BACTERIAL VIRULENCE Flashcards

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1
Q

Examples of virulence factors:

A
  1. Capsule
  2. Protein A
  3. IgA protease
  4. M protein
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2
Q

Found in the cell wall of S. aureus, inhibits phagocytosis by binding Fc portion of IgG; also inhibits compliment

A

Protein A

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3
Q

Enzymes that cleave IgA, allows colonization of mucosal surfaces

A

IgA protease

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4
Q

The following microorganisms produce IgA protease:

A
  1. S. pneumoniae
  2. H. influenzae
  3. Neisseria gonorrhoeae
  4. Neisseria meningitidis

Mnemonic: SHiNeNe

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5
Q

Found as a surface molecule of group A streptococcus, prevents phagocytosis:

A

M protein

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6
Q

How does M protein cause RHD/Rheumatic fever?

A

When a person is infected with group A strep which has the M protein, the body produces antibodies against the M protein, eventually eliminating the disease. While the antigens are gone, the antibodies against the M protein are still present, and these antibodies can go against TISSUE antigens (Tissue antigens have an M protein-like structure) which will then cause Rheumatic fever.

If the antibodies attack the tissue antigens in the heart valves, it will then cause Rheumatic Heart Disease (RHD).

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7
Q

A toxin found only in gram-negative (-) bacteria; component of outer membrane; Released only when bacteria die (not secreted); HEAT RESISTANT

A

Endotoxin

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8
Q

Proteins synthesized and secreted by some bacteria; produced by some gram (+) and some gram (-) bacteria.

A

Exotoxin

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9
Q

Bacteria with exotoxin are HEAT-SENSITIVE except:

A

Staphylococcus enterotoxin (heat-resistant exotoxin producing bacteria)

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10
Q

Common effect of endotoxin:

A

Lowers Blood pressure - causes SHOCK (septic shock)

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11
Q

Has an endotoxin activity; Like LPS but with some structural differences (lacks O-antigen)

A

Lipooligosaccharide

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12
Q

Lipooligosaccharide is found on:

A

Non-enteric gram negatives; Neisseria meningitidis is most important example

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13
Q

An organism that has the Diptheria toxin

A

Corynebacterium diphtheriae

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14
Q

Exotoxin A is present in what microorganism?

A

Pseudomonas aeruginosa

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15
Q

Most common cause of nosocomial infection”

A

Pseudomonas aeruoginosa

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16
Q

Shiga toxin which cause shigellosis is present in:

A

ShigellaSHi

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17
Q

Shiga-like toxin is present in:

A

Enterohemorrhagic E. coli. (EHEC)

18
Q

EHEC typically causes:

A
  • “Bloody diarrhea”
  • Can also cause hemolytic uremic syndrome (HUS) when toxin reaches systemic circulation
19
Q

Classic serotype of EHEC

A

E. coli O157:H7

20
Q

The causative agent of “Traveler’s diarrhea” and “Watery diarrhea”

A

Enterotoxigenic E. coli (ETEC)

21
Q

Anthrax makes three (3) proteins. What are these proteins?

A
  1. protective antigen (PA)
  2. lethal factor (LF)
  3. edema factor (EF)
22
Q

Edema toxin is a combination of _____ and _____ anthrax proteins:

A

Protective antigen (PA) + Edema factor (EF)

23
Q

Lethal toxin is a combination of _____ and _____ anthrax proteins:

A

Protective antigen (PA) + Lethal factor (LF)

24
Q

Three types of anthrax diseases:

A
  1. Skin (most common) - Cutaneous anthrax
  2. Lungs (inhalation –> necrotizing pneumonia) - Inhalational anthrax
  3. GI (ulcers) - Gastrointestinal anthrax
25
Q

Most lethal anthrax disease:

A

Inhalational anthrax

26
Q

Organism that causes voluminous “rice-water” diarrhea

A

Vibrio cholerae

27
Q

Causes whooping cough disease:

A

Bordetella pertussis

28
Q

Exotoxin present in Clostridium tetani:

A

Tetanospasmin

29
Q

Organism that causes spastic muscle paralysis

A

Clostridium tetani

30
Q

Exotoxin present in Clostridium perfringens

A

Alpha toxin

31
Q

Organism that causes Gas gangrene:

A

Clostridium perfringens

32
Q

Organism that causes flaccid paralysis:

A

Clostridium botulinum

33
Q

Botulism in infants are caused by:

A

contaminated honey

34
Q

Botulism in adults are commonly caused by:

A

contaminated/expired canned goods

35
Q

Exotoxin present in Streptococcus pyogenes (group A strep):

A

Streptolysin O (SLO)

36
Q

Between SLO and SLS, which of them cannot cause the production of antibodies:

A

SLS (Streptolysin S)

  • SLO causes production of ASO (Anti-streptolysin O)
37
Q

Oxygen lablile streptolysin:
Oxygen stable streptolysin:

A

Oxygen labile: SLO (Streptolysin O)
Oxygen stable: SLS (Streptolysin S)

38
Q

Antigenic streptolysin antigen:

A

SLO (Streptolysin O)

39
Q

Activate a MASSIVE number of T-cells

A

Superantigens

40
Q

Superantigen present in S. aureus:

A

Toxic shock syndrome toxin (TSST-1)

41
Q

Superantigen present in S. pyogenes (group A strep)

A

Pyrogenic exotoxin A or C