Airborne Diseases Flashcards
Streptococcus pyogenes (Virulence Factors)
M Protein
Exotoxins
Streptolysin S & O
Exotoxins (Streptococcus pyogenes)
- responsible for fever and symptoms of Toxic Shock Syndrome and Scarlet Fever
- certain strains carry a lysogenic bacteriophage that encodes streptococcal pyrogenic exotoxins
- these exotoxins act as superantigens
M Protein (Streptococcus pyogenes)
cross reactive antibodies cause Rheumatic Fever
Streptolysin S & O (Streptococcus pyogenes)
Cytolytic enzyme: lyse white blood cells, red blood cells, and platelets
Streptokinase (Streptococcus pyogenes)
Cytolytic enzyme: lyse blood clots to facilitate spread of S. pyogenes in tissues
Symptoms: Rheumatic Fever
Symptoms: inflammation of heart, joints, blood vessels, & subcutaneous tissues causing irregular heart rhythms & joint pain
Rheumatic Fever: Secondary disease to what bacteria?
Streptococcus pyogenes
Causes: Rheumatic Fever
Cause: S.pyogenes strains with cell surfaces antigens (M Protein) similar to heart valve and joint proteins
Antibodies directed at streptococcal antigens cross-react with the patients heart valve & joint proteins
Similar to autoimmune disease
Capsule (Streptococcus pyogenes Virulence factor)
Anti-phagocytic
Allows survival on surfaces
Made of hyaluronic acid
Virulence Factor: Rheumatic Fever
M Protein
Streptococcus pneumoniae diagnosis
- Culture of Bacteria
- detection of G+ diplococci in sputnum
Streptococcus pneumoniae - Role of capsule in virulence/pathogenesis
Capsule
- Determines different strains
- Increases invasiveness
- Prevents mucus entrapment
- Prevents certain types of phagocytosis
Bordetella pertussis: What stage is one most contagious?
Stage 1 - Catarrhal Stage - may last 1-2 weeks. low grade fever, mild, occasional cough
Bordetella pertussis: What is happening during coughing fits?
- a massive build up of mucus & white blood cells in the lungs.
- This blocks the airways preventing the patient from breathing.
Bordetella pertussis: In what age group is disease most severe?
Infants less than a year
- Lack of immunity
- Severe disease; almost always requires hospitalization
- Can be fatal
Bordetella pertussis: Why is the pertussis vaccine recommended for pregnant mothers in every pregnancy?
- Pregnant women: every pregnancy in third trimester
- Maternal antibodies are passed to fetus
- Antibodies are protective for roughly first 2 months of life
Bordetella pertussis: Pathogenesis
Fimbriae - allow attachment to ciliated respiratory epithelial cells
Toxins - allow the bacteria to hide from the immune system & cause damage to lung tissue.
Damage to Lung Tissue - present on lungs of recovered patients several weeks after the cough & bacteria have been cleared making the patient susceptible to secondary bacterial or viral infections
Mycobacterium tuberculosis: What is mycolic acid
what the cell wall is made up of. The M. tuberculosis is very lipid rich made up of mycolic acid.