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[Microbiology](https://durgical.com/en/microbiology/) · [Bacteria](https://durgical.com/en/microbiology/#d-bacteria)

# Other Gram-negative rods

- Bacteria

Curved rods, coccobacilli and non-fermenters: H. pylori, Vibrio, Pseudomonas, Haemophilus, Bordetella, Legionella and the zoonoses.

Updated 2026-11-01

## What they are

A working group of Gram-negative rods that are not Enterobacterales. It holds the curved gut rods (Vibrio, Campylobacter, Helicobacter), the hospital non-fermenters (Pseudomonas, Acinetobacter), the respiratory coccobacilli (Haemophilus, Bordetella, Legionella) and the zoonotic bacteria (Bartonella, Brucella, Francisella). Gram-variable Gardnerella sits here for its role in vaginosis.

## What they share

- Most are oxidase-positive (Vibrio, Campylobacter, Helicobacter, Pseudomonas)
- Several need special media: chocolate agar with factors X and V (Haemophilus), BCYE (Legionella), Bordet-Gengou or Regan-Lowe (Bordetella), TCBS (Vibrio)
- The zoonoses strike people who work with animals or animal products
- Pseudomonas and Acinetobacter: multidrug-resistant in intensive care units

## Key points

- Urea in the breath or biopsy: Helicobacter pylori makes urease.
- TCBS agar with yellow colonies: Vibrio cholerae.
- Haemophilus needs factor X (hemin) and factor V (NAD).
- Legionella: urinary antigen, BCYE agar, pneumonia with hyponatremia.
- Pseudomonas: oxidase-positive, green pigment, grape-like smell.

## Microorganisms in this group

- [**Helicobacter pylori** A bacterium that lives in the stomach, usually from childhood. It causes gastritis and ulcers and raises the risk of stomach cancer. Exam priority: high](https://durgical.com/en/microbiology/helicobacter-pylori/)
- [**Vibrio cholerae** A bacterium in contaminated water that causes cholera: watery diarrhea so heavy it can kill by dehydration within hours. Exam priority: high](https://durgical.com/en/microbiology/vibrio-cholerae/)
- [**Campylobacter jejuni** A bacterium from undercooked chicken that causes diarrhea, often bloody; rarely it is followed by paralysis (Guillain-Barré). Exam priority: medium](https://durgical.com/en/microbiology/campylobacter-jejuni/)
- [**Pseudomonas aeruginosa** A water and soil bacterium that attacks hospital, burn and cystic fibrosis patients, and resists many antibiotics. Exam priority: medium](https://durgical.com/en/microbiology/pseudomonas-aeruginosa/)
- [**Acinetobacter baumannii** An intensive care unit bacterium that survives on dry surfaces and resists nearly every antibiotic. Exam priority: medium](https://durgical.com/en/microbiology/acinetobacter-baumannii/)
- [**Haemophilus influenzae** A throat bacterium. Type b caused meningitis and epiglottitis in children before the vaccine; capsule-free strains cause ear and sinus infections. Exam priority: medium](https://durgical.com/en/microbiology/haemophilus-influenzae/)
- [**Bordetella pertussis** The whooping cough bacterium: coughing fits that last weeks. In babies under one year it can cause apnea and death. Exam priority: medium](https://durgical.com/en/microbiology/bordetella-pertussis/)
- [**Legionella pneumophila** A bacterium in water from cooling towers, showers and hot tubs. Inhaled, it causes severe pneumonia (Legionnaires' disease) or a mild fever. Exam priority: medium](https://durgical.com/en/microbiology/legionella-pneumophila/)
- [**Bartonella** Bacteria carried by cats, sand flies and lice. B. henselae causes cat scratch disease; B. bacilliformis causes Andean Carrión disease. Exam priority: medium](https://durgical.com/en/microbiology/bartonella/)
- [**Brucella** Livestock bacteria that reach people through unpasteurized milk or cheese or contact with animals: a fever that comes and goes. For completeness](https://durgical.com/en/microbiology/brucella/)
- [**Francisella tularensis** A bacterium of rabbits, hares and rodents spread by ticks, deer flies, contact or air; it causes tularemia and is very infectious in the lab. For completeness](https://durgical.com/en/microbiology/francisella-tularensis/)
- [**Gardnerella vaginalis** A bacterium that overgrows when vaginal lactobacilli are lost and causes bacterial vaginosis: gray discharge with a fishy smell. For completeness](https://durgical.com/en/microbiology/gardnerella-vaginalis/)

## Test yourself

Think of the answer, then tap the question to see it.

## Which curved Gram-negative rods are oxidase-positive and cause diarrhea or gastritis?

Vibrio, Campylobacter and Helicobacter.

## Which growth factors does Haemophilus influenzae need?

Factor X (hemin) and factor V (NAD), both supplied by chocolate agar.

## On which medium does Legionella grow?

Buffered charcoal yeast extract (BCYE) agar with cysteine and iron.

## Which Gram-negative non-fermenter is a classic cause of ventilator-associated pneumonia?

Pseudomonas aeruginosa (Acinetobacter baumannii as well).

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Educational content on microorganisms; not a treatment guide and no substitute for a health professional's advice. No doses are given.

Sources: [About Pseudomonas aeruginosa](https://www.cdc.gov/pseudomonas-aeruginosa/about/index.html) (CDC, 2025); [Chapter 8: Haemophilus influenzae](https://www.cdc.gov/pinkbook/hcp/table-of-contents/chapter-8-haemophilus-influenzae.html) (CDC, 2024); [Cholera](https://www.who.int/news-room/fact-sheets/detail/cholera) (WHO, 2026).

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Representative model, for educational purposes only.

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