Exam #1 Flashcards
Folliculitis
-Infection of the hair follicle (sometimes fever)
-Forms as a furuncle or carbuncle (several carbuncles)
-Cause: Staphylococcus aureus/S. Epidermis
-Virulence: Enzymes, Structural defenses against phagocytosis (Slime polysaccharide, Protein A), Cytolytic toxins
-Spread: Direct contact or fomites
Staphylococcal Scalded Skin Syndrome
-Fatal toxin-mediated disease (mostly in infants)
-Reddened skin, wrinkling, blistering (starts at mouth)
-Pathogen/Virulence: Staphylococcus aureus
-Pathogenesis: Secondary infection by candida or pseudomonas
-Treatment: Oxacillin
Impetigo
-Epidermis is most affected
-Pus-filled vesicles/Crusty patches (itchy/contageous)
-Insect bites
-Staph aureus (80%)/ Strep. pyrogenes (20%)
Erysipelas
-Reddening of skin, arms, legs (UL)
-Distinct margin
-Lymph nodes affected
-Streptococcus pyogenes (M protein, hyaluronic acid capsule-camouflage, pyogenic toxins)
Cellulitis
-Hot/tender on one side of body
-Not well-defined margins
-Life-threatening
-
Necrotizing fasciitis
-Hot, painful sunburn-like rash to fever, fatigue->degrades the fascia
-Streptococcus pyogenes
-Virulence: Streptokinase hyaluronidase, deoxyribonucleatides, M protein, streptolysim, Endotoxin A
-SURGERY
Acne
-Blackheads and pimples
-Pathogen: Cutibacterium acnes
-Tx: Doxycycline (in severe cases), but usually untreated
Cat Scratch Disease
-Can be from scratch/bite of kittens or fleas
-Swollen lymph nodes
-Pathogen: Bartonella henselae
-Virulence factor: endotoxin (LPS)
-Common in children in US
Pseudomonas infection
-Infection w/ blue-green pigment (Pyocyanin)
-Burn victims are highly susceptible
-Thick, scab-like crust, microbes beneath can move in blood
-Can have a sweet grape-like scent
-Pathogen: Pseudomonas aeruginosa
-Virulence: Fimbriae/adhesins, capsule, enzymes, endotoxin-Lipid A, Exotoxin A, pyocyanin pigment
Spotted Fever Rickettsiosis
-Spotted, non-itchy rashy developing on trunk and appendages, soles/palms
-Develops in subcutaneous hemorrhages
-Pathogen: Rickettsia rickettsii
-Vector-born disease: Ticks of Genus Dermacentor (saliva)
Cutaneous Anthrax
-Formed black eschar (piece of dead tissue on skin surface)
-Pathogen: Bacillus anthracis
-Virulence factors: endospores, capsule, 3 anthrax toxins
Site of infection: Connective tissue between and over muscular layer
Necrotizing Fasciitis
Site of infection: Epidermis
Impetigo
Site of infection: Underlying lymph nodes
Erysipelas
Site of infection: Dermis & Subcutaneous
Cellulitis
A cluster of raised lesions with folliculitis is known as a ____________.
Select one:
a.Furuncle
b.Carbuncle
c.Impetigo
d.Sty
e.Erysipelas
b.Carbuncle
Which pathogen is a common cause of endocarditis or pneumonia due to bacteremia?
Select one:
a.Mycobacterium tuberculosis
b.Coccidioidomycosis
c.Staphylococcus aureus
d.Streptococcus pyogenes
c.Staphylococcus aureus
Amber-colored crusty debris on the surface of the skin is suggestive of infection most commonly due to:
Select one:
a.Candida albicans
b.S. aureus
c.Strep. pyogenes
d.Pseudomonas aeruginosa
b.S. aureus
While S. pyogenes does cause impetigo, it only causes it about 20% of the time. S. aureus is the main cause of impetigo (80% of the time), which has the characteristic amber colored crusty patches.
A dark purple to black discoloration of the skin is a finding of Anthrax infections.
True
Which bacterial pathogen is responsible for bluish-green color wounds due to pyocyanin pigmentation?
Select one:
a.Bacillus anthracis
b.Pseudomonas aeruginosa
c.Bartonella Henselae
d.Staphylococcus aureus
b.Pseudomonas aeruginosa
A skin disease that looks like numerous deep red-colored spots/ tiny blood clots in the skin is indicative of acne.
False
Rubella
-Portal of entry: Upper respiratory tract and eyes; Can enter bloodstream (viremia)
-Milder cold symptoms
-Children: Slightly swollen lymph nodes, rash of flat, pink to red spors
-More severe in adults (arthritis/encephalitis)
-During pregnancy: Severe birth defects; Don’t give vaccine
-Pathogen: Rubivirus or rubella virus
-Vaccine: MMR, live attenuated
Measles (Rubeola in US)
*Koplik spots
-Fine red rash appears on forehead/spreads to body (more red than measles)
-Rare: SSPE (CNS-Personality changes)
-Pathogen: Morbillivirus
-Pathogenesis: Tc Cells
Erythema Infectiosum (5th disease)
-Pathogen: Parvovirus B19
-Bright red rash begins on cheeks, spreads over
-Adult: joint pain/anemia
-Can trigger miscarriage
Roseola
-Pathogen: Human herpesvirus 6 (HHV-6)
-Faint pink rash on face, neck, trunk and thighs
-Occurs in infants 6 months to 3 years
Chickenpox/Shingles
-Pathogen: varicella-zoster virus (VZV)
-Also called varicella
-Skin lesions start on the back of the trunk, spreading to face, neck and limbs
-No scarring
-Can become dormant and cause shingles (herpes zoster) later in life
-Shingles: Rash, numbing/tingling, painful (importance of vax)
-Reye’s syndrome: Liver and brain ceases to function (due to using aspirin with chicken pox)
Smallpox
Severe and disfiguring scarring, some become blind
-Small pox spores cover the whole body (mouth->face->rest of the body)
-Pathogen: Variola virus
-Virulence factors: Intracellular infection, codes for proteins that inhibit interferon, complement and inflammation
-Devastating effects on the Native americans (nearly 3 million died)
-Edward Jenner: Used cowpox virus to protect against small pox;
-Now eradicated
Herpes infections
-Slow, spreading itchy lesions
-Lips: Fever blisters/cold sores
-Genitalia: Genital herpes
-On fingers: whitlow (cut/break in skin)
-On eyes: Ocular herpes
-Skin: Herpes gladiatorum
HHV-1
Above the waist herpesvirus
-Close contact
-90% of cold sores/fever blisters
-About 80% of children have been infected by HHV-1
HHV-2
Below the waist herpesvirus
-Sexual intercourse
-Usually acquired b/w 15 and 30 years old
Warts (Papillomas)
-Pathogen: Papillomavirus
-Generally benign/non-painful
-Foot ones itch/hurt
-Portal of entry: Parenternal route
-Mode of transmission: Direct contact via fomites
Pityriasis Versicolor
-Most common fungal infections
-Hyper/hypo-pigmented patches of skin (affects melanin)
-Etiologic agent: Malassezia furfur
-Transmission: Contact with hyphae/certain fungi
Cutaneous Mycoses
Dermatophytoses: Fungi growing on skin, nails and hair
-Etiologic agents: Tricophyton sp, microsporum sp, epidermophyton sp
Tinea pedis
Athletes foot
Wound Mycoses-Chromoblastomycosis
-Multiple pathogens BUT probably don’t need to know for this course
Wart-like infection, that appears thick
Can lead to potential amputation
Sporotrichosis
-Pathogen: Sporothrix schenkii