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1
Indigenous human microbiota, but can cause life-threatening infections if access to normally sterile sites is gained.
Family Streptococcacea
2
All Streptococcus are facultative anaerobes except for what?
Peptostreprococci
3
Some species are ___________ and thus require an increased consumption of CO2 for growth
Capnophilic
4
True/False: Growth of Family Streptococcaceae is enhanced by blood, serum or glucose incorporated in the agar plate
True
5
All streptococci except the ______________ and _______________ are included in the Lancefield classification.
Viridans group , Streptococcus pneumonia
6
How do Streptococcus looks like under the microscope?
Gram positive spherical cells that are arranged in chains or pairs
7
How do Streptococcus looks like in Culture Media?
Colonies appear grayish, pinpoint, and translucent to slightly opaque while some species have mucoid colonies.
8
Reaction of Family Streptococcaceae
..
9
This classification of Streptococci is based on temperature requirement.
Academic/Bergey's Classification
10
- Will neither grow at 10°C nor at 45 °C, but only at 37 C - Mostly has ẞ-haemolytic reactions -S.pyogenes, groups C and G streptocococci
Pyogenic group
11
Give out the Academuc/Bergey's Classification of Streptococci
Pyogenic group, Viridans group, Lactic group, Enterococcus group
12
This group is formerly streptococci
Enterococcus group
13
What are the species under Pyogenic group?
S. pyogenes, Group C and G Streptococci
14
What are the species under Viridans group
Streptococcus mutans, Streptococcus mitis, Streptococcus salivarus
15
-Will grow both at 45 °C and 37°C -Not part of the Lancefield group and maybe a-haemolytic or non-haemolytic -Indigenous microbiota in the upper respiratory tract of humans -Some may have the A, C,G, or N Lancefield antigen
Viridans group
16
This specie of streptococci causes coagulation or souring of milk
Streptococcus lactis
17
-Will grow at 10°C to 37°C -Non-haemolytic and has a Lancefield N antigen -Often found in dairy products
Lactic group
18
What is/are the specie/s under Lactic group?
Streptococcus lactis
19
What is/are the specie/s under Enterococcus group?
Enterococcus faecalis
20
-Will grow at 10 C, 45° C, and 37°C -Part of indigenous microbiota of the human intestines
Enterococcus group
21
This classification of Streptococci is based on haemolytic pattern.
Smith and Brown classification
22
Give out the Smith and Brown Classification
Alpha-haemolytic streptocci, Beta-haemolytic streptocci, Gamma--haemolytic streptocci
23
Give out specie/s under Alpha-haemolytic streptocci
Streptococcus pneomonia (green streptococci), Viridans
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Also called green streptococci
Streptococcis pneumoniae
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Give out specie/s under Beta-haemolytic streptocci
Streptococcus pyogenes
26
Give out specie/s under Gamma-haemolytic streptocci
Streptococcus bovis, Enterococcus faecalis, Enterococcus faecium
27
-Have partial/complete hemolysis of red blood cells around the colonies -Culture, exhibit a greenish or incomplete hemolysis
Alpha-haemolytic streptococci
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-Exhibit complete lysis of red blood cells around the colony -Culture, clear zone around the colony
Beta-haemolytic streptococci
29
Do not exhibit the lysis of red blood cells around the colony
Gamma-haemolytic streptococci
30
This specie of B-hemolytic streptococci is bacitracin sensitive
Streptococcus pyogenes
31
This specie of B-hemolytic streptococci is bacitracin resistant
Streptococcus agalactiae
32
Who is the person behind the Lancefield Classification?
Rebecca Lancefield
33
It is based on the extraction of C carbohydrate from the streptococcal cell wall.
Lancefield Classification
34
Mostly significant in classifying and identifying B-haemolytic streptococci.
Lancefield Classification
35
Fammiliarize
Done
36
Lancefield A is under what hemolytic reaction?
Beta-hemolytic
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Lancefield B and C are under what hemolytic reaction?
Alpha or Gamma hemolytic
38
Lancefield D is under what hemolytic reaction?
