Cutaneous Microbiology and Immunology Flashcards

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1
Q

what are antimicrobial peptides important for

A
  • innate immune mediators of skin
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2
Q

gram-positive bacteria predominate where on the skin

A
  • dry areas
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3
Q

gram-negative bacterial predominate where on the skin

A
  • moist areas
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4
Q

most bacteria are the in the superficial layers of the stratum ______ and in the upper parts of the ______-

A
  • stratum corneum

- upper parts of hair follicles

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5
Q

what is the main aerobic bacterial resident of the skin

A
  • staph epidermidis
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6
Q

what organisms colonizes normal skin in the nose, perineum, and vulva

A
  • S. aureus
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7
Q

what organism is common on the skin of patients with atopic dermatitis

how does it occur?

A
  • S. aureus
  • reduce antimicrobial peptides
  • chronic inflam allows bacterial and viral infection
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8
Q

what are G+, aerotolerant anaerobes prevalent in areas with sebaceous glands

A
  • P. acnes (Propionibacterium spp.)

also known as Cutibacterium acnes

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9
Q

why are beta-hemolytic streptococci not common on normal skin

A
  • inhibited by lipid
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10
Q

what is a cause of impetigo in kids

A
  • group A strep
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11
Q

what are common inhabitants of the mouth that may rarely spread to the skin

A
  • alpha hemolytic streptococci

S. viridians and S. pneumonia

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12
Q

fungi are found where

A
  • under nails
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13
Q

what do keratinocytes have on them that allow them to contribute as an innate immune player

A
  • toll like receptors (TLRs)
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14
Q

what do keratinocytes secrete that allow them to contribute as an innate immune player

A
  • cytokines

- chemokine

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15
Q

what is the role of beta defenses and LL37

A

they are AMPs (Antimicrobial peptides)

  • makes resistance difficult
  • pokes holes in the membrane in irregular pattern
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16
Q

how does S. epidermis educate CD8+ T cells

A
  • dendritic cells sample S. epidermiditis antigens
  • present to CD8+ T cells
  • induce IL17
  • keratinocytes enhance barrier function and limit pathogen invasion
17
Q

dysregulated innate immune responses in the skin result in what

A
  • chronic cutaneous inflammation
18
Q

more diverse skin flora correlate with _________

A
  • disease remission
19
Q

what do staphylococcus aureus and streptococcus pyogenes produce

A
  • superantigens

- toxic shock toxins

20
Q

how superantigen works

A
  • binds outside of antigen specific pocket

- massive polyclonal expansion of T cells and “cytokine storm”

21
Q

what does the exfoliative toxin of S. aureus cause

A
  • scalded skin syndrome
22
Q

role of S. aureus exotoxins

A
  • cleave desmoglein causing intraepidermal splitting
23
Q

how is S. aureus resistant to antimicrobial peptides

A
  • binding and cleavage

- surface alteration mechanisms

24
Q

superficial infections of dermatophytes are called

A
  • ringworm

- tinea

25
Q

fungal virulence factors include

A
  • keratinases
  • proteases
  • lipases
26
Q

predisposing factors for candida

A
  • antibiotics
  • steroid therapy
  • diabetes and obesity
27
Q

candida causes invasive, systemic infections in ___________ patients

A
  • immunocompromised
28
Q

which are the enveloped RNA viruses

A
  • measles

- rubella

29
Q

what are the noneveloped RNA viruses

A
  • parvovirus B19
30
Q

what does parvovirus B19 cause

A
  • fifth disease
31
Q

what are the enveloped DNA viruses

A
  • HHV 6/7

- poxvirus

32
Q

what virus causes warts

A
  • HPV
33
Q

what are the noneveloped DNA viruses

A
  • papillomaviruses
34
Q

what causes molluscum contagiosum

A
  • poxvirus
35
Q

describe papillomavirus

A
  • small
  • double stranded
  • circular DNA genome
36
Q

where does VZV reside

A
  • latency in trigeminal and dorsal root ganglia
37
Q

VZV reactivates along the _________ of the sensory nerve

A
  • dermatome
38
Q

which shingles vaccine is the live, attenuated virus

contraindicated for

A
  • Zostavax
  • immunocompromised
  • pregnant
39
Q

which shingles vaccine is the recombinant viral antigen + adjuvant

A
  • shingrix