Staphylococcus Characteristics and Virulence
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Questions and Answers

What are the general characteristics of Staphylococcus?

  • Motile
  • Spherical cells in clusters (correct)
  • Non spore-forming (correct)
  • Gram positive (correct)
  • Staphylococcus is a motile organism.

    False

    What is Protein A known for in Staphylococcus?

    Antiphagocytic

    Which of the following is a virulence factor of Staphylococcus?

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

    What skin lesion is characterized by a change in color and is flat?

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

    What is a characteristic of a pustule?

    <p>Exudate-filled</p> Signup and view all the answers

    Staphylococcus aureus can cause __________, characterized by small, superficial abscesses.

    <p>Localized skin infections</p> Signup and view all the answers

    What syndrome is caused by exfoliative toxin in Staphylococcus?

    <p>Staphylococcal scalded skin syndrome</p> Signup and view all the answers

    Which Staphylococcus species is associated with urinary tract infections?

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

    Toxic shock syndrome is common in menstruating women due to tampon use.

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

    What is the short incubation period for Staphylococcal gastroenteritis?

    <p>30 minutes to 8 hours</p> Signup and view all the answers

    Study Notes

    General Characteristics

    • Staphylococcus is a Gram-positive bacterium with spherical cells arranged in grape-like clusters.
    • Commonly found on skin and mucous membranes; it is non-motile and non-spore forming.
    • Facultative anaerobes, capable of aerobic and anaerobic respiration, and active fermenters.
    • Colonies produce pigments resulting in white to deep yellow appearances.
    • Known for easily acquiring antibiotic resistance and producing catalase, differentiating it from Streptococci, which are catalase negative.

    Virulence Factors

    • Cell Wall Components:
      • Protein A: Anti-phagocytic, helps evade immune response.
      • Fibronectin-binding protein (PnBP): Promotes adhesion to tissues.
    • Exotoxins:
      • Cytolytic exotoxins like hemolysin can lyse red blood cells.
      • Superantigen exotoxins heighten T lymphocyte activity, including enterotoxins and toxic shock syndrome toxin.
      • Exfoliative toxin leads to scalded skin syndrome.
    • Enzymatic Factors:
      • Coagulase: Clots plasma, aiding in localizing infection.
      • Catalase: Converts hydrogen peroxide to water and oxygen.
      • Other enzymes include hyaluronidase, staphylokinase, lipases, and nucleases which facilitate spreading.

    Types of Skin Lesions

    • Macules: Flat, discolored lesions.
    • Papules: Raised lesions, solid, <5 mm in diameter.
    • Plaques: Elevated flat lesions, >5 mm in diameter.
    • Nodules: Rounded raised lesions, >5 mm in diameter.
    • Urticaria: Pinkish annular papules or plaques, also known as hives.
    • Vesicles: Fluid-filled lesions, <5 mm in diameter.
    • Bullae: Larger fluid-filled lesions, >5 mm in diameter.
    • Pustules: Lesions filled with exudate.
    • Purpura: Skin bleeds resulting in:
      • Petechiae: <3 mm.
      • Ecchymosis: >3 mm.
    • Ulcer: Crater-like lesions affecting deeper skin layers.
    • Eschar: Necrotic ulcer covered with blackened scab.

    Staphylococcus aureus Pathology

    • Localized Skin Infections:
      • STY: Small abscesses around hair follicles or glands.
      • FURUNCLES/BOILS: Subcutaneous abscesses, often secondary to foreign bodies.
      • CARBUNCLE: Deep, multiloculated infections that can spread systemically.
      • IMPETIGO: Superficial, spreading crusted lesions.
      • Staphylococcal scalded skin syndrome (Ritter’s disease): Common in infants; characterized by perioral erythema, Nikolsky sign, blistering, and desquamation.

    Complications of Staphylococcus aureus

    • Localized infections may lead to:
      • Osteomyelitis (bone infection).
      • Arthritis.
      • Acute endocarditis (infection of heart valves).
      • Septicemia (blood infection).
      • Pneumonia and potential empyema (lung abscess).

    Toxic Shock Syndrome

    • Associated with tampons in menstruating women (first identified in the 1970s).
    • Symptoms include fever, vomiting, diarrhea, hypotension, rash, and multi-organ involvement.

    Staphylococcal Gastroenteritis

    • Symptoms involve nausea, vomiting, and diarrhea without fever, with a quick onset (30 minutes to 8 hours post-exposure).

    Coagulase Negative Staphylococcus

    • Staphylococcus epidermidis: Infects prosthetic devices.
    • Staphylococcus saprophyticus: Common cause of urinary tract infections.

    Epidemiology

    • Staphylococcus species are ubiquitous in the environment.
    • Transmission occurs through droplets and drainage from lesions.
    • Hygiene, cleanliness, and aseptic management are vital for control, alongside methods like aerosols, ultraviolet irradiation, and antiseptics.

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    Description

    This quiz explores the general characteristics and virulence factors of Staphylococcus, focusing on its structure, growth conditions, and antibiotic resistance. It highlights unique features like Protein A and the significance of catalase production. Test your knowledge about this important bacterial genus.

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