Gram Negative Enteric
Gram Negative Enteric
Gram Negative Enteric
E. Coli + + - -
Klebsiella - - + +
Enterobacter - - + +
Media: Christensen’s Urea Agar Media: TSI, LIA, SIM, HEA
Result (+) = pink/magenta Result: Production of Black
(-) = no color change color
• uses lysine, tryptophan or phenylalanine
• (+) Proteus ; Providencia and Morganella
PHENYLALANINE
DEAMINASE TEST
(PAD)
Media : Phenylalanine agar
or Tryptophan agar
Reagent: 10% Ferric
Chloride
Result:
(+) = green color on slant
( Phenylalanine agar )
(+) = brown
( tryptophan agar )
(+) Shigella and Klebsiella (+) Citrobacter
(+) Yersinia enterocolitica (22 degC) (-) Salmonella except: S.
arizonae
Result: (+) yellow
(-) no color change
Left : Motile
Right: Non-motile
LYSINE DECARBOXYLASE TEST
• Detects ability of the
organism to remove Media : Lysine Iron Agar
the carboxyl group Result: (+) = purple color ( in butt )
from a specific amino (-) = yellow ( in butt )
acid
• Lysine, ornithine
and arginine usually
tested
Serotypes of E. coli associated
with Diarrhea and Gastroenteritis
• ETEC ( Enterotoxigenic E. coli )
• Pink to red colonies • EIEC ( Enteroinvasive E. coli )
on Mac Conkey agar • EPEC ( Enteropathogenic E. coli )
• Greenish metallic • EHEC ( Enterohemorrhagic E. coli )/
sheen on EMB VTEC ( Vero Toxic E. coli )
• TSI : Acid butt and • EAEC ( Enteroaggregative E. coli )
slant with Gas
• ONPG (+)
• may cause UTI, Anaerogenic E. coli or Inactive E. coli
septicemia , Meningitis • negative gas production
in infants • lactose negative
• may cause diarrhea • non-motile
and gastroenteritis • previously called ALKALESCENS
DISPAR
• causes bacillary dysentery
• Resembles E. coli but are lactose (-)
• non-motile
• Clear colonies on Mac Conkey
• TSI: K/A no gas
Subgroup Specie Lactose Mannitol ODC ONPG
A Shigella - - - -
dysenteriae/ Shiga
Bacillus
B Shigella - + - -
flexneri/Strong’s
Bacillus
C Shigella boydii - + - -
D Shigella sonnei/ - + + +
Duval’s Bacillus
• resembles
Salmonella but
are ONPG (+) and
LDC (-) • identified as a source of GI
• C. freundii and infection
C. diversus may • identified by the abundance
cause UTI and of H2S on TSI
RTI • Biochemically resembles E.
• slow lactose coli except that it is
fermenter and H2S (=) and lactose (-),
citrate positive • IMViC Reaction is ( + + - - )
KLEBSIELLA- ENTEROBACTER-SERRATIA-HAFNIA
GROUP
1. Klebsiella pneumoniae
• a.k.a Friedlander’s Bacillus
• Mucoid colonies (+) String Test
• short, NM • Pink mucoid colonies on Mac Conkey
• ODC (-) • TSI : A/A + gas
• with large polysaccharide • (+) Neufeld Quellung
Capsule • Can cause severe pneumonia, lung
abscess
• Neonatal menigitis and wound
infections
• opportunistic pathogens
Hafnia alvei
• (-) lactose, • clear colonies on Mac Conkey
sucrose, Dnase, Lipase & gelatinase (+)
sorbitol TSI : K/A
• (-) sorbitol &
raffinose
• Citrate (-) SERRATIA SPP.
• DNase and 1. Serratia marcescens
Lipase (-) 2. Serratia liquifaciens
3. Serratia rubidaea
4. Serratia odorifera
KLEBSIELLA- ENTEROBACTER-SERRATIA-
HAFNIA GROUP
• normal flora of GIT; motile and ODC (+)
• TSI : A/A + gas
Urease Yellow Lactose LDC ADH ODC
Pigment Fermentation
Enterobacter - - + + - +
aerogenes
Enterobacter V - + - + +
cloacae
Enterobacter + - V + - +
gergoviae
Enterobacter - + + - + +
sakazakii
Enterobacter - - - - + +
taylorae
Genus SALMONELLA
• Pathogenic ; motile ; NLF ; Produce H2S
• S. typhi does not form gas & produce only small amount
of H2S
• Clear Colonies on Mac Conkey
• Green colonies with black centers on HEA
• TSI: K/A + gas
Subgroup 1
1. Salmonella typhi/ Eberth’s Bacillus
2. Salmonella paratyphi
2.1 Salmonella paratyphi B / Salmonella scottmuelleri
2.2 Salmonella paratyphi C /Salmonella hirschfeldii
3. Salmonella cholerasuis
4. Salmonella gallinarum
Salmonella pullorum
Genus SALMONELLA
1. Enterocolitis/gastroenteritis
( S. typhimurium , S. gallinarum , S. enteritidis )
2. Bacteremia ( S. cholerasuis )
PROTEUS
• rapid
urease
activity
• swarming
motility on
BAP
• TSI : K/A +
gas, H2S
• Clear
colonies on
Mac Conkey
PROTEUS- PROVIDENCIA –MORGANELLA
GROUP
Proteus mirabilis
• Indole negative
• Susceptible to ampicillin, cephalosporin &
chloramphenicol
Proteus vulgaris
• Indole positive
• Resistant to ampicillin, cephalosporin and
chloramphenicol
PROTEUS- PROVIDENCIA –MORGANELLA
GROUP
PROVIDENCIA MORGANELLA
• normal intestinal
flora
• all cause UTI Morganella morganii
• lactose & H2S • lactose, citrate, H2S and LDC
negative negative
• Deaminase & • urease and deaminase positive
Citrate positive • UTI’s and RTI’s
• Do not Swarm on
BAP
Povidencia rettgeri
Providencia stuartii
• exhibits bipolar staining (safety pin appearance on Wayson stain)
• small coccobacilli, with small pinpoint colonies on Mac Conkey
• weak acid production
• NM at 37 degC
• all are motile at room temperature (25-30 degC) except Y. pestis
Yersinia pestis
• agent of PLAGUE
Yersinis
enterocolitica
• most common
Yersinia isolated
from human
• causes
enterocolitis
swollen lymph glands (buboes) caused
by plague bacteria in bubonic plague
Plague patient
displaying a swollen
axillary lymph node
Gangrene is one of
the manifestations of
plague, and is the
origin of the term
"Black Death" given
to plague throughout
the ages
IDENTIFICATION OF ENTEROBACTERIACEAE
Escherichia coli - + v +
Shigella serogroups A,B,C - - - -
Salmonella typhi - + - +
Salmonella paratyphi A - - + +
Citrobacter freundii - - v +
Citrobacter diversus - - + +
Edwardsiella tarda - + + +
Klebsiella pneumoniae - + - -
Klebsiella oxytoca - + - -
IDENTIFICATION OF ENTEROBACTERIACEAE
Enterobacter aerogenes - + + +
Hafnia alvei - V + -
Serratia marcescens - + + +
Proteus mirabilis + - + +
Proteus vulgaris + - - +
Morganella morganii + - + +
Yersinia pestis - - - -
Yersinia enterocolitica - - + -