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Streptococcus pneumoniae
Gram/Morphology: Gram-positive cocci.
Key Virulence Factor: Capsule; loss of the capsule (via mutation) results in an avirulent strain.
Diagnostic/Genetic Marker: Used to demonstrate Transformation (uptake of naked DNA).
Treatment: Penicillin
Corynebacterium diphtheriae
Gram/Morphology: Gram-positive rod.
Key Virulence Factor: Diphtheria Toxin.
Mechanism of Acquisition: Lysogenic Conversion; the toxin gene is carried by a prophage (temperate bacteriophage) integrated into the bacterial chromosome.
Diagnostic: Toxin production (Elek test) is the gold standard for pathogenicity.
Escherichia coli
Gram/Morphology: Gram-negative rod.
Key Genetic Feature: Hfr (High Frequency of Recombination) strains.
Gold Standard Genetic Use: Used for mapping the bacterial chromosome via conjugation (the entire chromosome takes 100 minutes to transfer).
Example Regulon: Maltose utilization is a key example of a regulon in E. coli.
Shigella, Listeria, Yersinia
Key Virulence Factor: Invasion Plasmids.
Mechanism: These bacteria carry large plasmids that encode the genes necessary for invading host cells.
Gram Stain: Shigella and Yersinia (Gram-negative rods); Listeria (Gram-positive rod).
Borrelia (Genomic Exception)
Gram/Morphology: Spirochete.
Unique Feature: Unlike most bacteria with circular DNA, Borrelia has a linear chromosome/plasmid.
Pathogenicity Islands (PAIs)
Definition: Large genomic regions carrying virulence genes (toxins, adhesins).
Key Identifiers: Often have a different G+C content than the rest of the genome and are flanked by direct repeats.
Movement: Mobilized by integrase enzymes or associated with tRNA genes.
Integrons
Key Components: Integrase gene (intI), an attachment site (attI), and a promoter (Pc).
Function: They capture and express gene cassettes (usually antibiotic resistance genes).
Note: Gene cassettes lack their own promoters and must use the integron's promoter to be expressed.
The SOS Response
Definition: A Global Regulatory Network triggered by heavy DNA damage (e.g., from UV radiation).
Mechanism: Induces approximately 29 genes to attempt DNA repair.
Consequence: Can lead to the induction of the lytic cycle in temperate phages.
Staphylococcus aureus (Gram stain/Morphology)
Gram-positive cocci in clusters ("bunches of grapes").
Staphylococcus aureus (Key Virulence Factors)
Protein A (binds Fc region of IgG to prevent phagocytosis), Coagulase, and TSST-1 (superantigen).
Staphylococcus aureus (Gold Standard Diagnostic)
Catalase (+) and Coagulase (+).
Gold standard: Culture on blood agar or Mannitol Salt Agar (ferments mannitol).
Staphylococcus aureus (First-line Treatment)
Nafcillin or Oxacillin (MSSA); Vancomycin (MRSA).
Streptococcus pyogenes / Group A Strep (Gram stain/Morphology)
Gram-positive cocci in chains.
Streptococcus pyogenes (Key Virulence Factor)
M protein (antiphagocytic; mimics heart tissue leading to Rheumatic Fever) and Streptolysin O.
Streptococcus pyogenes (Gold Standard Diagnostic)
Catalase (-), Bacitracin Sensitive, and Beta-hemolytic.
Streptococcus pyogenes (First-line Treatment)
Penicillin G or Amoxicillin.
Streptococcus pneumoniae (Gram stain/Morphology)
Gram-positive lancet-shaped diplococci.
Streptococcus pneumoniae (Key Virulence Factor)
Polysaccharide Capsule (major factor for evasion).
Streptococcus pneumoniae (Gold Standard Diagnostic)
Alpha-hemolytic, Optochin Sensitive, and Quellung reaction positive.
Streptococcus pneumoniae (First-line Treatment)
Ceftriaxone or Penicillin (if sensitive); Vancomycin for resistant strains.
Neisseria meningitidis (Gram stain/Morphology)
Gram-negative kidney-bean shaped diplococci.
Neisseria meningitidis (Key Virulence Factors)
Polysaccharide Capsule and IgA protease (cleaves IgA at mucosal surfaces).
Neisseria meningitidis (Gold Standard Diagnostic)
Culture on Thayer-Martin agar (VPN agar).
Neisseria meningitidis (First-line Treatment)
Ceftriaxone.
Escherichia coli (Gram stain/Morphology)
Gram-negative rod.
Escherichia coli (Key Virulence Factors)
P-pili (UTIs), K1 Capsule (neonatal meningitis), and LPS/Endotoxin (septic shock).
Escherichia coli (Gold Standard Diagnostic)
Pink colonies on MacConkey agar (Lactose fermenter); Indole positive.
Escherichia coli (First-line Treatment)
Fluoroquinolones (UTI) or Ceftriaxone (systemic).
Mycobacterium tuberculosis (Gram stain/Morphology)
Acid-fast bacilli (AFB); high mycolic acid content in cell wall.
Mycobacterium tuberculosis (Key Virulence Factor)
Cord Factor (inhibits macrophage migration and induces granuloma formation).
Mycobacterium tuberculosis (Gold Standard Diagnostic)
Lowenstein-Jensen (LJ) medium or BACTEC culture. (Note: Ziehl-Neelsen stain for rapid ID).
Mycobacterium tuberculosis (First-line Treatment)
RIPE Regimen: Rifampin, Isoniazid, Pyrazinamide, Ethambutol.
Antibiotic targeting DNA Gyrase/Topoisomerase II
Fluoroquinolones (e.g., Ciprofloxacin)
Antibiotic targeting RNA Polymerase (Transcription)
Rifampin
Genetic element containing virulence genes
Pathogenicity Islands (PAIs).
Result of UV radiation damage to DNA
Thymine Dimers