FIG. 14.1 Mierococel growing on sheep blood agar showing|
yellow pigment.
FIG. 14.2 Numerous gram-positive coed in clusters, with mam
polymorphon clear cas from an aspirated abscess in staph)
lococcal disease (Gram stain, original magnification x1000)
FIG. 14.3 A, Microscopic morphology of Stephylococcus spp.
(On Gram stain, gram-nogative-looking cells show how older
cells decolorize (1000). B, Scanning electron micrograph showing
the typical “clusters” of staphylococci («20,000).
FIG. 14.4 Staphylocaccus aureus growing on sheep blood.
showing B:hemolytic, creamy, buttery-looking coloni
FIG, 14.5 Ceagulase:negative staphylococd growing on sheq
blood agar, revealing nonhemolytic, white creamy colonies.
FIG, 14.6 Tube coagulase test detects extracellular enzyme “free
coagulase.” Top tube Is coagulase postive
FG. 147 Novobiocn suscepti tes toclffereriate coagu-
ase negatiesaphylocec! (CaNs)Kolated rom unne samples
Phylococeun seprophytcu op) restart to nowsbiccn,
indated bythe lack of sone of infbition around the dkFIG. 14.10 D-zone test~positive isolate showing flattening of
the dindamydin (CC) zone adjacent to the erythromycin (E) disk
and the characteristic D-lice pattern
FG. 15.1 Gram stain of Spoeoeis. A, Solid madi. 8, quid medi
FIG. 15.3 B-Hemolytic streptécoccal colonies on sheep blood
agar.
FIG. 15.4 a-Hemolytic streptococcal colonies on sheep bloo}
agar
FIG. 15.5 Streptococcus agalactiae colony gro
blood agar.
on she
FIG. 15.2 the streptococci wal
: OT
of sputum from a patier with pneumonia caused by 5. pneu
monige. ‘The lear, nonstained area around the organism
Fepresents the capsule, (1000)
FIG. 15.8 Streptococcus pneumoniae colonies on sheep blood
agar. The colonies demanstrate a characteristic mucoid appear
nce and 2 concave center.FIG. 15.9 Enterococcus species growing on sheep blood agar.
FIG. 15.14 Colonies of Leuconostoc species growing on sheep
blood agar (SBA). Leuconostoc spp. may produce a-hemolysis
and can resemble viridans streptococci
FIG. 15.17 Group A streptococci on sheep blood ager’ showin:
susceptibility to bacitracin. Left, Susceptible. Right, Resistant.
FIG. 15.18 Christie, Atkins and Mundh-Petersen test for presump-
tivedentifiation of group 8 streptococ. Streptococas agalactine
shows the classic arrow shape near the streptococcal streak
FIG. 15.19 Modification of the Christie Atkins, and Munch
Petersen test showing the enhanced hemolysis produced by
Streptococcus agalactiae when a drop of extracted Blyrin &
placed on the colon
FIG. 15.21 Bile esculin test. Left Positive test shows blackening
of the agar. Right. Negative test.
FIG, 1520 Pyrrolidonyka-naphthylamide test for Streptococcus
pyogenes and Enterococcus. Left, Negative. Right, Positive.FIG. 15.22 Streptococcus préumoniaé on blood agar showing
susceptibiity to optochin. Left, Susceptible Streptococcus
ant viidans streptococc,
ms one
wt : yo
rap Gon 0 eis rin a mayo 1) 8 Me
rls of Canc p00 Tauren Caey cane
FIG. 16.3 Corynebacterium diphtheriae growing on sheap blood
agar. (Courtesy Cathy Bissonette )
Z er.
FIG. 16.6 Gram stain of Listeria monocytogenes in the bloo|
(1000). (Courtesy Cathy Bissonette.)
