view all the answers

    Which of the following species of Mycobacterium is known to produce yellow to orange pigmented colonies even without light exposure?

    <p>M. xenopi</p> Signup and view all the answers

    What is the most common site of colonization by Mycobacterium avium complex?

    <p>Gastrointestinal tract</p> Signup and view all the answers

    What is the growth rate of Mycobacterium xenopi?

    <p>10-21 days</p> Signup and view all the answers

    Which biochemical test is variable in Mycobacterium avium complex?

    <p>Pyrazinamidase</p> Signup and view all the answers

    What is the major species of Mycobacterium avium complex?

    <p>M. avium and M. intracellulare</p> Signup and view all the answers

    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
    • 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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    Test your knowledge of Mycobacteria, including Mycobacterium tuberculosis complex. Learn about their characteristics, cell wall composition, and growth requirements.

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