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Week 13 - Enterobacteriaceae
Week 13 - Enterobacteriaceae
Week 13 - Enterobacteriaceae
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WEEK 13: “Enterobacteriaceae”
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WEEK 13: “Enterobacteriaceae”
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WEEK 13: “Enterobacteriaceae”
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WEEK 13: “Enterobacteriaceae”
S. enterica are six subspecies: Table 19.9 Biochemical and Serologic Differentiation of
• S. enterica subsp. enterica (subspecies I) Shigella Species
• S. enterica subsp. salamae (subspecies II) Test S. S. S. S.
• S. enterica subsp. arizonae (subspecies IIIa) dysenteria flexner boydi sonne
• S. enterica subsp. diarizonae (subspecies IIIb) e i i i
• S. enterica subsp. houtenae (subspecies IV) Mannitol - + + +
• S. enterica subsp. indica (subspecies VI) fermentation
ONPG v - v +
VIRULENCE FACTORS: Ornithine - - - +
decarboxylas
• Fimbriae
e
o Adherence to mucosa and initiate intestinal infections
Serogroup A B C D
• Enterotoxin
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WEEK 13: “Enterobacteriaceae”
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WEEK 13: “Enterobacteriaceae”
KEY REACTIONS
ORGANISM PATHOGENICITY POSITIVE NEGATIVE OTHER
Escherichia UTI, septicemia, Lactose, gas, H2S, VP, citrate, • Predominant aerobe in GI tract
coli neonatal sepsis & indole, MR, PD, urease • Most common cause of UTI
meningitis, diarrhea motility • Green metallic sheen on EMB
(some) • Presumptive ID: lactose pos, dry
colony on Mac-Conkey, oxidase
neg, indole pos
• E. coliO157:H7 doesn’t ferment
sorbitol; colorless colonies on
SMAC
Shigella • Dysentery MR Lactose, gas, • Blood, mucus, polys in stool
(shigellosis) H2S, VP, citrate, • Rarely disseminates
• Most PD, urease, • Fragile organism
communicable of motility • S. dysenteriae most severe
bacterial diarrheas • Shigella sonnei most common in
• Found primarily in U.S. Serogrouped by 0 antigens
crowded or • Serogroups A,B,C,D
substandard • Closely related to Escherichia on
conditions, e.g., molecular basis
day-care centers,
jails, prisons
Edwardsiella • Opportunistic Gas, H2S, indole, Lactose, VP, • Chef reservoirs are reptiles &
tarda • Bacteremia, MR, motility citrate, PD, fresh-water fish
wound infections urease • Infections often involve aquatic
environments
• Pos indole differentiates from
Salmonella
Salmonella Typhoid (enteric) fecer, H2S, MR, motility, Lactose, indole, • Found in poultry
bacteremia, enterocolitis lysine VP, PD, urease, • May be transmitted by reptiles
decarboxylase ONPG • S. typhi has Vi antigen, only trace
(LDC) H2S citrate neg
• Grouped by O antigens (e.g.
A,B,C), serotyped by H antigens
(e.g. 1,2)
Citrobacter Nosocomial infections Gas, H2S, MR, VP, PD, LDC • Lactose variable
freundii citrate, motility, • ONPG & LDC differentiate from
ONPG Salmonella
Klebsiella Pneumonia, UTI, Lactose, gas, VP, H2S, indole, • Encapsulated
pneumoniae septicemia citrate, urease MR, PD, motility, • Colonies usually mucoid
(slow) ornithine • Some strains hydrolyze urea
decarboxylase slowly
(ODC) • K. oxytoca is similar to K.
pneumoniae except indole pos
• Motility & ODC differentiate from
Enterobacter
Enterobacter • Opportunistic & Lactose, gas, VP, H2S, indole, • Colonies may be mucoid
aerogenes & nosocomial citrate, motility, MR, PD • Same IMViC reactions as
cloacae infections ODC Klebsiella
• UTI, RTI, & wound
infections
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WEEK 13: “Enterobacteriaceae”
Table 19-11 Stool Culture Screening for Enteric Pathogens Using Triple Sugar Iron and Lysine-Iron Agar in Combination
TSI REACTIONS
LIA K/A H2S K/AG H2S K/AG K/A A/A H2S A/AG A/A K/K
Reactions
R/A P. vulgaris M. morganii M. morganii P. vulgaris -- Providencia --
P. mirabilis Providencia Providencia P. mirabilis
K/K H2S Salmonella* Salmonella* Salmonella* Salmonella* -- -- -- --
Edwardsiella Edwardsiella
K/K Salmonella -- Hafnia Salmonella* Klebsiella Serratia Pseudomonas
Klebsiella Plesiomonas+ Enterobacter
Serratia Hafnia E. coli
K/A H2S -- Salmonella* -- Serratia -- -- -- --
K/A -- Citrobacter Salmonella Shigella* Citrobacter Aeromonas*+ Aeromonas*+ --
Shigella Yersinia E. coli Yersinia
Aeromonas Aeromonas+ Citrobacter Citrobacter
E. coli E. coli Enterobacter Enterobacter
Enterobacter Enterobacter
Citrobacter
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