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Microbiology, 2021

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308 8 • Microbial Metabolism<br />

as determining the strain’s Gram morphology, an appropriate test strip that contains 10 to 20 different<br />

biochemical tests for differentiating strains within that microbial group can be used. Currently, the various API<br />

strips can be used to quickly and easily identify more than 600 species of bacteria, both aerobic and anaerobic,<br />

and approximately 100 different types of yeasts. Based on the colors of the reactions when metabolic end<br />

products are present, due to the presence of pH indicators, a metabolic profile is created from the results<br />

(Figure 8.18). Microbiologists can then compare the sample’s profile to the database to identify the specific<br />

microbe.<br />

Figure 8.18<br />

The API 20NE test strip is used to identify specific strains of gram-negative bacteria outside the Enterobacteriaceae. Here is<br />

an API 20NE test strip result for Photobacterium damselae ssp. piscicida.<br />

Clinical Focus<br />

Part 2<br />

Many of Hannah’s symptoms are consistent with several different infections, including influenza and<br />

pneumonia. However, her sluggish reflexes along with her light sensitivity and stiff neck suggest some<br />

possible involvement of the central nervous system, perhaps indicating meningitis. Meningitis is an<br />

infection of the cerebrospinal fluid (CSF) around the brain and spinal cord that causes inflammation of the<br />

meninges, the protective layers covering the brain. Meningitis can be caused by viruses, bacteria, or fungi.<br />

Although all forms of meningitis are serious, bacterial meningitis is particularly serious. Bacterial<br />

meningitis may be caused by several different bacteria, but the bacterium Neisseria meningitidis, a gramnegative,<br />

bean-shaped diplococcus, is a common cause and leads to death within 1 to 2 days in 5% to 10%<br />

of patients.<br />

Given the potential seriousness of Hannah’s conditions, her physician advised her parents to take her to<br />

the hospital in the Gambian capital of Banjul and there have her tested and treated for possible meningitis.<br />

After a 3-hour drive to the hospital, Hannah was immediately admitted. Physicians took a blood sample<br />

and performed a lumbar puncture to test her CSF. They also immediately started her on a course of the<br />

antibiotic ceftriaxone, the drug of choice for treatment of meningitis caused by N. meningitidis, without<br />

waiting for laboratory test results.<br />

• How might biochemical testing be used to confirm the identity of N. meningitidis?<br />

• Why did Hannah’s doctors decide to administer antibiotics without waiting for the test results?<br />

Jump to the next Clinical Focus box. Go back to the previous Clinical Focus box.<br />

8.5 Catabolism of Lipids and Proteins<br />

Learning Objectives<br />

By the end of this section, you will be able to:<br />

• Describe how lipids are catabolized<br />

• Describe how lipid catabolism can be used to identify microbes<br />

• Describe how proteins are catabolized<br />

• Describe how protein catabolism can be used to identify bacteria<br />

Previous sections have discussed the catabolism of glucose, which provides energy to living cells, as well as<br />

how polysaccharides like glycogen, starch, and cellulose are degraded to glucose monomers. But microbes<br />

consume more than just carbohydrates for food. In fact, the microbial world is known for its ability to degrade<br />

a wide range of molecules, both naturally occurring and those made by human processes, for use as carbon<br />

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