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Light microscopy
the stained specimen absorbs light and appears dark against a bright background. The specimen is dead and attached to the slide.
Fluorescence microscopy
the background and specimen appear dark except for the fluorophores. Fluorophores are molecules that fluoresce. Only labeled structures are visible.
Scanning electron microscopy
beams of electrons scatter from the stained surface of a specimen. The image shows much greater detail than light microscopy but only the specimen’s external surface is enhanced
Transmission electron microscopy
electrons pass through a stained section. Very fine details may appear, such as individual ribosomes, but only a small fraction of the whole cell may be seen.
simple stain
adheres to cells but not the external medium surrounding the tissue
methylene blue
differential stain
stains two kinds of cells differently
gram stain
The Gram stain distinguishes between
gram-positive cells and gram negative cells
gram positive cells
appear purple
they have cell walls with lots of peptidoglycan (multiple layers) that retains crystal violet
thick cell wall
no outer membrane, no LPS/endotoxin
Stpahylococcus aureus
streptococcus species
gram-negative cells
appear pink
they have little peptidoglycan (single layer) so they dont retain crystal violet
thin cell wall
outer membrane containg LPS/endotoxin
escherichia coli
proteus species
lipopolysaccharide (LPS) = polysaccharides & lipid A
Endotoxin that is an integral part of the cell wall released after cell death
Causes fever, dilates blood vessels, etc
Antibiotics given late in infection can cause symptoms to worsen & may even cause death
Do not retain crystal violet, but counter stain w/ safranin (red)
Mycobacteria
Considered Gram- positive, but their envelopes are exceptionally thick and complex, including extra layers not found in other Gram-positive cells.
acid-fast stain
laboratory test used to determine bacteria that have waxy cells
Carbol fuchsin stains mycolic acid only found in cell walls of
Mycobacterium tuberculosis other Mycobacterium species.
spore stain
Malachite Green is added to a heat-fixed slide and heated so the dye enters the hard spore coat.
Bacillus and Clostridium species are spore formers.
negative stain
Capsule-forming bacteria can be stained with dyes that darken the background, allowing the capsule to be visible.
antibody stain
Specialized stains that use antibodies to detect specific molecular components of the cell.
who is jared
a 48-year-old, previously healthy man, was admitted to a hospital in Columbus, OH, after 6 days of increasing dyspnea (shortness of breath) and watery diarrhea.
Jared also complained of a dry cough, myalgia, (muscle pain), nausea, and vomiting. He appeared flushed and had dry mucous membranes.
what was jared vitals
His temperature was 39°C (102.2 °F), and his pulse rate 103 beats per minute
what did chest radiographs show for jared
Chest radiographs showed pneumonia with consolidation (formation of a firm mass) of the left lower lobe.
Jareds C-reactive protein (CRP, a blood protein produced by the liver) showed what
greater than 220mg/l, a high level that indicates inflammation
what did jared do to get sick
he cleaned the filter of an outdoor whirlpool spa
what did culture from jareds sputum and spa filter reveal?
gram-negative bacilli consistent with Legionella Pneumophila
how was Jared diagnosis confirmed
Fluorescence microscopy usig direct fluorescent antibody (DFA) stain.
what was Jared prescribed to overcome the disease
He received IV amoxicillin and clarithromycin antibiotics for 8 days before his condition returned to normal.
Fluorescence Microscopy
A powerful tool to detect specific microbes and subcellular structures while avoiding signals from dust and other nonspecific particles.