Anthrax and Plague Flashcards

1
Q

What is the anthrax organism called?

A

Bacillus anthracis

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2
Q

What is the other bacillus that causes disease?

A

bacillus cereus (food poisoning)

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3
Q

Virulence factors of bacillus anthracis:

A

Capsule - is a poly D-glutamic acid (an AA opposed to polysaccharide like usual)

Toxins - Edema Toxin and Lethal Toxin

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4
Q

What is the make up of edema toxin in bacillus anthracis?

A

edema toxin = EF + PA

edema factor: calmodulin-dependent bacterial adenylate cyclase (increases cAMP)

protective antigen: b-subunit and cell binding component. (anti-PA antibodies neutralize it)

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5
Q

What is the make up of lethal toxin in bacillus anthracis?

A

Lethal toxin = LF + PA

lethal factor: zinc-metaloprotease cleaves mitogen-activated protein kinase kinase (MAPKK) to inhibit MAPK pathway.

Protective Antigen: b-subunit and cell binding component. (anti-PA antibodies neutralize it)

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6
Q

Where do bacillus anthracis come from?

A

soil reservoir
herbivores infected
transmission to humans: animal contact, meat, hide/wool/etc.

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7
Q

Forms of anthrax disease

A

Cutaneous (malignant pustule) - most common in nature
Gastrointestinal - rare
Inhalational

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8
Q

Diagnosis of inhalational anthrax

A

CXR pathognomonic - widened mediastinum with pleural effusions, no infiltrates
Gram stain of blood shows broad Gram-positive rods.

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9
Q

Treatment of bioterrorist attack with anthrax

A

Ciprofloxacin or doxycycline for 60 days

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10
Q

What organism causes THE PLAGUE!

A

Yersinia pestis

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11
Q

Yersinia pestis characteristics

A

gram-negative rod

with Wayson staining, looks like blue safety pins

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12
Q

How is Yersinia pestis transmitted

A

FLEAS..little bastards

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