Chapter 15 (Microbial Mechanisms of Pathogenicity) Flashcards
All of the microbes that are associated with a certain organism or environment =
Microbiome
Microbes that come in contact with your body but can’t establish themselves there long-term; often include pathogens =
Transient Microbiota
The microbes that constantly live on one’s body =
Resident Microbiota
Cause disease in the host in almost every case =
Primary Pathogen
Can only cause disease in the host in certain situations =
Opportunistic Pathogen
What specific situations can an opportunistic pathogen affect you?
When your immune defense are weaker, if the host is introduced to a new environment, when bacteria that normally live in the mouth get into a cut in the gums and cause an infection
Condition where the normal structure/functions of the body are damaged/impaired =
Disease
How can diseases be classified?
Taxonomic Categories
The body system they effect
Their longevity + severity
How they are spread to their host
The effects they have on populations
Subjective characteristics of disease felt only by the PT =
Symptoms
Objective manifestations of disease observed or measured by others =
Signs
Infections lack symptoms but may still have signs of infection =
Asymptomatic or Subclinical
Symptoms develop rapidly; runs its course quickly =
Acute Disease
Usually has mild symptoms that develop slowly and last a long time =
Chronic Disease
Disease without symptoms =
Asymptomatic Disease
Disease that appears a long time after infection =
Latent Disease
Can be transferred to one another =
Communicable Disease
A communicable disease that is easily spread =
Contagious Disease
Disease that can’t be spread from person to person =
Noncommunicable Disease
Initial infection within a given PT =
Primary Infection
Infections that follow a primary infection; often opportunistic pathogens =
Secondary Infection
Many infectious diseases have how many stages following an infection?
5
What are the 5 stages following an infection?
Incubation Period, Prodromal Period, Illness, Decline, Convalescence
Can infectious diseases be contagious during any period of the five stages?
Yes, but it depends on the pathogen and the nature of the disease
Interval between initial infection and first signs and symptoms =
Incubation Period
Short period after incubation; early, mild symptoms =
Prodromal Periods
Disease is most severe =
Period of Illness
Signs and symptoms subside =
Period of decline
Body returns to its pre-diseased state =
Period of Convalescence
The manner of developing a disease =
Pathogenesis
What are the 5 steps of pathogenesis in order?
Exposure/Contact
Adhesion
Invasion
Infection
Transmission
Pathogen gains entry to the host =
Exposure/ Contact
Pathogen colonizes the host =
Adhesion
Pathogen evades/ overcomes host immune response =
Invasion
Pathogen spreads, multiplies + causes damages to the host =
Infection
Pathogens leave the original host to infect new susceptible host =
Transmission
Tiny, microscopic cuts =
Microabrasians
Microabrasians are considered what kind of route for pathogens to take?
A Parenteral Route
What do the mucous membranes line in the body?
The Respiratory Tract
GI Tract
Genitourinary Tract
Parenteral Routes for pathogens to take include-
Wounds, Insect Bites, Animal Bites, and Needle Pricks
Breaches in the protective barriers of the skin + mucous membranes =
Parenteral Routes
Outer covering of mucous membranes =
Epithelium
Are epithelial cells alive?
Yes
Shedding of dead skin removes-
Microbes
What’s below epithelium to kill pathogens?
Immune Cells
How many layers of epithelium?
2
Can be a routes of exposure for a fetus =
Placenta or Vaginal Birth
Ability of a pathogen to attach to cells in the body =
Adhesion
What do pathogens use to attach to cells in the body?
Adhesion Factors
Microbial Structures that are Important for adhesion =
Virulence Factors
Virulence Factors include:
Adhesins
Viral Spikes
Glycocalyces
A type of infection that’s restricted to a confined area; usually near portal of entry =
Local
Infection that spreads to a secondary location =
Focal
An infection that spreads throughout the body =
Systemic
What’s an example of a portal of exit?
Bodily Fluids
Avirulent =
Not Harmful
Almost always disease-causing =
Highly Virulent
Can an organism that isn’t very virulent still cause a disease?
Yes, but symptoms may be small or person may be asymptomatic
Tendency of a pathogen to cause damage/disease to a host =
Virulence
Adhesion factors, Exoenzymes, Toxins =
Virulence Factors
Extracellular enzymes that get released by a pathogen =
Extracellular Enzymesm
Mutant Species of pathogen that doesn’t secrete Exoenzymes =
Avirulent
Examples of Exoenzymes:
Hyaluronidase + Collagenase
Collagenase breaks down -
Collagen
Is collagen a major structural protein in the body?
Yup
Hyaluranan =
The “glue” that holds animal cells together
Hyaluronidase breaks down=
Hyaluronidase
A single-cell layer of some blood vessels =
Endothelium
Collagen is a part of-
Connective Tissue + The Endothelium
What are the two types of bacterial toxins?
Exotoxins & Endotoxins
Exotoxins are produced where and why?
Inside the bacterial cell to be released outside of the cell
How many types of exotoxins?
3
Generally kill host cells or affect their function =
Cytotoxins
Specifically interfere with nerve cell function =
Neurotoxins
Affect cells lining the GI tract =
Enterotoxins
What are the 3 types of exotoxins?
Cytotoxins
Neurotoxins
Enterotoxins
Chemicals that harm tissues / trigger host immune responses causing damage =
Toxins
Toxins that have 2 distinct parts =
A-B Toxins
The outer-membrane of Gram-Negative bacteria contains-
Lipopolysaccharides (LPS)
The toxic part of LPS =
Lipid A
Lipid A stimulates the body to release chemicals that cause-
Fever, inflammation, diarrhea, hemorrhaging, shock + blood coagulation
Released from dead bacteria =
Lipid A
Any microbial infection of the blood that produces illness (bacteria are present + multiplying in the blood) =
Septicemia
Presence of bacteria in the blood =
Bacteremia
Release of bacterial toxins into the blood =
Toxemia
Viruses in the blood =
Viremia
Fungi, generally yeast, in the blood =
Fungemia
Infection + inflammation of the lymphatic vessels =
Lymphangitis
Blood is usually Axenic, which means-
Germ-Free