Fastidious Gram-Negative Bacilli
Fastidious Gram-Negative Bacilli
FASTIDIOUS GRAM-
NEGATIVE BACILLI
PRESENTED BY:
JOHN PATRICK B. TUDAS, RMT
HAEMOPHILUS
• FASTIDOUS, NON-MOTILE, CAPNOPHILIC AND
FACULTATIVELY ANAEROBIC BACTERIA.
• THEY CANNOT GROW ON PURE BLOOD AGARS
• BOTH CATALASE AND OXIDASE POSITIVE
(EXCEPT H.SEGNIS)
• GROWTH FACTORS: X (HEMIN) AND V
(NICOTINAMIDE ADENINE DINUCLEOTIDE OR
NAD) FACTORS, PORPHYRIN
HAEMOPHILUS
• GRAM-NEGATIVE,
SMALL, PLEOMORPHIC
COCCOBACILLI OR
RODS.
HACEK GROUP
1. HAEMOPHILUS SPP.
2. AGGREGATIBACTER
ACTINOMYCETEMCOMITANS
3. CARDIOBACTERIUM HOMINIS
4. EIKENELLA CORRODENS
5. KINGELLA SPP.
HACEK GROUP
• SMALL, NON-MOTILE, GRAM-NEGATIVE BACILLI
THAT CANNOT GROW ON MAC
• FASTIDIOUS (7-14 DAYS OF INCUBATION)
• ORGANISM UTILIZES AMINOLEVULINIC ACID
BRUCELLA SPP.
• OBLIGATE AEROBES AND INTRACELLULAR
PARASITES.
• NON-MOTILE, ASSACHAROLYTIC AND
NONCAPSULATED
• INCREASED CO2 FOR GROWTH (BRUCELLA
ABORTUS)
BRUCELLA SPP.
• SMALL
COCCOBACILLI THAT
ARE ARRANGED
SINGLY, IN PAIRS, OR
IN SHORT CHAINS,
AND HAVE A “SANDY
APPEARANCE”.
BRUCELLA SPP.
• COLONIES: SMALL, CONVEX, TRANSLUCENT,
YELLOWISH AND NON-HEMOLYTIC.
• CATALASE (+) AND OXIDASE (+)
• “RAPID UREASE PRODUCERS”
BORDETELLA
• OBLIGATE AEROBES, FASTIDIOUS GRAM-
NEGATIVE COCCOBACILLI.
• NON-CARBOHYDRATE FERMENTERS AND ARE
NON-MOTILE (EXCEPT B. BRONCHISEPTICA)
• BORDET-GENGOU AGAR
• CATALASE (+) , INDOLE (-)
• GROWTH FACTORS: NICOTINIC ACID, CYSTEINE
AND METHIONINE
FRANCISCELLA TULARENSIS
• SMALL, OBLIGATE AEROBIC, NON-MOTILE
COCCOBACILLI
• GROWTH FACTORS: CYSTEINE AND THIOSULFATE
• WEAK-POSITIVE CATALASE
• NEGATIVE OXIDASE
• ACRIDINE ORANGE STAIN
PASTEURELLA
• FACULTATIVE ANAEROBIC AND NON-MOTILE.
• GROWS ON SBA AND CHOC BUT MOST SPECIES
CANNOT GROW ON MAC.
• “SAFETY PINS” IN MICROSCOPY
• ALL POSITIVE FOR OXIDASE, CATALASE AND
INDOLE
• WEAK GLUCOSE FERMENTERS
LEGIONELLA
• FASTIDIOUS, AEROBIC, MOTILE AND NON-
CARBOHYDRATE FERMENTERS
• FAINTLY STAINING ON MICROSCOPY
• “RAINBOW COLOR” COLONIES IN BCYE
• INDIRECT FLUORESCENT ANTIBODY TEST (IFA)
LICEO DE CAGAYAN UNIVERSITY
COLLEGE OF MEDICAL LABORATORY SCIENCE
CLINICAL BACTERIOLOGY LABORATORY
END OF
DISCUSSION
PRESENTED BY:
JOHN PATRICK B. TUDAS, RMT