 Welcome back to our meds smarter lecture series where we're taking a smarter approach to preparing future physician Before we get started if you'll take just a quick minute and click that like button and also Subscribe and turn the bell on so that you'll be notified when we post new videos Let's talk about that final lactose fermenting enteric bacteria, which is club Cella Remember club Cella once again is a gram negative rod Most of the time club Cella presents itself in patients who are diabetics or alcoholics specifically alcoholics if you think they Become drunk and they will vomit and they can actually aspirate some of that GI content into their lungs so the intestinal floor gets up into the lungs causing a Lobular pneumonia and those type of patients where they aspirate that Gastric contents there with club Cella. It is a very mucoid colony that we see with abundant polysaccharide capsules One of the most common things that you're going to see Associated with club Cella is a dark red or current jelly sputum This to me is a good buzzword for club Cella because You only see a current jelly sputum associated with club Cella if you don't know what current jelly is This is a good picture of a current jelly It's just that really dark red almost bloody Color to the sputum. It's not blood. That's something that's important to distinguish here This is not blood in the sputum. This is just the club Cella causing the sputum to turn that dark red color Club Cella is a very common cause of nosocomial uti's or uti's that are found in the hospital setting and It is associated with multi-drug resistance occurring So let's talk about the A, B, C, D, E's of club Cella So another good mnemonic here to help you remember A, B, C, D, E with club Cella So A is your aspiration mnemonia B is the abscesses in the lungs and the liver C we talked about that current jelly sputum D often seen in diabetics all of this can be associated with that aspiration mnemonia and Then E is ethanol abuse, which we talked about all goes together up with the aspiration mnemonia Let's continue on and discuss Campylobacter de juni. Campylobacter de juni is a gram-negative organism and it's actually got a comma or an S shape to it with polar flagella and you can see here in the scanning electron microscopic view that Kind of the curly-q look here to the campylobacter de juni There are polar flagella associated with it, which you can't really see but they'll be coming off of the ends here Campylobacter is oxidase positive and it grows around the 42 degrees Celsius range So it likes a really warm environment. Remember our body temperatures around the 37 degrees Celsius range So we're talking about a higher Temperature than our normal body temperature. So it likes that hot campfire temperature It is the major cause of bloody diarrhea, especially in our children and It's transmission is by a fecal oral route. So person-to-person contact or ingestion of contaminated products like poultry meat that are all undercooked or unpasteurized milk. So if we Heat up that milk and we pasteurize it that will help kill off the campylobacter de juni that could be present there However, if it's unpasteurized, that's how it can be Transmitted. You can also have a transmission from contact with an infected animal so it's not just through a fecal oral route if there is a Potential contact with the animal that does maybe have the fecal contents present on the skin and then it gets into your body It is associated with a potential onset of Guillaume-Barre syndrome as well as reactive arthritis So that is another important thing to note of what you could see in a clinical presentation with campylobacter de juni If you found this material helpful for your studying, please like and consider subscribing to the channel Also share this video so that more people can benefit from it like you have