TSI- Why oh Why?
Got Diarrhea?
Non-Fermenters
I've got a Disease
Character-istics!
100

This tribe of Enterobacterales is positive for phenylalanine deaminase.

Proteae tribe

Proteus, Providencia, Morganella

100

Endemic Cholera

Vibrio cholerae (O1)

100

Non-fermenters fail to ferment this substance.

Carbohydrates/glucose

100

This organism causes plague- usually from the bite of a flea.

What is Yersinia pestis?

100

The indole test detects the presence of this enzyme. 

What is tryptophanase?
200

This is the only Enterobacterales that is oxidase positive.

Plesiomonas

200

Undercooked hamburger ingestion, lettuce outbreaks, HUS

E. coli O157:H7

200

Name the two pigments produced by Pseudomonas aeruginosa.

Pyocyanin and Pyoverdin

200

Duodenal ulcers, gastric carcinoma.

What is Helicobacter pylori?

200

The Enterobacteriaceae all share the following characteristics. Name the one that is not listed here:

Reduce Nitrate to Nitrite

Oxidase negative (except one species)

Gram negative Rods

Facultative anaerobes, 18-24 hours growth

Grow on MacConkey

What is Glucose fermentation!

300

Gamma hemolytic

TSI: A/A, H2S NEG

Motile: 25 degrees only

Indole: Weak +

Oxidase: Neg

Urea: POS

Yersinia enterocolitica

300

The temperature at which Campylobacter spp. must be incubated.

42 degrees C

300

This test will distinguish between Acinetobacter and Stenotrophomonas.

DNAse or Citrate (Steno is pos for both)

300

DOUBLE JEOPARDY!

Name the two most common pneumonia causing pathogens in Cystic Fibrosis patients?

300

The H antigen is what bacterial structure. 

Flagella!

K=Capsule

O=Outer membrane

400

Ox/Indole: NEG/NEG

TSI: K/A, H2S POS

LIA: NEG/NEG/H2S POS

UREA: NEG

Motile

Salmonella

400

This organ harbors Salmonella in carrier patients if left untreated. 

Gallbladder

400

Newborn meningitis, caused by a nonfermenting GNR

Elizabethkingia meningoseptica!

400

Freshwater wound after traumatic ski accident?

Aeromonas

400
H. pylori is not diagnosed by culture, but by this method instead:

What is the urea breath test/urea biopsy test?

500

The one biochemical test needed to differentiate between Morganella and Providencia.

Citrate (Pos in Providencia)

500

A beta hemolytic, oxidase positive, indole positive lactose fermenter was isolated from a patient with gastroenteritis. This organism is the most likely ID.

Aeromonas

500

Many patients who have a tracheostomy tube in the ICU become colonized with THIS non-fermenting GNR.

Acinetobacter spp.

500

Appendicitis-like syndrome in adults

What is Yersinia enterocolitica?

500

When serotyping Salmonella, we need to remove THIS antigen by heating the organism in order to serotype the O antigen.

What is the Vi antigen?

M
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