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Listeria
HN
by
Hannah Nimo
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Updated Dec 4, 2020
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00:01 - 00:04
This is my presentation for the stereo middle cytology knees.
00:07 - 00:09
I'm going to start with a case study and then
00:09 - 00:12
follow the specimen through the pre analytical, analytical and post
00:12 - 00:13
analytical phases.
00:16 - 00:19
So from a case study an 88 year old male
00:19 - 00:23
presents with fever, nausea and headache, the patient reported a
00:23 - 00:27
diffuse headache, accompanied by malaise, fatigue and nausea.
00:28 - 00:33
Without vomiting, He denied confusion, irritability or a personal or
00:33 - 00:34
family history of headaches.
00:35 - 00:38
According to the patient, he frequently attends cookout parties and
00:39 - 00:41
enjoys fruits, salads, wines and cheese.
00:44 - 00:48
His vitals were normal for his blood pressure, his pulse
00:48 - 00:49
and his breathing rate.
00:50 - 00:53
His temperature was a little high.
00:54 - 00:57
His complete blood count showed ah, high count for Lucas
00:58 - 01:01
sites, and he had a positive blood culture.
01:04 - 01:07
So normally, um, with these kind of symptoms, the doctor
01:08 - 01:12
would request either body tissues to be collected or body
01:12 - 01:15
fluids. So I think for this case study, blood cultures
01:16 - 01:16
were ordered.
01:21 - 01:24
So during the analytical phase, they would start with a
01:24 - 01:28
gram stain of the positive blood culture, and it would
01:28 - 01:30
show gram positive kokko bacillus.
01:31 - 01:40
They could either be single short change or palisades the
01:40 - 01:44
media that you can use is basically anything because it's
01:44 - 01:47
not fastidious, so you can use she blood auger, chocolate,
01:47 - 01:52
dogger, nutrient augur brain, heart infusion or thigh a glycol
01:52 - 01:53
it broth.
01:55 - 01:59
The last area like slightly increased co two incubation and
02:00 - 02:04
the optimal growth for them is 35 degrees Celsius.
02:05 - 02:09
You can also use cold enrichment to isolate the listeria,
02:09 - 02:13
since it can grow in the cold and most bacteria
02:13 - 02:22
cannot. The colony Morphology for listeria are small, round, smooth,
02:22 - 02:27
clear colonies surrounded by a small zone of beta Hamal
02:27 - 02:37
assist. It looked really similar to groupie struck so further
02:38 - 02:39
into the analytical phase.
02:40 - 02:44
The very Elin's factories for listeria are listeria license.
02:45 - 02:47
Oh, Melissa en.
02:47 - 02:52
It damages the fag ozone membrane, preventing the macrophage from
02:52 - 02:53
killing bacteria.
02:54 - 02:56
More violence factors are cattle e super oxide.
02:58 - 03:03
This mutates fost ful, light Basie and surface protein.
03:04 - 03:09
That's p 60 the listeria.
03:10 - 03:11
Our cattle is positive.
03:12 - 03:17
They hide, relies, escalate and hip, eerie their camp positive.
03:19 - 03:21
Um and it shows like a box.
03:21 - 03:22
Hamal Assis.
03:23 - 03:30
Um, they're motile at room temperature Onley Not at that
03:31 - 03:33
35 degrees Celsius.
03:33 - 03:37
Um, if you put them on what mounts, they'll demonstrate
03:38 - 03:39
tumbling motility end over end.
03:41 - 03:44
And if you put them in motility media, they'll chauhan
03:44 - 03:45
umbrella pattern
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