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Non-Fermenting & Miscellaneous

Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

nebulizers, dialysate fluids, saline,


catheters, and other devices.
General Characteristics of Nonfermenters

Biochemical Characteristics and


★ Fail to acidify an
Identification
oxidative-fermentative (OF) medium
when it is overlaid with mineral oil
Note: Both test tubes for oxidative and ★ Oxidase-positive reaction, although
fermentative, hindi mag-turn into yellow, reaction can be weak and variable
which indicates acid
★ Nonreactivity in 24 hours in
★ Fail to acidify triple sugar iron agar
commercial multitest kit systems used
(TSIA) butts
primarily for the identification of
Note: Triple sugar iron agar is for:
Enterobacteriaceae
carbohydrate utilization:
■ Slanted portion for lactose and sucrose ★ No acid production in the slant or butt
fermentation of Triple Sugar Iron Agar or Kligler Iron
■ Butt portion for glucose fermentation Agar
Note: Hence, non-fermenters in triple sugar ★ Resistance to a variety of classes of
iron agar will show color red, which antimicrobial agents, such as
indicates alkaline aminoglycosides, third-generation
Note: K/K - red slant/red butt (they will not
cephalosporins, penicillins, and
ferment sugars)
fluoroquinolones
★ Grow much better in an aerobic
Note: Many classification systems have been devised
environment
for grouping the nonfermenters. One system uses the
★ Some group members oxidize reactions of three common tests:
carbohydrates to derive energy for 1) Growth on MacConkey (MAC) agar,
their metabolism; they are referred to 2) Oxidase reaction, and
as oxidizers. Others do not break down 3) Glucose oxidation-fermentation (O-F) test.
carbohydrates at all; they are referred
to as nonoxidizers or asaccharolytic.
Taxonomic Changes for Some
★ Most nonfermentative, gram-negative
Gram-Negative Nonfermenters
bacilli are oxidase positive
★ All species except Burkholderia mallei
are motile, having one or several polar New Name Old Name
flagella
★ Optimum temperature range: Achromobacter Achromobacter
xylosoxidans xylosoxidans var.
30℃ - 37℃ (mesophilic)
xylosoxidans
★ Acidovirax facilis is the only MacConkey
negative Achromobacter Achromobacter
★ Pseudomonas spp. are catalase denitrificans xylosoxidans var.
positive denitrificans
★ They prefer moist environments, and in
hospitals they can be isolated from Bergeyella Weeksella zoohelcum
zoohelcum
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

Brevundimonas Pseudomonas Ralstonia Ralstonia picketi


diminuta diminuta mannitolilytica 3/‘thomasii’

Burkholderia mallei Pseudomonas mallei Ralstonia pickettii Pseudomonas


pickettii
Chryseobacterium Flavobacterium
gleum gleum Rhizobium Agrobacterium
radiobacter radiobacter
Chryseobacterium Flavobacterium
indologenes indologenes Sphingobacterium Flavobacterium
multivorum multivorum
Cupriavidus pauculus Ralstonia pauculus
Sphingobacterium Flavobacterium
Cupriavidus gilardi Ralstonia gilardi mizutaii mizutaii

Delftia acidovorans Comomonas Sphingobacterium Flavobacterium


acidovorans spiritivorum spiritivorum

Elizabethkinga Chryseobacterium Sphingomonas Pseudomonas


meningoseptica meningosepticum paucimobilis paucimobilis and CDC
group IIk-1
Empedobacter brevis Flavobacterium
CDC, Centers for Disease and Control - Mahon
brevis

Methylobacterium Pseudomonas Current Name Previous Name


mesophilicum mesophilica
Acidovorax delafieldii Pseudomonas
Myroides odoratus Flavobacterium delafieldii
odoratum
Acidovorac facilis Pseudomonas facilis
Neisseria animaloris CDC group EF-4a
Acidovorax Pseudomonas and
Neisseria CDC group EF-4b temperans Alcaligenes spp.
zoodegmatis
Brevundimonas Pseudomonas
Ochrobactrum Achromobacter diminuta diminuta
anthropi biovar 1, 2, or Vd-1
Brevundimonas Pseudomonas
Pandoraea spp. CDC WO-2 vesicularis vesicularis

