Exotoxins
Gram Positive Bugs
Endotoxins
Gram Negative Bugs
I'm Special
100

Inactivates EF-2 leading to host cell death 

What is Exotoxin A?

100

This cocci appears in clusters & is catalase (+)

What is Staphylococcus

100

Found in the outer membrane of Gram(-) bacteria, this endotoxin is composed of an O-antigen, a core polysaccharide & Lipid A  

What is LPS? 

100

This oxidase (+) curved rod flagellated organism produces urease to allow survival in acidic mucosa 

What is H. pylori
100

This bacteria requires Chocolate agar medium containing factors V (NAD+) & X (hematin) 

What is H. influenzae

200

Inactivates 60S ribosome, manifesting as dysentery & Hemolytic-uremic syndrome (HUS)

What is Shiga toxin 

200

This cocci appears in pairs or chains & is catalase (-)

What is Streptococcus?

200

This toxic component activates macrophages (TLR4/CD14), the complement system & tissue factors 

What is Lipid-A component of LPS?

200

This small coccobacillary rod is transmitted via respiratory droplets and causes epiglottis, meningitis, otitis media & pneumonia 

What is H. influenzae

200

These 2 Neisseria spp. require Thayer-Martin agar, which inhibits growth of Gram (+) organisms with vancomycin 

What are N. gonorrhoae & N. meningitides

300

Inactivates EF-2, manifesting as pharyngitis with pseudomembranes, 'Bull neck' lymphadenopathy & myocarditis 

What is Diphtheria toxin? 

300

This Staphylococcal spp. is known to infect prosthetic devices & IV catheters 

What is Staph. epidermidis?

300

This effect of Lipid-A leads to fever & hypotension 

What is macrophage activation? 

300

This special aerobic coccobacillus presents in 3 clinical stages: 

1) Catarrhal 

2) Paroxysmal 

3) Convalescent 

What is B. pertussis?

300

This bug needs Bordet-Gengou agar, or Regan-Lowe, which contains charcoal, blood & antibiotics 

What is Bordetella pertussis?

400

Over-activates AC leading to ↑ cAMP

Manifests as watery diarrhea 

What is Heat-labile toxin? 

400

This Staphylococcus spp. is known to cause TSST-1, Scalded skin syndrome & rapid onset food poisoning 

What is Staph. aureus?

400

This effect of Lipid-A leads to histamine release, hypotension, edema & neutrophil chemotaxis 

What is Complement system activation? 

400

This special rod-shaped organism is known to cause outbreaks on cruise ships and in nursing homes

What is Legionella pneumophila

400

This bug can be isolated using Lowenstein-Jensen medium

What is M. tuberculosis

500

Over-activates guanylate cyclase to ↑cGMP 

Manifests as watery diarrhea 

What is Heat-stable toxin? 

500

This Staphylococcus spp. is the 2nd most common cause of uncomplicated UTIs in young females 

What is Staph. saprophyticus?

500

This effect of Lipid-A leads to activation of the coagulation cascade, eventually causing DIC

What is tissue factor activation? 

500

This aerobic rod causes pneumonia in cystic fibrosis patients and can be transmitted between patients 

What is Burkholderia cepacia complex. 

500

This bug grows in Eaton agar as it requires cholesterol 

What is M. pneumoniae

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