''Moraxella'' is a

genus Genus ( plural genera ) is a taxonomic rank used in the biological classification of extant taxon, living and fossil organisms as well as Virus classification#ICTV classification, viruses. In the hierarchy of biological classification, genus com ...

gram-negative Gram-negative bacteria are bacteria that do not retain the crystal violet stain used in the Gram staining method of bacterial differentiation. They are characterized by their cell envelopes, which are composed of a thin peptidoglycan cell wall ...

bacteria Bacteria (; singular: bacterium) are ubiquitous, mostly free-living organisms often consisting of one biological cell. They constitute a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria were among ...

in the family

Moraxellaceae The Moraxellaceae are a family of Gammaproteobacteria, including a few pathogenic species.George M. Garrity: '' Bergey's Manual of Systematic Bacteriology''. 2. Auflage. Springer, New York, 2005, Volume 2: ''The Proteobacteria, Part B: The Gamma ...

. It is named after the Swiss ophthalmologist

Victor Morax Victor Morax, Paris, 1920 Victor Morax (16 March 1866 – 14 May 1935) was an ophthalmologist born in Morges, Switzerland. He studied in Freiburg (Germany) and Paris, and from 1891 to 1903, he worked at the Pasteur Institute in Paris. From ...

. The organisms are short rods, coccobacilli, or as in the case of ''

Moraxella catarrhalis ''Moraxella catarrhalis'' is a fastidious, nonmotile, Gram-negative, aerobic, oxidase-positive diplococcus that can cause infections of the respiratory system, middle ear, eye, central nervous system, and joints of humans. It causes the inf ...

'',

diplococci A diplococcus (plural diplococci) is a round bacterium (a coccus) that typically occurs in the form of two joined cells. Types Examples of gram-negative diplococci are '' Neisseria spp.'' and ''Moraxella catarrhalis.'' Examples of gram-posit ...

in morphology, with asaccharolytic,

oxidase In biochemistry, an oxidase is an enzyme that catalyzes oxidation-reduction reactions, especially one involving dioxygen (O2) as the electron acceptor. In reactions involving donation of a hydrogen atom, oxygen is reduced to water (H2O) or hydro ...

-positive, and catalase-positive properties.Ala'Aldeen, D. A. A. (2007). "Neisseria and moraxella". In Greenwood, David; Slack, Richard; Peitherer, John; & Barer, Mike (Eds.), ''Medical Microbiology'' (17th ed.), p. 258. Elsevier. . ''M. catarrhalis'' is the clinically most important species under this genus.

Roles in disease

The organisms are commensals of mucosal surfaces and sometimes give rise to

opportunistic infection An opportunistic infection is an infection caused by pathogens (bacteria, fungi, parasites or viruses) that take advantage of an opportunity not normally available. These opportunities can stem from a variety of sources, such as a weakened immune ...

. * ''M. catarrhalis'' usually resides in respiratory tract, but can gain access to the

lower respiratory tract The respiratory tract is the subdivision of the respiratory system involved with the process of Respiration (physiology), respiration in mammals. The respiratory tract is lined with respiratory epithelium as respiratory mucosa. Air is breathed ...

in patients with chronic chest disease or compromised host defenses, thus causing tracheobronchitis and

pneumonia Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity ...

. For example, it causes a significant proportion of lower respiratory tract infections in elderly patients with

COPD Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...

and

chronic bronchitis Bronchitis is inflammation of the bronchi (large and medium-sized airways) in the lungs that causes coughing. Bronchitis usually begins as an infection in the nose, ears, throat, or sinuses. The infection then makes its way down to the bronchi. ...

. It is also one of the notable causes of

otitis media Otitis media is a group of inflammatory diseases of the middle ear. One of the two main types is acute otitis media (AOM), an infection of rapid onset that usually presents with ear pain. In young children this may result in pulling at the ear, ...

and

sinusitis Sinusitis, also known as rhinosinusitis, is inflammation of the mucous membranes that line the sinuses resulting in symptoms that may include thick nasal mucus, a plugged nose, and facial pain. Other signs and symptoms may include fever, head ...

. It causes similar symptoms to ''

Haemophilus influenzae ''Haemophilus influenzae'' (formerly called Pfeiffer's bacillus or ''Bacillus influenzae'') is a Gram-negative, non-motile, coccobacillary, facultatively anaerobic, capnophilic pathogenic bacterium of the family Pasteurellaceae. The bacter ...

'', although it is much less

virulent Virulence is a pathogen's or microorganism's ability to cause damage to a host. In most, especially in animal systems, virulence refers to the degree of damage caused by a microbe to its host. The pathogenicity of an organism—its ability to ...

. Unlike ''

Neisseria meningitidis ''Neisseria meningitidis'', often referred to as meningococcus, is a Gram-negative bacterium that can cause meningitis and other forms of meningococcal disease such as meningococcemia, a life-threatening sepsis. The bacterium is referred to as a ...

'', which is a morphological relative of ''M. catarrhalis'', it hardly ever causes bacteremia or meningitis. * '' Moraxella lacunata'' is one of the causes of

blepharoconjunctivitis Conjunctivitis, also known as pink eye, is inflammation of the outermost layer of the white part of the eye and the inner surface of the eyelid. It makes the eye appear pink or reddish. Pain, burning, scratchiness, or itchiness may occur. The ...

in human. * '' Moraxella bovis'' is the cause of

infectious bovine keratoconjunctivitis Infectious bovine keratoconjunctivitis (IBK), also known as pinkeye, New Forest eye or blight,Farming Small Areas, August/September, 2008, "Clearing up pinkeye" is a veterinary infection of cattle caused by '' Moraxella bovis'', a Gram-negative, β- ...

, known colloquially in the United Kingdom as New Forest eye. As a strict aerobe, ''M. bovis'' is confined to the cornea and conjunctiva, resulting in a progressive, nonself-limiting keratitis, ulceration, and – ultimately – rupture of the cornea. The disease is relatively common, infecting cattle only. Treatment is the use of either subconjunctival injection of a tetracycline, or topical application of cloxacillin, the former being more effective. The bacterium can be transmitted by flies, so fly control may be necessary on farms throughout the summer. Rupture of the eye is more serious, and requires immediate enucleation, though the procedure itself carries a good prognosis.

Roles in disease

References

Further reading