Paracoccus yeei CDC EO-2 Burkholderia cepacia Pseudomonas


complex cepacia
Pseudomonas luteola Chryseomonas
luteola Burkholderia Pseudomonas
pseudomallei pseudomallei
Psychrobacter Moraxella
phenylpiruvicus phenylpiruvica Burkholderia mallei Pseudomonas mallei
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

spp. (weak
Pandoraea spp. CDC group WO-2 (five
distinct species) fermenters)
○ Sphingomonas
Pseudomonas paucimobilis
aeruginosa ○ Pseudomonas
(Chryseomonas)
Pseudomonas
luteola
fluorescens
○ Pseudomonas
Pseudomonas oryzihabitants
mendocina ○ Sphingobacterium
spp.
Pseudomonas
○ Pseudomonas stutzeri
monteilii
(light yellow) and
Pseudomonas putida wrinkled colonies
● Pink
Pseudomonas stutzeri ○ Methylobacterium
(includes CDC group spp.
IVd CDC group Vb-3
○ Roseomonas spp.
Pseudomonas veronii ● Purple (MacConkey Agar)
○ Acinetobacter spp.
Pseudomonas-like ● Blue-green
group 2 ○ Pseudomonas
aeruginosa
CDC group Ic
● Violet
Ralstonia “Pseudomonas ○ Chromobacterim
mannitolilytica thomasii,” Ralstonia violaceum
pickettii biovar 3 ● Lavender to lavender-green
(Blood Agar)
Ralstonia insidiosa CDC group IVc-2
○ Stenotrophomonas
Ralstonia pickettii Pseudomonas maltophillia
pickettii, Burkholderia ● Tan (occasionally)
pickettii, Va-1, Va-2 ○ Pseudomonas stutzeri
○ Shewanella
putrefaciens
Characteristics Common to Groups of
★ Wrinkled Colonies:
Nonfermenters
● Pseudomonas stutzeri
● Pseudomonas oryzihabitants
★ Pigmentation ● Burkholderia pseudomallei
● Yellow ★ Odor
○ Chryseobacterium ● Sweet
and Elizibethkingia ○ Alcaligenes faecalis
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

○ Myroides odoratus ○ Catalase positive


○ Pseudomonas ○ Usually grows on MacConkey
aeruginosa (fruit-like (MAC) agar
odor/grape-like ○ Usually an oxidizer of
odor) carbohydrates, but some
● Popcorn species are asaccharolytic
○ EO-4 ○ Produce water-soluble
○ Neisseria pigments: pyoverdin, a
zoodegmatis yellow-green or yellow-brown
★ Nonmotile pigment
● Acinetobacter spp. Note: Most strains of
● Moraxella spp. Pseudomonas aeruginosa produce
the blue, water-soluble pigment
● Chryseobacterium and
called pyocyanin.
Elizibethkingia spp. (weak Note: Pyocyanin when combine
fermenters) with pyoverdin produces the
● Sphingobacterium spp. (may green pigment characteristic of
glide) Pseudomonas aeruginosa colonies.
● Oligella spp. (non-O.
ureolytica) Pseudomonas Fluorescent Group (Pyoverdin)
★ Oxidase-negative
● Acinetobacter spp. ★ Pseudomonas aeruginosa: produces
● Stenotrophomonas maltophilia pyoverdin and pyocyanin or
● Pseudomonas luteola and combination
Pseudomonas oryzihabitans ★ Pseudomonas fluorescens
● Pseudomonas cepacia ★ Pseudomonas putida
★ H2S Positive ★ Pseudomonas monteilii
● Shewanella putrefaciens ★ Pseudomonas veronii
★ Pseudomonas mosselii

