Chapter 23 - Microbial Diseases of the Digestive System Flashcards
*Dental Caries
pathogen
Streptococcus mutans
*Periodontal disease
pathogen
porphyromonas gingivalis
-proteases break down gingival tissue
Dental Caries
signs + symptoms
appear as holes or pits in the teeth
Periodontal disease
signs + symptoms
swollen, tender, bright red, or bleeding gums
Dental caries, Gingivitis, + Periodontal Disease
- most adults have experienced dental caries
- diets high in sucrose increase the risk of decay
*Peptic Ulcer
pathogen
Helicobacter pylori
*Peptic Ulcer
virulence factors
1 flagella (burrows thru stomach lining) 2 adhesins (attcmt to gastric cells) 3 urease (neutrlz stomach acid) 4 toxins (damage gastric mucosa)
*Peptic Ulcer
epidemiology
- fecal-oral transmission
- stress may worsen ulcer sympt
Peptic Ulcer
D T P
D-xray to find ulcers; presence of H.pylori in clinical specimens
T-antimicrobials + drugs that inhibit stomach acid
P-avoidance of fecal-oral transm
Bacterial Gastroenteritis: campylobacter diarrhea
pathogen
campylobacter jejuni
*most common cause of diarrhea that send ppl to DR
Bacterial Gastroenteritis: campylobacter diarrhea
virulence factors
VF cause bleeding lesions + inflammation
-adhesin, cytotoxin, + endotoxin
Bacterial Gastroenteritis: antimicrobial associated diarrhea
pathogen
clostridium difficile
*Bacterial Gastroenteritis: antimicrobial associated diarrhea
epidemiology
- clos. difficile is part of normal human intestinal microbiota that can caus life-threatening disease
- any antimicrobial treatment can trigger infection
*Bacterial Gastroenteritis: antimicrobial associated diarrhea
virulence factors
- produces 2 toxins (mediates inflammation + pseudomembrane formation)
- multiple antibiotic resistance
- endospore-forming
Bacterial Gastroenteritis: antimicrobial associated diarrhea
D T *P
D-presence of bacterial toxins in stool
T-treat w antimicrobials
*P-avoid unnecessary antimicrobials
*pseudomembranous colitis
lesions that occurs in severe cases of antimicrobial associated diarrhea (fr c.difficile)
*Bacterial Food Poisoning
aka 4 hr food poisoning
pathogen
Staphylococcus aureus
*Bacterial Food Poisoning
aka 4 hr food poisoning
signs + symptoms
nausea, vomit, diarrhea, cramp
*Bacterial Food Poisoning
aka 4 hr food poisoning
VF
5 enterotoxins
-released in food, no taste change
*Bacterial Food Poisoning
aka 4 hr food poisoning
epidemiology
- outbreaks assoc. w social functions
- happens in 4 hrs from when toxin is ingested
Bacterial Food Poisoning
aka 4 hr food poisoning
D T P
D-signs+symp
T-fluid + electrolytes
P-proper hygiene
*Mumps
signs, sympt, + prevention
painful swelling of salivary glands (parotid glands)
-prevented w MMR
*Viral Gastroenteritis
pathogen
-rotavirus
Viral Gastroenteritis
signs + symptoms
nausea, vomit, diarrhea, cramp
Viral Gastroenteritis
epidemiology
occurs more in winter
Viral Gastroenteritis
D T P
D-serological test
T-fluid+electrolyte
P-vaccine
*Viral Hepatitis
pathogens
5 types
1 hep A virus [HAV] 2 hep B virus [HBV] 3 hep C virus [HCV] 4 hep delta virus [HDV] 5 hep E virus [HEV]
*Viral Hepatitis
signs + sympt
jaundice, ab pain, fatigue, vomiting, appetite loss
- symptoms may occur years after initial infection
- host immune response causes much of liver damage