Bacterial Pathogenesis Flashcards
Infectious and parasitic diseases are a leading cause of (balnK) worldwide
death (57,029,000 deaths)
(blank) are colonized with bacteria and other microbes (microbiome, microbiota, or microbial flora)
humans
Bacteria outnumber human cells (blank-fold)
3
T or F 100 trillion bacterial cells 3 pounds in weight 3 pints in volume 50 bacterial genes for every human gene
T
T or F
there are thousands of bacterial species though only a small number can be cultures
T
What kind of relationships does the human microbiome mostly have?
mutualistic and commensal relationships (over parasitic)
What is the human microbiome composed of?
bacteria, viruses, fungi, and protozoa
What all does the human microbiome do?
facilitates nutrient acquisition
educates innate defenses and stimulates both innate and adaptive immunity
help to maintain epithelial boundary function and integrity
provides colonization resistance against pathogens
What are some conditions associated with the human biome?
psoriasis
obesiry
inflammatory bowel disease
colorectal carcinoma
THe human genome encodes for about (blank) carbohydrate digesting enzymes
20
the intestinal tract bacteriume (blank) has around 260.
bacteroides thetaitaomicron
Micribiome promotes (blank). Give me an example of this:
adaptation
a gene found in the ocean digests seaweeds, most humans dont have this gene, people in japan who eat alot of seaweed do because the bacteria that had that gene incorporated itself into the human genome
(blank) infections result in about 300 deaths per day in the USA.
C. diff (clostridium difficile)
What is the first-line therapy for CDI (C. diff infections)?
2 week oral antiobiotics (ie. vanocmyocin)
relapsing infections are common in C. diff due to what?
resistance of spores to antibiotic therapy and the damaging effects of antibiotics on the gut microbiome
What has recently starting gaining traction and has a 95% success rate at curing C. diff?
fecal micrbiota transplant
How do fecal transplants work?
homogenize donor stool and place in Gi tract during colonoscopy, via fecal enemas, or via nasal tube
T or F
the diversity and abundance of different bacterial species vary from person to person
True, exposure to different microbes or environments alters the microbiome
T or F
The diversity and abundance of different bacteria species vary over time in a single person
True, microbiome is constantly changing over time
T or F
H. pylori dramatically alters the diversity of the stomach microbiome
True. H pylori infection decreases the number and abundance of other bacterial species.
T or F variation in the gut micriobiome can affect susceptibility to C. difficile infection.
True, the microbiome has a major role in protecting against C. difficle and many other infections
T or F
three year old identical twins have identica skin microbiomes.
false, no two individuals microbiomes are identical
What is this:
time between the moment the person is expose to the microbe (or toxin) and the appearance of symptoms (note info is an important diagnostic clue).
incubation period
What is this:
time during which nonspecific symptoms occur
prodrome period
What is this:
time during which specific clinical signs and symptoms occur
disease period
What is this:
time during which symptoms resolve and health is restored
recovery period
Describe the stages of infection
incubation period prodromal period illness decline convalescence
after the recovery period in the stages of infection what can happen?
some people can become chronic carriers of the organism and in others latent infections develop
T or F
some people have subclinical infections during which they remain asymptomatic; the presence of antibodies reveals that a prior infection has occured
T
What are the 2 modes of transmission of microbes?
human to human
nonhuman to human
What are some nonhuman sources?
animals, soil, water and food
How can animal to human transmission occur?
either by direct contact with the animal or indirectly via a vector
Human diseases for which animals are the reservoir are calld (blank) and the pathogens are called (blank)
zoonoses
zoonotic pathogens
The main “portals of entry” into the body are the (blank) (blank) (blank) and (blank)
respiratory tract
GI tract
skin
urogenital tract
(blank) is any object capable of carrying infectious organisms
fomite
How is gonorrhea passed?
via direct contact
How is cholera passed?
no direct contact- through fecal-oral transmission (excreted in human feces, then ingested in food or water)
How is congenital syphilis transmitted?
transplacental
bacteria cross the placenta and infects the fetus
How does coagulase-negative staphylococci transmit?
