Aureus: latin for gold, produces an antioxidant pigment which gives a golden colour (carotinoids)

Characteristics:

Form: facultative anaerobic gram-positive cocci Family:

Virulence mechanisms:

Enormous range (These lists are not exhaustive) You do not need to memorise these only appreciate the breadth of the virulence factors. Not all aureus have these all but they are present in the wider species

  • Toxins (direct damage to cells)
    • Panton Valentine Leukocidin (common in MRSA) (Evil)
    • a-toxin
    • Phenol-soluble modulins
    • Epidermolytics
    • Superantigens (Drive T cells crazy)
  • Enzymes (Invasins) (break down tissue to help Organism spread)
    • collagenase
    • hyaluronidase
    • DNase
    • lipase
    • Coagulase
    • Staphylokinase
    • Haemolysins
  • Immune system evasion
    • Protein A
    • Capsule (incorperating fibrin)
    • Biofilm
  • Adhesion
    • MSCRAMMs
    • SERAMs
    • Teichoic acids

Resistances:

Infection

Areas colonised in the body (Microbiomes):

Exists on skin (30% of people) microbiome (moist sweaty places) but are opportunistic. You can find it basically everywhere in the body

Infectious changes in organism:

Hospital acquired illnesses?

Clinical

Associated illnesses:

Pyogenic skin and soft tissue infections (can coinfect with streptococcus pyogenes)

  • Most common cause of:
    • Skin
    • Wound infections/ surgical site infection
    • Abscesses
    • HAI
  • Can cause:
  • Osteomyelitis
  • Food poisoning
  • Eye infections
  • Pneumonia
  • Endocarditis
  • meningitis
  • Sepsis

Testing and identifications:

Performs ß-haemolysis when cultured on blood agar

Catalyse positive in contrast with strept

Forms clusters on staining

Treatment and therapy:

Comments:

Generally causes more abscesses compared to streptococcus pyogenes