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GRAM Positive
cocci

AS ,
✓ staphylococcus Aureus -

Grows in
claspers

Gram Positive Peptidoglycan


-

cental

Cafwlase Positive -

Foam Arrears

Coagulase Positive -

Fibrinogen Fibrin
>
.

Defa Haemolyfic
Manifest Positive ( on agar)
Protein A- on cell Wall

colonizing the Nose


, Armpits Groin
,

Golden On Blood cigars

Fadlfafive Anaerobes

non-motile ,
no spores

symptoms -

Pneumonia

Patchy Infiltrates on X -

ray
Pneumonia
mostly Posf viral bacterial
- -

Abscesses → Pimple → Boil → carbuncle →


subcutaneous Abscess →


Dental Abscesses / kidney /Liver /Spleen/ Brain / Pyomyosiois / osteomyelitis

most common cause of Seppi Arthritis →


septic Thrombophlebitis →
Bacteremia →

Vasodilation →
Hypotension

Superficial Impetigo Cellulitis ,

Vancomycin
-

Glycoprotein ,
bell
synthesis inhibitor / Peptidoglycan synthesis ) . cause red -

man
syndrome .

Quinuprispn / Dalfoprisjn -

Synercid ,
in case
of VRSA
sfapkylococc.us Epidermis ✓ ✓
sfophylococc.us saprophagous

GRAM Positive
Flora
Flora : Shin Gbf Facultative Anaerobe Contaminated meaf Products fad Anaerobe
-

.

, ,


GIT → Perineum →
vagina →

UTI in

sexually active females +

Urinary spines

catalase +
Urease Positive
Coagulase Negative
Novobiocin Sensitive Novobiocin Resistant
Injection of Prophetic joints & heart valves ( endocarditis) Endocarditis in Arpjicia heart valves

"

capper

sepsis can form biofilm / Harder to reap)

Very resistant fo Antibiotics ( Vancomycin )


Creates Biofilm

Contamination of blood cultures

Treafmerf
Vancomycin ,
oxacillin , Nyein in Nipofuranfoin
Trimethoprim I Sulfamethoxwzde

Streptococcus pyogenes (
group A) -

Penicillin eyes • RF

boffo MEN)
Encapsulated Hyaluronic -

acid

B- Hemolytic →
Bacitracin sensitive

Impetigo -
Shin infection ( also by staph
-

A)

Pharyngitis

I:÷÷:÷:÷÷
Scar /
efferent strawberry
.
tongue , Pharyngitis Diffuse ,
rash
they spare the face, t.oxicshoct.libe syndrome mediated by

A-
super Ag HSLS )
Spe Sfrepofotysin 0 Lise RBC
-

sped streptokinase Plasminogen


-
→ Plasmin lhisins clots !
propose lnecroficjasciap.SI
-

ma .

g
spec Super By (1-54) Antisfreppohysin other
Bacitracin sensitive
Rheumatic fever -
M
Protein n-qiphasouyjcaqionpcaasemipaspene.si ,

p
I -

Joints , Poly Arthritis

t.s.sn
☒ -

Valvular damage , murmurs , myocarditis , pericarditis, mitral stenosis

N -

subcutaneous Nodules

F- -

Erythema moirgynofnm

( Post
;÷÷÷÷
spep ) glomerular nephritis .
.
-

Yee
two

Cala coloured urine Posf infection


-
Streptococcus Agalacipiae (group Bsprep)

Hyppurafe Positive Hydrolysis sodium


tlyppurape
-

Polysaccharide capsule
CAMP Positive ( Christie Atkins Munch
Peterson ) identity Brsnemoliyji
fesf
-

, , ,

streptococci .

Increasing zone of Hemolysis when Plafedvifl Staph Aureus .


Arrow head

Defa Hemolysis
Basipraiin Resisparf
Meningitis sepsis f Pneumonia
in
Causes ,
theorems .

During delivery mother is swobbetlbiqh canal ) to

check for this bacterial 35 week ) big positive -



Infra Partum Penicillin

Strep Pneumoniae ✓ riridans


' '
✓ spep

Fact Biofilm (Prevent opsonisof.int Haemolyfic
' -

anal .

to

Poly Sacchi Capsule


Hb → H Peroxide →
meohnemoglobin * NO ( APS the
-

Partial oxidation

Opp chin sensitive *


opfochin Resistant
Lancer Shaped Diplococci * Bill insoluble ( Resistant )

Bite soluble *
Sfrep Mupans Penpal Caries
-

Community Acquired Lobar Pneumoniae in adults *


Swbacwfe Endocarditis in damaged

Rust coloured spwfhm PCR -

valves I
usually mitral )
Nl Adhere to
Meningitis Plafllep / Dexprans )
-

O Anginosus
5.

Otitis media mitis


-

s .

g. sanguinis promote pop healph boy cause Endocarp ;


.

can
swbpxape

P
S Salivanriws
Pneumonia
,
-

Adheres Alveoli i-spneumoiycincdesorucpi.nl Mufans Dental carries


-

s
- -

µ
.

thick peptidoglycan call Walt


S -

sinusitis -

Rhinos :p's

Protease they cleave IgA


sickle cell disease
Erythromycin Cephalosporins
Particularly susceptiblesplenectomy
3rd
Lew Holdin Peni " " net

Macrolide Ceftriaxone Fluoroquinolones , vancomycin


, .

{ -

ceftriaxone
oxazoidinone
Vaccine Adldulf IgM ctidrens IgG
-

-
,
Enterococcus Group D

In GIT

Faecalis Thick Peptidoglycan cell f- aecium


wall Grant

ÑÑumop
_

facultative Anaerobes
More
dangerous
survive in media

of 6.5% Nail
Gama
Haemolyfidnohaemoysisl Bite Resistant
UTI

Endocarditis kind most common


to cause )

biliary pee injections


Nosocomial injection Ressisfomqfo
Most of Anpi biopics .

V.ancomicin Desi
Sperry Enterococcus

frehfedwifh Linezolidltiseiyciin

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