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gram positive cocci

Rewise MD English 5 slides

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  1. Streptococcus pyogenes

    • Streptococcus
    • pyogenes is a gram positive cocci that causes group A streptococcal
    • infections. Strep pyogenes typically produces large zones of
    • beta-hemolysis and can be distinguished from other streptococcal
    • organisms because it is catalase negative and bacitracin sensitive. It
    • can cause a variety of disease including pyogenic infections of the
    • pharynx and skin. In the pharynx, it is the classic cause of bacterial
    • strep throat. In the skin, it can cause impetigo and cellulitis. This
    • bacteria also causes several diseases mediated by toxins including
    • scarlet fever and toxic shock like syndrome. Two of the major
    • complications of group A strep infections are mediated immunologic
    • mechanisms, including rheumatic fever caused by the development of
    • antibodies to M protein and acute glomerulonephritis.
    • https://www.youtube.com/watch?v=dg6b-lDvbC4 (Embed)
  2. Streptococcus pneumoniae features

    • Streptococcus pneumoniae is a Gram positive “lancet-shaped” diplococci
    • that is a major cause of pneumonia, meningitis, and otitis media.
    • Characteristically, this bacteria is alpha hemolytic, which causes dark
    • green colonies on blood agar. It is catalase dark green colonies on
    • blood agar, which allows it to be distinguished from catalase positive
    • Staph aureus. Strep pneumonia can be differentiated from streptococcus
    • viridans using an optochin test. Strep pneumoniae is optochin sensitive
    • while Strep viridans is optochin negative. The bacterium can also be
    • differentiated from Strep viridans because Streptococcus pneumoniae is
    • bile soluble while Strep viridans is not. This organism is encapsulated
    • with a positive quellung reaction. The capsule acts as a virulence
    • factor for the organism.
    • https://www.youtube.com/watch?v=Qh3K_KZ9ujw (Embed)
  3. Streptococcus pneumoniae

    • Streptococcus pneumoniae, , is a gram-positive diplococci bacteria. Classically, patients can complain of coughing up rusty sputum if they have pneumonia, , which can help with clinical diagnosis. Patients who have had splenectomies are at risk forsepsis,. Those who have sickle cell anemia,
    • especially children, are also at risk for sepsis, . Other
    • manifestations of strep pneumo can be remembered by the mnemonic MOPS,
    • This bacteria is also one of the most common causes of bacterial meningitis in adults, , and is the most common bacterial pathogen to cause otitis media, in the ear. Strep pneumonia is a very common cause of pneumonia, , and can also cause acute bacterial sinusitis,
    • https://www.youtube.com/watch?v=lUwBEpBs9jQ (Embed)
  4. Staphylococcus epidermidis

    • https://www.youtube.com/watch?v=Z6BiENnal3Y (Embed)
    • Staphylococcus
    • epidermidis is a Gram positive cocci that is part of the human skin
    • flora. This organism is usually not pathogenic but can cause infection
    • in patients with compromised immune systems. Staphylococcus epidermidis
    • is also a large concern with patients with catheters or other prosthetic
    • devices because it is known to cause adherent biofilms that grow on the
    • devices. Characteristically, it is a catalase positive, coagulase
    • negative bacterium. Staphylococcus epidermidis can be differentiated
    • from staphylococcus saprophyticus, which is also catalase positive,
    • coagulase negative, but sensitivity to novobiocin. Because this organism
    • is a component of normal skin flora, it is a common contaminate of
    • blood cultures.
  5. Slide 5

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gram positive cocci
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