Clinically Significant Nonfermentative,


Pseudomonas Fluorescent Group:
Gram-Negative Bacilli
Pseudomonas aeruginosa

★ Pseudomonas
★ Motile and rod shaped
○ Gram-negative bacillus or ★ Obligate aerobe
coccobacillus ★ Producing sweet or grape-like or corn
○ Strictly aerobic metabolism taco-like odor caused by the presence
○ Motile usually with polar of 2-aminoacetophenone
flagellum or polar tuft of ★ Produce non-fluoroscent bluish
flagella pigment, pyocyanin
○ Oxidase positive (except ★ Produces the fluorescent yellow-green
Pseudomonas luteolus and pigment pyoverdin
Pseudomonas oryzihabitans)
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

★ May also produce a dark red pigment


Flagella Motility, adhesion
(pyorubin) or a brownblack pigment
(pyomelanin) Type III secretion Cytotoxic activity
★ Growth Characteristics: system
○ Grows well at 37℃ to 42℃
Note: 42℃ makes it more Phospholipases Cytotoxicity
distinguishable from other
Pseudomonas spp. / fluorescent Proteases Cytotoxicity,
group proteolytic activity
○ Does not ferment
Exotoxin A Cytotoxicity
carbohydrates
○ Many strains oxidize glucose; Capsule Antiphagocytic
therefore, oxidase positive activity
○ Denitrification of nitrates and Note: The most important exotoxin is
nitrites exotoxin A-blocks the protein synthesis
○ Arginine dihydrolase Note: Several exotoxins—proteases, hemolysins,
(ADH)–positive lecithinase, elastase, & deoxyribonuclease (DNase)
○ Citrate positivity
★ Clinical Findings:
○ Acetamide utilization
○ Wounds and burns:
● Culture media: Cetrimide
blue-green pus
Agar
○ Necrotizing pneumonia
○ Selective and
○ Cystic fibrosis (CF): chronic
differential
pneumonia
○ Cetrimide acts as a
○ Mild otitis externa in
detergent and
swimmers
inhibits most
○ Invasive (malignant) otitis
bacteria
externa in patients with
○ Enhances the
diabetes
production of the two
○ Fatal sepsis - infants
pigments: pyoverdin
○ Ecthyma gangrenosum
and pyocyanin
Note: presence of
produced by
erithema/redness–usually do not
Pseudomonas contain pus
aeruginosa ○ Folliculitis - poorly
★ Virulence Factors: chlorinated hot tubs and
Virulence Factors Functions swimming pools
★ Treatment:
Lipopolysaccharide Antiphagocytic ○ Piperacillin and ticarcillin
activity, cytotoxicity ○ Third- and fourth- generation
cephalosporins (ceftazidime
Pili Adhesion
and cefepime, respectively)
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

○ Carbapenems (except
Pseudomonas Non-Fluorescent Group:
ertapenem)
Pseudomonas stutzeri
○ Fluoroquinolones

Pseudomonas Fluorescent Group: ★ Wrinkled, leathery, adherent colonies


Pseudomonas fluorescens & Pseudomonas ★ Light-yellow or brown pigment
putida ★ Distinguish Pseudomonas stutzeri from
most other Pseudomonas spp. by the
Note: can be isolated from respiratory specimens, combination of:
from contaminated blood products, urine, cosmetics, ○ Arginine dihydrolase (ADH)
hospital equipments, and fluids.
negative
★ Can grow at 4℃
○ Starch hydrolysis positive
★ Produce pyoverdin (yellow-green
★ Can grow in an anaerobic environment
pigment)
in nitrate-containing media, producing
★ Cannot reduce nitrate to nitrogen gas
nitrogen gas
★ Can produce acid from xylose
★ Responsible for diseases like:
★ Gelatin hydrolysis
○ Septicemia,
○ Pseudomans putida: negative
○ Meningitis in the human
○ Pseudomonas fluorescens:
immunodeficiency
positive
virus-infected patient,
Note: Susceptible to aminoglycosides,
○ Pneumonia (especially in
polymyxin, and piperacillin
Note: Resistan to carbenicillin and cystic fibrosis (CF) and
trimethoprim/sulfamethoxazole (SXT) immunocompromised
patients),
○ Endocarditis,
Pseudomonas Fluorescent Group:
○ Postsurgical wound infections
Pseudomonas mosselii
○ Septic arthritis,
○ Conjunctivitis, and
★ Nonpigmented and nonhemolytic
○ Urinary tract infections (UTIs)
★ Positive for oxidase, catalse, and
arginine dihydrolase (ADH)
★ Optimal growth occurs at 30℃ Pseudomonas Non-Fluorescent Group:
Pseudomonas mendocina
Pseudomonas Non-Fluorescent Group
★ Produces nonwrinkled, flat colonies
★ Pseudomonas stutzeri that may appear with a
★ Pseudomonas mendocina yellowish-brown pigment
★ Pseudomonas alcaligenes ★ Pigmentation seems to be a variable
★ Pseudomonas pseudoalcaligenes trait, but many exhibit a smooth
★ Pseudomonas luteola buttery appearance.
★ Pseudomonas oryzihabitans ★ Oxidase and arginine dihydrolase
(ADH) positive
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

