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Salmonella
For NEET PG
General
● Gram negative, aerobic or facultatively anaerobic,non sporing,non capsulated
gram negative bacilli.
● Parasitise small intestine of humens leading to enteric fever, gastroenteritis,
septicemia.
● Motile with perithrichate flegella( except S. gallinarum, S. pullorum.
● Transmission occurs through feco-oral, uro-oral route, contaminated water is
a major source of transmission.
● Boiling or chlorination of water and pasteurisation of milk destroys bacilli.
Classification
● Clinical classification into
(1) Typhoidal ( enteric fever group consisting of S typhi, S. paratyphi A,B and C
which are exclusively human pathogen)
Non Typhoidal: food poisoning group,essentially animal parasites but can also
infect humans.
● Kauffman and White scheme: Based of characterisation of O and H antigen
● DNA Hybridization study: 7 groups have been identified.
● Nearly all salmonella that infect humans belongs to DNA hybridization group 1
Culture
Differential media: MacConkey agar-non lactose fermenting colony.
Selective media:
Deoxycholate citrate Agar(DCA agar): NLF pale colony with black centre.
Xylose lysin deoxycholate agar(XLD agar): red colony with black centre.
Salmonella-Shigella agar(SS agar): colourless with black centre.
Hektoic enteric agar: blue green with black centre
Enrichment media : tetrathionate broth and selinite F broth both of them
inhibits replication of bacteria other then salmonella.
Culture media. Cont.
Enrichment media : tetrathionate broth and selinite F broth both of them
inhibs replication of bacteria other then salmonella.
Antigenic Structure
Somatic(O) antigen
● Heat stable, alcohol stable,phospholipid polysaccharide complex identicle
with endotoxin.
● Located in outer membrane anchored to cell wall.
● When mixed with antisera agglutination occurs slowly resulting in formation of
chalky, granular clumps.
● Less immunogenic then H antigen.
● O antibody appears early, disappears early indicating recent infection.
Flagellar (H) antigen
● Heat labile,alcohal labile protein well preserved in formaldehyde.
● Made up of protein flagellin.
● More immunogenic
● Appears late disappears late; indicates convalescence.
● Exists in two phases I and II
● Most of the salmonella are biphasic except S. typhi
● When mixed with antisera agglutination occurs rapidly resulting in formation of
large loose fluffy clumps.
Vi (capsular) antigen
● Heat labile,surface polysaccharide Ag enveloping o antigen.
● Named Vi antigen as it is related with virulence .
● Inhibits phagocytosis.
● When fully developed renders the bacteria inagglutinable with O antisera
however the strain becomes reagglutinable after boiling or heating at 100
degree C for 1 hour which removes Vi antigen as it is heat labile.
● Disappears early in convalescence,persistence indicates development of
carrier state.
● Absence of Vi antibody in typhoid patient indicates poor prognosis.
Salmonella for neet pg

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Salmonella for neet pg

  • 2. General ● Gram negative, aerobic or facultatively anaerobic,non sporing,non capsulated gram negative bacilli. ● Parasitise small intestine of humens leading to enteric fever, gastroenteritis, septicemia. ● Motile with perithrichate flegella( except S. gallinarum, S. pullorum. ● Transmission occurs through feco-oral, uro-oral route, contaminated water is a major source of transmission. ● Boiling or chlorination of water and pasteurisation of milk destroys bacilli.
  • 3. Classification ● Clinical classification into (1) Typhoidal ( enteric fever group consisting of S typhi, S. paratyphi A,B and C which are exclusively human pathogen) Non Typhoidal: food poisoning group,essentially animal parasites but can also infect humans. ● Kauffman and White scheme: Based of characterisation of O and H antigen ● DNA Hybridization study: 7 groups have been identified. ● Nearly all salmonella that infect humans belongs to DNA hybridization group 1
  • 4. Culture Differential media: MacConkey agar-non lactose fermenting colony. Selective media: Deoxycholate citrate Agar(DCA agar): NLF pale colony with black centre. Xylose lysin deoxycholate agar(XLD agar): red colony with black centre. Salmonella-Shigella agar(SS agar): colourless with black centre. Hektoic enteric agar: blue green with black centre Enrichment media : tetrathionate broth and selinite F broth both of them inhibits replication of bacteria other then salmonella.
  • 5. Culture media. Cont. Enrichment media : tetrathionate broth and selinite F broth both of them inhibs replication of bacteria other then salmonella.
  • 7. Somatic(O) antigen ● Heat stable, alcohol stable,phospholipid polysaccharide complex identicle with endotoxin. ● Located in outer membrane anchored to cell wall. ● When mixed with antisera agglutination occurs slowly resulting in formation of chalky, granular clumps. ● Less immunogenic then H antigen. ● O antibody appears early, disappears early indicating recent infection.
  • 8. Flagellar (H) antigen ● Heat labile,alcohal labile protein well preserved in formaldehyde. ● Made up of protein flagellin. ● More immunogenic ● Appears late disappears late; indicates convalescence. ● Exists in two phases I and II ● Most of the salmonella are biphasic except S. typhi ● When mixed with antisera agglutination occurs rapidly resulting in formation of large loose fluffy clumps.
  • 9. Vi (capsular) antigen ● Heat labile,surface polysaccharide Ag enveloping o antigen. ● Named Vi antigen as it is related with virulence . ● Inhibits phagocytosis. ● When fully developed renders the bacteria inagglutinable with O antisera however the strain becomes reagglutinable after boiling or heating at 100 degree C for 1 hour which removes Vi antigen as it is heat labile. ● Disappears early in convalescence,persistence indicates development of carrier state. ● Absence of Vi antibody in typhoid patient indicates poor prognosis.