Corynebacterium Erysipelothrix & Listeria презентация

Содержание

Pathogenic Anaerobic Gram-Positive Bacilli

Слайд 2


Слайд 3Pathogenic Anaerobic Gram-Positive Bacilli


Слайд 4Corynebacteria (Genus Corynebacterium)
⮚Aerobic or facultatively anaerobic

⮚Small, pleomorphic (club-shaped), gram-positive bacilli that

appear in short chains (“V” or “Y” configurations) or in clumps resembling “Chinese letters”

⮚Cells contain metachromatic granules (visualize with methylene blue stain)

⮚Lipid-rich cell wall contains meso-diaminopimelic acid, arabino-galactan polymers, and short-chain mycolic acids

⮚Lysogenic bacteriophage encodes for potent exotoxin in virulent strains

Слайд 5Distinguishing Features of CMN Group


Слайд 6Pathogenic Corynebacterial Species
Corynebacterium diphtheriae
Corynebacterium jeikeium
Corynebacterium urealyticum


Слайд 7Corynebacterium urealyticum

⮚Urinary tract infections (UTI’s); rare but important

⮚Urease hydrolyzes urea; release

of NH4+, increase in pH, alkaline urine, renal stones

Слайд 8Corynebacterium jeikeium

⮚Opportunistic infections in immunocompromised (e.g., patients with blood disorders, bone

marrow transplants, intravenous catheters)

⮚Multiple antibiotic resistance common (MDR)

⮚Carriage on skin of up to 40% of hospitalized patients (e.g., marrow t-plants)


Слайд 9Corynebacterium jeikeium Carriers


Слайд 10Corynebacterium diphtheriae

⮚Respiratory diphtheria (pseudomembrane on pharynx) and cutaneous diphtheria

⮚Prototype A-B exotoxin

acts systemically
Toxoid in DPT and TD vaccines

⮚Diphtheria toxin encoded by tox gene introduced by lysogenic bacteriophage (prophage)

⮚Selective media: cysteine-tellurite; serum tellurite; Loeffler’s

⮚Gravis, intermedius, and mitis colonial morphology

Слайд 11Epidemiology of Diphtheria


Слайд 12Incidence of Diphtheria in the USA


Слайд 13Incidence of Diphtheria in Former Soviet Union


Слайд 14Virulence Factors in Corynebacterium Species


Слайд 15Diphtheria tox Gene in Beta Bacteriophage and Prophage


Слайд 16See Handout on Exotoxins


Слайд 18Mechanism of Action of Diphtheria Toxin:

Inhibition of Protein Synthesis

Слайд 19
Molecular Structure of Diphtheria Toxin


Слайд 21Diagnostic Schick Skin Test


Слайд 22In vivo Detection of Diphtheria Exotoxin


Слайд 24Listeria monocytogenes
⮚Gram-positive beta-hemolytic bacillus
⮚Multiply at refrigerator temperatures (4oC)
⮚Tumbling motility at room

temperature
CAMP Test positive (like Group B Streptococcus)

Слайд 25Intestinal tract of mammals & birds (especially chickens)
Persists in soil
Soft cheeses

& unwashed raw vegetables
Raw or undercooked food of animal origin
Luncheon meats
Hot dogs
Large scale food recalls have become common

Where do we find Listeria?


Слайд 26Epidemiology of Listeriosis


Слайд 27Epidemiology of Listeria Infections


Слайд 28Neonates, elderly & immunocompromised
Granulomatosis infantiseptica
Transmitted to fetus transplacentally
Early septicemic

form: 1-5 days post-partum
Delayed meningitic form: 10-20 days following birth
Intracellular pathogen
Cell-mediated and humoral immunity develop
Only cell-mediated immunity is protective

Listeriosis


Слайд 29Methods That Circumvent Phagocytic Killing
See Chpt. 19


Слайд 30Intracellular Survival & Replication of Listeria


Слайд 32Erysipelothrix rhusopathiae
Gram-positive non-motile bacillus; forms filaments
Occupational disease of meat and fish

handlers, hunters, veterinarians
Preventable with protective gloves & clothing
Erysipeloid in humans; erysipelas in swine & turkeys
Organisms enter through break in skin
Nonsuppurative, self-limiting skin lesions with erythema and eruption
Peripheral spread may lead to generalized infection, septicemia and/or endocarditis
Organisms can be isolated from skin biopsy

Слайд 33Epidemiology of Erysipelothrix Infection


Слайд 36Corynebacterium diphtheriae

⮚Respiratory diphtheria (pseudomembrane on pharynx) and cutaneous diphtheria

⮚Prototype A-B exotoxin

acts systemically
Toxoid in DPT and TD vaccines

⮚Diphtheria toxin encoded by tox gene introduced by lysogenic bacteriophage (prophage)

⮚Selective media: cysteine-tellurite; serum tellurite; Loeffler’s

⮚Gravis, intermedius, and mitis colonial morphology

REVIEW


Слайд 37Diphtheria tox Gene in Beta Bacteriophage and Prophage
REVIEW


Слайд 38See Handout on Exotoxins
REVIEW


Слайд 39Mechanism of Action of Diphtheria Toxin:

Inhibition of Protein Synthesis

REVIEW


Слайд 40Corynebacterium jeikeium

⮚Opportunistic infections in immunocompromised (e.g., patients with blood disorders, bone

marrow transplants, intravenous catheters)

⮚Multiple antibiotic resistance common (MDR)

⮚Carriage on skin of up to 40% of hospitalized patients (e.g., marrow t-plants)

REVIEW


Слайд 41Corynebacterium urealyticum

⮚Urinary tract infections (UTI’s); rare but important

⮚Urease hydrolyzes urea; release

of NH4+, increase in pH, alkaline urine, renal stones

REVIEW


Слайд 42Listeria monocytogenes
⮚Gram-positive beta-hemolytic bacillus
⮚Multiply at refrigerator temperatures (4oC)
⮚Tumbling motility at room

temperature
CAMP Test positive (like Group B Streptococcus)

REVIEW


Слайд 43Epidemiology of Listeria Infections
REVIEW


Слайд 44Neonates, elderly & immunocompromised
Granulomatosis infantiseptica
Transmitted to fetus transplacentally
Early septicemic

form: 1-5 days post-partum
Delayed meningitic form: 10-20 days following birth
Intracellular pathogen
Cell-mediated and humoral immunity develop
Only cell-mediated immunity is protective

Listeriosis

REVIEW


Слайд 45Intracellular Survival & Replication of Listeria
REVIEW


Слайд 46Erysipelothrix rhusopathiae
Gram-positive non-motile bacillus; forms filaments
Occupational disease of meat and fish

handlers, hunters, veterinarians
Preventable with protective gloves & clothing
Erysipeloid in humans; erysipelas in swine & turkeys
Organisms enter through break in skin
Nonsuppurative, self-limiting skin lesions with erythema and eruption
Peripheral spread may lead to generalized infection, septicemia and/or endocarditis
Organisms can be isolated from skin biopsy

REVIEW


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