Bacterial Neurotoxins - Kozel Flashcards

1
Q

Clostridium spp. are gram (pos/neg)

A

positive

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2
Q

Clostridium spp. are (aerobic/anaerobic)

A

anaerobic

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3
Q

Clostridium spp. able to form….

A

spores

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4
Q

Where are the clostridium spp. found?

A

soil, water, and sewage

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5
Q

T/F: Clostridium is part of the normal flora of the GI tract of man and animals

A

true

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6
Q

What is the tetanus toxoid?

A

A-B toxin as a single peptide

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7
Q

How does the tetanus toxoid make it in to the CNS?

A

retrograde axonal transport to the CNS

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8
Q

Which is the light and which is the heavy chain in the tetanus toxin?

A

A is light

B is heavy

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9
Q

Which chain from the tetanus toxoid binds to ganglioside (aka sialic acid) receptors?

A

B chain

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10
Q

the (blank) chain of tetanus is an endopeptidase

A

A chain

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11
Q

What is the function of the A chain of tetanus toxoid/

A

inactivates proteins that regulate release of inhibitory neurotransmitters, aka GABA

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12
Q

Tetanus results in (flaccid/spastic) paralysis

A

spastic via unregulated synaptic activity of motor neurons

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13
Q

What factors favor germination of tetanus spores in a wound?

A

necrotic tissue and poor blood supply?

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14
Q

Da fuck is Risus Sardonicus?

A

lockjaw; most common form of tetanus

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15
Q

The (autonomic/somatic) nervous system is affected in advanced tetanus

A

autonomic

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16
Q

neonatal tetanus results from infection of the….

A

umbilical stump

17
Q

how do you Dx tetanus?

A

clinical signs and history of injury

18
Q

Can you culture tetanus?

A

hard to grow; most cultures are negative

19
Q

What is in the tetanus vaccine?

A

toxoid of the tetanus toxin

20
Q

How do you treat tetanus?

A

debridement of wound

metronidazole

21
Q

T/F: there is a tetanus antitoxin

A

true; used to neutralize free toxin

22
Q

What supportive care do you give for tetanus until synaptic function returns?

A

maintain airway

Benzos to prevent spasms

23
Q

T/F: Both tetanus and botulism have a single peptide AB toxin

24
Q

How does botulism penetrate the CNS?

A

absorbed from gut and carried via blood stream to peripheral nerve synapses

25
The (a/B) chain of botulism toxin binds to the sialic acid receptor on motor neurons
B chain
26
Which botulism toxin is released inside the endosome?
A chain
27
What is the A chain of botulinum toxin?
protease that inactivates proteins that regulates the release of ACh for excitatory synapses
28
Botulism produces (flaccid/spastic) paralysis
flaccid
29
Botox is serotype (A/B) botulinum toxin
serotype A
30
What are the signs of foodborne botulism?
weakness, dizziness, flaccid paralysis
31
What is the cause of death in foodborne botulism?
respiratory paralysis
32
What is the cause of infant botulism?
in vivo colonization of GI tract of infants
33
How do you Dx botulism?
demonstrate toxin in food or patient serum or feces | Can isolate bacteria but this is RARELY done
34
Infant botulism is associated with the consumption of contaminated....
honey!!! that's why you don't give honey to kids youngers <1year
35
What is the most common form of botulism in the US?
infant botulism
36
T/F: there is a botulism anitoxin
true