Dr. Daniels Flashcards

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1
Q

S. pneumonia phenotype

A

a-hemolysis on blood

Gram positive cocci

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2
Q

Major cause of worldwide pnimonia

A

Streptococcus pneumonia

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3
Q

S. penumonia Encounter

A

Many people are carriers - mainly kids

Present in nasopharyngela mucosa

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4
Q

S. pneumonia Entry

A

Access to lower airway. Usually cleared by innate immunity, but risk factors can help establish infection (seasons, viral infection, smoking, edema, etc)

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5
Q

S. pneumonia entry/spread

A

Alveoli fill with fluid, and there is suppurative inflammation in the lungs. This packs the effected tissue with neutrophils, making iit solid instead of spongy (hepatozation)

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6
Q

Diagnosis of S. pneumonia

A

It can be isolated in culture

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7
Q

Legionella pneumophila phenotype

A

Gram negative pleomorphic rod
Obligate anaerobe
Fastidious - need special conditions for culture

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8
Q

L. pneumophila encounter

A

Found in contaminated water
In biofilms with protozoas
Can stand pretty high temperatures

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9
Q

L. pneumophila spread/multiplication

A

Bacteria in alveoli are phagocytosed by alveolar macrophages, and the virulent strains multiply within autophagosomes.

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10
Q

L. pneumophila damage

A

Both cell-mediated and virulence factors. L. pneumophila can survive in macrophages, excrete LPS, furthering the inflammation

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11
Q

L. pneumophila treatment

A

Antimicrobial drugs with good intracellular penetration

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12
Q

Bordella pertussis phenotype

A

Gram negative rod
Obligate aerobe
Cause of Whooping Cough
Very contageous

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13
Q

B. pertussis encounter, entry, and spread

A

colonizes in the nasopharynx of adults

Organisms access the trachea/bronchii adhering to cilia via Filamentous hemagglutinin, Pili, and Pertactin

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14
Q

B. pertussis damage

A

Excretes pertussis toxin and adenylate cyclase/hemolysin. They upregulate host cAMP, decresing neutrophil function and increase capillary permiability; resulting in edema

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15
Q

Pertussis Clinical Stage 1

A

Catarrhal stage

  • really bad runny nose, looking like a bad cold
  • Very contagious at this point
  • Organisms moving down the respiratory tract
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16
Q

Pertussis Clinical Stage 2

A

Paroxysmal Stage

  • Can last 1-6 weeks (even up to 10)
  • Rapid cough followed by “whoop” sound
  • Vomiting and exhaustion after coughing fits
17
Q

Pertussis Clinical Stage 3

A

Convalescent stage

  • Lasts about 2-3 weeks
  • Coughing lessens, but fits may return
18
Q

Pertussis Diagnosis

A

Hard to diagnose - Suspicion is low during Catarrhal phase, but there are fewer organisms shed in paroxysmal phase

19
Q

Myobacterium spp. phenotype

A

Acid fast bacteria
Non-spore forming
Obligate aerobes
Thick, waxy cell wall

20
Q

Myobacterium Leprae

A

Granulomatous disease
Found in skin because organisms prefer lower temperatures
Spread through respiratory
Two Types: Tuberculoid Leprosy, and Lepromatous Leprosy

21
Q

Tuberculoid Leprosy

A

Milder form of Leprosy

Characterized by sessile lesions - very few bacteria in these lesions

22
Q

Lepromatous Leprosy

A

Severe, disfiguring
Many organisms in lesions
Cell mediated immunity is significantly decreased

23
Q

M. Leprae cultures

A

Uncultivable in vitro

Can be inoculated in mouse footpad