Introduction

and History
 Learning objectives

At the end of the session, the students will be able to know:

▰ Clinical Microbiology – Terminologies

▰ Classification of Microorganisms

▰ Brief History

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Medical Microbiology

Deals with the study of microorganisms such as:

▰ Bacteria

▰ Viruses

▰ Parasites

▰ Fungi

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Clinical Microbiology
Concerned with - prevention, diagnosis and treatment of infectious
diseases. It includes :

▰ General Microbiology

▰ Immunology

▰ Hospital infection control

▰ Systemic Microbiology (Infectious diseases)

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Clinical Microbiology (Cont..)

Branch Study of
General Microbiology General properties of microorganisms –taxonomy, etc

Immunology Immune system and immunological mechanisms of

diseases
Hospital infection control Control measures to prevent the transmission of
HAIs
Systemic Microbiology (Infectious diseases) Microorganisms that infect various organ systems

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Clinical Microbiology (Cont..)
Systemic Microbiology (Infectious diseases) - classified into various clinical
syndromes:
▰ Blood stream and cardiovascular system infections
▰ Gastrointestinal and hepatobiliary system infections
▰ Skin, Soft tissue and musculoskeletal system infections
▰ Central nervous system infections
▰ Respiratory tract infections
▰ Urinary tract infections
▰ Genital tract infections
▰ Infections of eye, ear and other organs 7
Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
CLASSIFICATION OF
MICROORGANISMS
Characteristics Prokaryotes Eukaryotes
Major groups Bacteria, blue Fungi, parasites, other
green algae algae, plants and
animals
Nucleus Diffuse Well defined
Nuclear membrane Absent Present
Nucleolus Absent Present
Ribonucleoprotein Absent Present
Cell division Binary fission Mitosis, meiosis
Chromosome One, circular Many, linear

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
CLASSIFICATION OF
MICROORGANISMS (Cont..)
Characteristics Prokaryotes Eukaryotes
Extrachromosomal DNA Found in plasmid Found in mitochondria

Cell membrane Does not contain sterols Contain sterols

except in
Mycoplasma
Cellular organelles like Absent (except ribosome) Present
mitochondria, etc.
Ribosome 70S 80S
Site of respiration Mesosome Mitochondria
Pinocytosis Absent Present

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
HISTORY
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Antonie Philips van Leeuwenhoek
(1676)
▰ First scientist to observe bacteria and other
microorganisms - using single-lens
microscope.

▰ Named - small organisms as ‘Little

animalcules’

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Edward Jenner (1796)

▰ Developed first vaccine - smallpox vaccine.

▰ Used cowpox virus (Variolae vaccinae) to immunize children against

smallpox.

▰ Hence the term - ‘vaccine’ was derived.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Louis Pasteur (1822–1895)

▰ Father of microbiology.

▰ Professor of chemistry in France.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Louis Pasteur (1822–1895) ( Cont..)
Contributions:

▰ Proposed - principles of fermentation.

▰ Introduced - sterilization techniques.

▰ Described - pasteurization of milk.

▰ Vaccine development against - anthrax, fowl cholera and rabies.

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Louis Pasteur (1822–1895) ( Cont..)

Contributions (Cont..):

▰ Disproved - theory of spontaneous generation and postulated - ‘germ

theory of disease’

▰ Liquid media concept – for growth of microorganisms.

▰ Founder of the Pasteur Institute, Paris.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Joseph Lister (1867)

▰ Father of antiseptic surgery.

▰ Observed that postoperative infections were reduced by using diluted

carbolic acid to sterilize the instruments and to clean wounds during
surgery

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Robert Koch (1843–1910)

▰ German general practitioner.

▰ First to use agar (solidifying agent) for preparation

of solid media

▰ Introduced concept of pure culture.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Robert Koch (1843–1910) (Cont..)
▰ Described - hanging drop method for testing
motility.

▰ Discovered anthrax bacilli, tubercle bacilli and

cholera bacilli.

▰ Introduced staining techniques using aniline dye.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Robert Koch (1843–1910) (Cont..)

Koch’s phenomenon:

▰ Guinea pigs previously infected with tubercle bacillus developed a

hypersensitivity reaction when injected with tubercle bacilli or its
protein.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Robert Koch (1843–1910) (Cont..)

Koch’s postulates:

1. Microorganism - constantly associated with the lesions of the disease.

2. Isolate the organism in pure culture.

3. Same disease must result - when isolated microorganism is inoculated into a

suitable laboratory animal.

4. Possible to re-isolate the organism in pure culture.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Robert Koch (1843–1910) (Cont..)

▰ An additional fifth criterion was introduced subsequently - states that

antibody to the causative organism should be demonstrable in the
patient’s serum.

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Robert Koch (1843–1910) (Cont..)

Exceptions to Koch’s postulates:

▰ Mycobacterium leprae and Treponema pallidum - cannot be grown in vitro;

but - maintained in experimental animals

▰ Neisseria gonorrhoeae - no animal model, but - grown in vitro.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Paul Ehrlich (1854–1915)

▰ Father of chemotherapy

▰ 1st to report - acid-fast nature of tubercle bacillus.

▰ Proposed - toxin-antitoxin interaction - called

Ehrlich phenomenon.

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Paul Ehrlich (1854–1915) (Cont..)

▰ Proposed - ‘side chain theory for antibody production’.

▰ Chemotherapy- Discovered salvarsan - an arsenical compound (also

called as the ‘magic bullet’) - first effective medicinal treatment for
syphilis.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Paul Ehrlich (1854–1915) (Cont..)

▰ Bacteria ‘Ehrlichia’ - named after him.

▰ Nobel prize (1908) in Physiology or Medicine –Immunology

▰ Founder and first director of - Paul Ehrlich Institute, Germany.

