Chapter 21 Microbial diseases of skin Flashcards
what type of organism causes folliculitis?
bacteria; Staphylococcus aureus
what causes S. aureus to infect to cause folliculitis?
enters through a natural opening in the skin (hair follicle)
what 4 things can folliculitis appear on the skin as?
pimples
sty
furuncle
carbuncle
what is a sty?
infected follicle of an eyelash
what is a furuncle?
(boil) abscess, localized region of pus surrounded by inflamed tissue
hard to treat with antibiotics (they do not penetrate well into abscesses)
what is a carbuncle?
very deep, hard round deep inflammation of tissue under skin
produces fever
more severe than furuncle
what type of organism causes impetigo?
bacteria; Staphylococcus aureus and also Streptococcus pyogenes
what is the difference between non-bullous impetigo and bullous impetigo?
non-bullous: most common form/ occurs mostly in children/ mild form
bullous: “scalded skin syndrome” release 2 toxins = more severe
what is a vesicle?
small fluid-filled lesions
when does a vesicle become a bullae?
when it becomes larger than 1 cm in diameter
what are macules?
flat lesions
what are papules? pustules?
raised lesions
pustules contain pus
Which Gram + bacterium causes inflammatory acne?
Propionibacterium acnes
what are comedos?
whiteheads
what are comedones?
blackheads
what is a virulence factor?
anything that makes an organism more harmful to the host
- protection against sunlight
- surface proteins allowing for host attachment
- contains coagulase
- produce toxins
- secrete protein blocking chemotaxis of neutrophils
- resistant to opsonization
- super antigens
What are the names of the toxins that cause scalded skin syndrome?
Exfoliative toxin A (localized)
Exfoliative toxin B (distant)
Which two bacteria cause impetigo?
Staphylococcus aureus
Streptococcus pyogenes
How does TSST-1 affect the body?
Toxic shock syndrome;
due to toxins, it is life-threatening
- fever
- vomiting
- sunburn-like rash
- organ failure
Which organic acid produced by fermenting bacteria causes inflammation in the skin?
Propionibacterium acnes metabolizes sebum, eats glycerol and leaves fatty acids behind causing inflammatory acne
Which type of acne is the most severe?
Nodular cystic acne
What is the basis for subdividing Streptococcus into smaller divisions - specifically Greek letters?
Gets broken down into Greek letter groups based on whether it can:
- slightly lyse RBCs with hemolysin toxins (alpha-hemolytic)
- fully lyse RBCs with hemolysin (beta-hemolytic)
-don’t use hemolysin (gamma-hemolytic)