Enteric Bacteria Flashcards

1
Q

What are major food borne enteric bacteria?

A

Shigella, E. coli, and Salmonella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the general defining characteristics of enteric bacteria?

A
Gram -
No spores
Straight rods
Facultative anaerobes
Catalase +
Oxidase -
Glucose fermentors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How likely are enteric bacteria to acquire new DNA?

A

Very promiscuous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are virulence factors common to enteric bacteria?

A

Pili, T3SS, Antibiotics resistnace

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How are food borne enterobacteriaceae acquired?

A

They are acquired by contaminated food

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a common symtom of salmonella, Yersinia and some E. coli?

A

watery diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the infectious dose of salmonella?

A

Very high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the treatment for a foodborne acquired enterobacteriaceae?

A

Usually none because they are self limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the mechanism of T3SS?

A

alter the gut macrophage and help the bacteria evade immune sampling. they make the macrophage apoptose. bacteria can then infect the exterior surface of the intestines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What cells does the T3SS help the bacteria evade?

A

M cells of Peyer’s patches in the gut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do enteric bacteria use macrophages?

A

Use the macrophage to reach the lymph nodes and establish infections in all the lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the systemic infection that salmonella causes when it uses macrophages as trojan horses?

A

Typhoid fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What organ can S. typhi establish chronic infection?

A

gall bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are possible complications of Shigella and E. coli

A

HUS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does HUS happen?

A

the bacteria breaches the gut and releases a shiga toxin into the blood stream

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the effects of the shiga toxin?

A

Hemolysis
Thrombocytopenia
uremia

17
Q

What are the symptoms are reactive arthritis?

A

conjunctivitis, arethritis, arthritis

18
Q

What agents can cause reactive arthritis?

A

shigella, salmonella. yersinia, campylobacter, chlamydia

19
Q

What type of patients are most likely to have reactive arthritis triggered?

A

HLA- B27 positive

20
Q

Give an example of an ICU bug

A

Klebsiella pneumoniae

21
Q

What are the predisposing conditions to a Klebsiella infection?

A

Advanced age, chronic respiratory disease, diabetes, alcoholism

22
Q

What is the major virulence factor for klebsiella pneumonia?

A

Capsule that prevents against phagocytosis

23
Q

How does a K. pneuomia infection present?

A

lobar pneumonia with necrosis, inflammation and hemorrhage

24
Q

What is key in treating these ICU bugs?

A

sensitivity testing for antibiotics