Bacteria, fungi and yeast of skin (part 1) Flashcards

1
Q

What are the chemical and mechanical defenses of the skin?

A
  • mechanical - keratinocytes, keratin layer, continuous renewal
  • chemical - antimicrobial compounds, resident microflora
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2
Q

What is the role of TLRs?

A
  • recognise specific compunds
  • activation of TLRs, production of chemokines, attracts immune cells - starts the cascade
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3
Q

What does the innate immune system recognise?

A
  • PAMPs: pathogen associated molecular patterns
    • peptidoglycan fragments (bacteria)
    • proteins (bacteria)
    • nucleic acids (viruses and bacteria)
    • cell wall lipids (gram negative bacteria)
    • carbs (fungi, bacteria)
  • DAMPs: damage associated molecular patterns
    • stress-induced proteins (heat shock proteins)
    • nuclear proteins
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4
Q

What are some of the normal microbiota of the skin?

A
  • staphylococcus
    • s. epidermidis
    • s. aureus
  • micrococcus
  • diptheroids
  • malassezia furfur

all of these stop other bacteria colonising

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5
Q

Name some diseases associated with skin infections?

A
  • pruritis (itchy)
  • alopecia
  • scaling/ crusts
  • pyoderma (pustules, superficial or deep)
  • erosions, ulcers, pigment disorders, nodules and tumours, sinus tracts
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6
Q

What types of infection can bacteria produce? (2)

A
  • superficial infections
    • surface pyodermas and superficial folliculitis
  • deep infections
    • furunculosis and nodules/ sinus tracts
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7
Q

What are the aetiologies of pruritus?

A
  • allergy
    • atopy
    • fleas
    • arthropods
    • food
    • contacts
  • infectious agents
    • staphylococci
    • other bacteria
    • malassezia
    • dermatophytes
  • ectoparasites
    • sarcoptes
    • cheyletiella
    • demodicosis
    • lice
    • trombicula
  • others
    • neoplasia
    • immune mediated
    • contact dermatitis
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8
Q

How does alopecia occur?

A
  • bacteria colonise/ infect hair follicle
  • infection triggers innate and adaptive immune responses
    • folliculitis
    • damage to hair shafts
    • atrophy
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9
Q

What is this showing? and what are the different coloured dots?

A
  • folliculitis/ sinus formation
  • red/ yellow = bacteria
  • blue = immune cells
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10
Q

What is pyoderma caused by?

A
  • commonyl caused by staphylococci/ streptococci
    • cats, dogs - S. pseudintermedius
    • horse, cattle, sheep - S. aureus
  • also Group A strepococci
  • pasteurella
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11
Q

What are the types of pyoderma?

A
  • superficial
    • coagulase + staphylococci
    • pasteurella. streptococci
    • exudative dermatitis: staphylococcus hyicus, dermatophilus congolenis
  • deep (damage)
    • subcutaneous abscess
    • cellulitis
    • necrotising fascitis (rare) < streptococcus canis
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12
Q

How does a pustule form?

A
  • bacteria start growing
  • influx of neutrophils
  • neutrophils and dead bacteria form the pustule at the surface
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13
Q

Label

A
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14
Q

What condition does this dog have?

A
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15
Q

What is this an example of?

A
  • deep pyoderma
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16
Q

What are the characteristics of Staphylococci?

A
  • aerobic/ facultative anaerobic
  • gram positive
  • catalase positive
17
Q

What are 2 subtypes of Staphylococci?

A
  • coagulase-negatuce (CoNS, CNS): S.epidermidis
    • commensal on skin, opportunisitic pathogen
  • coagulase-positive: S.pseudintermedius, S.intermedius, S.aureus
18
Q

How do you test for MRSA and MRSP?

A
  • MRSA- cefoxitin
  • MRSP- oxacillin (false negative with cefoxitin)
19
Q
A
20
Q

What are some virulence factors?

A
  • cell wall polymers - peptidoglycan, techoic acid
  • adhesins - Ig-binding
  • toxins - enterotoxin
  • lysins
  • coagulase
  • DNase
21
Q

Describe Strept A

A
  • GAS
  • G+ve, catalase +ve, oxidase +ve, beta haemolytic
  • Strep pyogenes
  • pathology due to release of toxins and aggressins
    • streptolysin - S + O
    • streptokinase - fibrinolysin
    • hyalurinonidase - disrupts tissue connectivity
    • exotoxins
    • eyrogenic toxin
    • DNases
22
Q
A