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-The gram-positive bacteria retain the crystal violet color and stain purple whereas the gram-negative
bacteria lose crystal violet and stain red. Thus, the two types of bacteria are distinguished by gram
staining.
-In the gram staining procedure, gram-positive cells retain the purple-colored stain.
-In the gram staining procedure, gram-negative cells do not retain the purple-colored stain.
4. List 5 examples of Gram-positive cocci and bacilli bacteria. Give the disease caused and the treatment.
Discuss the disease caused. (50)
-Enterococcal infections
-Pneumococcal infections
-Streptococcal infections
CAUSE:
Enterococcal infections are caused by a group of gram-positive, sphere-shaped (coccal) bacteria called
enterococci, which normally reside in the intestine of healthy people but sometimes cause infection.
TREATMENT:
Antibiotics Treatment depends on where the infection is, but doctors usually give antibiotics and drain
any abscesses.
Certain strains of enterococci have become resistant to many antibiotics and can be difficult to treat.
Strains that are resistant to vancomycin are particularly problematic.
CAUSE: Pneumococcal infections are caused by the gram-positive, sphere-shaped (coccal) bacteria.
These bacteria commonly cause pneumonia, meningitis, sinusitis, and middle ear infection.
TREATMENT:
Antibiotics
Penicillin (or the related antibiotics, ampicillin and amoxicillin) is used for most pneumococcal infections.
It is usually taken by mouth but, if the infection is severe, may be given intravenously.
Pneumococci that are resistant to penicillin are becoming more common. Thus, other antibiotics, such as
ceftriaxone, cefotaxime, fluoroquinolones (such as levofloxacin), vancomycin, lefamulin, or
omadacycline, are often used.
Cause: Staphylococcus aureus is the most dangerous of all of the many common staphylococcal bacteria.
These gram-positive, sphere-shaped (coccal) bacteria often cause skin infections but can cause
pneumonia, heart valve infections, and bone infections and may be resistant to treatment with some
antibiotics.
TREATMENT:
Antibiotics
Infections due to Staphylococcus aureus are treated with antibiotics. Doctors try to determine whether
the bacteria are resistant to antibiotics and, if so, to which antibiotics.
CAUSE: Streptococcal infections are caused by any one of several species of Streptococcus. These gram-
positive, sphere-shaped (coccal) bacteria cause many disorders, including strep throat, pneumonia, and
wound, skin, heart valve, and bloodstream infections. TREATMENT:
CAUSE: Toxic shock syndrome is a group of rapidly progressive and severe symptoms that include fever,
rash, dangerously low blood pressure, and failure of several organs. It is caused by toxins produced by
the gram-positive Staphylococcus aureus or group A streptococci.
TREATMENT: Fluids given intravenously
Cleaning of the infected area (vagina or wound) and removing infected tissue
Antibiotics
If toxic shock syndrome is suspected, people are hospitalized, usually in an intensive care unit (ICU).
-Anthrax
-Diphtertia
-:Erysipeloid
-Listeriosis
-Nocardiosis
CAUSES: Anthrax is a potentially fatal infection with Bacillus anthracis, a gram-positive, rod-shaped
bacteriaAnthrax may affect the skin, the lungs, or, rarely, the digestive (gastrointestinal) tract.
TREATMENT:Antibiotics
The longer anthrax treatment is delayed, the greater the risk of death. Thus, treatment is usually started
as soon as doctors suspect that people have anthrax.
CAUSES:Diphtheria is a contagious, sometimes fatal infection of the upper respiratory tract caused by the
gram-positive, rod-shaped bacteria Corynebacterium diphtheriae. Some types of Corynebacterium
diphtheriae release a potent toxin that can damage the heart, kidneys, and nervous system.
TREATMENT:Diphtheria antitoxin
Antibiotics
People who have symptoms of respiratory diphtheria are typically hospitalized in an intensive care unit
(ICU) and given antibodies (antitoxin) by injection to neutralize the diphtheria toxin.
Doctors also give antibiotics, such as penicillin or erythromycin, to kill the diphtheria bacteria. Antibiotics
are given for 14 days. People must be kept in isolation (to prevent other people from being exposed to
infected secretions) until two cultures, taken after the antibiotics are stopped, confirm that the bacteria
have been killed.
CAUSE:Erysipeloid is a skin infection caused by the gram-positive bacteria Erysipelothrix rhusiopathiae.