FIG. 16.7 Gram stain of Literla monocytogenes from 2 culture
(1000): (Courtesy Steve Mahlen and Amanda Harrington )
G16 A, eas itis ap (4 te La morons vg
2 Ath em poo Smit ef coup Peep Cae
(ae andl (Att ah Lerten ig” ho,
coh teas the ope of ck, the urton wh the Sophos ares
vec
FIG. 16.9 Umbrella motility: Listeria. Motility test for Listeria
‘monocytogenes showing the typical * umbrella” pattern, which
‘occurs toward the surface of the medium when this organism
is incubated at room temperature. Tube on left is positive; tube
On right is negative control
ee
REIN
Rear iy
CF fuiptie Tas vn te edo along aren wich |
seca 0 Kou Cty sone)FIG. 16.11 Comparison of colony morphology of Listeria
(A) and Erysipelothric (B) growing on sheep blood agar (SBA)
after 24 hours of incubation. (Courtesy Cathy Bissonette,)
from a colony (1000). (Courtesy Steve Manien and Amanda
Harrington.)
FIG. 16.14 A, Gram staining of Nocardia demonstrating irregular
staining (<1000). B, Acid-fat staining of Nocardia showing
Dartialy acii-ast appearance (&1000). (Courtesy Steve Mahlen
and Amanda Harrington.)
FIG. 16.15 Appearance of sulfur granule collected from draining
sinus tracts. These granules contain masses of filamentous
‘organisms with pus materials, The arrow poirts out eosinoph
projections (clubs) characteristic of sulfur granules 'rom gram.
Positive bacteria. (Hematoxylin and eosin stain, x1000).
FIG. 16.16 Colony morphology of M ‘on chocolate agar.
(Courtesy Steve Mahlen and Amanda Harrington)XN Coa
FIG. 16.17 Gram staining of Bad (1000). (Courtesy Cathy
Bieconette)
FIG. 16.18 Spore stain of Bacillus. Vegetative cells are red;
spores are green (1000). (Courtesy Cathy Bssonette)
FIG. 16.19 Bacillis cereus on sheep blood agar. (Courtesy Cathy
Bissonette)
‘ona James E. Martin Biological Environmental Chamber UJEMBE(
plate inoculated in a characteristic "2" pattern,
FIG. 17.3 Twenty-four-hour growth of Neisseria gonarthoea
B
FIG. 17.4 A, Direct Gram-stained smear ot male urethral dis
charge showing intracellular and extracellular, gram-negative
diplococcic (arrows), which s diagnostic of Newsseria gonorrhoeae
(61000). 8, Diract smear with more than five polymorphonuclear
neutrophils per field but no bacteria may suggest nongonocaccal
urethritis (<1000)
r
y,
FIG. 17.5 Neisseria gonorthoese colony morshology after
hours of growth on modified Thayer-Martin (MTM) agar.FIG. 17.9 Direct Gram-stained smear of cerebrospinal fluid (CSF)
illustrating intracellular and extracellular gram-negative dip-
lococci (arrows) of NelSSeita meningitis (x1000),
Fe NTA
‘ouponteig
ety ont con,
so tele ade pian
eatin tn eee ed
FIG. 17.10 Growth of MBS@H MEBIAGIGE after 48 hours on
chocolate (CHO agar (left) and sheep blood agar (SBA) (igh.
OF the dassic Neseria pathogens, only the meningococcus
grows on SBA and CHOC ager
FIG. 17.11 A, Direct Gramstained smear of an otitis media
specimen illustrating intracellular, gram-negative diplocaces
(61000). The organism was identified biochemically as M.
catarrhalis from cultures. Blows GfMarseellalestSirialis
after 48 hours, ilustrating the “wagon-whee!” appearance on
chocolate agar
FIG. 17.12 Colony morphology of MBiSeHalEMeFEa on sheep
blood agar (48-hour culture).
FIG. 17.13 Culture of NOSESASUSESMIG after 48 hours on
sheep blood agar (left) and chocolate agar (right). This organism
resembles Nevsseria meningitidisFIG. 17.14 Dry, wrinkled, breaderumb-like colony morphology
of Neisseria Sicea on sheep blood agar (48-hour culture).
FIG. 18.1 HB@m@pRIGSUAMUBAZE