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Microbiology  ` microbiology—basic bacteriology  Microbiology  ` microbiology—basic bacteriology      SEcTioN ii       127




                  Anaerobes              Examples include Clostridium, Bacteroides,   Anaerobes Can’t Breathe Fresh Air.
                                          Fusobacterium, and Actinomyces israelii. They   Anaerobes are normal flora in GI tract, typically
                                          lack catalase and/or superoxide dismutase   pathogenic elsewhere. AminO 2 glycosides are
                                          and are thus susceptible to oxidative damage.   ineffective against anaerobes because these
                                          Generally foul smelling (short-chain fatty   antibiotics require O 2  to enter into bacterial
                                          acids), are difficult to culture, and produce gas   cell.
                                          in tissue (CO 2  and H 2 ).
                   Facultative anaerobes  May use O 2  as a terminal electron acceptor to   Streptococci, staphylococci, and enteric gram ⊝
                                          generate ATP, but can also use fermentation   bacteria.
                                          and other O 2 -independent pathways.



                  Intracellular bacteria
                   Obligate intracellular  Rickettsia, Chlamydia, Coxiella        Stay inside (cells) when it is Really Chilly and
                                         Rely on host ATP                           Cold
                   Facultative           Salmonella, Neisseria, Brucella, Mycobacterium,  Some Nasty Bugs May Live FacultativeLY
                    intracellular         Listeria, Francisella, Legionella, Yersinia pestis



                  Encapsulated bacteria  Examples are Pseudomonas aeruginosa,     Please SHiNE my SKiS.
                                          Streptococcus pneumoniae  A , Haemophilus   Are opsonized, and then cleared by spleen.
                   A
                                          influenzae type b, Neisseria meningitidis,   Asplenics (No Spleen Here) have  opsonizing
                                          Escherichia coli, Salmonella, Klebsiella   ability and thus  risk for severe infections;
                                          pneumoniae, and group B Strep. Their     need vaccines to protect against:
                                          capsules serve as an antiphagocytic virulence     ƒ N meningitidis
                                          factor.                                     ƒ S pneumoniae
                                         Capsular polysaccharide + protein conjugate     ƒ H influenzae
                                          serves as an antigen in vaccines.



                  Encapsulated bacteria   Some vaccines containing polysaccharide   Pneumococcal vaccines: PCV13 (pneumococcal
                  vaccines                capsule antigens are conjugated to a carrier   conjugate vaccine), PPSV23 (pneumococcal
                                          protein, enhancing immunogenicity by      polysaccharide vaccine with no conjugated
                                          promoting T-cell activation and subsequent   protein).
                                          class switching. A polysaccharide antigen   H influenzae type b (conjugate vaccine).
                                          alone cannot be presented to T cells.   Meningococcal vaccine (conjugate vaccine).



                  Urease-positive        Proteus, Cryptococcus, H pylori, Ureaplasma,   Pee CHUNKSS.
                  organisms               Nocardia, Klebsiella, S epidermidis,
                                          S saprophyticus. Urease hydrolyzes urea
                                          to release ammonia and CO 2  Ž  pH.
                                          Predisposes to struvite (ammonium
                                          magnesium phosphate) stones, particularly
                                          Proteus.

















          FAS1_2019_03-Microbiology.indd   127                                                                         11/14/19   12:19 PM
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