Bacteriology
Genus: Corynebacterium
Microscopy: gram-positive, mostly club-shaped rods
Culture: grows on blood-infused media,some strains grow better with some kind of lipid (like Tween 80), grows in small grayish colonies
It’s the microscopy that is specific, the culture really isn’t helping with identification. This bacterium is very rarely detected in humans, and even less often clinically relevant.
One species, C. diphtheriae, can cause diphtheria, which is a serious diagnosis and requires a therapy not only with antibiotica, but also an antitoxin. The toxin-gen however is transmitted via a bacteriophage and therefore not every strain of bacteria is toxin positive. If there is any chance that you actually found C.diphtheriae you have to let a specialized labratory handle it from there on. In a normal lab you can NOT test whether or not the strain is toxin positiv. The identification is usually done via MALDI TOF (a biochemical method). There are a few characteristics to help you in addition to that. The selective-media Tinsdale (which contains Fosfomycin), catalase positive, not mobile, partially acid-fast and reverse Camp-Test positiv.
The cell-wall structure of Corynebacteria contain a certain protein that prevent S.aureus from building a hemolysis. Since it’s a prohibition is the reverse Camp-test. The usual Camp-test would be used to confirm a kind of streptococcus, which would lead to a double hemolysis.










