2 Intro to infectious Dis [3] Flashcards
2 leading causes of death from infectious diseases world wide
Pneumonia (8-10%, 10 mil/year)
Diarrhea (2 mil/year)
Age group preferentially affected by infectious disease syndromes
diarrheal disease is in the young and old
Identify the leading cause of morbidity and death with diarrhea
dehydration
- rehydration is mainstay of therapy
Species that cause Noninflammatory diarrhea
Norwalk virus rotavirus giardia lamblia cholera ETEC
Species that cause inflammatory diarrhea
c. jejuni shigella salmonella Ecoli 0157:H7 C. difficile E. histolytica
Inflammatory vs noninflammatory diarrhea
Inflammatory:
- increase temp, WBC, RBC, involves the COLON
NON-inflammatory: (watery)
- involes the SMALL BOWEL
Structure of cholera toxin
A:5B
A - active: secretes toxin into epi cells
B - binding: binds to epi cells
Signs of dehydration
decrease pulse low BP poor skin turgor sunken eyes decreased urine met acidosis hypoglycemia hypokalemia
Travelers diarrhea
Enterotoxigenic E. coli (ETEC)
Norovirus/Norwalk virus
family/community epidemics (winter) - like rota
transmitted thru: f-o, contamination, shellfish, and water
Older children and adults
(comes fast, goes away fast)