Bacterial URTI Flashcards
URTIs are caused mostly by ______
viruses
URTIs are Self-limiting in immunocompetent
T/F
T
Bacteria that cause URTI
List 4
• S. pyogenes
C diphtheriae
B. pertussis
H. influenzae
Streptococcal URTI
Causes _______ and _____
Pharyngitis and tonsillitis
Streptococcal URTI
Sequelae
__________ and __________ about _______ after throat infection
Acute rheumatic fever and rheumatic heart disease
1 – 4 weeks
Pharyngitis
• Inflammation of the mucous membranes of the _______ (Strept throat)
•______________
•______ while swallowing
oropharynx
Sore throat
Pain
Tonsillitis
• Fever - 38C • coughing.
• ____ache. • _____ache.
•______ swollen,
•________ lymph nodes
head; ear
Tonsils
Inflamed neck
S. pyogenes
______-haemolytic
Colonises the ____,_____,______,_______
Cause ______ and ________
Beta
mouth, throat, URT, vaginal tract
pharyngitis and tonsillitis
S. pyogenes
The most important virulence factors are the _______ and ______
Presence of ________
It produces other factors ( ______ and _______ substances)
M protein; capsule
Lipotechoic acid
toxins and extra cellular
S. pyogenes
produces other factors (toxins and extra cellular substances)
Eg
____________(_______)
________ ——-toxins
____________
Streptolysins (O and S)
Pyrogenic exo
Hyaluronidase
Lab detection of S.Pyogenes
Relevant specimen = ________
Gram stain morphology – Gram _____ (cocci or bacillus?)
throat swab
positive
Cocci
Lab detection of S.Pyogenes
Culture media –
______agar
——- agar
_________ agar
blood; chocolate; crystal violet blood
Lab detection of S.Pyogenes
Lancefield grouping
•classifies Streptococci based on the ____________ on the cell wall
group carbohydrate antigens
Lab detection of S.Pyogenes
Lancefield grouping
Group _____
A
Lab detection of S.Pyogenes
Bacitracin
Sensitive or Resistant
Sensitive