blood-borne
contaiminated blood products for transfusion
How is tetanus transmitted?
soil source (trauma) (spores in soil enter wound in skin)
How is legionnaires disease transmited?
through water sources (bacteria in water aerosol are inhaled into lungs)
How is cat-scratch fever transmitted?
directly from an animal
bacteria enter in cat scratch
How is lyme disease transmitted?
via insect vector (tick bite)
How is hemolytic-uremic syndrome cause by enterohemorrhagic escherichia coli transmitted?
via animal excreta (bacteria in cattle feces are injected in undercooked hamburger)
How is staphylococcal skin infection transmitted?
via fomites (bacteria on an object... i.e a towel are transferred to the skin) ****think about wrestlers and wrestling mats)
How big of a dose of virbio cholerae will it take to cause disease in a human?
10 to the 8th
How big of a dose of virbio cholerae with bicarbonate will it take to cause disease in a human?
10 the the 4th
How big of a dose of salmonella typhi will it take to cause disease in a human?
10 to the 5th
How big of a dose of shigella will it take to cause disease in a human?
10 to the 2nd
How big of a dose of bacillus anthracis via inhalation will it take to cause disease in a human?
10 to the 4th
How big of a dose of mycobacterium TB will it take to cause disease in a human?
1-10
What does a bacterial pathogen need to be succesful?
Colonize
immune evasion
reproduce
disseminate
What is this:
enter a human host and become established
colonize
what is this:
avoid innate or adaptive immune defenses
immune evasion
What is this:
acquire nutrients and replicate
reproduce
What is this:
exit host and be transmitted to a new host
disseminate
What do you call this:
host and pathogen usually strike a balance that allows survival of both
pathogen virulence vs. host immunity
T or F
Death of the host is an unusual event
T
What is this:
process whereby microbes attach to host cells or tissues
adherence
What is this:
asymptomatic harboring of microbes on or in the body commensals as well as pathogens
colonization
What is this:
epithelial barrier breached; some host damage caused by a microbe; can be subclinical
infection
What is this:
tissue destruction with specific signs and symptoms
disease
What is this:
a microbe with the inherent capability of causing infection and disease in a host with an intact immune system.
pathogen
What is this:
microbe that usually causes disease only in immunocompromised hosts
opportunistic pathogen
What is this:
the ability of a microorganism to produce infection and disease in a host
pathogenicity
What is this:
term that provides a quantitative measure of pathogenicity, or the likelihood of causing disease
virulence
What is this:
gene products that enable a microbe to establish itself on or in a host (e.g. exotoxins)
virulence factors
What virulence level is this:
Escherichia coli is universally found in the colon, but if displaced to adjacent tissues or the urinary bladder it can cause acute infections.
moderate virulence
What virulence level is this:
Yersinia pestis, the cause of plague, is also highly infectious, but in addition leads to death in a few days in over 70% of untreated cases.
extremely high virulence
What virulence level is this:
Bordetella pertussis, the cause of whooping cough, is not found in the normal flora, but if encountered it is highly infectious and causes disease in almost every nonimmune person it contacts.
high virulence
What virulence level is this:
Streptococcus salivarius is universally present in the oropharyngeal flora of humans. On rare occasions it can cause septicemia in immunocompromised individuals.
low virulence
Salmonella food poisoning causes a bloody diarrhea (blank) after ingestion of contaminated foods.
16 hours to 2 days
Shigella food poisoning causes a bloody diarrhea (blank) after ingestion of contaminated foods.
12 hours to 6 days
S. aureus, a frequent skin colonizer, can contaminate food during preparation and secrete heat-stable enterotoxins. The toxins enter the blood and affect the vomiting control center of the brain, inducing vomiting (blank) following ingestion.
1 to 6 hours
C. jejuni causes a diarrheal illness (blank) after ingestion.
2 to 5 days
Enterotoxigenic E. Coli causes a diarrheal illness (blank) following ingestion
6 to 48 hours
What bacterial virulence factor promotes attachment of bacteria to host cells or tissues
adhesins
What bacterial virulence factor prevents phagocytosis?
surface capsules or “slime layers” (aka glycocalyx)