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Bacteriology
Bacterial structure and functions
Staphylococcus epidermidis
Staphylococcus aureus
Staphylococcus saprophyticus
Streptococcus viridans
Streptococcus pneumoniae
Streptococcus pyogenes (Group A Strep)
Streptococcus agalactiae (Group B Strep)
Enterococcus
Clostridium perfringens
Clostridium botulinum (Botulism)
Clostridium difficile (Pseudomembranous colitis)
Clostridium tetani (Tetanus)
Bacillus cereus (Food poisoning)
Listeria monocytogenes
Corynebacterium diphtheriae (Diphtheria)
Bacillus anthracis (Anthrax)
Nocardia
Actinomyces israelii
Escherichia coli
Salmonella (non-typhoidal)
Salmonella typhi (typhoid fever)
Pseudomonas aeruginosa
Enterobacter
Klebsiella pneumoniae
Shigella
Proteus mirabilis
Yersinia enterocolitica
Legionella pneumophila (Legionnaires disease and Pontiac fever)
Serratia marcescens
Bacteroides fragilis
Yersinia pestis (Plague)
Vibrio cholerae (Cholera)
Helicobacter pylori
Campylobacter jejuni
Neisseria meningitidis
Neisseria gonorrhoeae
Moraxella catarrhalis
Francisella tularensis (Tularemia)
Bordetella pertussis (Pertussis/Whooping cough)
Brucella
Haemophilus influenzae
Haemophilus ducreyi (Chancroid)
Pasteurella multocida
Mycobacterium tuberculosis (Tuberculosis)
Mycobacterium leprae
Mycobacterium avium complex (NORD)
Mycoplasma pneumoniae
Chlamydia pneumoniae
Chlamydia trachomatis
Borrelia burgdorferi (Lyme disease)
Borrelia species (Relapsing fever)
Leptospira
Treponema pallidum (Syphilis)
Rickettsia rickettsii (Rocky Mountain spotted fever) and other Rickettsia species
Coxiella burnetii (Q fever)
Ehrlichia and Anaplasma
Gardnerella vaginalis (Bacterial vaginosis)
Enterobacter
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lactose fermentation p. 142
nosocomial infection p. 182
taxonomy p. 122
Alexandru Duhaniuc, MD
Alex Aranda
Enterobacter is a genus of Gram-negative rod-shaped bacteria which belongs to a family of bacteria called the Enterobacteriaceae.
There are several species which cause infection in humans and the most important are Enterobacter cloacae and Enterobacter aerogenes.
It’s an opportunistic pathogen, which can be normally found in the intestinal flora and causes a wide variety of hospital-acquired infections, mainly respiratory and urinary infections.
Now, a little bit of microbe anatomy and physiology. First, Enterobacter has a thin peptidoglycan layer, so it doesn’t retain the crystal violet dye during Gram staining.
Instead, like any other Gram-negative bacteria, it stains pink with safranin dye.
And since it’s a Gram-negative bacillus, it looks like a little pink rod under the microscope.
Enterobacter is motile, non-spore forming, facultative anaerobic which means it can survive in both aerobic and anaerobic environments and oxidase negative which means it doesn’t produce an enzyme called oxidase.
Alright, now Enterobacter is urease positive which means it can produce an enzyme called urease that dissociates urea into carbon dioxide and ammonia.
This can be tested by transferring a pure sample of bacteria from the culture to a sterile tube containing a mixture of “urea agar” broth and phenol red. Then, the mixture is incubated.
So, with Enterobacter, urease makes urea dissociate into carbon dioxide and ammonia.
Ammonia then makes the mixture change color from orange-yellow to bright pink.
Finally, Enterobacter grows well on MacConkey agar which is a medium that contains a pH sensitive dye and lactose.
This medium helps identify whether Gram-negative bacteria are lactose fermenters or not.
Some Enterobacteriaceae, like Enterobacter, Klebsiella and Escherichia coli, can ferment lactose, which results in the production of acid, that makes the pH sensitive dye turn pink - so their colonies will be pink, while others, like Salmonella and Shigella, can’t ferment lactose so their colonies will be colorless.
Enterobacter is a Gram-negative bacillus, facultative anaerobic, oxidase negative, and lactose fermenting bacteria that's known to cause nosocomial infections affecting the urinary tract, lungs, and other parts of the body. It's usually treated with antibiotics. It's diagnosed bia bacteria culture, of the blood, urine, or sputum, and treated with antibiotics.
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