★ Does not produce pyoverdin


Acinetobacter spp.
★ Acetamide negative
★ Motile: single polar flagellum
★ Oxidizes glucose and xylose ★ Aerobic, catalase-positive, oxidase
★ Nonproteolytic and does not hydrolyze negative, gram-negative bacteria
starch ★ May also appear as diplococci on
smears and then resembles Neisseria
spp.
Pseudomonas Non-Fluorescent Group:
★ Grows best at 35℃ to 37℃
Pseudomonas pseudoalcaligenes &
★ Acinetobacter baumannii:
Pseudomonas alcaligenes
○ Most commonly isolated in
clinical laboratories
Note: often considered contaminants when isolated ○ Glucose-oxidizing
from clinical specimens ○ Nonhemolytic strain
★ Oxidase positive
★ Acinetobacter radioresistens:
★ Biochemically negative in many tests
○ Described to colonize human
★ Grown on MacConkey (MAC) agar
skin and cause occasionally
★ Motile - polar flagellum
infections in
★ Pseudomonas pseudoalcaligenes -
immunocompromised
arginine dihydrolase (ADH) positive
patients.
and weakly derment fructose
★ Acinetobacter lwoffii:
○ Glucose negative
Pseudomonas Non-Fluorescent Group: nonhemolytic strain
Pseudomonas pseudoalcaligenes & ★ Clinical Infections:
Pseudomonas alcaligenes ○ Primarily affect patients with
weakened immune systems
★ Gram-negative, nonfermentative and coexisting diseases
oxidase-negative bacilli ○ Urinary tract infections (UTIs);
★ Catalase positive and motile, oxidize pneumonia,
glucose, grow on MacConkey (MAC) tracheobronchitis, or both;
agar endocarditis
★ Produce wrinkled or rough colonies at ○ Septicemia; meningitis, often
48 hours as a complication of
★ Pseudomonas luteola can be intrathecal chemotherapy for
differentiated from Pseudomonas cancer
oryzihabitans by the ○ Cellulitis, result of
o-nitrophenyl-β-D-galactopyranoside contaminated indwelling
(ONPG) test and esculin hydrolysis catheters, trauma, burns, or
Note: ONPG test to detect Beta introduction of a foreign body
galactosidase (present on late lactose ● Acinetobacter baumamnii -
fermenters) eye infections:
○ endophthalmis,
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

