Bioterrorism Flashcards
What do laboratories manipulate organism to do in order for them to be bioterror agents?
Create resistance to antibiotics Inc resistance to host immunity Inc host range Adapt organism to dispersal by fine-particle aerosols Inc transmissibility by aerosol route
Category A agents
Bacillus anthracis (anthrax) Yersinia pestis (plague) Smallpox Clostridium botulinum toxin Francisella tularensis Hemorrhagic fever viruses
What is important about Bacillus anthracis that makes it such a good bioweapon?
Spore-forming
What are the natural hosts for Bacillus anthracis?
Herbivores
Likes the dirt
Which type of anthrax is most common naturally?
Cutaneous
What is the main marker of cutaneous anthrax?
Black eschar - necrotic ulcer
What is the most fatal version of anthrax?
Inhalation
What are the symptoms of inhalation anthrax?
Prodrome
Hemorrhagic mediastinal lymphadenitis, effusions
Widened mediastinum
No person-to-person transmission
What are the three anthrax toxins?
Protective antigen (binds to host enabling toxin to enter) Edema toxin (inc cAMP) Lethal factor (promotes cytokine secretion/inflammation, induces apoptosis)
What is the treatment and prevention for anthrax?
Penicillin, doxycycline, ciprofloxacin
What are some characteristics of Yersinia pestis?
Enterobacteriaceae
Gram negative
What are the virulence factors for Yersinia pestis?
LPS
Plaminogen activator - degrades fibrin
Antiphagocytic capsule
What are the clinical manifestations of Yersinia pestis?
Bubonic plague: lymph node swell, lymphadenopathy
Septisemic plague: bacteremia in the blood (100% death)
Pneumonic plague: organisms in lung from blood (100%)
What are the treatments for Yersinia pestis?
Streptomycin, tetracyclin and doxycycline
Which is the only form of the plague that is transmittable person-to-person?
Pneumonic