Exam 3/Final Flashcards
Parrot Fever
Chlamydophila psittaci
Walking pneumoniae
2nd to Mycoplasma pneumoniae as leading cause of walking pneumoniae
Chlamydophila pneumoniae
Highly contagious hazard to poultry worker, veterinarians. (parakeets, macaws, parrots, cockatiels)
Chlamydophila psittaci
Acute infection of the lower respiratory tract, dry hacking cough, enlarged liver and spleen, interaction with birds.
C. psittaci
Unique characteristics to chlamydiacae
- Obligate intracellular
- Exists as 2 distinct morhpologies (EB + RB)
- Double layered cell envelope with NO Peptidoglycan
- Can’t synthesize ATP
Infectious form/morphology of chlamydiacae
Elementary Body (EB) Small and Hardy
Intracellular form/morphology of chlamydiacae
Reticulate Body (RB) Large and Fragile
This species reticulate bodies synthesize large amounts of glycogen and inclusion bodies stain blue with iodine
C. trachomatis
Asymptomatic pneumonia, cold agglutinins in serology, aged 5-15, P1 Adhesions (virulence), lack cell wall
Mycoplasma Pneumoniae
Asymptomatic pneumonia, adult, MIF assay confirmed, Gram -, Obligate intracellular parasite
C. Pneumoniae
C. trachomatis serotype (A, B, Ba, and C
Trachoma - chronic eye infection
C. trachomatis serotype (D-K)
- Inclusion Conjunctivitis (neonatal conjunctivitis
- Non-Gonococcal urethritis (NGU)
C. trachomatis serotype (L)
Lymphogranuloma venerum
Tell-tale sign of C. trachomatis
Neutrophils and cytoplasmic inclusions in exudate
Most common cause of neonatal conjunctivitis in the U.S.
C. trachomatis
Most common bacterial STD in the U.S.
NGU via C. trachomatis
Most common STD in the U.S. overall
HPV
Painful swelling of the inguinal and peri-rectal lymphnodes, replicates in macrophages
Lymphogranuloma venerum (LGV)
Why are Mycoplasma/Ureaplasma resistant to cephalosporins,penicillins, beta-lactams, etc.?
Lack a cell wall, smallest free living organism in nature
Relentless dry hacking cough, non-purulent otitis media, P1 adhesions (causing persistant cough), x-ray shows unilateral patchy pneumonia in lower lobes
Mycoplasma pneumoniae
Fried egg appearance on agar, sexual contact
Mycoplasma hominins or Mycoplasma genitalium
Fried egg apperance, sexual contact, metabolize arginine, post-partum fever
Mycoplasma hominins
3 possible bugs for (NGU) - non-ghonococcal urethritis
Mycoplasma, Ureaplasma, Chlamidophyla
No cell wall, cultured on ureaplasma agar, produces urease
U. urealyticum - either NGU (men), Post partum fever (women)
Three major pathogenic spirochetes
Treponemes
Borellia
Leptospira
Catalase +
Staph sp.
- aureus
- sapro
- epi
Coagulase +
S. Aureus
Catalase -
Strep sp - pyogenes - agalactiae - pneumoniae - veridans Enterococcus
Staph strand novobiocin sensitive?
S. Epidermis
what is a viral capsid made of
proteins called capsomeres
Which viral structure (enveloped or non) is more resistant to environmental conditions?
non-enveloped
Constituents of viral envelope?
Lipid membrane
Host Cell
Glycoprotein spikes (host cell attachment)
Note: more susceptible to environmental conditions because membrane can dry/shrivel up
How are viruses classified?
type of nucleic acid (RNA/DNA)
envelope or not
shape of capsid
Name 3 Enveloped DNA Viruses
Use host cell RNA polymerase to make mRNA
Pox
Herpes
Hapadna
Name 4 Naked DNA Viruses
Use host cell RNA polymerase to make mRNA
Papilloma/Papo (ds)
Adeno (ds)
Parvo (ss)
Polyoma
Name 2 Naked +RNA Viruses
These viruses use themselves as mRNA
Picorna
Calici
Name 3 Enveloped +RNA viruses
These viruses use themselves mRNA
Toga
Flavi
Corona
Name 6 Enveloped -RNA viruses?
These use their own polymerase to make mRNA in the host cell
Rhabdo Filo Orthomyxo Paramyxo Bunya Arena
Which virus is (+/-) and has a double capsid?
Reo
Which virus is (+RNA via DNA) and has an envelope?
