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By Edward J. Bottone

content material: v. 1. Bacterial brokers --
v. 2. Viral, fungal, and parasitic agents.

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Y.  enterocolitica which produces dark red colonies on this medium.  V.  Epidemiologic clues suggesting a Vibrio infection include a recent history of raw or undercooked seafood consumption, especially shell fish (oysters), trauma­induced wounds contaminated with fresh or sea water, and foreign travel, particularly to endemic areas.  The stools of a severely ill cholera patient resemble ‘rice water’ and contain 108 V.  cholerae 01 exists along the Gulf coast of the United States.  On a high­salt and mannitol­containing blood agar (Wagatsuma agar), virulent V.

Isolation of this species requires incubation of specimens at 30°C.  It is found in soil and water and in raw milk and dairy products.  Yellow pigmentation developed in both light and dark Figure 122 Mycobacterium scrofulaceum Submandibular lymphadenitis (scrofula) with draining sinus tract This species is characterized by the production of yellow­pigmented colonies in the absence of photoactivation and hence is referred to as a scotochromogen.  malignancies.  Growth has a ‘damp soil’­like odor Figure 126 Mycobacterium fortuitum Ulcerated lesion of leg with sinus tracts which developed post­cosmetic fat transplant to leg.

Y.  enterocolitica which produces dark red colonies on this medium.  V.  Epidemiologic clues suggesting a Vibrio infection include a recent history of raw or undercooked seafood consumption, especially shell fish (oysters), trauma­induced wounds contaminated with fresh or sea water, and foreign travel, particularly to endemic areas.  The stools of a severely ill cholera patient resemble ‘rice water’ and contain 108 V.  cholerae 01 exists along the Gulf coast of the United States.  On a high­salt and mannitol­containing blood agar (Wagatsuma agar), virulent V.

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