Bacterial Skin and Joint infection
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Questions and Answers

Where is microbiota found?

  • On the skin surface
  • In the hair glands
  • In the sweat glands
  • All of the above (correct)
  • Which region of the skin is preferred by S. aureus and S. pyogenes because they can be less acidic? AKA MORE ALKALINE

  • The armpits
  • The inguinal areas
  • The interdigital areas
  • All of the above (correct)
  • What type of bacteria grows in sebaceous glands and can metabolize sebum?

  • Streptococcus pyogenes
  • Propionibacterium acnes (correct)
  • Group A Streptococci
  • Staphylococcus aureus
  • What gene does Methicillin Resistant Staphylococcus aureus (MRSA) contain?

    <p>mecA gene</p> Signup and view all the answers

    In which type of environment is persistent moisture under dressings a good environment for pathogens?

    <p>Moist environment</p> Signup and view all the answers

    What type of bacteria is associated with death of healthy individuals, such as athletes?

    <p>Community acquired MRSA</p> Signup and view all the answers

    What does the SCCmec IV staphylococcal chromosomal cassette of CA-MRSA contain that encode an arginine metabolic cassette?

    <p>ACME genes</p> Signup and view all the answers

    What does the metabolism of arginine produce as a byproduct?

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

    What type of bacteria is Gram-positive cocci in grape-like clusters and catalase-positive, coagulase-positive and beta-hemolytic on blood agar plates?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    What type of bacteria is Gram-positive cocci in chains, beta hemolytic on blood agar plates, and catalase negative?

    <p>Group A Streptococci</p> Signup and view all the answers

    Which type of MRSA is often resistant to other antibiotics and is commonly found in hospitals?

    <p>HA-MRSA</p> Signup and view all the answers

    What does the SCCmec IV staphylococcal chromosomal cassette of CA-MRSA contain that encodes an arginine metabolic cassette?

    <p>ACME genes</p> Signup and view all the answers

    What is the byproduct produced when arginine is metabolized?

    <p>Ammonia, which neutralizes the skin pH allowing for better colonization.</p> Signup and view all the answers

    What is the main factor that causes microbiota to vary from site to site?

    <p>Differences in moisture and presence or absence of sebaceous glands.</p> Signup and view all the answers

    The use of arginine in the metabolic pathway by CA-MRSA will deplete it form the environment. What are the two things that arginine is needed for that decrease due to colonized CA-MRSA?

    <p>Nitroic Oxide and Polyamines</p> Signup and view all the answers

    Which bacterium is the most common cause of boils?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    Boils/abcesses caused by S. aureus do not usually cause infection unless it has gone ______?

    <p>Through broken skin</p> Signup and view all the answers

    What are the virulence factors associated with boils?

    <p>Fibronectin binding proteins, protein A and coagulase</p> Signup and view all the answers

    What is the hallmark of S. aureus boils?

    <p>High pus production</p> Signup and view all the answers

    What is the characteristic of cellulitis involving the epidermis and upper dermis?

    <p>Superficial involvement</p> Signup and view all the answers

    What type of bacteria is commonly associated with deeper involvement of cellulitis?

    <p>Streptococcus spp. and Staphylococcus aureus</p> Signup and view all the answers

    What is the microorganism responsible for cellulitis involving the epidermis and upper dermis?

    <p>Beta-hemolytic streptococcus such as S. pyogenes</p> Signup and view all the answers

    What is the characteristic of cellulitis involving superficial involvement?

    <p>More acute onset, raised edge</p> Signup and view all the answers

    What type of bacteria is commonly associated with deeper involvement of cellulitis?

    <p>Slower presentation, subtler edge</p> Signup and view all the answers

    Which bacterial infection is characterized by redness and warmth of the skin with a defined edge that is palpable? AND IS CAUSED BY S. PYOGENES

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

    Which bacterial infection spreads in a plane parallel to the skin and spares underlying muscle?

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

    Which bacterial infection can be life-threatening and often produces pain out of proportion to the visible redness?

    <p>Necrotizing fasciitis</p> Signup and view all the answers

    Which bacterial infection is commonly found in children, highly contagious, and starts with one or more itchy sores?

