Microbiology · MU Sofia

55. Genus Salmonella. Causative agents of food toxicoinfections.

Covers the general features of the genus Salmonella, including its Gram-negative morphology, growth on selective media and its place in Enterobacteriaceae. It then sets out virulence factors in a table, the epidemiology and the invasive, non-toxin-mediated mechanism of non-typhoidal strains such as S. Enteritidis and S. Typhimurium. Clinical features, culture and serological diagnosis, supportive and antibiotic treatment, and prevention follow. A final table contrasts non-typhoidal with typhoidal Salmonella.

Inside: 10 sections · 5 labelled pictures · 3 tables · 15 flashcards · 3 min

Topic 55 of 113 in the MU Sofia syllabus for Microbiology (Medicine, Year 3). The free AceMed note covers it in 10 sections, about 258 words (3 min of reading), with 15 flashcards.

In this note

  1. Genus Salmonella – Causative Agents of Food Toxicoinfections
  2. General Characteristics
  3. Virulence Factors
  4. Epidemiology
  5. Pathogenesis (Food Toxicoinfection Type)
  6. Clinical Features
  7. Laboratory Diagnosis
  8. Treatment
  9. Prevention
  10. Differentiation from Typhoidal Salmonella

General Characteristics

  • Gram-negative, rod-shaped (bacilli)
  • Motile – peritrichous flagella (all around cell)
  • Facultative anaerobes
  • Non-spore forming
  • Oxidase-negative, Catalase-positive
  • Lactose non-fermenting, H₂S producing (→ black colonies on DCA)
  • Belongs to family Enterobacteriaceae
  • Grow well on MacConkey agar, XLD, and Deoxycholate Citrate Agar (DCA)

Epidemiology

  • Worldwide, especially in developing countries
  • Main source: contaminated food → poultry, eggs, raw milk, undercooked meat
  • Zoonotic – reservoir: farm animals and birds
  • Transmitted via alimentary route

Pathogenesis (Food Toxicoinfection Type)

  • Caused by non-typhoidal Salmonella:
  • S. Enteritidis
  • S. Typhimurium

Mechanism:

  1. 3. Bacteria ingested via contaminated food
  2. 4. Survive stomach acidity and reach small intestine
  3. 5. Invade intestinal epithelial cells → mainly M cells over Peyer’s patches
  4. 6. Multiply intracellularly → inflammatory response (not toxin-mediated!)
  5. 7. Leads to gastroenteritis symptoms

Not pre-formed toxin like Staph aureus or B. cereus. Toxins produced post-ingestion = toxicoinfection

Clinical Features

  • Incubation: 6–48 hours
  • Duration: 3–7 days
  • Symptoms:
  • Sudden onset nausea, vomiting
  • Non-bloody watery diarrhea
  • Abdominal cramps
  • Low-grade fever
  • Sometimes headache, chills

In healthy individuals, the disease is self-limiting

Continue reading free

The whole note, all 10 sections, is free with an AceMed account, with its 15 flashcards. Premium adds flashcard recall, highlights and Ask AI.