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Other Important Contributors
Scientist Contributions
Hans Christian Gram (1884) Developed - ‘Gram stain’
Ernst Ruska (1931) Founder of electron microscope
Alexander Fleming (1929) Discovered penicillin
Goodpasture Described - viral culture technique in chick embryo
Barbara McClintock Described - mobile genetic elements in bacteria - transposons

Walter Gilbert and Frederick Sanger DNA sequencing

(1977)
Karry B Mullis (1993) Discovered PCR and was awarded noble prize

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Microorganisms named after discoverer

Discoverer Organism
Ogston Staphylococcus aureus
Neisser Neisseria gonorrhoeae
Weichselbaum Neisseria meningitidis
Loeffler Corynebacterium diphtheriae
Frenkel Streptococcus pneumoniae
Bruce Brucella melitensis
Kitasato Clostridium tetani

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Microorganisms named after discoverer

Discoverer Organism
Hansen Mycobacterium leprae
Yersin & Kitasato Yersinia pestis
Schaudinn & Hoffman Treponema pallidum
Daniel Carrion Bartonella bacilliformis
d’Herelle Bacteriophages
W.H. Welch Clostridium perfringens
Anthony Epstein and Yvonne Barr Epstein-Barr virus

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Bacteria named after the discoverers
Common name Scientific name
Kleb-Loeffler bacillus Corynebacterium diphtheriae
Preisz Nocard bacillus Corynebacterium pseudotuberculosis
Koch Week bacillus Haemophilus aegyptius
Pfeiffer’s bacillus Haemophilus influenzae
Whitmore bacillus Burkholderia pseudomallei
Battey bacillus Mycobacterium intracellulare
Johne’s bacillus Mycobacterium paratuberculosis
Eaton’s agent Mycoplasma pneumoniae
Gaffky Eberth bacillus Salmonella Typhi
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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Nobel laureates – For contributions in
microbiology
Nobel laureate Year Research
Emil A von Behring 1901 Development of antitoxin against diphtheria
Sir Ronald Ross 1902 Life cycle of malarial parasite in mosquitoes
Robert Koch 1905 Discovery of the causative agent of tuberculosis
Charles LA Laveran 1907 Discovery of malarial parasite in unstained preparation of blood
Paul Ehrlich and Elie 1908 Discovered selective theory of antibody formation
Metchnikoff
Charles Richet 1913 Discovered anaphylaxis
Jules Bordet 1919 Discovered complement and developed complement fixation
test
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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Nobel laureates – For contributions in
microbiology
Nobel laureate Year Research
Karl Landsteiner 1930 Described ABO blood group
Sir Alexander Fleming 1945 Discovery of penicillin
F Enders, FC Robbins, 1954 Cultivation of polio viruses in tissue culture
TH Weller
J Lederberg and EL 1958 Discovery of conjugation in bacteria
Tatum
Sir M Burnet and Sir PB 1960 Postulated immunological tolerance
Medawar
Watson and Crick 1962 Discovered double helix structure of DNA

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Nobel laureates – For contributions in
microbiology
Nobel laureate Year Research
Peyton Rous 1966 Discovered viral oncogenesis
Holley, Khurana and 1968 Discovered genetic code
Nirenberg
BS Blumberg 1976 Discovered Australia antigen (HBsAg)
Rosalyn Yallow 1977 Developed radioimmunoassay
B Benacerraf, F 1980 Discovered HLA antigen
Dausset and G Snell
Barbara McClintoch 1983 Discovered mobile genetic elements (transposon)
Georges Kohler 1984 Developed hybridoma technology for monoclonal antibodies

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Nobel laureates – For contributions in
microbiology
Nobel laureate Year Research
Niels Jerne 1984 Postulated idiotype network hypothesis (Jerne hypothesis)
S Tonegawa 1987 Elucidated the nature of antibody diversity
Kary B Mullis 1993 Invented polymerase chain reaction
Stanley B Prusiner 1997 Described Prions
J Robin Warren and 2005 Discovery of Helicobacter pylori and its role in peptic ulcer
Barry J Marshal disease
Luc Montagnier and F 2008 Discovery of human immunodeficiency virus (HIV)
Barre-Sinoussi

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Nobel laureates – For contributions in
microbiology
Nobel laureate Year Research
Harald zur Hausen 2008 Human papilloma viruses causing cervical cancer
Bruce A Beutler and 2011 For their discoveries concerning the activation of innate
Jules A Hoffmann immunity
Ralph M Steinman 2011 For his discovery of dendritic cell and its role in adaptive
immunity
Sir John B. Gurdon and 2012 ‘Mature cells can be reprogrammed to become pluripotent"
Shinya Yamanaka
William C Campbell 2015 Anti-parasitic effect of ivermectin in filariasis
Youyou Tu 2015 Artemisinin, a novel drug used for malaria

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Questions:

Q1. Correct sentence regarding prokaryotes?

a. Nucleolus is present

b. Cell membrane does not contain sterols except in Mycoplasma

c. Cellular organelles like mitochondria are present

d. Extrachromosomal DNA is found in mitochondria

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Questions (Cont..) :

Q2. Who is the Father of Microbiology?

a. Antonie Philips van Leeuwenhoek

b. Edward Jenner

c. Louis Pasteur

d. Joseph Lister

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Essentials of Medical Microbiology by Apurba S Sastry © Jaypee Brothers Medical Publishers
Questions (Cont..) :

Q3. Match the correct common name with the scientific name of bacteria?

a. Eaton’s agent - Mycobacterium paratuberculosis

b. Battey bacillus - Burkholderia pseudomallei

c. Koch Week bacillus - Corynebacterium pseudotuberculosis

d. Kleb-Loeffler bacillus - Corynebacterium diphtheriae

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