, Case Files™
Microbiology
Second Edition EUGENE C.TOY, MD
The John S. Dunn, Senior Academic Chief and Program
Director
The Methodist Hospital-Houston
Obstetrics and Gynecology Residency
Houston,Texas
Clerkship Director, Clinical Associate Professor
Department of Obstetrics/Gynecology
University of Texas Medical School at Houston
Houston,Texas
CYNTHIA DEBORD, PHD
Former Instructor and Course Director of Medical
Microbiology
Department of Microbiology and Molecular Genetics
University of Texas Medical School at Houston
Houston,Texas
AUDREY WANGER, PHD
Associate Professor
Department of Pathology
University of Texas Medical School at Houston
Houston,Texas
GILBERT CASTRO, PHD
Professor (Retired)
Department of Integrative Biology and Pharmacology
University of Texas Medical School at Houston
Vice President for Inter-Institutional Relations (Retired)
University of Texas Health Science Center at Houston
Houston,Texas
JAMES D. KETTERING, PHD
Emeritus Professor
Department of Biochemistry and Microbiology
Loma Linda University School of Medicine
Loma Linda, California
DONALD BRISCOE, MD
Program Director
Family Medicine Residency
New York Chicago San Francisco The Methodist Hospital-Houston
Lisbon London Madrid Mexico City Medical Director Houston Community Health Centers, Inc.
Milan New Delhi San Juan Seoul Denver Harbor Clinic
Singapore Sydney Toronto Houston,Texas
,Copyright © 2008 by The McGraw-Hill Companies, Inc. All rights reserved. Manufactured in the
United States of America. Except as permitted under the United States Copyright Act of 1976, no
part of this publication may be reproduced or distributed in any form or by any means, or stored
in a database or retrieval system, without the prior written permission of the publisher.
0-07-164315-X
The material in this eBook also appears in the print version of this title: 0-07-149258-5.
All trademarks are trademarks of their respective owners. Rather than put a trademark
symbol after every occurrence of a trademarked name, we use names in an editorial fashion only,
and to the benefit of the trademark owner, with no intention of infringement of the trademark.
Where such designations appear in this book, they have been printed with initial caps.
McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales
promotions, or for use in corporate training programs. For more information, please contact
George Hoare, Special Sales, at or (212) 904-4069.
TERMS OF USE
This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its
licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as
permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work,
you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works
based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it
without McGraw-Hill’s prior consent. You may use the work for your own noncommercial and
personal use; any other use of the work is strictly prohibited. Your right to use the work may be
terminated if you fail to comply with these terms.
THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO
GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETE-
NESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY
INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR
OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY
OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant
or guarantee that the functions contained in the work will meet your requirements or that its
operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable
to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for
any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any
information accessed through the work. Under no circumstances shall McGraw-Hill and/or its
licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages
that result from the use of or inability to use the work, even if any of them has been advised of the
possibility of such damages. This limitation of liability shall apply to any claim or cause
whatsoever whether such claim or cause arises in contract, tort or otherwise.
DOI: 10.1036/0071492585
, ❖ DEDICATION
To Phil Robinson, a modern day miracle worker; he came to
St. Joseph in 2006 amidst turmoil and uncertainty, and with
leadership, vision, and commitment, directed us to a bright and
exciting future.
—ECT
To my parents, Darrell and Ruth, for their ongoing support;
to my loving husband, Wes, and children Emily, Elliot, and Evan.
—CD
To my wife, Georgia, and daughters, Theresa and Mitzi, who have always
been the ultimate motivation for me to do my work, and enjoy it.
—GC
To my patient wife, Betty, and children, Brian, Pamela, and David.
—JK
To Cal, Casey, Peter, Ben, Kristen, Leonard, Eric, and all of their parents.
—DB
Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.
Microbiology
Second Edition EUGENE C.TOY, MD
The John S. Dunn, Senior Academic Chief and Program
Director
The Methodist Hospital-Houston
Obstetrics and Gynecology Residency
Houston,Texas
Clerkship Director, Clinical Associate Professor
Department of Obstetrics/Gynecology
University of Texas Medical School at Houston
Houston,Texas
CYNTHIA DEBORD, PHD
Former Instructor and Course Director of Medical
Microbiology
Department of Microbiology and Molecular Genetics
University of Texas Medical School at Houston
Houston,Texas
AUDREY WANGER, PHD
Associate Professor
Department of Pathology
University of Texas Medical School at Houston
Houston,Texas
GILBERT CASTRO, PHD
Professor (Retired)
Department of Integrative Biology and Pharmacology
University of Texas Medical School at Houston
Vice President for Inter-Institutional Relations (Retired)
University of Texas Health Science Center at Houston
Houston,Texas
JAMES D. KETTERING, PHD
Emeritus Professor
Department of Biochemistry and Microbiology
Loma Linda University School of Medicine
Loma Linda, California
DONALD BRISCOE, MD
Program Director
Family Medicine Residency
New York Chicago San Francisco The Methodist Hospital-Houston
Lisbon London Madrid Mexico City Medical Director Houston Community Health Centers, Inc.
Milan New Delhi San Juan Seoul Denver Harbor Clinic
Singapore Sydney Toronto Houston,Texas
,Copyright © 2008 by The McGraw-Hill Companies, Inc. All rights reserved. Manufactured in the
United States of America. Except as permitted under the United States Copyright Act of 1976, no
part of this publication may be reproduced or distributed in any form or by any means, or stored
in a database or retrieval system, without the prior written permission of the publisher.
0-07-164315-X
The material in this eBook also appears in the print version of this title: 0-07-149258-5.
All trademarks are trademarks of their respective owners. Rather than put a trademark
symbol after every occurrence of a trademarked name, we use names in an editorial fashion only,
and to the benefit of the trademark owner, with no intention of infringement of the trademark.
Where such designations appear in this book, they have been printed with initial caps.
McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales
promotions, or for use in corporate training programs. For more information, please contact
George Hoare, Special Sales, at or (212) 904-4069.
TERMS OF USE
This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its
licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as
permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work,
you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works
based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it
without McGraw-Hill’s prior consent. You may use the work for your own noncommercial and
personal use; any other use of the work is strictly prohibited. Your right to use the work may be
terminated if you fail to comply with these terms.
THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO
GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETE-
NESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY
INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR
OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY
OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant
or guarantee that the functions contained in the work will meet your requirements or that its
operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable
to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for
any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any
information accessed through the work. Under no circumstances shall McGraw-Hill and/or its
licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages
that result from the use of or inability to use the work, even if any of them has been advised of the
possibility of such damages. This limitation of liability shall apply to any claim or cause
whatsoever whether such claim or cause arises in contract, tort or otherwise.
DOI: 10.1036/0071492585
, ❖ DEDICATION
To Phil Robinson, a modern day miracle worker; he came to
St. Joseph in 2006 amidst turmoil and uncertainty, and with
leadership, vision, and commitment, directed us to a bright and
exciting future.
—ECT
To my parents, Darrell and Ruth, for their ongoing support;
to my loving husband, Wes, and children Emily, Elliot, and Evan.
—CD
To my wife, Georgia, and daughters, Theresa and Mitzi, who have always
been the ultimate motivation for me to do my work, and enjoy it.
—GC
To my patient wife, Betty, and children, Brian, Pamela, and David.
—JK
To Cal, Casey, Peter, Ben, Kristen, Leonard, Eric, and all of their parents.
—DB
Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.