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

    Which bacterial infection involves the epidermis and the upper layer of dermis, and is often seen on the legs of adults?

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

    Which bacterial infection requires antibiotics and surgical debridement for treatment?

    <p>Necrotizing fasciitis</p> Signup and view all the answers

    Which bacterial infection is characterized by honey-colored crusts and heals without scarring, unless scratching cuts deep into the skin?

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

    Which bacterial infection can produce gas bubbles in tissue and often accompanied by fever and evidence of toxic appearance?

    <p>Necrotizing fasciitis</p> Signup and view all the answers

    Which bacterial infection is caused by Staphylococcus aureus and Streptococcus pyogenes and is highly contagious in children?

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

    Which topical antibiotics are commonly used for the treatment of impetigo?

    <p>Mupirocin and retapamulin</p> Signup and view all the answers

    What is the most common causative agent of necrotizing fasciitis, also known as 'flesh-eating bacteria'?

    <p>Streptococcus pyogenes (GAS)</p> Signup and view all the answers

    Which condition is characterized by black necrotic tissue and anaerobic conditions?

    <p>Gas Gangrene</p> Signup and view all the answers

    Which bacterium is commonly associated with Gas Gangrene?

    <p>Clostridium perfringens, GRAM POSITIVE SPORE-FORMER</p> Signup and view all the answers

    Which bacterial infection is characterized by localized blisters to exfoliation of over 90% body surface?

    <p>Staphylococcal Scalded Skin Syndrome</p> Signup and view all the answers

    Which bacterium is the causative agent of Staphylococcal Scalded Skin Syndrome?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    Which condition is characterized by purulent (pus filled) infection of muscle?

    <p>Myositis/pyomyositis</p> Signup and view all the answers

    Which bacteria are most commonly associated with Myositis/pyomyositis?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    Which features can be present if the bacterium causing Myositis/pyomyositis is a toxin-producer?

    <p>Fever, low blood pressure, and organ malfunction</p> Signup and view all the answers

    Which condition is characterized by reduced blood flow, nerve damage, and potentially more circulating sugars in the blood and tissues?

    <p>Diabetic foot wounds</p> Signup and view all the answers

    Which bacterial infection is characterized by fever, malaise, lethargy, and rash on the head and neck which spreads to localized blisters?

    <p>Staphylococcal Scalded Skin Syndrome</p> Signup and view all the answers

    Which bacterium is the causative agent of Staphylococcal Scalded Skin Syndrome?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    Which bacterial infection is a disease of neonates and children? Neonates can get from carrier mothers before GI tract flora is established, usually follows URT, inner ear infection or conjunctive itis in children

    <p>Staphylococcal Scalded Skin Syndrome</p> Signup and view all the answers

    Which bacterium is the major causative agent of cellulitis after an animal bite?

    <p>Pasteurella Multocida</p> Signup and view all the answers

    What is the largest spirochete and the causative agent of Lyme disease?

    <p>Borrellia burgdorferi</p> Signup and view all the answers

    What is the best prevention for Lyme disease?

    <p>Early removal of ticks</p> Signup and view all the answers

    Which bacterium is a gram negative coccobacilli and can cause necrotizing fasciitis, osteomyelitis, and septic arthritis?

    <p>Pasteurella Multocida</p> Signup and view all the answers

    Which bacterium is transmitted by the deer tick and can cause a distinctive bullseye rash?

    <p>Borrellia burgdorferi</p> Signup and view all the answers

    Which bacterium can cause septic arthritis in adults?

    <p>S. aureus and S. pyogenes</p> Signup and view all the answers

    Which bacterial infection can produce early symptoms of mild-flu-like symptoms, secondary stage associated with neurological and cardiac abnormalities and late stage associated with the manifestation of arthritis?

    <p>Borrellia burgdorferi</p> Signup and view all the answers

    What is the common cause of septic arthritis in children?

    <p>Haemophilus influenzae and Group B streptococci</p> Signup and view all the answers

    What is the characteristic rash of Lyme disease called?

    <p>Erythema migrans</p> Signup and view all the answers

    What is the recommended antibiotic treatment for Lyme disease?

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

    What is septic arthritis?

    <p>An infection of a joint following surgery or sepsis</p> Signup and view all the answers

    Which bacterial infection can produce papular or pustular lesions in disseminated disease?

