Genus Corynebacterium

33
Genus Corynebacterium

Transcript of Genus Corynebacterium

Page 1: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 1/33

Genus Corynebacterium

Page 2: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 2/33

Corynebacterium diptheriae

• Diphtheria Bacteria

• Kleb Loeffler’s Bacillus 

• Causes DIPTHERIA

• Pathognomonic sign of

diptheria :

PSEUDOMEMBRANE

Page 3: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 3/33

 

Page 4: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 4/33

Biochemical Characteristics

• Nitrate Red (+), except var. mitis

• Urease (-)

Catalase (+)• Ferements glucose and maltose but not

sucrose

Page 5: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 5/33

Cultural Characteristics• Narrow zone of hemolysis on BAP

• CULTURE MEDIA FOR C. diptheriae

Potassium Tellurite Agar –  for primary isolation; coloniesare gray black

Cystine Tellurite Blood Agar(CTBA) – preferred isolation

medium; gunmetal gray coloniesLoeffler’s Coagulated Serum –stimulates production of

metachromatic granules

PAI’s Coagulated Egg Medium – enhances pleomorphism

and granule formationTinsdale Medium

Page 6: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 6/33

Three Varieties of  C. diptheriae

• GRAVIS – large, flat, dark gray colonies withirregular edges and radial striations

- ferments starch and glycogen

• MITIS - “fried egg appearance” on BAP 

- on CTBA, colonies are black, convex, andmoist with bleach-like odor

- does not ferment starch and glycogen• INTERMEDIUS – small & black

- does not ferment glycogen and starch

Page 7: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 7/33

Toxigenecity Test

• In-vitro animal Inoculation test – uses guinea

pig

• ELEK Test – in vitro test

(+) result : line of precipitation

• SCHICK Test- susceptibility test to diptheria

- involves subcutaneous injection of C.diptheriae toxin

Page 8: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 8/33

Corynebacterium ulcerans

• Highly pleomorphic;

• More pleomorphic and with fewer

metachromatic granules than C. diptheriae

• Growth similar with that of C. diptheriae on

Tellurite agar

Grows well on Loeffler’s and PAI’s media • Diseases: mastitis in cattle, diptheria-like

infection in man

Page 9: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 9/33

Corynebacterium pseudotuberculosis 

• Formerly known as C. ovix

• Disease : rare cause of lymphadenitis

following contact with infected livestock

Page 10: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 10/33

FAMILY ENTEROBACTERIOCEAE

• Lactose Fermenters

Escherichia coli

Klebsiella pneumoniaeEnterobacter aerogenes

Page 11: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 11/33

 

Page 12: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 12/33

• Non-Lactose Fermenter

Salmonella

ShigellaProteus

Yersinea

• Late Lactose FermenterArizona

Citrobacter

Page 13: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 13/33

• Enterotoxigenic Escherichia coli (ETEC) - an

important cause of diarrhea in infants and

travelers in underdeveloped countries or

regions of poor sanitation

TWO TYPES OF ETEC Toxins

1. heat-labile enterotoxin (LT) -similar in

molecular size, sequence, antigenicity, and

function to the cholera toxin (Ctx)

2. heat stable toxin (ST)  – of low molecular size

and resistant to boiling for 30 minutes

Page 14: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 14/33

 

• Enteropathogenic Escherichia coli (EPEC)

infection of the human small intestine induces

severe watery diarrhoea linked to a rather

weak inflammatory response

• EPEC's in vivo causes disruption of the

epithelial barrier function

Page 15: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 15/33

• Enterohemorrhagic Escherichia coli (E. coli

O157:H7 – causes hemorrhagic diarrhea, and

occasionally to kidney failure, especially inyoung children and elderly persons.

Transmission is via the fecal-oral route, and

most illness has been associated with eatingundercooked, contaminated ground beef or

ground pork

Produces verotoxin• Associated with HEMOLYTIC UREMIC

SYNDROME (HUS)

Page 16: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 16/33

Culture of OH157: H7

• Stool culture using SORBITOL McCONKEY

AGAR (SMAC)

• OH157 produces colorless colonies

Page 17: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 17/33

Enteroinvasive E. coli

• Toxin is similar to Shigella toxin

• Produces bloody diarrhea

There are no known animal reservoirs of EIEC.Hence the primary source for EIEC appears to

be infected humans.

• infective dose of Shigella is low (in the range

of 10 to few hundred cells), volunteer feeding

studies showed that at least 106 EIEC

organisms are required to cause illness in

healthy adults.

Page 18: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 18/33

• Unlike typical E. coli, EIEC are non-motile, do

not decarboxylate lysine and do not ferment

lactose. Pathogenicity of EIEC is primarily due

to its ability to invade and destroy colonic

tissue.

Page 19: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 19/33

• Enteroaggregative E. coli  (EAEC)

The distinguishing feature of EAEC strains is

their ability to attach to tissue culture cells in

an aggregative manner. These strains are

associated with persistent diarrhea in young

children similar to ETEC

Page 20: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 20/33

• Uropathogenic E. coli  (UPEC) cause 90% of the

urinary tract infections (UTI) in anatomically-

normal, unobstructed urinary tracts.

• P fimbria (or pyelonephritis-associated pili

[PAP])- The adhesin that has been most

closely associated with UPEC

• P fimbriae bind with D-galactose-D galactose

residue on RBC surface and on uroepithelial

cell surface

Page 21: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 21/33

Escherichia coli colonies on EMB (Left) and

McConkey Agar (Right)

Page 22: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 22/33

 

Page 23: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 23/33

Enterobacter aerogenes on EMB (Left) and

McConkey (Right)

Page 24: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 24/33

 Flagellar stain of a Salmonella Typhi. Salmonella can be

differentiated from Shigella on the bais of a motility test or a

flagellar stain. (CDC) 

Page 25: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 25/33

Salmonella on EMB (Left)

and McConkey (Right) 

Page 26: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 26/33

Table 1. Characteristics shared by most Salmonella 

strains belonging to subspecies I 

Lactose negative; acid and gas from glucose,

mannitol, maltose, and sorbitol; no Acid from

adonitol, sucrose, salicin, lactose 

ONPG test negative (lactose negative) 

IMVIC - + - + Gelatin hydrolysis negative 

Page 27: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 27/33

• Lysine decarboxylase positive 

Urease negative 

Ornithine decarboxylase positive 

H2S produced from thiosulfate Do not grow with KCN 

Phenylalanine and tryptophan deaminase

negative Gelatin Hydrolysis negative

Page 28: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 28/33

  • Salmonella sp. after 24

hours growth on XLD

agar. Xylose Lysine (XL)

agar supplementedwith sodium

thiosulfate, ferric

ammonium citrate, and

sodium deoxycholate,it is then termed XLD

agar (CDC) 

Page 29: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 29/33

Colonial growth pattern displayed by Salmonella 

Typhimurium cultured on a Hektoen enteric (HEA) (CDC) 

Page 30: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 30/33

Shigella

•S. dysenteriae – Shiga’s bacillus 

• S. flexneri – Strong’s bacillus 

• S. boydi

• S. sonnei – Sonne Duval’s bacillus 

Cultural Characteristics:

XLD- pink to red colonies

HEA – green to blue green colonies

SSA – colorless colonies

Page 31: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 31/33

Photomicrograph of Shigella from a stool sample 

( phototaken from wikipedia)

Page 32: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 32/33

 

Page 33: Genus Corynebacterium

8/13/2019 Genus Corynebacterium

http://slidepdf.com/reader/full/genus-corynebacterium 33/33

Swarming colonies of Proteus

on EMB