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Ch. 21 - Microbial Diseases of the Skin and Eyes
Tortora - Microbiology: An Introduction 14th Edition
Tortora14th EditionMicrobiology: An IntroductionISBN: 9780138200398당신이 사용하는 게 아니라요?교과서 변경
17장, 문제 2

What bacteria are identified by a positive coagulase test? What bacteria are characterized as group A beta-hemolytic?

검증된 단계별 안내
1
Understand that the coagulase test is used to differentiate Staphylococcus species based on their ability to produce the enzyme coagulase, which clots plasma. A positive coagulase test indicates the presence of Staphylococcus aureus, a pathogenic species known for this trait.
Recognize that group A beta-hemolytic bacteria refer to a classification based on hemolysis patterns on blood agar and Lancefield grouping. Beta-hemolysis means complete lysis of red blood cells around colonies, producing a clear zone.
Recall that group A beta-hemolytic bacteria are primarily Streptococcus pyogenes, which is known for causing various infections such as pharyngitis, impetigo, and rheumatic fever.
Summarize that a positive coagulase test identifies Staphylococcus aureus, while group A beta-hemolytic bacteria are identified as Streptococcus pyogenes based on their hemolytic pattern and Lancefield grouping.
Note the clinical relevance: Staphylococcus aureus (coagulase positive) is often associated with skin infections and abscesses, whereas Streptococcus pyogenes (group A beta-hemolytic) is linked to throat infections and post-infectious complications.

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주요 개념

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Coagulase Test

The coagulase test detects the presence of the enzyme coagulase, which causes blood plasma to clot. It is primarily used to differentiate Staphylococcus aureus, which is coagulase-positive, from other Staphylococcus species that are coagulase-negative. This test helps identify pathogenic bacteria involved in infections.
추천 영상:
06:59
The Ames Test

Group A Beta-Hemolytic Streptococci

Group A beta-hemolytic streptococci (GAS) are bacteria classified by their ability to completely lyse red blood cells on blood agar, producing clear zones of hemolysis. The most common species is Streptococcus pyogenes, known for causing strep throat, skin infections, and other diseases. Lancefield grouping identifies these bacteria based on carbohydrate antigens.
추천 영상:
06:04
Functional Groups

Hemolysis Patterns on Blood Agar

Hemolysis refers to the breakdown of red blood cells by bacterial enzymes on blood agar plates. Beta-hemolysis indicates complete lysis, alpha-hemolysis partial lysis (greenish discoloration), and gamma-hemolysis no lysis. Recognizing these patterns aids in bacterial identification and understanding pathogenic potential.
추천 영상:
04:24
Pattern Recognition Receptors
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Discuss the usual mode of entry of bacteria into the skin. Compare bacterial skin infections with infections caused by fungi and viruses with respect to mode of entry.

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A 12-year old boy had a fever, rash, headache, sore throat, and cough. He also had a macular rash on his trunk, face, and arms. A throat culture was negative for Streptococcus pyogenes.

The boy most likely had

a. Streptococcal sore throat.

b. Measles.

c. Rubella.

d. Smallpox.

e. Hand-foot-mouth disease.

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A 6-year old girl was taken to the physician for evaluation of a slowly growing bump on the back of her head. The bump was a raised, scaling lesion 4 cm in diameter. A fungal culture of material from the lesion was positive for a fungus with numerous conidia.

The girl’s disease was

a. Rubella.

b. Candidiasis.

c. Dermatomycosis.

d. A cold sore.

e. None of the above.

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On the following figure, show the sites of the following infections: impetigo, folliculitis, acne, warts, shingles, sporotrichosis, pediculosis.

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A 6-year old girl was taken to the physician for evaluation of a slowly growing bump on the back of her head. The bump was a raised, scaling lesion 4 cm in diameter. A fungal culture of material from the lesion was positive for a fungus with numerous conidia.

Besides the scalp, this disease can occur on all of the following except

a. Feet.

b. Nails.

c. The groin.

d. Subcutaneous tissue.

e. The disease can occur on all of these areas.

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Complete the following table of epidemiology.

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