MindMap Gallery Mycobacteria
This is a mind map about mycobacteria, which are mainly divided into Mycobacterium tuberculosis complex, non-tuberculous mycobacteria, Mycobacterium leprae, etc.
Edited at 2023-11-09 12:13:56This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
Mycobacteria
Similarity
High percentage of G C in the genome
Cell walls contain large amounts of lipids, also known as acid-fast bacilli
acid-fast bacilli
The cell wall contains a large amount of lipids, mainly mycolic acid
Generally not easy to color, but it can be colored by heating or extending the dyeing time. After coloring, it resists decolorization by acidic alcohol.
The shape is slender and slightly curved, arranged in a branch-like shape.
Lipids are the main pathogenic substances, causing chronic infections
Slow growth (lipid affects nutrient absorption)
No flagella and spores, no internal or external toxins produced
Mycobacterium tuberculosis
Biological traits
Morphology and staining
G
The bacterial cells are slender and slightly curved, arranged in a branching shape.
Zini acid-fast stain
It can be dyed after heating with 5% fuchsin, but it is not easy to decolorize with 3% hydrochloric acid ethanol → add methylene blue counterstaining: mycobacteria appear red and other bacteria appear blue
The cell wall has an outer membrane layer similar to G-: peptidoglycolipid mycolic acid
Cultivation characteristics
Cauliflower-like colonies
obligate aerobic
High nutritional requirements - Roche medium
Bacteria cannot synthesize lipids on their own and need a culture medium to provide them.
Egg yolk (lipid growth factor), glycerin, potato, inorganic salt, malachite green (inhibits the growth of miscellaneous bacteria)
Can be induced to L form by penicillin, isoniazid, and lysozyme
biochemical reaction
Thermocatalytic enzyme test - distinguishing Mycobacterium tuberculosis from non-tuberculous mycobacteria
Mycobacterium tuberculosis catalase test, thermal catalase test-
Non-tuberculous mycobacteria catalase test, thermal catalase test
Differences from Mycobacterium bovis
Mycobacterium tuberculosis can synthesize nicotinic acid and reduce nitrate, but Mycobacterium bovis cannot
Immunity
Stronger, related to more lipids
Resistant to dryness, acid and alkali, penicillin
Afraid of heat, humidity, alcohol, and ultraviolet rays
Mainly cellular immunity
hypersensitivity reaction
Bacterial proteins and glycolipids stimulate T lymphocytes to form a hypersensitive state
Sensitized T lymphocytes encounter Mycobacterium tuberculosis again and release cytokines, causing type IV hypersensitivity reaction, mononuclear cell infiltration → caseous necrosis, and liquefaction into cavities.
Virulence
Virulence weakened by continuous passage on artificial culture medium
BCG vaccine—attenuated strain of Mycobacterium bovis (BCG) can be developed
Pathogenicity
Lipids
Funicular factor (TDM)/trehalose 6’6-dimycolic acid
Destroy organelles, inhibit neutrophil activity, and cause chronic granulomas
Stick tightly into ropes in liquid culture medium
Mannolipids
Mediates entry into macrophages and inhibits phagosome maturation
cerebroside sulfate
Inhibits phagosome maturation
Phospholipids
Formation of tuberculous nodular lesions and caseous necrosis
waxy D(mAGP)
Adjuvant effect, related to hypersensitivity reactions
protein
tuberculin
The main component of bacterial protein, which combines with mAGP to cause delayed-type hypersensitivity reactions
Disease caused
Tuberculosis (TB)
tuberculosis
primary infection
First-time infection with Mycobacterium tuberculosis, more common in children and easy to spread
Tuberculous nodules (tuberculous granulomas)—the characteristic pathological lesion of tuberculosis
ending
Most primary tumors can heal themselves with fibrosis and calcification.
Mycobacterium tuberculosis spreads through lymph and blood in a small number of primary infected people, leading to systemic granular tuberculosis/tuberculous meningitis.
A small amount of Mycobacterium tuberculosis can remain dormant in the primary lesion for a long time
post primary infection
Most are endogenous infections/secondary infections (reactivation of residual bacteria from the primary infection), more common in adults
Localized lesions, rapid and severe onset (delayed type hypersensitivity reaction), chronic granulomatous inflammation, fibrosis and caseous necrosis
ending
Infiltrative pulmonary tuberculosis and chronic fibrocavitary tuberculosis
In a few severe cases, bacteria can spread to tissues and organs outside the lungs through the blood and lymph.
Not tuberculosis (mostly related to Mycobacterium tuberculosis L type)
Some pulmonary tuberculosis bacteria can spread outside the lungs and cause tuberculosis of corresponding organs.
AIDS combined with tuberculosis—systemic disseminated tuberculosis
Sputum is swallowed into the digestive tract or ingested - intestinal tuberculosis
Skin infection—cutaneous tuberculosis
microbiological examination
tuberculin test
principle
Delayed skin hypersensitivity reaction
Tuberculin Reagent—Pure Protein Derivative (PPD)
method
Inject 5 units of PPD into the skin of the subject's forearm.
Redness, swelling and induration at the injection site ≥5mm in diameter after 2-3 days is considered positive, indicating successful BCG vaccination/Mycobacterium tuberculosis infection
≥15mm is a strong positive, indicating active tuberculosis
application
Diagnosis of primary infection in infants (strong positive)
BCG vaccination effect measurement
result
Negative
Not infected with Mycobacterium tuberculosis
In the early stages of infection, hypersensitivity reactions have not yet occurred
People with low immunity such as AIDS
Are suffering from severe tuberculosis such as systemic granular tuberculosis or tuberculous meningitis, and the body is unable to respond
Positive
Infected
Vaccination with BCG vaccine
Strong positive
Active tuberculosis, especially in infants
IFN-y release assay
Differentiate between Mycobacterium tuberculosis and Mycobacterium leprae
foam cell production
Prevention and control principles
Newborns should be vaccinated with BCG vaccine, and revaccination should be done at the age of 7. It will become ineffective after the age of 18.
DOTS strategy (supervised short-course chemotherapy)
Mycobacterium leprae
Biological traits
Similar morphology to Mycobacterium tuberculosis
Cultivation characteristics
Typical intracellular bacteria cannot be cultivated artificially
Animal model—armadillo
resistance
Strong, resistant to drying and low temperature
Pathogenicity
It only harms people and causes leprosy
Long incubation period, slow onset
Classification of leprosy (from mild to severe)
Uncategorized
Pre-leprosy lesions, most cases can transform into tuberculosis-like forms
Tuberculoid type
Self-limiting, relatively stable, and less contagious
Mainly on the skin, but can also affect nerves
The patient's cellular immunity is normal →Lepracin test is positive
Boundary class
Both neoplastic and tuberculoid types
Tumor type
Highly contagious
Leprosy nodules form on the skin, nerves, eyes, and internal organs
lion face
T cell defect → negative leprosyrin test
Immunity
Similar to Mycobacterium tuberculosis
microbiological examination
Acid fast staining
Tumor leprosy positive
Tuberculoid leprosy negative
Prevention and control principles
There is no effective vaccine, but BCG has a certain effect
nontuberculous mycobacteria
Mycobacterium avium intracellulare – linked to AIDS
Haemophilus influenzae
G-microbacterium
No flagella, no spores, pili
Aerobic/facultative anaerobic
Growth requires X and V factors
satellite phenomenon
Hib is the most pathogenic - childhood influenza
Humoral immunity
Hib capsular polysaccharide vaccine