A Few Bacteria to Know: Difference between revisions
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When identifying a bacterium, the first step is Gram stain, which can tell us whether it has a Gram-positive or Gram-negative cell wall, and can give us information about the size and shape (bacilli or cocci, usually). Everyone needs to know how to interpret a Gram-stain report, since it is still one of the first pieces of information we get about a bacterial infection. |
When identifying a bacterium, the first step is Gram stain, which can tell us whether it has a Gram-positive or Gram-negative cell wall, and can give us information about the size and shape (bacilli or cocci, usually). Everyone needs to know how to interpret a Gram-stain report, since it is still one of the first pieces of information we get about a bacterial infection. |
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= Gram-positive Bacteria = |
== Gram-positive Bacteria == |
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=== Cocci === |
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==== Clusters or Groups ==== |
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== Pairs or Chains == |
==== Pairs or Chains ==== |
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== Bacilli == |
=== Bacilli === |
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= Gram-negative Bacteria = |
== Gram-negative Bacteria == |
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== Others == |
=== Others === |
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== Cocci == |
=== Cocci === |
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= Miscellaneous Bacteria = |
== Miscellaneous Bacteria == |
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Revision as of 15:21, 29 October 2019
When identifying a bacterium, the first step is Gram stain, which can tell us whether it has a Gram-positive or Gram-negative cell wall, and can give us information about the size and shape (bacilli or cocci, usually). Everyone needs to know how to interpret a Gram-stain report, since it is still one of the first pieces of information we get about a bacterial infection.
Gram-positive Bacteria
Cocci
Clusters or Groups
Species | Clinical Syndromes |
---|---|
Staphylococcus aureus | Purulent skin and soft tissue infections, abscesses, endocarditis, HAP/VAP, food poisoning |
Coagulase-negative Staphylococci | Line infections, UTIs (S. saprophyticus) |
Pairs or Chains
Species | Clinical Syndromes |
---|---|
Streptococcus pyogenes/GAS | Cellulitis |
Other Lancefield-group Streptococci | Cellulitis, UTIs, endocarditis |
Streptococcus pneumoniae | Pneumonia, meningitis |
Enterococcus spp. | UTIs, line infections, endocarditis |
Bacilli
Species | Clinical Syndromes |
---|---|
Clostridium difficile/tetani/botulinum/perfringens | Diarrhea/tetanus/botulism/nec. fasc. |
Bacillus cereus | Food poisoning |
Other Bacillus species | Contaminant |
Listeria monocytogenes | Meningitis |
Gram-negative Bacteria
Bacilli
Enterobacteraceae (Poop!)
Species | Clinical Syndromes |
---|---|
Yersinia/Shigella/Salmonella/E.coli O157:H7/Campylobacter | Infectious diarrhea/dysentery |
Escherichia coli | Intraabdominal infections, UTIs, HAP/VAP |
Klebsiella spp. | Intraabdominal infections, UTIs, HAP/VAP |
Proteus spp. | Intraabdominal infections, UTIs, HAP/VAP |
SPICE bugs | Very resistant, generally use carbapenems empirically |
Others
Species | Clinical Syndromes |
---|---|
Pseudomonas aeruginosa | Otitis externa, hot-tub folliculitis, UTIs, pneumonias... very resistant to antibiotics |
Cocci
Species | Clinical Syndromes |
---|---|
Neisseria meningitidis | Meningitis |
Neisseria gonorrhoeae | Urethritis, PID, disemminated gonococcal infection |
Miscellaneous Bacteria
Feature | Species | Clinical Syndromes |
---|---|---|
Acid-fast bacilli | Mycobacterium tuberculosis | Pulmonary tuberculosis, extrapulmonary tuberculosis |
Spirochete | Treponema pallidum | Syphilis (primary, secondary, tertiary) |
Spirochete | Borrelia burgdorferi | Lyme disease |
Intracellular | Chlamydia trachomatis | Urethritis, PID |
Intracellular | Chlamydia pneumophila | Atypical pneumonia |
No cell wall | Mycoplasma pneumoniae | Atypical pneumonia |