TREATMENT:Antibiotics
If erysipeloid involves only the skin, doctors usually give people antibiotics, such as penicillin or
ampicillin, ciprofloxacin, or clindamycin, by mouth for a week.
If the Erysipelothrix bacteria have spread, doctors give antibiotics by vein for a longer time.
CAUSE:Listeriosis is infection caused by the gram-positive bacteria Listeria monocytogenes, usually when
contaminated food is eaten.
TREATMENT:Antibiotics
For most infections caused by Listeria, including endocarditis and meningitis, the antibiotics ampicillin
and gentamicin are given by vein (intravenously). If people are allergic to penicillins,
trimethoprim/sulfamethoxazole is used instead of ampicillin.
CAUSE:Nocardiosis is an infection (typically of the lungs) caused by the gram-positive bacteria Nocardia.
TREATMENT:Antibiotics
Nocardiosis is treated with one or more antibiotics for a long time. Trimethoprim/sulfamethoxazole is
often used. If people have a weakened immune system or the infection has spread, they need to take a
second antibiotic. Treatment is started before doctors get the test results. The antibiotics may later be
adjusted based on the results of susceptibility testing.
(Dawn)
5. Enumerate 10 examples of Gram-negative bacteria and give the disease and treatment of choice.
Discuss briefly the disease.
GRAM-NEGATIVE
BRIEF INFORMATION TREATMENT OF CHOICE
BACTERIA
Brucellosis Brucellosis is a contagious, infectious, and For acute brucellosis in adults and
communicable disease, primarily affecting children older than 8 years, the
cattle, bison, and swine, and is caused by World Health Organization (WHO)
bacteria of the genus Brucella. Brucella guidelines recommend the following:
abortus (B. abortus) primarily affects bovine Doxycycline 100 mg PO twice daily
species; however, goats, sheep, and horses are plus rifampin 600-900 mg/day PO –
also susceptible. B. suis primarily affects Both drugs are to be given for 6
porcine species; and a third strain, B. weeks; this regimen is more
melitensis, primarily affects goats and sheep. convenient but probably increases
A fourth strain, B. ovis, which primarily affects the risk of relapse
sheep, exists in the United States but it does
not cause significant disease problems.
Currently, there is no program or initiative to
establish a program for the control of B. ovis
or B. melitensis.
Azithromycin.
Levofloxacin, moxifloxacin or
ciprofloxacin.
Tetracycline, doxycycline or
minocycline.
Rifampin.
You may also receive extra oxygen
through a tube in your nose or a
mask. In serious cases, you may need
to have a machine breathe for you
until you can do it on your own again
(mechanical ventilation).
Treatment options vary by age
Macrolides erythromycin,
Pertussis, also known as whooping cough, is a clarithromycin, and azithromycin*
highly contagious respiratory infection caused are preferred for the treatment of
by the bacterium Bordetella pertussis. In 2018, pertussis in persons 1 month of age
there were more than 151 000 cases of and older.
pertussis globally.
For persons 2 months of age and
Pertussis spreads easily from person to person older, an alternative to macrolides is
mainly through droplets produced by trimethoprim-sulfamethoxazole.
coughing or sneezing. The disease is most
dangerous in infants, and is a significant cause For infants younger than 1 month of
of disease and death in this age group. age, use macrolides with caution as
an association between orally
The first symptoms generally appear 7 to 10 administered erythromycin and
Pertussis
days after infection. They include a mild fever, azithromycin with infantile
runny nose and cough, which in typical cases hypertrophic pyloric stenosis (IHPS)
gradually develops into a hacking cough has been reported. However,
followed by whooping (hence the common azithromycin remains the drug of
name of whooping cough). Pneumonia is a choice for treatment or prophylaxis
relatively common complication, and seizures of pertussis in very young infants
and brain disease occur rarely. because the risk of developing
severe pertussis and life-threatening
People with pertussis are most contagious up complications outweighs the
to about 3 weeks after the cough begins, and potential risk of IHPS. Clinicians
many children who contract the infection have should monitor infants younger than
coughing spells that last 4 to 8 weeks. 1 month of age who receive a
Antibiotics are used to treat the infection. macrolide for the development of
IHPS and for other serious adverse
events.