Retro
3 methods of entry of viruses into the host
endocytosis (e.g. viropexis) fusion (enveloped viruses) direct injection (possibly naked, capsid left beind)
How do retroviruses replicate?
They use reverse transcriptase (brought with them) to copy their ssRNA chromosome into cDNA.
How will you attack a retrovirus with treatment without hurting the eukaryotic organism?
Target the reverse transcriptase, because it is specific to the virus (reverse transcriptase inhibitor)
What does it mean to have a latent viral infection?
After initial infection the virus becomes inacitve.
- can incorporate into the host cell genome
- can sit quietly in the cytoplasm and freely replicate, waiting for representation (e.g. shingles/herpes in response to stress)
- representation of symptoms can look different from initial infection
Virus modes of transmission
oral droplet inhalation direct inoculation (bites, trauma) direct skin contact (lesions, warts) trans-placental sexual organ transplant
Whats viremia
viruses traveling throughout the body via lymphatics and bloodstream
What are the stages of infection for viral pathogens?
Incubation (after exposure, before symptoms)
Prodromal (vague symptoms present)
Acute (diagnositc symptoms present)
Resolution (decrease in severity of symptoms)
Convalescence (symptoms largely gone)
What is a “lytic” viral infection?
host cell allows virus to replicate until the cell dies
Are perstistant chronic infections “lytic”?
No, they release the viral particles without lysing host cells. Just continually release virions.
Ebstein Barr (EBV) cancer connection?
Burkitt’s Lymphoma
Human Papilloma (HPV) cancer connection?
Cervical Cancer
Hepatitis B (HBV) cancer connection?
Liver Cancer
Hepatitis C (HCV) cancer connection?
Liver Cancer
Human Herpes (HHV-8) cancer connection?
Kaposi’s sarcoma (latent skin lesions)
Human T-Lymphotrophic (HTLV-1) cancer connection?
Adult Leukemia
What are the 2 big characteristic cell changes which can help with viral DX?
- Triggering fusion of cells (multinucleated giant cell, syncitia)
- Inclusion bodies
(e.g. Negri Bodies in cytoplasm - rabies,
Owl’s eye in nucleus - cytomegalovirus )
2 Major pathogenic sp. of Treponemes
T. pallidum (syphilis)
T. carateum (pinta)
T. pallidum causes tissue destruction and lesions, what causes these symptoms?
Host immune response
What characteristics are common to all DNA viruses?
(Exceptions)?
Double Stranded (except parvo) Icosahedral (except pox) Replicate in the nucleus (except pox)
DNA viruses associated with virion polymerase for replication?
All naked + Herpes Paro Papo Adeno Herpes
DNA viruses NOT associated with virion polymerase for replication?
Enveloped (Except Herpes)
Pox
Hepadna
Connection between B19 and anemia/sickel cell patients?
APLASTIC CRISIS:
B19 = parovirus, depletes RBC precursors (binds P antigen). paroviruses can be very severe in anemic/sickle patient
Transmission of B19 parovirus?
respiratory droplets
oral secretions
across placenta
Dx/ Child
Prodrome (fever, sore throat, myalgia)
Rash (cheeks initially, spreading to extremities, relapses)
B19 parovirus
B19 parovirus clinical syndromes
Dx/ Child
Prodrome (fever, sore throat, myalgia)
Rash (cheeks initially, spreading to extremities, relapses)
Dx/ Adult
Above possibly + Arthralgia, Arthritis
Oncogenic potential of HPV?
Cervical cancer (contain E6 and E7 - bind to our tumor suppressor genes)
Why does HPV cause warts
stimulates growth of cell: thickening of basal and prickle layers of the skin and stratum granulosum
HPV serotypes 6/11 associated symptoms?
16/18?
6/11 - Condylomata acuminata - Ano/Genital Warts!(90%)
16/18 - Cervical cancer association
Papsmear comes back + for Koilocytic Cells/ Koilocytes.. Large clue for?
HPV
Vaccine for HPV? Serotypes?
Gardasil - 6, 11, 16, 18
If a virus is spread via Fecal/Oral transmission, what characteristic does it likely have?
It must be naked (more resistant form of virus), can survive that route
Swimming pool conjunctivitis buzzword
Adenovirus
What is special about the Adenovirus vaccine? Unique only to this one.. Hint: Military only
Live; *NON-ATTENUATED, oral. Given only to military personnel for that reason
Clinical Syndromes for Adenovirus
Variola Major (Smallpox, 15-40% mortality) Variola Minor (1% mortality rate)