Deck Flashcards
Acinetobacter bumanii
aerobic, catalase +, oxidase -, common in hospitals, #1 cause of wound infections in Iraq and Afghanistan
Anaplasma phagocytophilum
infects white blood cells, humans are dead-end host
Babesia microti
malaria-like parasite, infects RBCs, high fevers and myalgia
Bacillus anthracis
anthrax, cutaneous necrosis
Bacillus cereus
- emetic form: heat stable, <6 hours until symptoms arise
- diarrheal form: destroyed by heat, incubation >6 hours
Borrelia burgdorferi
– deer tick vector, spreads Lyme Disease, starts with migrating rash (target rash), then Bell’s palsy, fatigue, and arthritic/cardiac/neurologic symptoms, then chronic arthritis and subtle encephalitis
- treat with doxycycline x 14 days
Borrelia mayonii
rash, deep rash which extends to large part of the body, cleared by day 40
Chlamydiae
obligate intracellular parasite, no cell wall (antibiotics like penicillins cannot affect cell wall)
- Chlamydia trachomatis
STI, #1 bacterial cause of STDs (15 strains), no cell wall so no gram stain
- Chlamydophila pneumoniae
causes atypical pneumonia, bronchitis
- Chlamydia psittaci
pneumonia, bird feces
Clostridium botulin
floppy baby syndrome, causes paralysis of muscles
Clostridium difficile
toxin A causes fluid accumulation in bowels, toxin B damages cells
Clostridium perfringens
gas gangrene, liquifies tissues, food poisoning
Clostridium tetani
tetanus toxin (blocks release of NT at the synapse, contraction is maintained), muscle contraction
Corynebacterium diphtheriae
diphtheria, causes swelling, difficulty breathing, fever
Enterobacteriale
within and outside enteric tract, 11 types that cause disease
- LPS causes fever and inflammation, inhibits complement
- Capsules – resist phagocytosis, biofilm formation
- Fimbriae – bind to bladder (good for UTIs), bind to plastic (ex: catheters)
- Siderophores – secreted molecules that bind iron and allow for growth in low iron environments
- Efflux pumps – pump out antibiotics
Escherichia coli
faculatative anaerobe, 3 antigens used for identification: O (LPS), H (flagella), K (capsule), causes UTI, septicemia, meningitis, diarrhea
Hemophilus influenzae
1 cause of otitis media, bronchitis, sinusitis
Helicobacter pylori
– spiral organism, gastritis, makes a toxin to destroy mucous producing cells
Klebsiella pneumoniae
Pneumonia, thick mucous, no flagella, capsule prevents phagocytosis
Listeria monocytogenes
intracellular pathogen, cause of meningitis, can grow at fridge temps, causes abortions through transplacental transmissions
Moraxella catarrhalis
causes otitis media
Mycobacterium tuberculosis
white plague, lung infection, can be latent, drugs cannot target cells that aren’t growing, death caused by years of coughing, fever, sweats, and weight loss
Neisseia gonorrheae
can enter through: oral cavity, urinary tract, rectum,
Neisseria meningitidis
(meningococcus) – respiratory tract, target of meningococcal vaccine
Parvovirus
slapped cheeks syndrome
Pseudomonas aeruginosa
blue-green pigment, fruity odor, pulmonary infections, UTIs, bacteremia, ear/eye infections, skin and soft tissue infections, burn wounds
Rickettsia rickettsia
– Rocky Mt. Spotted Fever, obligate intracellular parasite, American dog tick, presents with petechial rash around wrists and ankles, doxycycline treatment
Salmonella enterica
major cause of food poisoning,
Shigella
causes shigellosis with bacillary dysentery (bloody diarrhea with mucous), due to Shiga toxin (an exotoxin), similar to EHEC
Vibrio cholerae
cholera, watery diarrhea
Main Otitis media
: H. influenzae, Strep. pneumoniae, Moraxella catarrhalis
ICU patients – P. aeruginosa, E. coli, K. pneumoniae
Main infection for ICU patients
P. aeruginosa, E. coli, K. pneumoniae
Main CLABSI infections
Candida, Staphylococcus
Hospitalizations from food poisoning
campylobacter, salmonella, Shigaella, E. coli
UTIs
E. coli, Kleb. pneumonia, Proteus mirabilis
HH1
cold sores, virus enters cutaneous neurons and remain in ganglion
- Herpetic whitlow – terrible infection in finger, especially happens in dental workers
- Herpes gladiatorum – small bumps especially in wrestlers
HH2
genital herpes, blisters and ulcers
HH3
Varicella zoster virus – chickenpox (able to infect others on day 15-25), latent form is shingles, occurs as unilateral and in a single dermatome
HH4
Epstein Barr virus – mononucleosis, swollen lymph nodes, symptoms last 2-3 monts, B cells are infected
HH5
CMV – giant cells with many nuclei, treat using ganciclovir
HH7
roseola infantum, rash and fever
HH8
Kaposi’s sarcoma, causes skin malignant tumor, grey rash on feet
Septic shock
high quantity of LPS increases cytokines (cytokine storm), vascular leakiness, BP drops and blood cannot perfuse organs, also blood clots and fever can occur
ESKAPE
acronym comprising the scientific names of six highly virulent and antibiotic resistant bacterial pathogens including: Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter
- Chlamydia
intracellular parasite, treat with doxycycline, azithromycin, or moxifloxacin, spread by flies and hand to eye contact
o Treatment is doxycycline 100 mg bid for 7 days
- Gonorrhea (Neisseria gonorrheae
Gm -, diplococcus, causes pus filled discharge and is painful in males, asymptomatic in females usually, can cause ectopic pregnancy due to scarring of fallopian tube,
o Treatment is a one-time 500 mg IM ceftriaxone shot
- Syphilis (Treponema pallidum
a spirochete, 1st: painless chancre at site of inoculation, 2nd: rash on hands and soles, lesions with bacteria, 3rd: cardiovascular lesions, gummas (deep sores on skin and bones), aneurysms
o Congenital syphilis causes birth defects
o Treatment is a one-time IM benzathine penicillin shot for primary, procaine penicillin for secondary and tertiary syphilis
ETEC
toxigenic) traveler’s diarrhea
EPEC
(pathogenic) infant diarrhea infection at birth
EHEC
(enterohemorrhagic) produces verotoxin which kills intestinal cells, bloody diarrhea since no mucous being made to protect stomach
EIEC
(invasive) invade intestinal cells, bloody diarrhea with inflammatory cells in stool
Gram positive cocci
Staphylococcus
aureus
Staph. epidermidis
Streptococcus pyogenes
Strep. pneumoniae
Enterococcus
Causes skin infections, food poisoning, otitis media, UTI, etc.
Gram negative cocco-bacilli
Haemophilus influenzae
Moraxella catarrhalis,
Neisseria gonorrheae
Neisseria meningitidis
Gram positive rods
Corynebacterium
Listeria,
Bacillus
Clostridium tetani/botulinum
Clostridium perfringens
Actinomyces
Nocardia
Gram neg. rods – facult. aerobes
Enteric tract organisms
Pathogenic in & outside GI tract
Escherichia coli
Salmonella
Respiratory tract organisms
Haemophilus influenzae
Moraxella catarrhalis
Legionella pneumophila
Bordetella pertussis
Obligate intracellular parasites
Chlamydia
Chlamydophila
Rickettsia
ESKAPE
E. coli
Staph. aureus
Klebsiella sp.
Acinetobacter
Pseudomonas aeruginosa
Enterobacter