EXAM 4 Flashcards
what are mycobacterium
- bacteria found in food and water sources OR obligate parasites
- form capsules
- have a SLOW GROWTH RATE
why do mycobacteria have a slow growth rate
myolic acid in cell wall, has a long replication process
Mycobacterium tuberculosis (M. tuberculosis) transmission route
aerosols
pulmonary tuberculosis
- respiratory disease
- causes infection of macrophages, causing GRANULOMAS
- the cells in the center of the granuloma die, causing NECROSIS
ghon focus
primary infection site of pulmonary tuberculosis
ghon complex
ghon focus + lymph node infection
what are granulomas
an infected macrophage surrounded by foamy macrophages, lymphocytes, and fibrous mesh
progression of tuberculosis
- if bacteria is only initially controlled, can lead to latent tuberculosis
- can have lifelong containment OR reactivation to active TB
latent tuberculosis
- no active disease
- bacteria are encased in granuloma and don’t cause symptoms
- will test + for blood and skin tests
- will have normal x-rays and no symptoms
- RISK GROUPS: immunocompromised, elderly, young, diabetes
active tuberculosis
- occurs when a latent infection reactivates
- granulomas rupture and start infection
active tuberculosis symptoms
weight loss, loss of appetite, night sweats, fever, pulmonary symptoms
active tuberculosis treatment
long course drugs, untreated can be fatal
extrapulmonary tuberculosis
- infection outside the lungs, via bloodstream or lymph
- infection of pleura, CNS, lymphatic system, genitourinary system, bones and joints
milliary tuberculosis
- form of extrapulmonary tuberculosis
- characterized by TINY LESIONS, can infect other organs, high mortality
drug resistant tuberculosis
- due to failure to comply to long drug course
- MULTI-DRUG RESISTANT TB (MDR TB)
- EXTENSIVELY DRUG-RESISTANT TB (XDR TB)
TB prevention and screening
- tuberculin skin test (inspect for induration)
- bacillus calmette-guerin (BCG) vaccine
- DEPENDS ON GEOGRAPHIC REGION
Mycobacterium leprae (M. leprae)
- infects histiocytes and nerve cells
- low pathogenicity
- foot pads of armadillos
- “GENOME REDUCTION”: small genome size
Leprosy (Hansens Disease)
- neglected tropical disease
- granulomatous disease of peripheral nerves and mucosa of upper respiratory tract
- NUMBNESS IN EXTREMITIES, SKIN LEISONS, DISFIGUREMENT
leprosy pathogenesis
bacteria invades SCHWANN CELLS of peripheral nerves
leprosy transmission
person to person, inhalation of mucosal secretions, direct skin contact
tuberculoid (paucibacillary) leprosy
- TH1 mediated response
- localized or superficial infection
lepromatous (multibacillary) leprosy
- TH2 mediated response
- disfigurement, small hypo-pigmented lesions, numbness, weakness, peripheral nerve damage
leprosy risk factors
immunocompromised, malnutrition, exposure to leprosy
leprosy treatment
- multi drug therapy
- CURABLE
what are mycoplasma
- the smallest and simplest self-replicating bacteria
- “surface parasite”
- pleomorphic
- lacks a cell wall: TRILAMINAR MEMBRANE
- fastidious
- “fried egg colonies”
what is a trilaminar membrane
a plasma membrane containing sterols that are resistant to antibiotics
Mycoplasma pneumoniae (M. pneumoniae)
disease causes inflammation of the alveoli (lung), disease of respiratory epithelium
M. pneumoniae transmission
aerosols
M. pneumoniae infection route
attachment to P1 protein, binds sialic acid receptor causing cilia to not work
M. pneumoniae symptoms
- early: fever, headache sore throat
- late: primary atypical pneumonia “WALKING PNEUMONIA”, tracheobronchitis, blood-streaked septum, chest pain, ear aches
m. pneumoniae treatment
- broad spectrum antibiotics
- NOT PENICILLIN
m. penumoniae diagnosis
- serological tests (ELISA)
- cold agglutinins
mycoplasma hominis (M. hominis)
- cause of pelvic inflammatory disease, postpartum fever, vaginitis
- mycoplasma adheres to urogenital epithelium
- transmitted through sexual contact and newborns through birth canal
mycoplasma genitalium (m. genitalium) “mgen”
- cause of urethritis in men, cervicitis and pelvic inflammation in women
- sexually transmitted
- colonized the ciliated epithelial cells of urinary and genital tracts
- has a very small genome
what is m. gentialium useful for?
