Exam 4 Flashcards
What does skin contain that fights microbial growth?
Sweat contains salt, lysozyme(digests peptidoglycan), and antimicrobial peptides
Oil glands secrete sebum that contains fatty acids that inhibit pathogens
Yeast that causes dandruff
Malassezia furfur
Gram-positive bacterium that uses sebum for nutrition and causes acne
Propionibacterium acnes
Genus that has many species that produce coagulase
Staphylococci (ex: S. aureus); S. epidermidis and S. saprophyticus do not
S. aureus qualities
golden yellow colonies; produces toxins that could cause sepsis; secretes proteins to avoid host defenses and kill phagocytes
MRSA resistance and antibiotics to use instead
MRSA strains have gene mecA that encodes a different enzyme PBP2a that methicillin can’t bind to and inhibit peptidoglycan synthesis
Use: vancomycin(peptidolglycan inhibitor), sulfonamides(folic acid inhibitor), doxycycline (inhibit ribosome/protein synthesis), Ceftaroline (5th gen Cephalosporin/peptidoglycan inhibitor)
sty
folliculitis of eyelash; caused by S. aureus
furuncle
caused by S. aureus; boil; abscess of pus surrounded by inflamed tissue
carbuncle
damage of deep tissue from spreading furuncle
Impetigo
crusting non-bullous sores; contagious; spread by direct contact; kids 2-5yrs; caused by S. aureus and S. pyogenes
exotoxins of S. aureus
Exfoliative toxin A: protease that damages connective tissue and causes skin peeling; bullous impetigo
Exfoliative toxin B: protease that damages connective tissue and causes skin peeling; scalded skin syndrome
TSST-1: exotoxin that acts as a superantigen and causes an overactive immune response causes toxic shock syndrome
Streptococcal species usually contain
hemolysins: exotoxins that lyse RBCs
alpha: incomplete, green, S. pneumoniae
beta: complete; clear halo, S. pyogenes, often cause disease
gamma: no hemolysis
Group A streptococci (GAS) also known as
S. pyogenes
virulence factors: beta-hemolytic (streptolysins), M proteins, hyaluronidase, streptokinases
S. pyogenes skin infection
erysipelas
necrotizing fasciitis
streptococcal TSS
antibiotics for S. pyogenes
cephalosporins, penicillins
Pseudomonas aeruginosa infections and treatment
otitis externa (swimmer’s ear)
pseudomonas dermatitis (rash from pools)
gentamicin(ribosome), cephalosporin(peptidoglycan), ciprofloxacin (DNA gyrase)
Pseudomonas aeruginosa characteristics
Gram-negative (no natural penicillins)
opportunistic in burn patients, cystic fibrosis, immunocompromised
exotoxins and endotoxins, pyocyanin produces blue/green pus, resistant to many antibiotics
moderate acne caused by Propionibacterium acnes treated with
antibiotics and benzoyl peroxide
warts are caused by
low risk papillomavirus (HPV) and are a common STI, high-risk HPVs cause cancer
skin warts treated with
cryotherapy, salicylic acid, electrodesiccation, laser
virus that causes smallpox
variola major: 20-60% mortality
variola minor: <1% mortality
transmitted via respiratory route