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11 Cards in this Set

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Morphology and gram nature

Short rods, gram negative.


Also non - motile.

Cultural characteristics

They are aerobes and facultative anareobes.


Colorless colonies on MacConkey agar, what does it indicates..I hope you know :p


S.sonnei does forms pink colonies on over incubation, it is a late lactose fermenter

Biochemical reactions

Positive:Methyl red test, nitrate test, catalase, glucose fermentation without gas production, mannitol fermentation is crucial for classification.


Negative: citrate utilization, lactose and sucrose not fermented, VP test negative.

Antigens

Antigenic structure simpler as compared to Salmonellae.


Somatic'O' antigens.


K antigens.


Fimbrial antigens.



Types


1. S.dysentriae

Mannitol non fermenters, indole and catalase negative.


Forms shiga toxin-causes neurotoxicity, enterotoxicity and cytotoxicity.

S.flexneri

has six serotypes from 1-6.


Serotype 6 is always indole negative.


has two more complex antigens- X and Y.



S.boydii

Resembles flexneri biochemically but not antigenically.


Has 15 serotypes.

Sh.sonnei

Only type that ferments lactose.


Indole negative.


Occurs in two forms-phase 1 and phase 2.


causes mildest form of bacillary dysentery

Pathogenicity

Infect epithelial cells of large intestine.


Mechanism is enteroinvasive and they penetrate into lamina propria.


Causes capillary thrombosis,leading to necrosis of epithelial causing transverse superficial ulcers.


Bacteremia may also occur in severe cases.

Complications

Most often seen in infection due to S.dysentriae.


Arthritis, toxic neuritis, conjunctivitis, parotitis.


Children : intussusception (coiling and entangling of the loo[s of the colon)

Treatment

Oral rehydration.


Nalidixic acid.


Norfloxacin. mnemonic - Nano


Other fluoroquinones.