1. Proteus / UTI / raise the PH — stone formation - wound infection - pneumonia
2. Gram-
2.1. Shigella / focal -oral transmission / bloody diarrhea
2.2. Cocci
2.2.1. Neisseria
2.3. Bacilli
2.3.1. Meningitis / enter by resp track / pyogenic - meningitis /oxidase positive /
2.3.2. E.coli -ferment lactose /GI / systemic I / UTI /
2.3.2.1. Gonorrhea / transmitted sexually / gonococci
2.3.3. Salmonella -non lactose ferment / enterocolitis / typhoid /septicemia /
2.3.4. Klebsella / anti capsule / UTI / nosocomial I - septicemia , pneumonia / lactose ferment / killed by moist heat (autoclave)
2.3.5. Pseudomonas / non lactose ferment / sepsis / septic shock / tissue necrosis /UTI /pneumonia / septicemia
3. Pyogenic / catalase negative /beta hemolytic / pyogenic infection / toxigenic -sclera fever / immune mediated - Rheumatic fever
4. Pneumoniae / diplococci/ pneumonia- meningitis / alpha hemolytic /
5. Gram +
5.1. Staphylococcus
5.1.1. Aureus (causes pyogenic infection) ,(coagulase positive),(protein A) ,found in nose manly ,TSST ,(enterotoxin -food poison ,( beta hemolytic positive ) ,
5.1.1.1. S. Epidermis. Coagulase negative , infection of intravenous catheter part of normal flora in skin and mucosa
5.1.1.2. Saprophytic , UTI by sexual activity
5.2. Streptococcus
5.3. Bacilli
5.3.1. Spore forming
5.3.1.1. Bacillus
5.3.1.1.1. Anthracis / cause anthraxinter through skin or ingestion in contaminated meat and inhaled
5.3.1.1.2. Cereus / food poison
5.3.1.2. Clostridium (anarobic)
5.3.1.2.1. C.botulinum / soil / contaminated canned / easily killed by heating several min / from GIT through blood to nerve / botulism (relax muscle / respiratory failure
5.3.1.2.2. Cperfringins / gas gangrene /food poison / located in soil from anima and human excreat/ heat resistance / alpha toxin /
5.3.1.2.3. C. Difficile / diarrhea/ pseudo membrane in intestine/ megacolon /
5.3.1.3. C.tetani / tetanus , found in soil enter through wound , spastic paralysis (contraction of muscles ) respiratory failure
5.3.1.3.1. Listeria monocytogen/ -meningitis -septicemia in immunosuppressed / GI / motility
5.3.2. Non - spore forming
5.3.2.1. Cornybactirum diphtheria