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Diagnosis involves culture under special conditions, such as elevated temperature, low oxygen tension, and often medium supplemented with antimicrobial agents. These bacteria should be cultured on selective medium (such as Campy CV, charcoal selective medium, or cefaperazone charcoal deoxycholate agar) and incubated under microaerophilic conditions for at least 72 hours at 42 °C. Antibiotic treatment is not usually needed, but erythromycin or ciprofloxacin may be used.

Peptic ulcers

The gram-negative bacterium Helicobacter pylori is able to tolerate the acidic environment of the human stomach and has been shown to be a major cause of peptic ulcers , which are ulcers of the stomach or duodenum. The bacterium is also associated with increased risk of stomach cancer ( [link] ). According to the CDC, approximately two-thirds of the population is infected with H. pylori, but less than 20% have a risk of developing ulcers or stomach cancer. H. pylori is found in approximately 80% of stomach ulcers and in over 90% of duodenal ulcers. Centers for Disease Control and Prevention. “ Helicobacter pylori : Fact Sheet for Health Care Providers.” Updated July 1998. http://www.cdc.gov/ulcer/files/hpfacts.pdf.

H. pylori colonizes epithelial cells in the stomach using pili for adhesion. These bacteria produce urease , which stimulates an immune response and creates ammonia that neutralizes stomach acids to provide a more hospitable microenvironment. The infection damages the cells of the stomach lining, including those that normally produce the protective mucus that serves as a barrier between the tissue and stomach acid. As a result, inflammation ( gastritis ) occurs and ulcers may slowly develop. Ulcer formation can also be caused by toxin activity. It has been reported that 50% of clinical isolates of H. pylori have detectable levels of exotoxin activity in vitro . T. L. Cover. “The Vacuolating Cytotoxin of Helicobacter pylori .” Molecular Microbiology 20 (1996) 2: pp. 241–246. http://www.ncbi.nlm.nih.gov/pubmed/8733223. This toxin , VacA, induces vacuole formation in host cells. VacA has no primary sequence homology with other bacterial toxins, and in a mouse model, there is a correlation between the presence of the toxin gene, the activity of the toxin, and gastric epithelial tissue damage.

Signs and symptoms include nausea, lack of appetite, bloating, burping, and weight loss. Bleeding ulcers may produce dark stools. If no treatment is provided, the ulcers can become deeper, more tissues can be involved, and stomach perforation can occur. Because perforation allows digestive enzymes and acid to leak into the body, it is a very serious condition.

A diagram showing the lining of the stomach. At the very bottom is a blood vessel with red blood cells, neutrophils, and monocytes. At the top is a wavy layer of epithelial cells covered in mucous. Healthy stomach epithelia are coated in a layer of mucous. Helicobacter pylori colonizes epithelial cells and decrease the production of mucus. Gastric acids cause the formation of ulcers. Images of a healthy lining show smooth pink regions, an ulcer is seen as wa white spot in the lining.
Helicobacter infection decreases mucus production and causes peptic ulcers. (credit top left photo: modification of work by "Santhosh Thomas"/YouTube; credit top right photo: modification of work by Moriya M, Uehara A, Okumura T, Miyamoto M, and Kohgo Y)

To diagnose H. pylori infection, multiple methods are available. In a breath test, the patient swallows radiolabeled urea. If H. pylori is present, the bacteria will produce urease to break down the urea. This reaction produces radiolabeled carbon dioxide that can be detected in the patient’s breath. Blood testing can also be used to detect antibodies to H. pylori . The bacteria themselves can be detected using either a stool test or a stomach wall biopsy.

Questions & Answers

microbial genetics mcqs
kajal Reply
hii
Happy
what is the importance of learning microbiology in nursing?
Grace Reply
привет
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it's about child-care?
__
the way of common children disease? hmm 🤔🤔
__
how do you mean child care?
Grace
Was ist die Wichtigkeit beim Lernen von Mikrtobiologie in der Pflege? Es ist notwendig dass die Schwestern allgemein und auch die Kinderschwestern eine Ausbildung in der Mikrobiologie erfahren. Sie sind in ihrem Beruf gefo
__
you need to know the truth about diseases. the microbes are have immunity to some pharmacy.
__
is base pairing rule states that adenine pair with thymine cytosine pair with guannie what will be the complementry strand to acggt
KooL Reply
tgcca
Tanaya
yes
Swetha
introduction to microbiology
Shweta Reply
Study the life of microorganisms present in the environment their survivals etc..
ayesha
Microscopic organisms, commonly known as microorganisms or microbes, are found all around us and even inside our bodies. The category 'Microbes' includes a massive range of organisms including bacteria, fungi, viruses, algae, archaea and protozoa.
Amre
fermented foods likely benefited ancestors to preserve foods and make other foods like milk, cheese, and bread using microbes.
Zinnia Reply
the evidence that I would support the statement regarding ancient people ideas that disease was transmitted by things they could not see is by the discoveries under a microscope. Many microbiologists have discovered certain diseases caused by microbes.
Zinnia
plz give the information about glyoxylate cycle
kamini Reply
what type of information?
Sapiens
I need medical microbiology mcqs books for Mbbs
Kisota
for pakistani mbbs or other?
Sapiens
what is microbial soup?
Osborn Reply
😃😂funny question isn't it?!!! sorry for inconvenience 😊
ayesha
most bacterial pathogens that cause disease in humans are classified in terms if their preferable ph as
Beesan Reply
what is micro
Kabul Reply
extremely small in size
Swetha
almost invisible to the naked eye
Peter
thanks
Sadiq
uwc
Peter
invisible sized objects
Sivasri
invisible sized object or specimens.which is used to see in only the microscope that specimens or objective called the micro
Sivasri
small organism that can be seen by use of Microbes
Manyang
why do you need to study microorganisms
Sala
what is microbiology?
Green Reply
microbiology is a branch of biology .it deals with the study of microorganisms life cycle , uses, disadvantages,and it impact in any other fields .which is used to view in microscope .
Sivasri
Microbiology is the study of microorganisms, those being unicellular, multicellular, or acellular. Microbiology encompasses numerous sub-disciplines including virology, bacteriology, protistology, mycology, immunology and parasitology. 
Raj
In short , it is the study of micro organisms and types , characteristics.
Kaviya
can you explain the structure of rna in detail
Dhanalakshmi Reply
RNA is of many types....like mRNA,tRNA,rRNA,snRNA,guideRNA..etc .
Swetha
but generally RNA is single stranded
Swetha
It contains adenine guanine cytosine , instead of thymine it contains uracil.
Swetha
ribonucleic acid present in RNA.. where as in DNA it is deoxyribonucleic acid...and ribonucleotide is present in RNA
Swetha
RNA is a blue print of DNA. it has the information from DNA....and we can predict the base panirs in DNA if we have the RNA....copy of that DNA
Swetha
can either have positive or negative polarity
Ernestine
Diatoms need..... With the help of which they can construct their beautiful cell wall
Prathmesh Reply
Microbial growth curve shows a.... Curve.
Shambhuraj Reply
diminishing curve
Oluwapamilerin
It represents the decreasing growth of an organism.
Swetha
what is meant by reverse isolation in tuberculosis treatment?
Swetha Reply
why do we study microbiology
HABIBA Reply
Microbiology is the way of gaining knowledge about those organisms which are surround us but we can't see them with our naked eye,such organisms called microorganisms..We can see them only under microscope.
ayesha
from our birth to death microorganisms are with us in the environment as well as on our body which are called Microflora.
ayesha
Microfloras are non pathogenic
ayesha

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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