Staphylococci and Related Diseases

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Questions and Answers

Which of the following Staphylococcus species are coagulase positive?

  • S. aureus, S. intermedius, S. pseudintermedius (correct)
  • S. lugdunensis, S. schleiferi, S. epidermidis
  • S. aureus, S. epidermidis, S. saprophyticus
  • S. hyicus, S. delphini, S. lugdunensis

Which of the following toxins is considered less toxic to cells?

  • δ-hemolysin (correct)
  • β-hemolysin
  • γ-hemolysin
  • α-hemolysin

What is the mechanism of action of Protein A?

  • It acts on sphingomyelin in the plasma membrane of erythrocytes.
  • It binds to the Fc portion of IgG, inhibiting phagocytosis. (correct)
  • It directly lyses erythrocytes.
  • It binds to the Fab portion of IgG, preventing antibody binding.

Which of the following staphylococcal toxins is lethal to polymorphonuclear leukocytes?

<p>Panton-Valentine leukocidin (PVL) (C)</p> Signup and view all the answers

Which of these is NOT a characteristic of Staphylococci?

<p>Spore-forming (D)</p> Signup and view all the answers

Which of the following staphylococcal species is the most common cause of prosthetic valve endocarditis?

<p>S. epidermidis (A)</p> Signup and view all the answers

Which of the following is a common source of hospital-acquired infections?

<p>S. epidermidis (B)</p> Signup and view all the answers

What is the Greek term for "bunches of grapes" which describes Staphylococci's appearance?

<p>Staphle (A)</p> Signup and view all the answers

Which type of toxin is associated with Ritter disease, a skin condition mainly affecting newborns and infants?

<p>Exfoliative toxin (B)</p> Signup and view all the answers

Which of the following staphylococcal species is associated with UTIs in young women?

<p>S. saprophyticus (A)</p> Signup and view all the answers

What is the basis of the slide coagulase test?

<p>Clumping factor causing bacterial cells to agglutinate in plasma (A)</p> Signup and view all the answers

What is the name of the test used to identify Staphylococci based on their ability to coagulate plasma?

<p>Coagulase test (D)</p> Signup and view all the answers

Which of these toxins is associated with Staphylococcal pseudomembranous enterocolitis?

<p>Enterotoxin B (C)</p> Signup and view all the answers

Which of these is NOT a type of hemolysin produced by S. aureus?

<p>Epsilon (C)</p> Signup and view all the answers

Which of these is a potential consequence of TSS caused by Staphylococci?

<p>All of the above (D)</p> Signup and view all the answers

Which of these is a common characteristic of both Staphylococci and Micrococci?

<p>Catalase production (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Staphylococcus aureus?

<p>Is typically less virulent than other <em>Staphylococcus</em> species. (D)</p> Signup and view all the answers

What is the mechanism by which Staphylococcus aureus develops resistance to methicillin?

<p>Production of an altered penicillin-binding protein (PBP) called PBP2a. (C)</p> Signup and view all the answers

Which of the following statements is TRUE about Staphylococcus lugdunensis?

<p>It can cause both community-associated and hospital-acquired infections. (A)</p> Signup and view all the answers

What is the name of the gene responsible for methicillin resistance in Staphylococcus aureus?

<p>mecA (C)</p> Signup and view all the answers

What is the 'gold standard' method for detecting methicillin resistance in Staphylococcus aureus?

<p>Detection of the <em>mecA</em> gene by molecular methods. (C)</p> Signup and view all the answers

Which of the following is a TRUE statement about Staphylococcus saprophyticus?

<p>It is a common cause of urinary tract infections in young women. (B)</p> Signup and view all the answers

Which of the following statements is TRUE regarding the treatment of methicillin-resistant Staphylococcus aureus (MRSA)?

<p>Vancomycin remains the primary treatment option. (B)</p> Signup and view all the answers

What is the most appropriate test for determining methicillin resistance in Staphylococcus aureus isolates?

<p>A molecular test for the <em>mecA</em> gene. (D)</p> Signup and view all the answers

Flashcards

Food poisoning

Illness caused by consuming contaminated food, often linked to staphylococci.

Toxic Shock Syndrome Toxin-1 (TSS Toxin-1)

A toxin linked to staphylococcal infections causing toxic shock syndrome, especially in menstruating women.

Staphylococci

Gram-positive cocci, often appear in clusters, catalase-positive, and can cause various infections.

Exfoliative Toxin

Toxins from staphylococci that cause skin to slough off, leading to conditions like Ritter disease.

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Ritter Disease

A skin condition caused by exfoliative toxins, primarily affecting newborns and infants.