Alpha, Beta, or Gamma-hemolytic
39
Specie under Lancefield group A
Streptococcus pyogenes
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Specie under Lancefield group B
Streptococcus agalactiae
41
Species under Lancefield group C
Streptococcus dysgalactiae subsp. equisimilis, Streptococcus equi
42
Specie under Lancefield group D
Enterococci
43
Longest chain is produced by Streptococcus _____________ (Commensal)
salivarius
44
Morphology: -Spherical to oval cocci -Arranged in chains, more in liquid medium -Non motile -Non sporing
Streptococcus pyogenes
45
Describe Streptococcus pyogenes in Blood agar
Small colonies with beta type of hemolysis around them
46
Describe Streptococcus pyogenes in Liquid media
Granular turbidity
47
Cultural Characteristic of Streptoccus pyogenes
Done
48
Fill in the blanks
Negative, Positive, Not bile soluble
49
The antigenic structure of Streptococcus pyogenes are composed of what?
Structural antigens - cell wall antigens, Toxins, Enzymes, Protein antigens , Fimbrial antigens
50
Give out the diff. Protein antigens
M protein, T protein, R protein
51
These antigens are used for attachment in epithelial cells
Fimbrial antigens
52
How many types are identified in M protein by Griffith typing?
80 types
53
This protein antigen is the most virulent; heat and acid stable, but susceptible to tryptic digestion.
M protein
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This protein antigen is acid labile, trypsin resistant. Not virulent.
T protein
55
This protein antigen is not virulent
R protein
56
What are the toxins and enzymes of Streptococcus pyogenes?
Streptolysin - O, S, Pyrogenic exotoxin, Streptokinase, Deoxyribonucleases (Streptodornase), NADase, Hyaluronidase, Serum opacity factor
57
What are the infections/conditions under suppurative diseases?
Respiratory infection, Skin and soft tissue infections, Genital infections
58
What are the diseases/conditions with non suppurative sequelae?
Acute rheumatic fever, Acute glomerulonephritis
59
What is primary site of respiratory infections caused by Streptococcus pyogenes?
Throat
60
What is the adherence of Streptococcus pyogenes in causing Respiratory infection?
By pili
61
What is the sequelae of Throat infection caused by Strep. pyogenes?
Acute rheumatic fever
62
A condition which is the consequence of a previous disease or injury.
Sequelae
63
What are the Skin and soft tissue infections caused by Strep. pyogenes?
Cellulitis, Septicemia, Erysipelas, Impetigo
64
It is a Skin and soft tissue infections caused by Strep. pyogenes which occurs in older patients.
Erysipelas
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It is a Skin and soft tissue infections caused by Strep. pyogenes which occurs in Children.
Impetigo
66
What is the sequelae of Impetigo caused by Step. pyogenes?
Acute glomerulonephritis
67
What is this condition?
Cellulitis
68
This condition is caused by what?
Flesh eating bacteria
69
Caused by normal inhabitants of the femal genitalia and an example is Puerperal sepsis.
Genital infections
70
• M types 1 and 3 forming pyrogenic exotoxin A •High fatality •Flesh eating bacteria •Shock, DIC •Treatment with penicillin - not effective •Vancomycin infections- DOC in life threatening infections
Necrotizing fasciitis
71
What is the site of infection of Acute rheumatic fever?
Throat
72
What is/are the Serotype of Acute rheumatic fever?
Any
73
What toxin has relation with Necrotizing fascitis?
M type 1 and 3 forming pyrogenic extoxin A
74
It is an infection of the genital tract occurring at any time between rupture of membrane or labour and 42 days postpartum.
Puerpural sepsis
75
It is essential for the treatment of Acute rheumatic fever
Penicillin prophylaxis
76
What hemolysis does Viridans group have in blood agar?
Alpha lysis
77
Most common cause of bacterial meningitidis in adults
Streptococcus pnemoniae
78
The new name for Streptococcus MG
Streptococcus anginosus
79
What does MG in Streptococcus MG stands for?
Milleri group
80
It is the source of Streptokinase used for thrombolytic theraphy in patients
Streptoccus equisimilis