Chapter 24 Flashcards
GI Tract Defenses: Oral cavity
lysozyme, saliva, tonsils, normal flora, Secretory IgA
GI Tract Defenses: Stomach
low pH, mucus
GI Tract Defenses: Intestines
bile, GALT, normal flora, peristalsis
GI Tract Diseases
-Tooth and gum infections
-Mixed infections of the gums
-Gastric ulcers
-Acute Infectious Diarrhea
-Acute diarrhea with vomiting
-Hepatitis
What can cause tooth and gum infections?
Streptococcus mutans
Bacterial causes of diarrhea include
-Salmonella
-Shigella
-Shiga-toxin producing E. coli
◦E. coli O157 H7
-Campylobacter (C. jejuni)
-Cholera (Vibrio cholerae)
Human carrier (and reservoir) of Salmonella typhi
Typhoid Mary
Infect domestic animals
Salmonella enterica serovars
Eggs and contaminated meat
Salmonella enterica serovars
One of the most prevalent
causes of food-borne
illnesses
Salmonella enterica serovars
Transmission dose as few as
10 organisms
Salmonella enterica serovars
Attachment is key virulence
factor
Salmonella enterica serovars
Gram negative bacillus and it’s classification based on serology and phage susceptibility assays
Salmonella enterica serovars
Invades intestinal epithelial cells (Motility, LPS, fimbriae)
Salmonellosis
Symptoms: Nausea, cramps, diarrhea
Recovery: a few days but may
shed organism for 6 months
Salmonellosis
40,000 cases annually in US, 1 million cases suspected annually
Salmonellosis
Exclusively a human parasite that infects the large intestine
Shigella
Called “Dysentery”
Shigella
Exotoxin (shiga-toxin) affects
intestine, inhibiting protein
synthesis
Shigella
Mostly a bovine intestinal commensal that infects the large and small intestine
E.coli 0157H7
Exotoxin (shiga-toxin) produced like
Shigella, affects intestine and kidneys
E.coli 0157H7
Causes Hemolytic uremic syndrome (HUS)
E.coli 0157H7
Small curved Gram negative rod
Campylobacter jejuni
Lives in large intestine of birds mostly chickens and mammals
Campylobacter jejuni
Fecal contamination of water and foods
Campylobacter jejuni
Leading bacterial cause of human gastroenteritis in the world and USA (2.4 million U.S. cases/year)
Campylobacteriosis
Caused by undercooked poultry, shellfish, unpasteurized dairy products,
contaminated water
Campylobacteriosis
Causes watery to bloody diarrhea
Campylobacteriosis
1.Adhesion
2.Invasion
3.Treated with antibiotics
Campylobacteriosis
Causes Cholera and secretes Cholera toxin (CT) – A-B toxin
Vibrio cholerae
Bacteria never enter host cells
Vibrio cholerae
Causes heavy loss of fluid “rice-water stool” and untreated cases can be fatal
Vibrio cholerae
Enterotoxins made by bacteria in
inappropriately stored food can cause
acute diarrhea with vomiting
Bacillus cereus often comes from
Rice
Clostridium perfringens often comes from
Meats
Staphylococcus aureus often comes from
meats, salads
Protozoan parasite
Giardia lamblia
Cysts survive in environment (Insensitive to chlorine)
Giardia lamblia
Contaminated water source of infection
Giardia lamblia
Shed by wild animals into water supply as well as by infected humans
Giardiasis
- G. lamblia attaches to human intestinal wall
- Diarrhea lasting weeks
- Treated with anti-parasitic drugs
Giardiasis
First identified in 1976
Cryptosporidium
Contamination via fecal-oral route (Also in contaminated water)
Cryptosporidium
1993 outbreak in Milwaukee, WI (Largest waterborne illness outbreak in US history)
Cryptosporidium
Responsible for most childhood morbidity and mortality from diarrhea
Rotavirus
Fecal – oral route of infection
Rotavirus
Babies lacking maternal antibodies are at risk
Rotavirus
Unique morphological appearance, vaccine (MLV) now available
Rotavirus
Commonly referred to as “Norwalk virus”
Norovirus
Highly infectious, fecal- oral route
Norovirus
The cause of almost all acute diarrhea
outbreaks in adults (90%). Recent “famous” outbreaks on cruise ships.
Norovirus
Hepatitis A
Fecal / Oral
Hepatitis B
Blood borne & STD
Hepatitis C
Blood Borne (And other?)
Hepatitis E
Fecal / Oral
Hepatitis is a
Viral infection
Signs: Infection and inflammation of the liver cells, Jaundice of the skin
Hepatitis
Noninfectious conditions can cause
Hepatitis