    <p>Neisseria gonorrhoeae</p> Signup and view all the answers

    Which bacterial infection can cause dissemination to the skin during bacteremia?

    <p>Neisseria meningitidis</p> Signup and view all the answers

    Which bacterial infection can produce metastatic lesions in the skin and other body sites in cases of endocarditis?

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

    Which bacterium is responsible for causing pneumonia and meningitis in children, especially serotype B (Hib)?

    <p>Haemophilus influenzae</p> Signup and view all the answers

    Which serotype of Haemophilus influenzae is particularly associated with pneumonia and meningitis in children?

    <p>Group B streptococci (Streptococcus agalactiae)</p> Signup and view all the answers

    Study Notes

    Microbiota Locations

    • Microbiota are found in sebaceous glands, skin, and other body sites

    Bacteria Characteristics

    • S. aureus and S. pyogenes prefer the skin region with higher pH (alkalinity)
    • Propionibacterium grows in sebaceous glands and can metabolize sebum
    • Methicillin Resistant Staphylococcus aureus (MRSA) contains the mecA gene
    • S. aureus is Gram-positive, catalase-positive, coagulase-positive, and beta-hemolytic on blood agar plates
    • S. pyogenes is Gram-positive, catalase-negative, and beta-hemolytic on blood agar plates

    CA-MRSA Characteristics

    • CA-MRSA contains the SCCmec IV staphylococcal chromosomal cassette
    • The cassette encodes an arginine metabolic cassette
    • Arginine metabolism produces ammonia as a byproduct
    • CA-MRSA depletes arginine from the environment, decreasing its availability for the host's immune system
    • Arginine is needed for the immune system to function properly and for wound healing

    Bacterial Infections

    • S. aureus is the most common cause of boils
    • Boils caused by S. aureus do not usually cause infection unless they have gone systemic
    • Virulence factors associated with boils include catalase, coagulase, and beta-hemolysin
    • The hallmark of S. aureus boils is the formation of abscesses
    • Cellulitis involving the epidermis and upper dermis is characterized by redness, warmth, and a defined edge
    • S. pyogenes is commonly associated with superficial cellulitis
    • Cellulitis involving deeper tissues is commonly associated with S. aureus
    • Erysipelas is a bacterial infection characterized by redness and warmth of the skin with a defined edge
    • Necrotizing fasciitis is a life-threatening infection that can produce pain out of proportion to the visible redness
    • Impetigo is a contagious bacterial infection characterized by honey-colored crusts and heals without scarring
    • Gas gangrene is a bacterial infection characterized by gas bubbles in tissue and is often accompanied by fever and evidence of toxic appearance

    Bacterial Infections (continued)

    • Staphylococcal Scalded Skin Syndrome is a bacterial infection characterized by localized blisters to exfoliation of over 90% body surface
    • Clostridium perfringens is the causative agent of Gas Gangrene
    • Myositis/pyomyositis is a bacterial infection characterized by purulent infection of muscle
    • Toxin-producing bacteria can cause Myositis/pyomyositis
    • Diabetic patients are at risk of developing Myositis/pyomyositis
    • Staphylococcus aureus is the causative agent of Staphylococcal Scalded Skin Syndrome
    • Streptococcus pyogenes is a causative agent of cellulitis
    • Pasturella multocida is the major causative agent of cellulitis after an animal bite
    • Borrelia burgdorferi is the largest spirochete and the causative agent of Lyme disease
    • The best prevention for Lyme disease is the use of protective clothing and tick repellents
    • Lyme disease can produce early symptoms of mild-flu-like symptoms, secondary stage associated with neurological and cardiac abnormalities, and late stage associated with arthritis
    • Haemophilus influenzae is the common cause of septic arthritis in children
    • The characteristic rash of Lyme disease is the erythema migrans (bullseye rash)
    • Doxycycline is the recommended antibiotic treatment for Lyme disease
    • Septic arthritis is a bacterial infection characterized by joint inflammation and pus accumulation

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    Description

    Test your knowledge on the microbiota found on the skin surface and its variations across different sites. Learn about the factors that affect colonization by pathogens and the impact of moisture on skin health.

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