Chapter 19: Infectious Diseases Affecting the Respiratory System Flashcards
Respiratory Defenses
- first line defenses
- nasal hairs
- cilia (the ciliary escalator)
- mucus
- second line defenses
- macrophages
- third line defenses
- pathogen-specific secretory IgA
Immunoglobulin A (IgA, also referred to as sIgA)
- an antibody that plays a critical role in mucosal immunity in mucous secretions,
- including tears, saliva, colostrum and secretions from the genitourinary tract, gastrointestinal tract, prostate and respiratory epithelium!!
Which structure in the respiratory system is attached to the alveoli?
A.Epiglottis
B.Larynx
C.Bronchiole
D.Sinus
C. Bronchiole
Normal Biota of the respiratory tract
- Gram-positive bacteria are common in the normal biota
- streptococci
- staphylococci
Which bacterium is commonly found in the normal biota of the upper respiratory tract?
A.Pseudomonas aeruginosa
B.Escherichia coli
C.Staphylococcus aureus
D.Candida albicans
C. Staphylococcus aureus
Pharyngitis signs and symptoms
- inflammation of the throat
- reddened and/or swollen mucosa
- swollen tonsils
- foul-smelling breath
- white packets visible on the walls of the throat (streptococcal disease)
Causative agents of Pharyngitis
- most often caused by common cold viruses
-
Fusobacterium necrophorum
- gram negative bacteria- lemierre syndrome/sore throat
- Streptococcus pyogenes (Group A, or GAS)
Fusobacterium necrophorum
- opportunistic
- endotoxin, leukotoxin (virulence factors)
- growth on anaerobic agar (diagnosis)
- hygiene practices (prevention)
- penicillin, cefuroxime
- Common in adolescents and young adults, Infections spread to cardio-vascular system or deeper tissues
Rhinitis
- sneezing and runny nose
- scratchy throat
- low fever in kids
- over 200 different viruses
Sinusitis
- infection of sinus:
- various viruses, bacteria, fungi
- broad-spectrum antibiotics and antifungal
Acute Otitis Media
- Infection of middle ear
- Streptococcus pneumoniae, Haemophilus influenzae
- Vaccine
- Prevent by wait and watch
Diptheria’s Causative Agent
-
Corynebacterium diphtheriae
- non-spore-forming, gram-positive, club-shaped
Transmission of Diptheria
- droplet contact
- direct contact
- fomites
Virulence factor of Diptheria
Diptheria exotoxin (duh)
Diptheria culture/diagnosis
Tellurite medium (gray/black colonies)
Prevention of Diptheria
Diptheria toxoid vaccine