Plague Plague is an infectious disease caused by the Untreated pneumonic plague can be
bacteria Yersinia pestis, a zoonotic bacteria, rapidly fatal, so early diagnosis and
usually found in small mammals and their treatment is essential for survival
fleas. It is transmitted between animals and reduction of complications.
through fleas. Humans can be infected Antibiotics and supportive therapy
through: are effective against plague if
the bite of infected vector fleas patients are diagnosed in time.
unprotected contact with infectious bodily Pneumonic plague can be fatal
fluids or contaminated materials within 18 to 24 hours of disease
the inhalation of respiratory droplets/small onset if left untreated, but common
particles from a patient with pneumonic antibiotics for enterobacteria (gram
plague. negative rods) can effectively cure
Plague is a very severe disease in people, the disease if they are delivered
particularly in its septicaemic (systemic
infection caused by circulating bacteria in
bloodstream) and pneumonic forms, with a
case-fatality ratio of 30% to 100% if left
untreated. The pneumonic form is invariably
fatal unless treated early. It is especially
contagious and can trigger severe epidemics
through person-to-person contact via droplets
in the air.
early.
Historically, plague was responsible for
widespread pandemics with high mortality. It
was known as the "Black Death" during the
fourteenth century, causing more than 50
million deaths in Europe. Nowadays, plague is
easily treated with antibiotics and the use of
standard precautions to prevent acquiring
infection.
https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/nvap/NVAP-Reference-Guide/Control-and-
Eradication/Brucellosis#:~:text=Brucellosis%20is%20a%20contagious%2C%20infectious,and%20horses
%20are%20also%20susceptible.
https://www.cdc.gov/brucellosis/treatment/index.html
https://my.clevelandclinic.org/health/diseases/15251-campylobacter-infection
https://www.cdc.gov/campylobacter/faq.html#:~:text=People%20with%20Campylobacter%20infection
%20usually,and%20last%20about%20one%20week.
https://medlineplus.gov/ency/article/001614.htm#:~:text=Most%20often%2C%20cat%2Dscratch
%20disease,as%20azithromycin%20can%20be%20helpful.
https://www.cdc.gov/cholera/treatment/antibiotic-treatment.html#:~:text=The%20choice%20of
%20antibiotic%20should,and%20ciprofloxacin%20are%20alternative%20options.
https://www.msdmanuals.com/home/infections/bacterial-infections-gram-negative-bacteria/
escherichia-coli-infections
https://www.mayoclinic.org/diseases-conditions/e-coli/diagnosis-treatment/drc-20372064
https://my.clevelandclinic.org/health/diseases/23106-haemophilus-influenzae
https://www.ncbi.nlm.nih.gov/books/NBK519004/#:~:text=Klebsiella%20pneumoniae%20is%20a
%20gram,and%20gastrointestinal%20(GI)%20tract.
https://www.webmd.com/a-to-z-guides/klebsiella-pneumoniae-infection
https://my.clevelandclinic.org/health/diseases/17750-legionnaires-disease
https://www.who.int/health-topics/pertussis#tab=tab_1
https://www.cdc.gov/pertussis/clinical/treatment.html#:~:text=Treatment%20options%20vary%20by
%20age,to%20macrolides%20is%20trimethoprim%2Dsulfamethoxazole.
https://www.who.int/news-room/fact-sheets/detail/plague#:~:text=Plague%20is%20an%20infectious
%20disease,bite%20of%20infected%20vector%20fleas
6. In a tabular format, give the disease or infection caused by the following bacteria.
https://www.ncbi.nlm.nih.gov/books/NBK7624/#:~:text=Rickettsia%20species%20cause%20Rocky
%20Mountain,Rickettsia)%20tsutsugamushi%20causes%20scrub%20typhus.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6630881/#:~:text=Known%20diseases%20caused
%20by%20Bartonella,9%2C10%2C11%5D.
https://www.ncbi.nlm.nih.gov/books/NBK8091/
(Trixie )
https://www.health.state.mn.us/diseases/hflu/index.html#:~:text=Haemophilus%20influenzae%20type
%20b%20(Hib,(infection%20of%20the%20lungs).
https://www.ncbi.nlm.nih.gov/books/NBK7813/#:~:text=Bordetella%20pertussis%20causes
%20whooping%20cough,are%20bronchopneumonia%20and%20acute%20encephalopathy.
https://my.clevelandclinic.org/health/diseases/17750-legionnaires-
disease#:~:text=Legionnaires'%20disease%20is%20a%20serious,buildings%2C%20like%20hospitals
%20or%20hotels.
