Vibrio

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VIBRIO, AEROMONAS AND CAMPYLOBACTER

Species: Nonenteric Glucose Fermenters

 Growth on MacConkey agar


 Oxidase-positive

Significance
Members of these four genera of organisms cause diarrheal diseases and other infections.
>Vibrio
• Associated with large epidemics and pandemics
>Aeromonas
• Diarrhea and wound infections
>Campylobacter
• May play a role in GBS (Guillain-Barré Syndrome)
>Helicobacter (Campylobacter-like)
• Causes ulcers and has been linked to gastric carcinoma

General Characteristics: VIBRIO


 10 species involved in human infections (V. cholera, V. parahemolyticus, V. vulnificus)
-Found in water
• Fresh water, brackish water, salt water
-Temperature sensitive in water that exceeds 20° C
 Associated with pandemics (worldwide epidemics)
-Cyclical
 Causative agent of cholera
-Severe diarrhea

Reasons for Significant Rise in Isolation of Vibrio


 Recent consumption of raw seafood (especially oysters)
 Recent immigration or foreign travel
 Gastroenteritis with cholera-like or rice-water stools
 Accidental trauma incurred during contact with fresh, estuarine, or marine water or
associated products (e.g., shellfish, oyster or clam shells, fishhooks)
Characteristics
 Facultatively anaerobic
 Catalase and oxidase positive
 Able to reduce nitrate to nitrite
 One exception—V. metschnikovii
 Negative for all three tests above

O/129 Susceptibility Test


Susceptible to Vibriostat disk
-O/129 (2,4-diamino-6,7-diisopropylpteridine)
-Separates them from Aeromonas (so does 6.5% salt broth)

Isolates from India and Bangladesh


-Resistance to Vibriostat disks is common in V. cholerae isolates.
String Test and Halophilic Ability
 Positive string test
-Emulsifying two to three colonies in a drop of sodium desoxycholate
-Colonies can be picked up like a string using a loop.
-Generally not a great test but does help in suspected cases

Most are halophilic (salt-loving).


-Except V. cholerae and V. mimicus

Epidemiology
Most V. cholerae epidemics occur in developing countries.
-Prevalent in Bengal region of India and Bangladesh
Cholera is not commonly reported in the United States.
-Most are considered “imported” cases.

Clinical Manifestations
Cholera is an acute diarrheal disease spread through contaminated water and mishandled
food.
-Rice-water stool (watery with flecks of mucus)
-Large loss of water and electrolytes (10-30 movements per day)
-Dehydration, hypovolemic shock (loss of fluid volume), and metabolic acidosis
• Can cause death rapidly if fluids are not restored
-Toxin causes diarrhea.

Bacteria colonize the small intestine and release toxin.


Diarrhea
-Caused by cholera toxin (also called choleragen)
-A subunits and five multiple binding B subunits
• B subunits bind to GM1 ganglioside receptor.
• A2 subunit allows A1 subunit to enter.
• A1 subunit stimulates adenylate cyclase by inactivating a G protein, which in turn
activates cyclic adenosine monophosphate (cAMP).
-Leads to hypersecretion and electrolyte loss

Cholera treatment
-Intravenous and oral fluid containing electrolytes
-Antibiotics to reduce organism
Vibrio parahaemolyticus
• Seafood usually source
• Causes gastroenteritis
• Requires sodium chloride for growth
• Sucrose negative on TCBS agar – green
colonies
• Oxidase-positive
• String test-positive
• 0129 resistant

Clinical manifestations
Develop after 24 to 48 hours after eating contaminated seafood
• Self-limiting watery diarrhea and cramping
• Sometimes vomiting
• Usually no fever. Extraintestinal wound, eye, ear infections, even pneumonia

Vibrio vulnificus
• Found in coastal waters & estuaries
• Causes septicemia & wound infections
• Associated with eating raw oysters
• People with liver problems are more susceptible to organism
• Gastroenteritis – vomiting & diarrhea
• Skin infection – due to trauma or exposure of already open skin to infected water
• Strict halophile
• Sucrose negative on TCBS
• Oxidase positive
• 0129 susceptible
• Lactose fermenter (LF) on MacConkey
• Salicin-positive

Vibrio alginolyticus
 Rarely isolated
 Least pathogenic
 Mostly external sites
 Eye, ear, wounds, or burns
 Sailors or those in constant contact with seawater
AEROMONAS
Campylobacter

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