Chapter 10 - cardiovascular and nervous system diseases Flashcards
Bactermia
Presence of bacteira in the blood
Septicemia
multiplication of bacteria in blood
Osteomyelitis
Occurs if bacteria invade the bones
Lymphangitis
Infection and inflammation of the lymphatic vessels
Petechiae
Small hemorrhagic lesion
Toxemia
release of bacterial toxins into the blood
What are damaging affects caused by endotoxins?(name all 5)
Fever
DAmage to blood vessels, decreasing BP
Disseminated intravascular coagulation
inflammation
shock
Endocarditis
- Pathogen: Normal microbiota (Viridans streptococci in 50% of cases).
- Signs and Symptoms: Fever, fatigue, malaise, difficulty breathing, tachycardia, vegetations.
- Pathogenesis/Epidemiology/Transmission: Often has an obvious source of infection. Patients with abnormal hearts are at higher risk. Emboli from vegetations can block blood vessels.
Tularemia
- Pathogen: Francisella tularensis.
- Signs and Symptoms: Skin lesions, swollen, tender lymph nodes, lymphangitis. Symptoms last months/years; fatal in ~1-5%.
- Pathogenesis/Epidemiology/Transmission: Zoonotic; transmitted by biting insects or direct contact. Can enter unbroken skin/mucous membranes.
Plague
- Pathogen: Yersinia pestis.
- Signs and Symptoms:
- Bubonic: Enlarged lymph buboes.
- Pneumonic: Lung involvement via inhalation or bacterium spreading to the lungs.
- Systemic: Circulates in blood, causing necrosis.
- Pathogenesis/Epidemiology/Transmission: Zoonotic; transmitted via fleas or infected animals.
- Complications: Untreated mortality: 50% (bubonic), 100% (pneumonic/systemic); treated mortality: 50%.
Lyme disease
- Pathogen: Borrelia burgdorferi.
- Signs and Symptoms:
- Early localized: Bull’s-eye rash, headache.
- Early-disseminated: Severe headache, facial paralysis, arthritis, carditis.
- Late Stage: Chronic inflammation, severe arthritis, meningitis, encephalitis.
- Pathogenesis/Epidemiology/Transmission: Zoonotic; vector = deer ticks. Spirochetes move through blood/lymph, evading the immune system via antigenic variation.
What are vegetations of endocarditis called when released unto the blood?
Emboli
Through which portal of entry is B. Burgodorgeri most virulent? Why?
Biting arthropods. Because it only takes 10 bites to infect
What 3 events have contributed to an increase in lyme disease in North America
- movement of human populations into woodland areas
- Protection of the deer population
- Coyotes have displaced the foxes that help control the mouse population
Difference between bubonic and Pneumonic Plague
Pneumonic can be transmitted person to person while bubonic can only be transmitted from flea to human
A swollen inflamed lymph node is known as a
bubo
Infectious Mononucleosis
- Pathogen: Epstein-Barr virus (HHV-4).
- Signs and Symptoms: Sore throat, fever, fatigue, splenomegaly.
- Pathogenesis/Epidemiology/Transmission: Transmitted via saliva. Causes immortal infected B-cells and suppresses apoptosis.
Yellow Fever
- Pathogen: Flavivirus genus.
- Signs and Symptoms:
- Early: Slight fever, headache, muscle aches.
- Severe: Jaundice, black vomit, hemorrhaging.
- Pathogenesis/Epidemiology/Transmission: Transmitted via Aedes mosquitoes. Targets liver and causes rapid replication.
Dengue fever
- Pathogen: Dengue viruses (1-4).
- Signs and Symptoms:
- Phase 1: Fever, severe pain (backbone fever).
- Phase 2: Rash.
- Pathogenesis/Epidemiology/Transmission: Transmitted by Aedes mosquitoes. Reinfection causes dengue hemorrhagic fever due to hyperimmune response.
African Hemorrhagic Fever
- Pathogen: Ebolavirus (90% fatal), Marburgvirus (25% fatal).
- Signs and Symptoms: Severe hemorrhaging, bleeding from orifices, shock, seizures, kidney failure.
- Pathogenesis/Epidemiology/Transmission: Contact with infected host’s fluids.
How does the age of the infected indivdual play a role in the development of Epstein-Barr virus(HHV-4) infections, such as infectious mononucleosis?
the symptoms create a “war” between Humoral divisions and immune system.
The younger a person is, the less mature their cellular immune system is, thus creating a win for humoral everytime
Def: Oral Hairy Leukopenia
occurs in those with severely depressed immunity, e.g., AIDS
Burkett’s lymphoma
suppressed immunity due to maleria(affects african boys)
Infectious mononucleosis
with mature immune system, this infection creates a very strong immune response