bacteria2 Flashcards
organisms most responsible for URT (sinusitis and otitis media)
Strep pneumoniae, Staph aureus, Haemophilius influenzae, Moraxella catarrhalis
most common cause of bacterial meningitis (except in elderly and children)
Strep pneumoniae
primary inflammatory response blocks these…resulting in secondary overgrowth of colonizing bacteria
sinus ostia or eustachian tube
organisms that can cause invasive disease, bacteremia, systemic disease, meningitis from URT (*all have capsule*)
Strep pneumonia, Neisseria meningitidis, H. influenzae B, E. coli
what Neisseria meningitidis patients normally die from
DIC
most common organisms for neonates causing URT/meningitis
E coli, group B strep
most common organisms for adolescents/young adults causing URT/meningitis
N. meningitidis
most common organisms for people across all ages causing URT/meningitis
Strep pneumoniae
key to pathogenesis in organisms that cause URT/meningitis
encapsulation
must have these to fight deep invasion of encapsulated organisms into tissue
antibodies and complement
capsule for Pneumococcus
PspC
capsule for N. meningitidis
LPS
capsule for N. gonorrhea
LOS
capsule for H. influenzae type B
LPS
URT caused by Strep pneumoniae
sinusitis and otitis media
LRT caused by strep pneumoniae
lobar pneumonia
most common cause of community-acquired pneumonia
Strep pneumoniae
virulence factors for Strep pneumoniae
PspC capsule, pneumolysin, pspA (inhibits complement)
these cause secondary asthma due to sinus infection
inflammatory mediators
nutritional requirement for Neisseria
iron
gram stain and metabolism for Neisseria
negative; aerobic or facultative anaerobe
incubation period for Neisseria meningitidis
less than 1 week
where is petechial rash located in N. meningitidis induced DIC/shock (caused by microhemorrhages in capillaries)
extremities and ear lobes
these occur in vessles that causes ischemic necrosis in limbs of N. meningitidis DIC/shock
microthrombi
patients lose adrenal function due to clot/bleeding into adrenal glands in DIC of N. meningitidis
Waterhouse-Friderichsen syndrome
virulence factor for N. gonorrhea…evades mucosal immunity
IgA protease
window of susceptibility for invasive H influenzae (due to being unable to make good protective Ab response to carbohydrate antigens)….solve this problem with VACCINE
3 mo-3 years
3rd most common cause of secondary bacterial infections (sinusitis and otitis media)…gram-neg, present in normal flora
Moraxella catarrhalis
gram stain and metabolism of Bordetella pertussis
negative, aerobic
vaccine to Bordetella is against this….causes local ciliary paralysis w/ secondary inflammation
exotoxin
causes necrotic, coagulative exudate and formation of pseudomembran
Corynebacterium diphtheria
most common cause of death related to Cornyebacterium diphtheria
cardiac failure