SystemWise Microbiology

High-yield organisms grouped by organ system. Use it before you start a system, and again when you revise it.

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USMLE Vault — SystemWise Microbiology. Cardiovascular column added 2026-08-01. Column headers link to the per-system organism lists; the method behind them is in Microbiology by System.
Microbiology Cardiovascular GIT MSK Dermat Respiratory Renal Reproduction CNS Immunology
Bacteria

Endocarditis

  • Staphylococcus aureus — acute, IV drug use, tricuspid
  • Viridans group streptococci — subacute, after dental work
  • Staphylococcus epidermidis — prosthetic valves
  • Enterococcus — after GI/GU procedures
  • Streptococcus gallolyticus — look for colon cancer

Myocarditis / other

  • Streptococcus pyogenes — Group A, rheumatic fever
  • Corynebacterium diphtheriae — diphtheritic myocarditis
  • Borrelia burgdorferi — Lyme carditis, AV block
  • Treponema pallidum — syphilitic aortitis

Watery diarrhoea

  • Vibrio cholerae
  • Enterotoxigenic E. coli (ETEC)
  • Staphylococcus aureus
  • Clostridium perfringens
  • Bacillus cereus

Bloody diarrhoea

  • Shigella species
  • Enterohaemorrhagic E. coli (EHEC)
  • Enteroinvasive E. coli (EIEC)
  • Salmonella — especially non-typhoidal
  • Campylobacter jejuni
  • Yersinia enterocolitica
  • Clostridioides difficile

Stomach

  • Helicobacter pylori — gastritis, peptic ulcer, MALT lymphoma

Foodborne toxin

  • Clostridium botulinum — ingested toxin; the illness itself is neuroparalytic (see CNS)
  • Gonococci
  • Borrelia
  • Staphylococcus
  • Salmonella
  • Staphylococcus
  • Streptococcus
  • Streptococcus pneumoniae
  • Haemophilus influenzae
  • Mycobacterium tuberculosis
  • Bordetella pertussis
  • Staphylococcus aureus — including MRSA
  • Legionella pneumophila
  • Escherichia coli
  • Staphylococcus saprophyticus
  • Proteus mirabilis
  • Klebsiella pneumoniae
  • Enterococcus species
  • Pseudomonas aeruginosa
  • Serratia marcescens
  • Streptococcus agalactiae — Group B
  • Neisseria gonorrhoeae — gonorrhoea, PID
  • Chlamydia trachomatis — D–K: urethritis, PID; L1–L3: LGV
  • Treponema pallidum — syphilis
  • Haemophilus ducreyi — chancroid
  • Gardnerella vaginalis — bacterial vaginosis
  • Escherichia coli — UTIs
  • Streptococcus agalactiae — Group B, neonatal
  • Neisseria meningitidis
  • Streptococcus pneumoniae
  • Haemophilus influenzae type B
  • Listeria monocytogenes
  • Group B Streptococcus — S. agalactiae
  • Escherichia coli — K1 strain
  • Mycobacterium tuberculosis
  • Treponema pallidum — neurosyphilis
  • Borrelia burgdorferi — neuroborreliosis, Lyme
  • Clostridium botulinum
  • Clostridium tetani

Antibody defects & asplenia — encapsulated

  • Streptococcus pneumoniae — the classic: sepsis, meningitis, otitis
  • Haemophilus influenzae type B — no capsular antibody, no protection
  • Neisseria meningitidis — encapsulated — sepsis and meningitis
  • Klebsiella pneumoniae — encapsulated
  • Streptococcus agalactiae — Group B — encapsulated
  • Salmonella — encapsulated; osteomyelitis in sickle cell
  • Pseudomonas aeruginosa — encapsulated

Complement defects — C5–C9 / MAC

  • Neisseria meningitidis — recurrent meningococcaemia — the defining clue
  • Neisseria gonorrhoeae — disseminated gonococcal infection

Phagocyte defects — CGD, LAD, Chédiak-Higashi

  • Staphylococcus aureus — catalase-positive — abscesses, poor pus
  • Burkholderia cepacia — catalase-positive
  • Serratia marcescens — catalase-positive
  • Nocardia — catalase-positive

