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Streptococcus Part 1
  • MAHATHIR ALPHA

  • 問題数 81 • 11/25/2023

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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

  • 24

    Also called green streptococci

    Streptococcis pneumoniae

  • 25

    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

  • 28

    -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

  • 37

    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

  • 40

    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

  • 54

    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

  • 65

    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