268 The Difco Manual
For a complete discussion on the collection, isolation and identification
of Corynebacterium diptheriae and other Corynebacterium species,
refer to the appropriate procedures.
Limitations of the Procedure
1. Since the nutritional requirements of organisms vary, some strains may
be encountered that fail to grow or grow poorly on this medium.
2. Loeffler Blood Serum must be used in parallel with blood agar
and a tellurite- containing medium (cystine tellurite agar or
modified Tinsdale medium) for selection and differentiation of
Corynebacterium.
2
3. Metachromatic granules that take up methylene blue are
characteristic of Corynebacterium; however, other microorganisms
may also display stained granules (e.g., Propionibacterium, some
Actinomyces, and pleomorphic streptococci strains) and resemble
corynebacteria. Additional culture, biochemical identification,
and toxigenicity tests must be performed for differentiation
and identification.
4
References
1. Isenberg, H. D. (ed.) 1992. Clinical microbiology procedures
handbook. American Society for Microbiology, Washington, D.C.
2. Clarridge, J. E., and C. A. Spiegel. 1995. Corynebacterium and
miscellaneous irregular gram-positive rods, Erysipelothrix, and
Gardnerella, p. 357-377. In P.R. Murray, E.J. Baron, M.A. Pfaller,
F.C. Tenover and R.H. Yolken (ed.), Manual of clinical microbiology,
6th ed. American Society for Microbiology, Washington, D.C.
3. Loeffler, F. 1887. Darauf theilte HeuLoeffer en einem Zweiten
Vortrag die ergebnisse seiner weiteren untersuchungen uber die
Diphtherie-Bacillen mit. Zentralbl. Bacteriol. 2:105.
4. MacFaddin, J. D. 1985. Media for isolation-cultivation-
identification-maintenance of medical bacteria, p. 448-451,
Williams & Wilkins, Baltimore, MD.
5. Cleveland, L. R., and E. P. Sanders. 1930. Encystation, multiple
fission without encystment, metacystic development, and
variation in a pure line and nine strains of Entamoeba histolytica.
Arch. Protistenkd. 70:223.
6. Spector, B. K. 1932. A comparative study of cultural and
immunological methods of diagnosing infections with Entamoeba
histolytica. J. Prevent. Med. 6:117.
7. Thompson. 1929. J. Infect. Dis. 45:163.
8. Baron, E. J., L. R. Peterson, and S. M. Finegold. 1994. Bailey &
Scott’s diagnostic microbiology, 9th ed. Mosby-Year Book, Inc.
St. Louis, MO.
Packaging
Loeffler Blood Serum 500 g 0070-17*
*Store at 2-8°C
Lowenstein Medium Base; Lowenstein Medium, Gruft; Lowenstein Medium, Jensen; Lowenstein Medium, Jensen Deeps & Lowenstein Medium w/5% NaCl
Section II
Bacto
®
Lowenstein Medium Base
.
Bacto Lowenstein Medium,
Gruft
.
Bacto Lowenstein Medium, Jensen
.
Bacto Lowenstein
Medium, Jensen Deeps
.
Bacto Lowenstein Medium w/5% NaCl
Intended Use
Bacto Lowenstein Media are prepared with fresh egg and glycerol to
isolate, cultivate and differentiate mycobacteria.
Lowenstein Medium, Jensen Deeps are used for determining the
catalase activity of mycobacteria.
Lowenstein Medium w/5% NaCl is used for differentiating mycobacteria
on the basis of NaCl tolerance.
Summary and Explanation
Mycobacterial infections, particularly tuberculosis, are a worldwide
health problem. Almost three million people worldwide die of
tuberculosis each year.
1
In 1985, the number of tuberculosis cases (TB) in
the United States began increasing. Prior to this time, the number of US
cases had been decreasing, reaching a low in 1984.
2
Non-tuberculous
mycobacteria infections have also increased since 1985.
3
The use of egg-based media for primary isolation of mycobacteria have
the following significant advantages:
1. Egg-based media support a wide variety of mycobacteria.
2. The growth of mycobacteria on egg media can be used for niacin testing.
A disadvantage of egg-based media is that contaminating proteolytic
organisms tend to liquefy the medium.
3
User Quality Control
Identity Specification
Lowenstein Medium Base
Dehydrated Appearance: Medium to dark green-blue, free
flowing, homogenous.
Solution: 6.2% solution containing 2% glycerol,
soluble in distilled or deionized
water on boiling. Dark blue-green,
opalescent, viscous.
Prepared Medium
(as Lowenstein Medium, Jensen)
: Pale green, smooth slant, opaque.
Lowenstein Medium, Gruft Tubes; Lowenstein Medium,
Jensen Tubes; Lowenstein Medium w/5% NaCl
Appearance: Pale green, opaque, smooth slants.
Reaction of
Medium at 25°C: pH 6.8-7.4
Lowenstein Medium, Jensen Deeps
Appearance: Pale green, opaque butts.
Reaction of
Medium at 25°C: pH 7.2 ± 0.2
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