Skin rashes, which may become noticeable after being out in the sun; butterfly rash in the face
Extreme tiredness, known as fatigue
Erythrocyte sedimentation rate (ESR) test
Detects inflammation that may be caused by infection and some autoimmune diseases
reactive protein (CRP) blood test
Used to identify inflammation or infection in the body
Autoantibodies in lupus
ANA (Antinuclear Antibody)
Extractable Nuclear Antigen Antibodies (ENA)
Treatment of SLE
Management often depends on disease severity and disease manifestations
Plasmapheresis
Sjögren's syndrome
Dry eyes – Keratoconjunctivitis sicca
Dry mouth – Xerostomia
Involvement of other excretory glands
Liver with biliary cirrhosis
Bacteria have different types of flagella that allow them to move through their environment.
The cell wall is composed of peptidoglycan, which provides strength to the bacterial cell.
The movement of bacteria is called motility, which can be observed under a microscope using a technique called wet mount preparation.
Peptidoglycan consists of alternating sugars (N-acetylglucosamine and N-acetylluramic acid) crosslinked by short polypeptide chains.
Flagellar antigens are used as markers for bacterial identification.
Flagellum - A long whip-like structure used for locomotion.
Some bacteria also produce capsules or slime layers, which can protect against phagocytosis by host cells.
Motile bacteria include Escherichia coli, Salmonella typhimurium, Shigella flexneri, Vibrio cholerae, Campylobacter jejuni, Helicobacter pylori, Neisseria meningitidis, and Pseudomonas aeruginosa.
Flagellar antigen typing is used to identify specific strains of bacteria based on the type of flagella they possess.
Antibiotic resistance testing involves growing bacteria in the presence of antibiotics to determine if they are resistant or susceptible.
Gram staining is a method used to classify bacteria into two groups based on their ability to retain crystal violet dye.
Cell walls are made up of peptidoglycan, teichoic acids, lipopolysaccharides, and proteins.
Gram staining involves treating cells with crystal violet dye followed by iodine solution, then washing off excess stain and decolorizing with alcohol or acetic acid.
Capsules are extracellular structures surrounding some bacteria and may contain carbohydrates, proteins, or both.
Gram staining is based on differences in the thickness of the cell wall between Gram-positive and Gram-negative bacteria.
Crystal violet binds to the thick layer of peptidoglycan in Gram-positive cells, while safranin binds to the thin layer of peptidoglycan in Gram-negative cells.
Pili or fimbriae - Short hair-like structures involved in attachment and transfer of genetic material during conjugation.
Bacteria have different shapes such as cocci (spherical), bacilli (rod-shaped), spirilla (spiral-shaped), vibrio (comma-shaped), and spirochetes (spirally coiled).
Acid alcohol decolorizes both Gram-positive and Gram-negative cells but does not remove crystal violet from Gram-positive cells due to its thicker cell wall.
Capsule - A sticky layer surrounding the cell surface that protects against phagocytosis.
The H antigen refers to the O antigen of the lipopolysaccharide component of the outer membrane of Gram-negative bacteria.
Capsule - A sticky layer that surrounds some bacteria and helps them adhere to surfaces.
Lipopolysaccharides (endotoxins) - Outer membrane components found only in gram negative bacteria.
LPS is an important virulence factor that allows pathogenic bacteria to evade immune responses.
Pili/Fimbriae - Hair-like structures on the surface of bacteria that allow attachment to other cells or surfaces.
K antigen refers to the K antigen of the capsule of certain bacteria.
Nonmotile bacteria include Bacillus anthracis, Clostridioides difficile, Corynebacterium diphtheriae, Haemophilus influenzae type b, Mycoplasma pneumoniae, Streptococcus pyogenes, Staphylococcus aureus, and Yersinia enterocolitica.
Bacteria may be classified into different groups based on their ability to grow under certain conditions.
Capsule - A sticky layer that surrounds the cell wall and helps prevent phagocytosis.
Bacteria have different shapes such as cocci (spherical), bacilli (rod-shaped), spirilla (spiral-shaped), vibrios (comma-shaped), and spirochetes (spirally coiled).
Agar plates with different nutrients and growth factors can be used to selectively isolate specific types of bacteria.
The Gram stain consists of three steps: heat fixation, decolorization with alcohol, and counterstain with safranin.
The Gram stain test is used to classify bacteria based on differences in cell wall composition.