https://www.ncbi.nlm.nih.gov/books/NBK557893/#:~:text=Coxiella%20burnetii%20is%20the
%20causative,%2C%20endocarditis%2C%20and%20vascular%20infections.
https://www.ncbi.nlm.nih.gov/books/NBK499837/#:~:text=Yersiniosis%20is%20an%20acute
%20diarrheal,based%20on%20positive%20stool%20culture.
https://my.clevelandclinic.org/health/diseases/17775-tularemia
https://www.ncbi.nlm.nih.gov/books/NBK557629/#:~:text=Respiratory%20disease%20caused%20by
%20Pasteurella,lung%20abscesses%20may%20also%20occur.
https://emedicine.medscape.com/article/213430-overview
(Nathan)
BACTERIA DISEASE OR INFECTION CAUSED
D. Spirochetes Bacteria
Treponema contains both pathogenic and nonpathogenic species, with four
treponematoses caused by human pathogens: syphilis (T pallidum subsp
pallidum), yaws (T pallidum subsp pertenue), endemic syphilis (T pallidum
I. Treponema spp.
subsp endemicum), and pinta(T carateum). Nonpathogenic treponemes may be
found in the intestinal tract, oral cavity, or genital tract, and some oral
treponemes have been linked to gingivitis and periodontal disease.
Borrelia spp. are Gram-negative spirochaetes responsible for Lyme disease and
tickborne relapsing fever in humans and animals. The genus contains 42
species, divided into 21 TBRF groups, 20 Lyme-Borreliosis groups, and one
associated with reptiles (B. turcica). The LB groups, B. burgdorferi sensu stricto
II. Borrelia spp. and B. burgdorferi sensu lato, can cause disease in both humans and animals.
Borrelia turcica has unknown pathology in reptiles, wildlife, domestic animals,
or humans. Although clinical disease in wildlife is limited with Lyme and TBRF, it
is crucial to consider their role in the transmission of these bacteria to domestic
animals and humans.
Leptospirosis is a bacterial disease affecting humans and animals caused by
Leptospira bacteria. It can cause various symptoms, some mistaken for other
III. Leptospira
diseases, and some may have no symptoms. Without treatment, Leptospirosis
interrogans
can cause kidney damage, meningitis, liver failure, respiratory distress, and
even death.
E. Acid-Fast Bacteria
Mycobacterium species are acid-fast, aerobic, slow-growing bacteria with over
70 species, with 30 associated with human disease. The most important species
I. Mycobacterium spp. is Mycobacterium tuberculosis, which causes tuberculosis and leprosy. Atypical
mycobacterial infections can still cause harm, especially in people with
immune-related issues like AIDS.
II. Mycoplasma Mycoplasma pneumonia is a bacteria that infects humans, causing upper
respiratory tract infections and pneumonia. It is a common cause of atypical
pneumonia in the US. Mycoplasma pneumoniae infections often cause mild
pneumonia
respiratory system infections but can also lead to more severe lung infections
requiring hospital care.
References:
https://byjus.com/biology/difference-between-gram-positive-and-gram-negative-bacteria/
https://www.ncbi.nlm.nih.gov/books/NBK7716/#:~:text=The%20genus%20Treponema%20contains
%20both,and%20pinta%20(T%20carateum) .
https://www.woah.org/app/uploads/2021/05/borrelia-spp-infection-with.pdf
https://www.cdc.gov/leptospirosis/index.html#:~:text=Leptospirosis%20is%20a%20bacterial
%20disease,have%20no%20symptoms%20at%20all ..
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC153382/#:~:text=Mycobacterium%20species%20are
%20a%20group,the%20causative%20agent%20of%20tuberculosis.
https://medlineplus.gov/mycobacterialinfections.html#:~:text=Mycobacteria%20are%20a%20type
%20of,Another%20one%20causes%20leprosy.
https://www.ncbi.nlm.nih.gov/books/NBK430780/#:~:text=Mycoplasma%20pneumonia%20is%20a
%20bacteria,attributed%20to%20Mycoplasma%20pneumoniae%20infections.
https://www.cdc.gov/pneumonia/atypical/mycoplasma/index.html#:~:text=Mycoplasma
%20pneumoniae%20Infection&text=Mycoplasma%20pneumoniae%20bacteria%20commonly
%20cause,require%20care%20in%20a%20hospital