Serratia marcescens

4,668views

Serratia marcescens

Infecciosas

Infecciosas

Infective endocarditis: Clinical
Pneumonia: Clinical
Tuberculosis: Pathology review
Diarrhea: Clinical
Viral hepatitis: Clinical
Urinary tract infections: Clinical
Meningitis, encephalitis and brain abscesses: Clinical
Bites and stings: Clinical
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 (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)
Viral structure and functions
Varicella zoster virus
Epstein-Barr virus (Infectious mononucleosis)
Human herpesvirus 8 (Kaposi sarcoma)
Herpes simplex virus
Human herpesvirus 6 (Roseola)
Adenovirus
Parvovirus B19
Human papillomavirus
BK virus (Hemorrhagic cystitis)
JC virus (Progressive multifocal leukoencephalopathy)
Poliovirus
Coxsackievirus
Rhinovirus
Hepatitis A and Hepatitis E virus
Influenza virus
Mumps virus
Measles virus
Respiratory syncytial virus
Human parainfluenza viruses
Yellow fever virus
Zika virus
Hepatitis C virus
West Nile virus
Norovirus
Rotavirus
HIV (AIDS)
Rabies virus
Rubella virus
Prions (Spongiform encephalopathy)
Candida
Plasmodium species (Malaria)
Trypanosoma cruzi (Chagas disease)
Protein synthesis inhibitors: Aminoglycosides
Antimetabolites: Sulfonamides and trimethoprim
Antituberculosis medications
Miscellaneous cell wall synthesis inhibitors
Protein synthesis inhibitors: Tetracyclines
Cell wall synthesis inhibitors: Penicillins
Miscellaneous protein synthesis inhibitors
Cell wall synthesis inhibitors: Cephalosporins
DNA synthesis inhibitors: Metronidazole
DNA synthesis inhibitors: Fluoroquinolones
Integrase and entry inhibitors
Nucleoside reverse transcriptase inhibitors (NRTIs)
Protease inhibitors
Hepatitis medications
Non-nucleoside reverse transcriptase inhibitors (NNRTIs)
Neuraminidase inhibitors
Herpesvirus medications
Azoles
Echinocandins
Miscellaneous antifungal medications
Anthelmintic medications
Antimalarials
Anti-mite and louse medications
Sexually transmitted infections: Clinical
Perinatal infections: Clinical
Central nervous system infections: Pathology review
Pediatric bone and joint infections: Clinical
Skin and soft tissue infections: Clinical
Upper respiratory tract infection
Pediatric infectious rashes: Clinical
Congenital TORCH infections: Pathology review

Transcript

Watch video only

Serratia marcescens is a Gram-negative bacteria which belongs to a family of bacteria called the Enterobacteriaceae.

Now, the genus consists of at least 20 species, of which eight are known to have caused infections in humans, with Serratia marcescens being the main human pathogen.

Serratia marcescens is widely distributed in water, soil and plants and it causes a variety of hospital-acquired infections.

Now, Serratia marcescens 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.

Ok, now Serratia marcescens is motile and also facultative anaerobic which means it can survive in both aerobic and anaerobic environments.

It’s 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 Serratia marcescens, urease makes urea dissociate into carbon dioxide and ammonia.

Ammonia then makes the mixture change color from orange-yellow to bright pink.

Also, it’s catalase positive which means it can produce an enzyme called catalase.

To test for this, a few drops of hydrogen peroxide are added to the colony of the suspected bacteria.

So, if catalase is present, it makes the hydrogen peroxide dissociate into water and oxygen, causing the mixture to foam.

Furthermore, it produces another three enzymes, DNase, lipase, and gelatinase, which are unique to Serratia and this can help easily differentiate it from other Enterobacteriaceae.

Finally, Serratia marcescens 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 bacteria, like Klebsiella, Enterobacter 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.

Others, like Salmonella, Yersinia and Shigella can’t ferment lactose so their colonies will be colorless.

Now, Serratia marcescens and also Citrobacter are slow lactose fermenters, so they are a bit lazy, but eventually ferment lactose.

So at first, the colonies appear colorless but 48 hours later, they turn pink.

Finally, some strains of Serratia marcescens make a characteristic red pigment, called prodigiosin, that is typically found staining showers, toilet bowls, and around wetted tiles.

Production of this pigment can lead to the formation of red colonies on agar, if the plate is incubated at 25 degrees Celsius.

Ok, now Serratia marcescens has very few notable virulence factors such as fimbriae to attach to host cells and hemolysins which cause formation of tiny holes in the cell membrane, leading to cell damage.

However, it can form adherent biofilms on medical equipment such as respiratory equipment, intravenous and urinary catheters and contact lenses.

A biofilm is basically a layer of “slime” made of exopolysaccharides or EPS, within which Serratia live and reproduce.

Comparing a biofilm to strawberry jam, the seeds would be the bacteria and the rest of the jam would be the EPS.

Biofilms make it difficult for antibiotics to reach the bacteria, so the infection is more difficult to treat.

Key Takeaways

Serratia is a genus of gram-negative, facultatively anaerobic, endospore-forming, rod-shaped bacteria of the Enterobacteriaceae family. It is known to cause a variety of infections, such as urinary tract infections, pneumonia, bacteremia, and other forms of nosocomial infections.

The symptoms of a Serratia marcescens infection can vary depending on the type of infection but may include fever, pain, redness, swelling at the site of the infection, and other symptoms. Serratia infections can be diagnosed by identifying the bacteria in culture from blood, sputum, urine, or CSF and are treated with antibiotics like aminoglycosides, antipseudomonal beta-lactams, fluoroquinolones, and carbapenems.