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Microbiology · Vibrio cholerae: biotype differentiation
Sample itemDuring a cholera outbreak, a Vibrio cholerae isolate agglutinates with O1 antiserum, is Voges-Proskauer positive and grows around a 50 unit polymyxin B disc. Which type is it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Vibrio cholerae O1, El Tor biotype
The El Tor biotype is polymyxin B resistant, Voges-Proskauer positive and usually haemolytic, unlike the classical biotype. Agglutination with O1 antiserum places it in serogroup O1 rather than O139. El Tor caused the seventh cholera pandemic.
Option by option
A. Non-O1, non-O139 Vibrio cholerae
Non-O1 strains do not agglutinate with O1 antiserum.
B. Vibrio cholerae O1, classical biotype
The classical biotype is inhibited by polymyxin B and is Voges-Proskauer negative.
C. Vibrio cholerae O139
O139 would not agglutinate with O1 antiserum.
D. Vibrio cholerae O1, El Tor biotype (correct)
Correct. Polymyxin resistance and a positive Voges-Proskauer test identify El Tor.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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