Microbiology · MU Sofia

54. Genus Salmonella. Causative agents of typhoid and paratyphoid diseases.

Covers the general characteristics of Salmonella, including its Gram-negative rod morphology, biochemical and culture features, and serological classification by O, H and Vi antigens. It then lists the pathogenic species and serotypes, virulence factors in a summary table, transmission and reservoirs, and the clinical course of typhoid, paratyphoid and septicaemia. Laboratory diagnosis, treatment with antibiotic choices and resistance, and typhoid vaccines with hygiene measures close the note.

Inside: 9 sections · 9 labelled pictures · 1 table · 13 flashcards · 3 min

Topic 54 of 113 in the MU Sofia syllabus for Microbiology (Dental Medicine, Year 2). The free AceMed note covers it in 9 sections, about 332 words (3 min of reading), with 13 flashcards.

In this note

  1. Genus Salmonella – Causative agents of Typhoid and Paratyphoid Diseases
  2. I. General Characteristics
  3. II. Classification and Types
  4. III. Virulence Factors
  5. IV. Transmission and Epidemiology
  6. V. Clinical Features and Diseases
  7. VI. Laboratory Diagnosis
  8. VII. Treatment
  9. VIII. Prevention and Control

I. General Characteristics

  • Family: Enterobacteriaceae
  • Gram Staining: Gram-negative rods
  • Motility: Motile (peritrichous flagella)
  • Spores: Non-spore forming
  • Capsule: No microcapsule usually (S. Typhi has one)
  • Pili: Present – used for adhesion
  • Oxygen Requirement: Facultative anaerobes
  • Biochemical:
  • Oxidase (-)
  • Lactose (-)
  • H2S (+) (except S. Paratyphi A)
  • Media:
  • Non-fastidious – grow on MacConkey agar, Deoxycholate Citrate Agar (DCA)
  • Produce rounded, transparent colonies on MacConkey agar
  • On DCA – black-centered colonies (due to H2S production)
  • Serologic Classification:
  • Based on O (somatic), H (flagellar), and Vi (capsular) antigens

II. Classification and Types

  • Species:
  • Salmonella enterica
  • Salmonella bongori
  • Pathogenic Serotypes:
  • S. Typhi – Human-specific pathogen
  • S. Paratyphi A, B, C – Milder illness
  • S. Enteritidis, S. Typhimurium – Cause toxicoinfections and gastroenteritis

IV. Transmission and Epidemiology

  • Transmission Route: Faeco-oral (contaminated food/water)
  • Reservoirs:
  • S. Typhi/Paratyphi – Humans only
  • S. Enteritidis/Typhimurium – Farm animals, poultry, eggs, unpasteurised milk
  • Risk Factors: Poor sanitation, unhygienic food practice

V. Clinical Features and Diseases

1. Typhoid Fever (Enteric Fever)

  • Caused by: S. Typhi
  • Incubation: 1–3 weeksSymptoms:
  • Step-ladder fever pattern
  • Abdominal pain
  • Diarrhoea or constipation
  • Rose spots on abdomen (rash)
  • Hepatosplenomegaly
  • Bradycardia (Faget sign)
  • Delirium (“typhoid state”)

2. Paratyphoid Fever

  • Caused by: S. Paratyphi A/B/C
  • Similar to typhoid but generally milder because it doesn’t penetrate the basal membrane.

4. Septicaemia

  • S. Choleraesuis, S. Typhimurium in immunocompromised
  • May lead to localised infections (bones, joints, lungs

Continue reading free

The whole note, all 9 sections, is free with an AceMed account, with its 13 flashcards. Premium adds flashcard recall, highlights and Ask AI.