This document discusses several types of non-fermentative gram-negative bacilli (NFGNB) that can cause infections:
Pseudomonas aeruginosa is a common cause of nosocomial infections and infections in people with cystic fibrosis. Burkholderia mallei causes glanders, a disease of horses and humans. Burkholderia pseudomallei causes melioidosis, an endemic disease in Southeast Asia. Burkholderia cepacia commonly infects people with cystic fibrosis. Alcaligenes faecalis, Chromobacterium violaceum, Moraxella lacunata, and Flavobacterium meningosepticum are other opportunistic NFGNB pathogens.
This document discusses several types of non-fermentative gram-negative bacilli (NFGNB) that can cause infections:
Pseudomonas aeruginosa is a common cause of nosocomial infections and infections in people with cystic fibrosis. Burkholderia mallei causes glanders, a disease of horses and humans. Burkholderia pseudomallei causes melioidosis, an endemic disease in Southeast Asia. Burkholderia cepacia commonly infects people with cystic fibrosis. Alcaligenes faecalis, Chromobacterium violaceum, Moraxella lacunata, and Flavobacterium meningosepticum are other opportunistic NFGNB pathogens.
This document discusses several types of non-fermentative gram-negative bacilli (NFGNB) that can cause infections:
Pseudomonas aeruginosa is a common cause of nosocomial infections and infections in people with cystic fibrosis. Burkholderia mallei causes glanders, a disease of horses and humans. Burkholderia pseudomallei causes melioidosis, an endemic disease in Southeast Asia. Burkholderia cepacia commonly infects people with cystic fibrosis. Alcaligenes faecalis, Chromobacterium violaceum, Moraxella lacunata, and Flavobacterium meningosepticum are other opportunistic NFGNB pathogens.
- Accounts for 90% of NFOs (Non-Fermentative • A disease of horses transmissible to humans Organisms) isolated in clinical specimens • Horses – pulmonary involvement - Motile: polar flagella except Burkholderia mallei • Human – fatal, begin as ulcer of skin and mucous II. Pseudomonas aeruginosa membrane followed by lymphangitis and sepsis - General characteristics • Obligate aerobe IV. Burkholderia pseudomallei • Commonly isolated species - Causes Melioidosis or “Vietnamese Time bomb” disease • Not a common flora - a.k.a Whitmore Bacillus • Accounts 5-15% of nosocomial infections - An endemic glander’s like disease of animals and • Leading cause of nosocomial Respiratory Tract infections humans • Pigments -Ashdown Medium/ colistine= Produce Earthy or dirt like -Resistant to different microbial agent odor -Cystic Fibrosis: Too much production of liquid or too much V. Burkholderia cepacia secretion of mucus in the body. - A low grade, nosocomial pathogen -Gram neg Bacilli a. Pyocyanin (Blue) - Most commonly isolated from cystic fibrosis patients and has been associated with endocarditis, septicemia and ✓water soluble, produced by most strains wound and urinary tract infections in immunocompromised ✓Chloroform extractable, responsible for resistant mutant patients ✓Antibiotic property of org. that inhibits growth of other VI. Alcaligenes faecalis bacteria - Formerly A. odorans due to its sweet/ fruity odor produced (Fresh Apples) b. Pyoverdin - Capable of utilizing acetate as a carbon source ✓Water soluble only (yellow green/yellow brown pigment) - Oxidase & Catalase + - Infections - Motile (peritrichous) VII.Chromobacterium violaceum • Infections in wound and burns giving rise to blue pus • Nosocomial/opportunistic!!! - Found in soil and water, has the ability to produce • Jacuzzi or hot tub syndrome: necrotizing skin rash violacein, a purple pigment • Mild otitis/external media “Swimmer’s Ear” VIII.Moraxella lacunata • Skin lesion: Ecthyma Gangrenosum - Morax Axenfeld Bacillus/Haemophilus duplex - Treatments - Agent of blepharoconjunctivitis (severe) • P. aeruginosa – Innately resistant to many antimicrobial - Produced lacunae or pitting of the agar agents IX. Flavobacterium meningosepticum • Susceptible to: - Gram -, NM ✓Aminoglycosides - Catalase & Oxidase + ✓Semi-synthetic penicillins - Weakly fermentative ✓3rd and 4th generation cephalosporins - Produce a yellow pigment called flavin - Cultural characteristics - Agent of neonatal meningitis and septicemia • BAP: large, flat, beta-hemolytic colonies. • Colonies tend to spread giving a grape-like/fruity odor due to 2-aminoacetophenone - Biochemical characteristics -alkaline: Red (No fermentation) Alkaline over Alkaline -Acid: Yellow (fermentation occurs) • TSI: K/K • Oxidase + • Grows at 42C: differentiate it from other spp. • Citrate +(positive) and ACETAMIDE UTILIZATION • CETRIMIDE AGAR – selective and differential medium for Pseudomonas aeruginosa III. Burkholderia mallei