210 likes | 504 Views
Virulence Factors & Features Important in Disease. Surface adherence & colonization. Gram-positive teichoic acids M fimbriae of Streptococcus pyogenes Gram-negative pili IgA proteases: Streptococcus pneumoniae Neisseria spp. Haemophilus influenzae Biofilms
E N D
Virulence Factors & Features Important in Disease
Surface adherence & colonization • Gram-positive teichoic acids • M fimbriae of Streptococcus pyogenes • Gram-negative pili • IgA proteases: • Streptococcus pneumoniae • Neisseria spp. • Haemophilus influenzae • Biofilms • Staphylococcus epidermidis biofilms adhere to artificial body parts & catheters • Streptococcus mutans biofilms cause dental plaque
Antiphagocytic structures • Capsules • Streptococcus pyogenes ] SOME • Klebsiella pneumoniae & ] KILLERS • K1 strains of Escherichia coli • Haemophilus influenzae ] HAVE • Pseudomonas aeruginosa ] PRETTY • Neisseria meningitidis ] NICE • Cryptococcus neoformans ] CAPSULES • Pili of Neisseria gonorrheae • M protein of Streptococcus pyogenes • A protein of Staphylococcus aureus
Toxins Toxin with ADP-ribosyl transferase activity
Heat stability of bacterial toxins • Heat stable at boiling point of water • Endotoxin • Heat stable at 60oC for 10 mins • S. aureus enterotoxin • Stable toxin (ST) of E. coli • Yersinia enterocolitica toxin • Denatured by moderate heat • All the rest of the bacterial toxins
Toxins that cause membrane damage • Clostridium perfringens • Alpha toxin (lecithinase) • S. aureus • Alpha toxin (pore-forming toxin)
Other virulence factors • Coagulase • Staphylococcus aureus • Yersinia pestis • Urease • Cryptococcus neoformans • Nocardia • Helicobacter pylori • Proteus ] increase urine pH in UTI • Ureaplasma urealyticum] causing kidney stones esp Proteus • Hyaluronidase • Group A streptococci • S. aureus
Stain Reactions Non-Gram staining or poorly seen on Gram stain • No cell wall Mycoplasmas, Ureaplasma • Too small Chlamydia, Rickettsia • Too thin spirochetes (Treponema, Borrelia, Leptospira) • Gram-neg stain seen only if counterstain time is increased
Stain Reactions Acid-fast • Mycobacterium • Nocardia (partially) • Legionella micdadei • Cryptosporidium oocysts • Isospora oocysts
Stain Reactions Silver staining • Fungi • Legionella Periodic acid-Schiff • Fungi stain red Calcofluor white • Fungi fluoresce blue-white on black India Ink wet mount • Cryptococcus – colorless cells with halos on black • Misses 50%
Special culture limitations Intracellular pathogens • Obligate intracellular • ALL viruses • Chlamydia • aLL Rickettsias except Bartonella (Rochalimea) • Mycobacterium leprae • Plasmodia • Toxoplasma • Facultative intracellular • Listeria • Mycobacteria • Histoplasma • Brucella
Special culture limitations Non-intracellular pathogens that can’t be cultured routinely • T. pallidum • Pneumocystis
Anaerobes • Actinomyces • Bacteroides • Clostridium Microaerophilic • Campylobacter grows at 42oC • Helicobacter = 37oC Obligate aerobes • Mycobacterium tuberculosis • Pseudomonas • Mycoplasmapneumoniae
Media or Growth Factors • Charcoal yeast extract agar → Legionella • Cholesterol → Mycoplasmas & Ureaplasma • Salt tolerant • Staphylococcus aureus • Enterococcus faecalis • Streptococcus bovis • Vibrio parahaemolyticus • V. vulnificus • X & V factors (hematin & NADH) • H. influenzae
Media or Growth Factors • Chocolate agar • Haemophilus & Neisseria • Thayer Martin • Neisseria • Regan-Lowe • Bordetella pertussis • Lowenstein-Jensen • Mycobacteria
Specific inhibitors • Bacitracin • “A” disk inhibits Streptococcus pyogenes (Grp A) • Optochin • “P” disk inhibits (& bile lyses) Pneumococcus