Minty Tubes

(Edited)

         I don't think I have ever shown what Mycobacterium species look like on the LJ slants. No, the slants do not have a minty aroma. Some of the better-known bacteria from this genus include tuberculosis. Acid-fast bacillus (AFB) cultures are one of the tests with the longest incubation time we perform in microbiology. Per protocol, we cannot rule out their presence until 42 days have passed since inoculation.

         These are what M. tuberculosis looks like. They don't have picture-perfect colonies like the ones in the Wikipedia entry. They grew from a patient's sputum. So, nothing is out of the ordinary.


Textbook pic

         The stock photo reminds me of caviar. I hope I didn't ruin anyone's appetite.

         These are M. gordonae. They are usually flora found in the environment. Often, a patient is immunocompromised when they become infected by this species. These grew from a different patient's bronchial lavage.

         As far as I remember, we isolated multiple organisms from this patient. Aside from the Mycobacterium, there were also fungal infections and other bacterial agents. Needless to say, the patient was not doing well.

         Just for fun, each tube of LJ slant costs about $1. They usually come in boxes of 100. It's not the cheapest growth medium we use in the labs. Each month, we go through at least 600 cultures. I hope this gives you some perspective on the material costs of microbiology.

Posted with STEMGeeks



501
3
149.876 NEOXAG

24 comments
(Edited)

LJ slant here isn't the common route used to diagnosed. Either they get diagnosed by AFB sputum smear or clinically via x-ray because clinician can't wait for those 42 days. But LJ slants do get used on some institutions.

8
0
0.006 NEOXAG
(Edited)

The trouble with direct smears is that if it's negative, you still can't rule out the possibility that it's there.

3
2
0.010 NEOXAG
(Edited)

In the first picture, why does the third vial have a different minty color than the first two?

7
0
0.006 NEOXAG
(Edited)

Different manufacturer. Continual supply chain constraints have left us with mix-and-matched products.

2
2
0.006 NEOXAG
(Edited)

Going for that Victorian look? I hope Tuberculosis isn’t fashionable again.

6
0
0.000 NEOXAG
(Edited)

Luckily, it’s not prevalent in the US.

2
2
0.007 NEOXAG
(Edited)

The test tubes remind me of the ones we got in high school with fruit flies in them. They had the greenish blue stuff in them to help them grow. What is your take on this new deadly fungus that is circulating around?

7
0
0.000 NEOXAG
(Edited)

We started testing for those for a year or so now.

Hard to kill, but really only a problem of you are immunocompromised.

3
2
0.009 NEOXAG
(Edited)

As big of a deal as they are making it out to be? I figured you would be the guy to go to!

7
0
0.000 NEOXAG
(Edited)

We only screen it for those type of patients.

4
2
0.010 NEOXAG
(Edited)

Wao, this is so amazing. I remember doing some lab test like this in my college days, it was so amazing

7
0
0.000 NEOXAG
(Edited)

These species have to be handled in a BSL-3 environment.

3
2
0.001 NEOXAG
(Edited)

Yeah, I remember doing some that gave me some bad 😞 results until I had to do a retake of them all. Science is actually fun tho

6
0
0.000 NEOXAG
(Edited)

600 cultures means, 600$ expense only on these tubes ?

7
0
0.000 NEOXAG
(Edited)

Yup, that's just for the tubes. Not including wages and other stuff.

These slants aren't even the most expensive components used in these cultures. MGIT tubes are about $5 each and they are coupled with each LJ slant.

2
1
0.000 NEOXAG
(Edited)

So, it's a very expensive business. are you guys are in profit or loss ?

6
0
0.000 NEOXAG
(Edited)

Healthcare is a for-profit business in the US.

1
0
0.000 NEOXAG
(Edited)

Glad to know that :) and wish you best of luck

6
0
0.000 NEOXAG
(Edited)

pixresteemer_incognito_angel_mini.png
Bang, I did it again... I just rehived your post!
Week 148 of my contest just started...you can now check the winners of the previous week!
14

0
0
0.000 NEOXAG
(Edited)

Thanks for your contribution to the STEMsocial community. Feel free to join us on discord to get to know the rest of us!

Please consider delegating to the @stemsocial account (85% of the curation rewards are returned).

You may also include @stemsocial as a beneficiary of the rewards of this post to get a stronger support. 
 

0
0
0.000 NEOXAG
(Edited)

Nice slants! I'm just grateful I'm not the patient with that lovely culture... Thank goodness I never picked up TB in all my years of hospital care. Was exposed once but came back negative thank God. Thanks for sharing!
!CTP

7
1
0.000 NEOXAG
(Edited)

Glad you never got infected!

2
0
0.002 NEOXAG
(Edited)

Me too! The treatment is very hepatotoxic and lots of side affects, yuck!
@lol

7
1
0.000 NEOXAG