Bacillus Anthracis Flashcards

1
Q

What is septicemia?

A

Blood poisoning due to a large number of bacteria entering the bloodstream which should be sterile

Septicemia can lead to severe systemic infections and requires immediate medical attention.

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2
Q

Define zoonotic disease.

A

A pathogenic disease that has passed from non-human to humans

Zoonotic diseases can affect both animals and humans, often requiring public health interventions.

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3
Q

What does quiescence refer to?

A

A state of reversible dormancy or latency

Quiescence allows microorganisms to survive in unfavorable conditions.

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4
Q

What are haemorrhagic plural or peritoneal effusions?

A

Accumulation of bloody fluid in the pleural cavity or swelling in the abdomen caused by a build-up of fluid

These conditions can indicate serious underlying health issues.

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5
Q

Differentiate between polyclonal and monoclonal antitoxin antibodies.

A

Polyclonal antibodies are produced by multiple immune cells and bind to many epitopes; monoclonal antibodies are produced by identical immune cells and bind to specific epitopes

This distinction is crucial for therapeutic applications and diagnostics.

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6
Q

What is a phagosome?

A

Phagosomes play a key role in the immune response by engulfing pathogens, forming a vesicle around it to destroy in phagocytosis

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7
Q

Describe the phenotypic characteristics of Bacillus anthracis.

A

Gram positive, facultative anaerobe, rod shaped, poly D glutamic acid capsule, forms single spore

These characteristics help in identifying B. anthracis in laboratory settings.

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8
Q

What are the three principal forms of human anthrax?

A

Cutaneous, inhalational (respiratory disease- leading to septicaemia), ingestion (oropharyngitis or gastro enteritis)

Each form presents different clinical manifestations and requires specific diagnostic and treatment approaches.

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9
Q

What are the virulence plasmids expressed by Bacillus anthracis?

A

Two virulence plasmids: pOX1 (encoding Lethal Factor and Oedema Factor with Protective Antigen) and pOX2 (encodes the capsule operon capBCADE)

These plasmids are crucial for the pathogenicity of B. anthracis.

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10
Q

How is suspected cutaneous anthrax diagnosed?

A

Sampling of suspect skin, confirm by laboratory testing:

Blood or bodily fluid can be stained staining polychrome methylene blue

Colonial morphology - white to cream colonies non haemolytic and non motile, penicillin & gamma phage sensitive on blood or nutrient agar.

Laboratory confirmation is essential to distinguish anthrax from other skin infections.

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11
Q

Which genes are targeted when using PCR to confirm B. anthracis?

A

Sequences targeting Lethal Factor and Protective Antigen genes on pXO1

These targets provide specificity for diagnosing anthrax.

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12
Q

What is the primary treatment for systemic infections caused by B. anthracis?

A

Antibiotics, typically doxycycline, ciprofloxacin, and penicillin

Early administration of antibiotics is critical for effective treatment.

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13
Q

Which type of antimicrobials are least effective against B. anthracis strains?

A

Poor sensitivity to extended spectrum cephalosporin and trimethoprim-potentiated sulphonamides

Understanding antimicrobial resistance patterns is important for effective treatment planning.

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14
Q

What are the virulence factors elicited by Bacillus anthracis?

A

PA complexes on host cell membrane allowing LF & EF to bind after endocytosis. The LF and EF are taken into the cytosol of the cell using PA.

LF is a zinc metalloproteinase which acts to suppress immune functions including phagocytosis.

EF is an adenylyl cyclase which again supresses immune cells functions.

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15
Q

Fill in the blank: The capsule of Bacillus anthracis inhibits _______.

A

Phagocytosis

This ability to evade immune response contributes to the virulence of the bacteria.

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16
Q

What is the cutaneous anthrax treatment?

A

Cutaneous anthrax : oral ciprofloxacin, doxycycline (patient over 12YOA) or amoxicillin (if strain is susceptible) (NICE guidelines).

17
Q

What is the treatment of inhalation or gastro-intestinal anthrax?

A

Inhalation or gastro-intestinal anthrax should be treated initially with either ciprofloxacin or, doxycycline (>12YOA) and combined with 1 or 2 other antibacterials.

18
Q

What is the host range of Bacillus anthracis

A

Most warm blooded species, mainly herbivores. Carnivores and birds are generally resistant

19
Q

What is the transmission of B.Anthracis

A

Via spores primarily. In endemic areas of Africa & S.E Asia cases are associated with livestock.
Direct transmission between humans is rare.

20
Q

How does infection relate to pathogenesis

A

Cuts, or lesions to skin or mucosa could allow spore entry

Inhaled spores reach the thoracic lymph nodes

Spores display rapid germination & production of toxins in suitable environments (phagosome)

21
Q

The epidemiology of B.Anthracis

A

Vegetative cells ~inactive within 4 days however spores have long survival rates.
Enzootic in many areas

22
Q

How to prevent this bacteria?

A

Livestock management improvement, via vaccination, controls such as quarantine
Antibiotic prophylaxis

23
Q

Who is at risk?

A

Humans working in anthrax-enzootic areas
Injection Related Anthrax: IV drug users