Exam 3: Cardiovascular/ Systemic Diseases Flashcards
Septicemia
Presence of microbial infection of the blood that causes illness
Bacteremia
Bacteria invasion of the bloodstream
Toxemia
Bacteria remain fixed at the site of infection but release toxins into the blood
Viremia
Invasion of the bloodstream by viruses
Lymphangitis
Infection and inflammation of lymphatic vessels
Septic shock can develop rapidly in
Septicemia, Bacteremia, Toxemia and viremia
Toxemia symptoms vary depending on ____
Toxin
Petechiae
Capillary hemorrhages found in septicemia, bacteremia, toxemia and viremia
Osteomyelitis can be caused by
Septicemia
Exotoxins
Released from living microbes
Endotoxins
Released fro Gram (-) bacteria
Pathogens
Septicemia: various organisms
Bactermeia/toxemia: bacteria exclusively
Viremia: viruses exclusively
Gram _______ bacteria can produce severe ________ because of release of ______
Negative; septicemia; endotoxins that destroys the cell wall
Septicemia, bacteremia, toxemia, viremia are
Opportunistic of nosocomial infections and are usually only found in immunocompromised patients
special Endocarditis symptom
New or changed heart murmur
Viridans streptococci causes _______ of cases of endocarditis
1/2
Viridans stereptococci group made up of
Streptococcus sanguis** MC
S. Sanguis
S. Anginosus
S. Boris
Endocarditis is more likely to occur in someone with
Abnormal heart
Treatment of endocarditis
- Prophylactic antibiotics if the patient is high-risk
- IV antibiotics
Streptococcus mutans is found in
Dental plaque, forms cavities
Example of prophylactic antibiotics for high-risk patients
Antibiotics before dental surgery (s. Mutans)
vegetation’s
Bacterial growth on heart valves found in endocarditis
Signs and symptoms of rheumatic fever/ heart disease
- Joint inflammation
- Small nodules
- hard, round bumps under skin
- fever
- fatigue
Pathogen causing rheumatic fever
Streptococcus pyogenes
Heart valves become inflamed ________ weeks after infection with S. Pyogenes
1-5 weeks
Strep throat or scarlet fever
Ages at risk of heart disease
Kids ages 5-15
Not common in US
Treatment of heart disease
Surgical valve repair or replacement if severe damage
Prevent itch prompt antibiotics if child develops strep throat
Brucellosis AKA
Undulant Fever
Pathogen causing undulant fever
Brucella melitensis
Brucella melitensis
found in sheep and goats
Gram (-) bacteria, endotoxins causes some signs and symptoms
Brucellosis symptoms
Fluctuating fever that spikes every afternoon, chills, sweating, headache,
Brucellosis can often be
Asymptomatic or mild
Spread of brucellosis
- consumption of contaminated dairy products
- Contact with infected animal blood, urine, or placentas
Tularemia AKA
Rabbit fever
Tularemia causes ___ and ____ at infection site
Skin lesions and swollen lymph nodes at the infection site
Ascending lymphangitis
Tularemia is a
Category A bio-terrorist threat because it is easily spread and highly infective
Pathogen causing rabbit fever
Fracisella tularensis
-Rabbits are the reservoir
Tularemia is possibly
Lethal
Transmission of tularemia
Via a bite of infected tick or tact with infected animal
- people in contact with dead animals are at the highest risk
Prevention of tularemia
Wear rubber gloves when handling or skinning wild animals (rabbits or rodents)
Bubonic Plague signs and symptoms
Buboes and high fever
Buboes
Swollen, painful lymph nodes caused by bubonic plague. Can be as large as a grape fruit. Show up in armpits, groin, neck
Black Death
Skin becomes necrotic and darkens
If untreated, bubonic plague is _______ fatal and if it is treated it is ____fatal
Untreated: 50%
Treated 5-15%
Pneumonic plague is 100% fatal if
Not treated within the first 24 hours
Pathogen of plagues
Yersinia pestis
Pneumonic plague starts as
Bubonic plague, then travels to lungs and causes pneumonic plague
Bubonic plague is spread
Via flea bite (vector) or by contact with infected rodent (rats) or flea feces
Pneumonic plague is spread
Person to person via aerosols and sputum
Plague is extremely _____ and considered a ______
Extremely virulent; Category A Bioterrorist threat
Plague must be diagnosed and treated ______ if there is a chance for survival
Immediately
Lyme disease signature symptom
Red “bull’s-eye” rash (in 75% of patients)
Reservoir for bubonic plague
Rodents
10% of patients develop _____ and _____ with Lyme Disease
Neurological symptoms and cardiac dysfunction
Including Bell’s palsy
Pathogen causing Lyme disease
Borrelia burgdorferi
One of the most reported vector-borne diseases in the U.S.
Lyme disease
Lyme disease is transmitted by a
Tick bite