Exam 4 Chapter 19 Gram-Positive Cocci Flashcards

1
Q

What is the physiology of the Staph family?

A

They are facultative anaerobes, they grow in grape-like clusters, Salt tolerant, non-motile and non flagellated, tolerant of desiccation and heat

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2
Q

What is the broad idea of Staph aureus?

A

More virulent strain, Variety of conditions depending on site of infection

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3
Q

What is the broad idea of Staph epidermidis

A

Normal microbiota of human skin, Opportunistic infections

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4
Q

Where is Staph aureus found on the skin?

A

In moist skin folds

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5
Q

Where is Staph epidermidis found on the skin?

A

It is ubiquitous on the human skin

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6
Q

Where can both of the Staph species grow if introduced?

A

Can grow in the gastrointestinal, upper respiratory, and urogenital tract

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7
Q

What can prevent Staph infections?

A

Hand washing and aseptic techniques prevents infections

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8
Q

What are Staph aureus’ pathogenic structural defenses?

A

Protein A, Bound coagulase, and Polysacharide slime layers (capsule)

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9
Q

Protein A is?

A

Coats to the cell surface, binds to the IgG antibody, inhibiting the complement cascade and the opsonization.

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10
Q

Bound coagulase is?

A

The convergence of fibrogen into fibrin molecules to then clot to hide the bacteria from phagocytic cells

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11
Q

Polysaccharide slime layer (capsules)

A

Facilitate attachment to surfaces, inhibits leukocyte chemotaxis and phagocytosis

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12
Q

What enzymes are secreted by Staph aureus to avoid phagocytosis?

A

Cell-free coagulase, Hyaluronidase, Staphylokinase, Lipases, and Beta-lactamase

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13
Q

What does the Cell-free coagulase enzyme do?

A

Triggers blood clotting

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14
Q

What does the Hyaluronidase enzyme do?

A

Breaks down hyaluronic acid (the bond between cells) in the skin to enable bacteria to spread between the cells.

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15
Q

What does the Staphylokinase enzyme do?

A

Dissolves the fibrin threads in blood clots, allowing Staph aureus to free itself from the clots

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16
Q

What does the lipases enzyme do?

A

It digests lipids, and allows Staph to grow on skin and in oil glands

17
Q

What does the Beta-lactamase enzyme do?

A

It breaks down penicillin and allows bacteria to survive treatment with Beta-lactam antimicrobial drugs

18
Q

What toxins are produced by Staph aureus to avoid phagocytosis?

A

Cytolytic, Exfoliative, Toxic-Shock 1&2, Enteritoxins toxins

19
Q

What do cytolytic toxins do?

A

They disrupt the cytoplasmic membrane of a variety of cells

20
Q

What do Exfoliative toxins do?

A

They cause skin cells to slough off

21
Q

What do Toxic Shock syndrome toxins 1&2 do?

A

They cause toxic-shock syndrome

22
Q

What do enterotoxins do?

A

Stimulate symptoms associated with food poisoning

23
Q

What kind diseases do Staph aureus invoke?

A

Noninvasive, Systemic, and Cutaneous diseases

24
Q

What noninvasive diseases is produced by Staph aureus?

A

Bacteria that produce enteritoxins on food, food poisoning (intoxication)

25
Q

What Cutaneous disease is invoked by Staph aureus?

A

Various skin conditions, scalded skin syndrome, impetigo, and folliculitis

26
Q

What Systemic disease is caused by Staph aureus?

A

Toxic shock syndrome, Bacterimia, Endocarditis, Pneumonia, and Osteomyelitis

27
Q

What is TSS?

A

Staph aureus toxin is absorbed into the blood, produces fever, vomiting, rash, and low blood pressure caused by tampons

28
Q

Bacterimia

A

Presence of bacteria in the blood

29
Q

Endocarditis

A

Damage to the lining of the heart

30
Q

Pneumonia

A

Inflammation of the lungs, Empynema occurs when pus fills the lungs,

31
Q

Osteomyelitis

A

Inflammation of the bone marrow and bone

32
Q

How does Strep pyogenes evade phagocytosis through the M protein?

A

It destabilizes the complement

33
Q

How does Strep pyogenes evade phagocytosis through the Hyaluronic acid capsule?

A

It hides bacteria from leukocytes

34
Q

How does Strep pyogenes evade phagocytosis through the Streptokinase enzyme?

A

It breaks down blood clots and helps strep spread through tissues.

35
Q

How does the C5a peptidase produced by Staph pyogenes help evade phagocytosis?

A

C5a peptidase breaks down complement protein C5a

36
Q

How does the pyogenic toxin help Staph pyogenes evade phagocytosis?

A

Can stimulate fever, rash, and shock

37
Q

How does the Streptolysins toxin help Staph pyogenes evade phagocytosis?

A

The lyse of red blood cells

38
Q

What streptococcal diseases does Strep pyogenes cause?

A

Pharyngitis, Scarlet fever, Pyoderma and erysipelas, Necrotizing fasciitis (flesh eating disease), Strep tss