○ conjunctivitis, and ★ Ornithine decarboxylase negative and


○ corneal ulceration fail to reduce nitrate to nitrite
★ Identifying Characteristics: ★ Motile by means of polar tufts of
○ Can resist decolorization and flagella
retain the crystal violet stain ★ Causes onion bulb rot in plants and
○ Purplish hue produced ny foot rot in humans
some species
Burkholderia mallei
○ Acinetobacter baumannii is
saccharolytic, and
Acinetobacter lwoffii is ★ Previous name: Pseudomonas mallei
asaccharolytic ★ Smooth and cream to white colonies in
○ Strains that can resist Blood Agar Plate (BAP) and weaky
oxidase positive
carbapenems are referred to
★ The only non-motile among all
as: CRAB, or
pseudomonads
Carbapenem-resistant
★ Cannot grow in 40℃
Acinetobacter baumannii -
★ Causes GLANDER’S Disease: infectious
only susceptible to collistin
disease of horses, goats, sheeps, &
and tigecycline
donkeys. Rare cause of human
infection acquired by direct contact,
Stenotrophomonas maltophilia
trauma, or inhalation.
Note: Respiratory tract zoonosis
★ Third most common non-fermentative, ★ FARCY: disseminated form of glander’s
gram negative bacillus in the clinical disease
laboratory ★ Considered as a potential bioterrorism
★ Colonies appear bluish on MacConkey agent (intentional or threatened use of
(MAC) agar pathogenic organisim to produce death or
★ Positive for catalase, DNase, esculin disease)
and gelatin hydrolysis, and lysine
decarboxylase Burkholderia pseudomallei

Burkholderia spp. ★ Cream to tan wrinkled colonies on the


surface of Blood Agar Plate (BAP)
★ Motile via polar tuft flagella
Burkholderia cepacia complex
★ Arginin dihydrolase (ADH) positive
★ Highly oxidative - glucose, maltose,
★ Weak, slow, positive, oxidase reaction lactose, mannitol
★ Oxidase glucose, and many will oxidize ★ Causes MELIOIDOSIS - glander’s-like
maltose, lactose, mannitol disease which has long latent period
★ Lysine decarboxylase and Note: pulmonary disease caused by
o-nitrophenyl-β-D-galacopyranoside ingestion, inhalation, or inoculation of
(ONPG) positive organisms.
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

★ Manifestation of symptoms takes years


Brevundimonas
hence the synonym VIETNAM TIME
BOMB
Brevundimonas diminuta
Burkholderia gladioli
Note: considered as contaminant
★ Produces yellow pigment after 48-72 ★ Motile and possess a single polar
hours of incubation flagellum
★ Motile by mean of one or two polar ★ Oxidase glucose
flagella ★ Oxidase positive
★ Catalase and urease positive ★ Most strains grow on MacConkey
★ Grows on MacConkey (MAC) agar (MAC) agar
★ Oxidizes glucose
Brevundimonas vesicularis
Mannitol Decarboxylase Oxidase

Positive Negative Negative, although ★ Slender rod, with polar flagella


some strains are ★ Only about 25% grows on MacConkey
weakly positive (MAC) agar
★ Most strains produce an orange
intracellular pigment
Less Commonly Encountered ★ Oxidase positive and oxidizes glucose
Nonfermentative, Gram-Negative Bacilli and maltose
★ Esculin hydrolysis test to
Alcaligenes & Achromobacter differentiatte Brevundimonas diminuta
& Brevundimonas vesicularis
Note: Isolates of both Alcaligenes and ○ Brevundimonas diminuta:
Achromobacter are found in water (e.g., rarely positive
swimming pools, tap water, dialysis fluids) and ○ Brevundimonas vesicularis:
are resistant to disinfectants. positive
★ Obligately aerobic gram-negative
bacilli CDC groups EO-3, EO-4, and Paracoccus
★ Possess peritrichous flagella
★ May produce a fruity odor Note: EO refers to eugonic oxidizer
★ Cause a green discoloration on ★ Oxidase-positive
Sheep/Blood Agar Plate (SBA/BAP) ★ Nonmotile, saccharolytic coccobacilli
★ Oxidative/Fermentative (OF) media: that grows weakly, if at all, on
nonoxidative, produce a deep blue MacConkey (MAC) agar
color at the top, except for ★ All oxidize glucose and xylose
Achromobacter xylosoxidans ★ EO-3 and many EO-4 isolates have a
(Achromobacter xylosoxidans var. yellow nondiffusible pigment
xylosoxidans) ★ Paracoccus yeei (EO-2): coccoid or
O-shaped cells on gram stain
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

