Chapter 20 - Microbial Diseases of the Nervous System and Eyes Flashcards

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1
Q

axenic

A

sterile

ex) CNS, uterus

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2
Q

pathogen entry to CNS

A
  • breaks in bones/meninges
  • med procedures
  • travel in peripheral neurons to CNS (rabies)
  • infect + kill cells of the meninges causing meningitis
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3
Q

Bacterial Meningitis

signs + symptoms

A
  • sudden high fever + severe meningitis inflammation
  • encephalitis can result in behavioral changes, coma, death
  • develops rapidly
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4
Q

5 species that cause 90% Bacterial Meningitis

A
1 streptococcus pneumoniae
2 neisseria meningitidis
3 haemophilus influenzae
4 listeria monocytogenes[foodborne]*
5 streptococcus agalactiae

*all are encapsulated + airborne (air droplets)

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5
Q

Top 3 Bacterial Meningitis

A

1 streptococcus pneumoniae
2 neisseria meningitidis
3 haemophilus influenzae

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6
Q

*streptococcus pneumoniae

A

-top 3 cause of bacterial meningitis
[G+, diplococci]
*-present in throat of 75% of humans
-meningitis in v young + v old

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7
Q

*neisseria meningitidis

A

-top 3 cause of bacterial meningitis
[G-, diplococci]
*-epidemic meningitis in college freshman

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8
Q

haemophilus influenzae

A

-top 3 cause of bacterial meningitis

[G-, pleomorphic rods]

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9
Q

*listeria monocytogenes

A

-cause bacterial meningitis
[G+, rods]
*-foodborne [uncooked meat/vege, unpasteurized milk]

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10
Q

*streptococcus agalactiae

A

-cause bacterial meningitis
[G+, cocci]
*-acquired during birth [group B strep]
*-leading cause of meningitis in newborns

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11
Q

meningococca meningitis can become ___demic

A

EPIDEMIC

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12
Q

bacterial meningitis

diagnosis

A
  • based on symptoms

- culturing of bacteria fr CSF

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13
Q

*bacterial meningitis

treatment + *prevention

A

T-treated w IV antimicrobial drugs

P*-vaccines available for s.pneumoniae, h. influenzae type B, + n. meningitidis
*-individuals at risk for listeriosis should avoid HIGH RISK FOODS

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14
Q

*3 forms of Botulism

A

1 Foodborne
2 Infant (most common in USA)
3 Wound botulism

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15
Q

*Botulism

pathogen + virulence factors

A

Clodstridium botulinum

-different strains produce one of seven neurotoxins

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16
Q

*Botulism

epidemiology

A

~50 cases of foodborne + wound botulism per year in USA

*infant botulism is most common form in USA

17
Q

Botulism

treatment + prevention

A

3 approaches to treatment:
1 washing of intestinal tract to remove clostridium
2 administer antibodies
3 treatment w antimicrobial drugs

-prevented by destroying endospores in contaminated food

18
Q

*Tetanus vs Botulism

signs + symptoms

A

tetanus = lockjaw, spasms, + contractions

botulism = flaccid muscles

19
Q

*Tetanus

pathogen + virulence factors

A
  • Clostridium tetani

* VF-spored grow in deep wound + vegetative cells produce TETANOSPASMIN

20
Q

*Tetanospasmin

A

neurotoxin produced by Clostridium tetani spore

-blocks release of inhibitory neurotransmitters at neuromuscular junctions

21
Q

Polyomyelitis

signs + symptoms,
pathogenesis, transmission

A

S+S*-90% of cases are asymptomatic infections

T*-by drinking contaminated water
*-has a successful vaccine

22
Q

*paralytic polio

A

least common type of polio

-less than 1% are paralytic polio

23
Q

*Viral Meningitis

diagnosis

A

diagnosed by characteristics signs +symptoms IN THE ABSENCE OF BACTERIA IN CSF

sudden high fever + severe meningeal inflammation

*similar to bacterial meningitis but no bacteria

24
Q

*Rabies

pathogenesis

A

-transmitted via bite or scratch fr infected animal
-virus replicates in muscle cells
+then moves into neurons
+reaches brain via neurons

25
Q

*Rabies

treatment

A

1 Human Rabies Immunoglobin [passive immunization]
2 vaccine injections
[active immunication]
3 cleansing infection site

26
Q

*Rabies

prevention

A

prevented by controlling rabies in domestic animals

27
Q

Prion

A

infectious protein

28
Q

*Spongiform encephalopathies

A
  • caused by prions
  • leaves brain full of holes (sponge)
  • -humans contract by EATING MEAT FR INFECTED CATTLE