- minimal genome project
- synthetic genomes
minimal genome project
only essential genes that allow bacteria to grow and divide
synthetic genome
man-made DNA fragments, reassemble viable bacterial genomes
what are legionella
- gram negative pleomorphic bacilli
- REQUIRE CYSTINE to grow
- found in soil and aquatic environments
legionella pneumophila (L. pneumophila)
cause of legionnaires disease (primary atypical pneumonia)
transmission of L. pneumophila
water aerosols, amoebae, cooling towers/hot tubes/water tanks
NOT person to person
legionnaires disease symptoms
- early: mild bronchopneumonia, headache, weakness, muscle ache, dry cough
- late: fever, chest pain, stupor
- critical: multi-system disease
risk groups of legionnaires disease
middle aged/elderly, cigarette smokers, chronic lung disease, immunocompromised
diagnosis of legionnaires disease
antigen detection (ELISA on urine sample)
treatment of legionnaires disease
antibiotics
NOT PENICILLIN
flint michigan
legionnaires disease outbreak due to poor water safety plan
what are fungi
- eukaryotic organisms (have nucleus and mitochondria)
- have a phospholipid bilayer containing ERGOSTEROL
hyphae
long filaments that extend out to make up a network of fungi (mycellum)
septum
a cell wall that divide hyphae
polyene
- antifungal drug
- targets ergosterol resulting in pore formation and cell leakage
- amphotericin B
echinocandins
- antifungal drug
- disrupts cell wall synthesis that fungi use for intergrity
pyrimidine analogs
- antifungal drug
- blocks cytosine deaminase activity
- 5-florouracil VERY TOXIC
azoles
- antifungal drug
- disrupts unique ergosterol membrane surface and biosynthetic pathway
allylamines
- antifungal drug
- inhibits ergosterol biosynthesis
fungi reproduction
- can reproduce sexually or asexually
- sexual reproduction is important for the maintenance of pathogenicity
how are fungi classified
by the type of spore they make
chytridiomycota
chytrids
zygomycota
common molds
ascomycota
sac fungi
basidiomycota
club fungi
duteromycota
imperfect fungi
yeast cells
- type of colony morphology
- round or ovoid cells that produce daughters by budding
pseudohyphae
- type of colony morphology
- chains of elongated yeast cells, have indentations in the walls where cells meet
diversity of fungi
- there are more than a million species of fungi
- large diversity on the human skin
keratonlytic fungi
utilize keratin as a nutrient source
dermatophyte fungi
- kerationlytic
- causes ring worm
Tinea
- ringworm
- named for location on skin
pityriasis versicolor
- caused by MALASSEZIA SPP.
- commensal of the skin
- treated with an antifungal topical
Malassezia in the colon
- chrons disease
- patients with a risk allele for CARD9 have more malassezia in the colon
- hyperactive signaling due to serine12–>asparagine
onychomycosis
- fungal infection of the nails
- predisposing factors: tinea pedis, family history, male
opportunistic fungal infections
- the # of infections are increasing due to a new susceptible population of HIV/AIDs, transplant, and anti-TNF alpha monoclonal antibody therapy patients
Candida
- fungus that forms yeast-like cells
- part of the normal flora, colonize the GI and GU tract
candida albicans
most common cause of disease
candida auris
- emerging fungal pathogen
- multi-drug resistant
- causes systemic infections
muco-cutaneous candidiasis
- over growth of normal flora
- superficial infection (lining surfaces)
- can result from long term antibiotic use
disseminated candidiasis
- organism invades tissue and enters blood stream
- entry into blood is cause by leaky gut, catheters, immunocompromised, or physical breach
- non-specific sepsis
- antifungal prophylaxis, recent emergence of drug resistance
aspergillus
- mold
- multi use (pharmaceuticals and fermentation of soybean)
- have CONIDIA
- use polarized growth
what are conidia
- a vehicle for environmental dissemination, metabolically inactive, and resistant to multiple environmental stressors
- allows for deep penetration into human alveolar spaces
process of polarized growth
- hyphal extension occurs at the tip
- specalized organelles control hyphal growth (SPITZENKORPER AND POLARISOME)
- sterol-rich lipid rafts accumulate at the hyphal tip
- molecular motors bring vesicles containing necessary elements for cell wall synthesis and membrane synthesis
- much of the active endocytosis occurs at the hyphal tip
spitzenkorper
movement of vesicles
polarisome
coordinates endocytosis and exocytosis
what is the fundamental role of filamentous fungi
recycle environmental carbon and nirtogen
what fungi is predominant during the high temperate phases of composting
A. fumigatus
fungus ball/aspergilloma
- growth of A.fumigatus in airways without invasion
- can lead to bleeding
- can occur in healthy patients
allergic bronchopulmonary aspergillosis (ABPA)
colonization of the lung resulting in chronic inflammation and lung fibrosis
invasive aspergillosis
- can be relegated to the lung
- often disseminates hematogenously
- grows irrespective of anatomical boundaries
pathogenesis of invasive aspergillosis
- conidium invade alveolar mucosa
- if macrophages and neutrophils cannot take care of invasion, the fungi will escape and germinate
- fungi cross barrier of lungs to circulation
- fragments of fungi break in circulation and lodge in places rich in microvasculature (nutrients)
- once lodged, fungi pass endothelial barrier into tissue
cryptococcus neoformans
- basidiomycetous yeast-like fungus
- have a THICK POLYSACCHARIDE CAPSULE
- produce LACCASE
thick polysaccharide capsule components
- GXM (glucuronoxylomannan)
- GalXM (glactoxylomannan)