Chromobacterium Flavobacteriaceae

Chromobacterium violaceum ★ Members of the family


Flavobacteriaceae:
○ Balaneatrix
★ Motile, facultative anaerobe, OXIDASE
(+) positive ○ Bergeyella
★ Rare cause of human infection ○ Chryseobacterium
★ Found in soil and water ○ Elizabethkingia
★ Unique because of the violet pigment ○ Empedobacter
that it produces - violacein ○ Myroides
○ Weeksella
Comamonas and Delftia ○ Wautersiella
○ Sphingobacterium spp.
★ Straight to slightly curved rods ★ Non-motile except Balaneatrix alpaca
★ Produce alkalinity in ★ Lavender-green discoloration of the
Oxidative/Fermentative media aggar on media with blood
★ Catalase positive and oxidase positive ★ Fruity odor
★ Motile by multitrichous polar flagella
★ Reduce nitrate to nitrite Elizabethkingia meningoseptica

Comamonas testosteroni and Comamonas ★ Meningitis and septicemia in


terrigena newborns
★ Produce acid from glucose, maltose,
★ Cause nosocomial bacteremia mannitol
★ Hydrolyze esculin, indole positive
Delftia acidovorans
★ Growth on MacConkey (MAC) agar is
variable
★ Associated with keratitis in soft
contact lens wearers Balaneatrix alpaca
★ Nosocomial infections including
bacteremia and endocarditis ★ Curved to straight rod
★ Motile by polar flagella
Delftia tsuruhatensis
★ Pale yellow, becoming brown with age
★ No growth on MacConkey (MAC) agar
★ Associated with catheter-related ★ Positive for oxidase and indole
bacteremia ★ Saccharolytic, oxidizing glucose,
mannose, fructose, and other sugars

Chryseobacterium indologenes
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

★ Linked to nosocomial infections:


Ralstonia and Cupriavidus
bacteremia

Empedobacter brevis Ralstonia pickettii

★ Slow growers
★ Endophthalmitis following cataract
★ Oxidase and catalase positive
surgery
★ Grows on MacConkey (MAC) agar,
Myroides odoratimimus reduces nitrate, oxidizes glucose and
xylose, and is motile by means of a
single polar flagellum
★ Pale yellow, becoming brown with age
★ Urinary tract infections (UTIs),
Cupriavidus pauculus
endocarditis, ventriculitis, and
cutaneous infections in
★ Motile (peritrichous flagella),
immunocompromised patients
oxidase-positive, catalase-positive,
asaccharolytic, gram-negative bacilli
Weeksella
★ Most strains grow on MacConkey
(MAC) agar
★ Asaccharolytic, indole and oxidase
positive, and fail to grow on
Shewanella
MacConkey (MAC) agar

★ Mucoid
Weeksella virosa
★ Produce a tan to brown pigment
causing greenish discoloration of
★ Found in genitourinary specimens
Sheep/Blood Agar Plate (SBA/BAP)
★ Grows on modified Thayer-Martin
★ Motile, ornithine decarboxylase and
medium or other media selective for
nitrite reductase positive, and produce
Neisseria gonorrhoeae
profuse hydrogen sulfide (H₂S) in Triple
Sugar Iron Agar (TSIA)
Bergeyella (Weeksella) zoohelcum
Shewanella algae Shewanella putrefaciens
★ Cellulitis, tenosynovitis, septicemia,
pneumonia, and meningitis, in Halophili: requires Non-halophilic
NaCl
particular in association with dog and
cat bite wounds Asaccharolytic Saccharolytic

Methylobacterium and Roseomonas

★ Pink pigmented colonies


★ Non-vacuolated, coccoid bacteria,
forming pairs and short chains
Non-Fermenting & Miscellaneous
Gram-Negative Bacilli
BACT211 | MIDTERM | 2ND SEMESTER

Sphingomonas

Sphingomonas paucimobilis

★ Yellow-pigmented
★ Does not grow on MacConkey (MAC)
agar
★ Requires more than 48 hours for
culture on Sheep/Blood Agar Plar
(SBA/BAP)
★ Weakly oxidase positive
★ Motile at 18℃ to 22℃ but not at 37℃
★ Indole negative, and oxidizers

Sphingomonas parapaucimobilis

★ Hydrogen sulfide (H₂S) positive by the


lead acetate method, Simmon citrate
positive, and DNase negative

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