020 How Bacteria cause Disease Flashcards

1
Q

Where is S.aureus normally found as a commensal organism?

A

Nose

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2
Q

Which pathogen is protein A mostly associated with and how does it evade the immune system?

A

S.aureus - It has an Fc receptor which binds with the Fc region on IgG, preventing the Fab region of IgG from binding to the organism.

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3
Q

What is coagulase and how may it help to evade immune system?

A

It allows bacteria to form biofilms that make it difficult for antibodies to penetrate.

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4
Q

What is the difference between a primary pathogen and an opportunistic infection?

A

Primary pathogens are able to breach host defences. Opportunistic pathogens require some underlying defect or alteration in host defences.

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5
Q

What are leukocydens and leukotoxins?

A

These directly damage phagocytes

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6
Q

What is an example of a polymicrobial infection?

A

Wet gangrene

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7
Q

Describe the pathogenesis of shiga toxin?

A

Shiga toxin causes bloody diarrhoea and haemolytic uraemic syndrome by destroying gut lining and endothelium.

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8
Q

Describe the pathogenesis of diptheria exotoxins?

A

Causes a halt in the elongation factor II, preventing protein synthesis and causing cell death (phage encoded). It leads to pharynx damage and axon damage etc.

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9
Q

Where is S.pneumoniae normally found as a commensal organism?

A

In the upper respiratory tract

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10
Q

What are super antigens with examples?

A

These antigens cause an exacerbated immune inflammatory response that could cause toxic shock syndrome etc. Respiratur burst increases oxygen free radicals. E.g. TSST and SE A-G.

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11
Q

Where is S.epidermis normally found as a commensal organism?

A

Epidermis skin

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12
Q

Describe the pathogenesis of tetanus toxins?

A

This blocks the ACh receptor, inhibiting neurons in the CNS and blocks the release of inhibitory transmitters. This causes paralysis of chest muscle.

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13
Q

What are endotoxins with examples?

A

Toxins on the cell membrane. In gram -ve, it is the lipid A moeity of LPS. In gram +ve, it is the lipotechoic acid.

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14
Q

What are exotoxins?

A

Toxins secreted outside by the cell

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15
Q

What is the difference between enteropathogenic E.coli and Enterotoxic E.coli?

A

Enteropathogenic E.coli is found on the brush border membrane. Enterotoxic E.coli have pili that adhere to mucosal epithelial cells and produce endotoxins.

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16
Q

Describe the different subunits of exotoxins with reference to diptheria and cholera?

A

Exotoxins have an alpha and beta subunit. Alpha is for the catalysis function. B subunit causes binding and the translocation of the alpha subunit into the host cell. Different toxins have different combinations of subunits. E.g. Diptheria AB, Cholera A + 5B

17
Q

What is B lactamase

A

This causes antibiotic resistance and toxic shock syndrome.

18
Q

What are some examples of primary pathogens?

A

S.pyogenes, N.gonorrhoea, M.tubercolosis, B.pertussis (whopping cough)