Microbiology · MU Sofia

53. Order Enterobacterales. Genus Escherichia. E. coli

Covers the Enterobacterales order in general, then the genus Escherichia and E. coli: morphology, culture on MacConkey and EMB agars, and the IMViC biochemical profile. It goes on to the O, H and K antigen scheme, a table of virulence factors, the diarrhoeagenic pathotypes and extraintestinal syndromes, laboratory diagnosis, treatment by syndrome, and prevention. A table and a short summary close the note.

Inside: 10 sections · 10 labelled pictures · 1 table · 14 flashcards · 6 min

Topic 53 of 113 in the MU Sofia syllabus for Microbiology (Medicine, Year 3). The free AceMed note covers it in 10 sections, about 706 words (6 min of reading), with 14 flashcards.

In this note

  1. Order Enterobacterales. Genus Escherichia. Species E. coli
  2. Order Enterobacterales
  3. Genus Escherichia — Species: E. coli
  4. Antigenic Classification
  5. Virulence Factors
  6. Clinical Syndromes
  7. Laboratory Diagnosis
  8. Treatment
  9. Prevention
  10. Summary

Order Enterobacterales

The Enterobacterales are a diverse group of Gram-negative bacilli that commonly inhabit the gastrointestinal tracts of humans and animals. While many are part of the normal flora, some become opportunistic or outright pathogens.

  • They are facultative anaerobes, meaning they can grow in both aerobic and anaerobic environments.
  • Oxidase-negative — distinguishes them from non-fermenting Gram-negative rods like Pseudomonas.
  • Ferment glucose and reduce nitrates to nitrites.
  • Most are motile with peritrichous flagella, but exceptions exist (e.g., Klebsiella, Shigella).
  • Several members are lactose fermenters, a key feature for lab identification.

They are major causes of urinary tract infections, sepsis, pneumonia, and gastroenteritis, especially in hospitalized and immunocompromised patients.

Genus Escherichia — Species: E. coli

General Characteristics

Escherichia coli is one of the best-studied bacteria in medicine. It exists normally in the colon, but certain strains can cause serious infections when they acquire additional virulence genes.

  • Gram-negative, straight rods that stain pink and appear singly or in pairs
  • Motile with peritrichous flagella (flagella distributed all over the surface)
  • Facultative anaerobe – grows in both aerobic and anaerobic conditions
  • Grows well on blood agar, MacConkey agar (produces pink colonies), and EMB agar (green metallic sheen)
  • Biochemically:
  • Lactose fermenter
  • Indole positive
  • Methyl red positive
  • Voges-Proskauer negative
  • Citrate negative (IMViC profile: ++– –)
  • Oxidase negative, catalase positive

These features help identify E. coli in mixed cultures and differentiate it from other Enterobacterales in the lab.

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