T-cell defects

  • Mycobacterium avium complex — disseminated when CD4 is very low
Viruses
  • Coxsackievirus B — commonest viral myocarditis
  • Echovirus — myocarditis, pericarditis
  • Adenovirus — myocarditis in children
  • Parvovirus B19 — myocarditis
  • HIV — dilated cardiomyopathy
  • Norovirus
  • Rotavirus
  • Adenovirus
  • Cytomegalovirus — especially immunocompromised
  • Herpes simplex virus — especially immunocompromised

Hepatitis

  • Hepatitis A virus (HAV) — faeco-oral, acute only
  • Hepatitis B virus (HBV) — sexual/perinatal; can become chronic
  • Parvovirus
  • Rubella
  • HSV
  • VZV
  • HPV
  • Molluscum contagiosum
  • HHV-6
  • Influenza virus
  • Respiratory syncytial virus (RSV)
  • Adenovirus
  • BK virus
  • Human papillomavirus (HPV)
  • Herpes simplex virus — HSV-2 > HSV-1, genital herpes
  • Human immunodeficiency virus (HIV) — opportunistic infections
  • Cytomegalovirus (CMV) — congenital, immunosuppressed
  • Hepatitis B virus (HBV) — sexual, perinatal
  • Herpes simplex virus — HSV-1, HSV-2
  • Varicella-zoster virus (VZV)
  • Cytomegalovirus (CMV)
  • Epstein-Barr virus (EBV)
  • Human herpesvirus 6 (HHV-6) — roseola, encephalitis
  • Rabies virus
  • Enteroviruses — poliovirus, coxsackievirus, echovirus
  • Mumps virus
  • Measles virus — SSPE
  • West Nile virus
  • JC virus — PML

T-cell defects — DiGeorge, SCID, HIV

  • Cytomegalovirus (CMV) — retinitis, colitis, pneumonitis
  • Epstein–Barr virus (EBV) — lymphoproliferative disease
  • Varicella-zoster virus (VZV) — disseminated, not dermatomal
  • Herpes simplex virus (HSV) — severe, persistent, recurrent

Severe T-cell defects

  • JC virus — progressive multifocal leukoencephalopathy

Antibody defects

  • Enteroviruses — echovirus, poliovirus — chronic meningoencephalitis in Bruton's
Parasites
  • Trypanosoma cruzi — Chagas: dilated cardiomyopathy, megacolon
  • Taenia solium — cysticercosis, rarely myocardium
  • Giardia lamblia
  • Cryptosporidium parvum
  • Entamoeba histolytica

  • Strongyloides stercoralis — respiratory symptoms in disseminated infection
  • Schistosoma haematobium
  • Trichomonas vaginalis — trichomoniasis
  • Toxoplasma gondii — toxoplasmosis
  • Naegleria fowleri — primary amoebic meningoencephalitis
  • Acanthamoeba species — granulomatous amoebic encephalitis
  • Trypanosoma brucei — African sleeping sickness
  • Taenia solium — neurocysticercosis

T-cell defects

  • Toxoplasma gondii — ring-enhancing brain lesions
  • Cryptosporidium — chronic watery diarrhoea

IgA deficiency

  • Giardia lamblia — no secretory IgA on the gut surface
Fungi
  • Candida species — endocarditis in IV drug use, prosthetic valves
  • Aspergillus species — endocarditis in immunocompromised

  • Coccidioides

  • Pneumocystis jirovecii — especially immunocompromised
  • Aspergillus species — invasive aspergillosis
  • Histoplasma capsulatum
  • Coccidioides immitis
  • Blastomyces dermatitidis
  • Candida species
  • Candida albicans — vulvovaginal candidiasis, balanitis
  • Cryptococcus neoformans
  • Coccidioides immitis
  • Histoplasma capsulatum
  • Blastomyces dermatitidis

T-cell defects

  • Candida albicans — thrush, oesophagitis — mucocutaneous
  • Pneumocystis jirovecii — pneumonia below CD4 200
  • Cryptococcus neoformans — meningitis

Phagocyte defects — CGD

  • Aspergillus — invasive
  • Candida albicans — catalase-positive — invasive here, not mucosal