E. Coli Flashcards

Questions to ask How can u prevent it? is there a vaccine? Who's at risk/ what's the epi? How do u treat it? how do u diagnose it? Pathogensis? symptoms/ disease? I. Mechanisms of Pathogenesis A. Type 3 Secretion System (T3SS) common pathogenic mechanisms emerge, including interference with the host cell cytoskeleton to promote attachment and invasion, interference with cellular trafficking processes, cytotoxicity and barrier dysfunction, and immune system subversion. http://cmr

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1
Q

STEC

A

shiga-toxin producing E.Coli

also known as EHEC

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2
Q

EHEC

A

enterohemorrhagic

only hemhorragic strain

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3
Q

EPEC

A

enteropathogenic e. coli

diarrheogenic

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4
Q

EAEC

A

enteroaggregative e. coli

diarrheogenic

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5
Q

EIEC

A

enteroinvasive e. coli

diarrheogenic

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6
Q

ETEC

A

enterotoxigenic e. coli

diarrheogenic

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7
Q

path: HUS- hemolytic uremic syndrome

A

the infection stimulates platelet formation in microvasculature. movement past the platelets shears red blood cells

shishtocytes

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8
Q

path: microangiopathy

A

platelets lodged in microvasculature shear RBCs into fragments called schistocytes

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9
Q

path: schistocytes

A

red blood cell fragments produced during HUS

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10
Q

path: T3SS

A

Type III Secretion System

bacteria are able to directly inject bacterial proteins called effectors into host cells across bacterial and host membranes, where they can manipulate host cell function.

common pathogenic mechanisms emerge, including interference with the host cell cytoskeleton to promote attachment and invasion, interference with cellular trafficking processes, cytotoxicity and barrier dysfunction, and immune system subversion.

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11
Q

path: G3b

A

the receptor for shiga toxin (vascular endothelium)

*cattle are different/ resistant

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12
Q

path: STX (shiga-like toxin) B subunit

A

binding subunit (vascular endothelium)

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13
Q

path: STX (shiga-like toxin) A subunit

A

halts protein synthesis inside vascular endothelial cells

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14
Q

path: LEE

A

locus of enterocyte effacement

a pathogenecity island

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15
Q

path: T3SS effectors

A

injected proteins

ex. tir and intimin

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16
Q

path: RTX

A

repeats in toxin

pore forming proteins

17
Q

path: k-antigen

A

capsule

18
Q

path: LT toxin

A

targets cAMP and leads to excess secretion of Cl- secretion

*similar to cholera toxin

19
Q

EAST

A

enteroaggregative stable toxin

20
Q

path: plasmid encoded toxin

A

poorly characterized

21
Q

EHEC: path

A
  1. shiga toxin
  2. hemolysins
  3. A/E
22
Q

EPEC: path

A

A/E, bfp

23
Q

ETEC: path

A
  1. ST: heat-stable toxin
  2. LT; heat labile toxin
  3. fimbrae
24
Q

EAEC: path

A
  1. hemolysins

2. EAST

25
Q

EIEC: path

A
  1. nonfimbrae adhesins
26
Q

DAEC: path

A

diffuse-adherence factors

27
Q

DAEC: presentation

A

diarrhea in children

28
Q

EIEC: presentation

A

watery diarrhea with blood and mucus

29
Q

EPEC: presentation

A

infantile diarrhea

30
Q

ETEC: presentation

A

traveler’s diarrhea

31
Q

EHEC: presentation

A
  1. bloody diarrhea

2. HUS

32
Q

EAEC: presentation

A

EPEC

watery diarrhea in children of developing countries

33
Q

EHEC: treatment

A

supportive care only

34
Q

ETEC: treatment

A
  1. loperamide
  2. azithromycin
  3. rifaximin
35
Q

EPEC: treatment

A

anti-biotics based on susceptibility tesitng

36
Q

EAEC: treatment

A

fluorquinolones