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Micrococci

Catalase-positive, coagulase-negative, gram-positive cocci found in the environment and on skin.

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Coagulase

An enzyme produced by some bacteria that causes blood plasma to clot; indicates pathogenic staphylococci.

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Cytolytic Toxins

Toxins produced by some bacteria that cause damage to cell membranes, leading to cell lysis.

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Staphylocoagulase

An enzyme produced by coagulase-positive staphylococci that causes blood plasma to clot.

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Alpha-Hemolysin

A toxin that lyses (breaks down) red blood cells and can damage platelets.

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Beta-Hemolysin

Sphingomyelinase C, a hemolysin that acts on sphingomyelin in erythrocyte membranes.

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Panton-Valentine leukocidin (PVL)

An exotoxin lethal to polymorphonuclear leukocytes, associated with certain strains of staphylococci.

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Protein A

A surface protein in staphylococci that binds the Fc portion of IgG, blocking phagocytosis.

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Clumping Factor

A protein that causes staphylococci to agglutinate in plasma; basis of slide coagulase test.

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Staphylococcus epidermidis

A normal skin bacterium that can cause hospital-acquired infections and is often a contaminant in blood cultures.

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Staphylococcus saprophyticus

A staphylococcus species commonly associated with urinary tract infections (UTIs) in young women.

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Staphylococcus lugdunensis

A virulent bacteria causing community and hospital infections, known for mecA gene for resistance.

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Staphylococcus aureus

The most clinically significant species causing skin infections and toxic conditions.

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Cutaneous infections

Skin infections like impetigo, cellulitis, and carbuncles caused by bacteria.

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Enterotoxins

Heat-stable toxins causing diarrhea and vomiting, linked with food poisoning.

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Methicillin-resistant Staphylococci

Bacteria resistant to nafcillin or oxacillin, often treated with vancomycin.

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mecA gene

Gene encoding for penicillin-binding protein PBP2a, responsible for methicillin resistance.

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Toxin-induced diseases

Diseases caused by toxins like food poisoning, scalded skin syndrome, and toxic shock syndrome.

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Oxacillin-salt agar plate

Medium used to screen for methicillin-resistant Staphylococcus aureus (MRSA).

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Study Notes

Staphylococci

  • Gram-positive cocci, arranged in clusters ("bunches of grapes")
  • Nonmotile, non-spore-forming, aerobic or facultatively anaerobic
  • Catalase-positive
  • Several species, including S. aureus, S. epidermidis, S. saprophyticus, S. lugdunensis
  • Important in human infections, often causing food poisoning, skin infections, and other diseases.
  • S. aureus is the most common and clinically significant species

Staphylococcal Diseases

  • Food poisoning: Caused by heat-stable enterotoxins
  • Scalded skin syndrome (SSS): Caused by exfoliative toxins
  • Toxic shock syndrome (TSS): Caused by toxic shock syndrome toxin-1 (TSST-1)
  • Impetigo: Superficial skin infection, can progress deeper
  • Cellulitis: Skin infection, can progress deeper
  • Carbuncles: Deep skin abscesses

Staphylococcal Toxins

  • Enterotoxins: Heat-stable, cause vomiting and diarrhea (A-E, G-J groups)
  • Exfoliative toxins: Cause scalded skin syndrome
  • Toxic shock syndrome toxin-1 (TSST-1): Causes toxic shock syndrome
  • Cytolytic toxins (hemolysins and leukocidins): Damage cells
  • Panton-Valentine leukocidin (PVL): Toxin lethal to polymorphonuclear leukocytes

Coagulase

  • Enzyme produced by some staphylococci
  • Positive test results in clot formation in plasma

Differentiation Between Staphylococci and Micrococci

  • Use tests like modified oxidase, anaerobic acid production from glucose/glycerol, resistance to bacitracin, lysosome/lysostaphin assay.

Antimicrobial Susceptibility

  • Testing crucial for S. aureus and S. lugdunensis infections
  • Testing of S. saprophyticus from urine not usually required

Methicillin-Resistant Staphylococci (MRSA)

  • Isolates resistant to nafcillin or oxacillin
  • Vancomycin often the treatment of choice for MRSA and MRSE
  • Screening for MRSA involves oxacillin-salt agar plate and/or detection of the mecA gene

Vancomycin-Resistant Staphylococci

  • Vancomycin often the drug of choice
  • Infections may require different approaches, emphasizing prompt testing

Macromolecule Resistance

  • Modified disk diffusion tests used to assess resistance
  • Resistance mechanisms can affect treatment pathways

Diagnostic Procedures

  • Gram stains, catalase tests, coagulase tests
  • Differentiating tests used to identify specific staphylococcal and micrococcal species

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