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18A staphylococcus

AB
Coagulasecoagulates plasma and blood; produced by 97% of human isolates; diagnostic
Hyaluronidasedigests connective tissue (hyaluronic acid, part of skin cell glycocalyx)
Staphylokinasedigests blood clots
DNasedigests DNA
Lipasesdigest oils; enhances colonization on skin
Penicillinaseinactivates penicillin
Hemolysins (α, β, γ, δ)lyse red blood cells
Leukocidinlyses neutrophils and macrophages
Enterotoxininduce gastrointestinal distress
Exfoliative toxinseparates the epidermis from the dermis (a protease)
Toxic shock syndrome toxin (TSST)induces fever, vomiting, shock, systemic organ damage
Localized cutaneous infectionsinvade skin through wounds, follicles, or glands
Folliculitissuperficial inflammation of hair follicle; usually resolved with no complications but can progress
Furuncleboil; inflammation of hair follicle or sebaceous gland progresses into abscess or pustule
Carbunclelarger and deeper lesion created by aggregation and interconnection of a cluster of furuncles
Impetigobubble-like swellings that can break and peel away; most common in newborns
Osteomyelitis (systemic)infection is established in the metaphysis; abscess forms
Bacteremia (systemic)primary origin is bacteria from another infected site or medical devices; endocarditis possible
MRSA (drug)methicillin-resistant S. aureus – carry multiple resistance


Bowles Academy

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