Eye & Ear Flashcards
Enumerate the defense mechanisms of the eye
- Eyelashes prevent the entry of foreign material
- They blink 15 to 20 times per minute so secretions of lacrimal glands & goblet cells can wash away bacteria
- Lysozymes & IgA
Mention the routes of infection of eye
- Direct contact esp with trauma, contact lenses, fomites, hands…etc
- Infection through the blood e.g. CMV or nervous system e.g. HSV
Infection of eyelid margins causes……while that of eyelid glands or follicles causes…..
Blepharitis
Sties
The general symptoms of eyelid infections
Irritation, redness, burning sensation, occasional itching
List the causative agents of conjunctivitis
Bac: S.aureus, S.pneumoniae, H.influenza, Moraxella, N.gonorrhea, C.trachomatis
Viruses: adenovirus, Enterovirus 70, Coxsackie virus A24, HSV-1, systemic infections, COVID-19
Mention the important virulence factors
- Cell-associated: protein A (binds Fc portion of Ig), clumping factor (bound coagulase), capsula (polysaccharide.
- Enzymes: free coagulase, beta lactamase
- Toxins: Alpha toxin (hemolytic), P-V leukocidin
Virulence factors of N.gororrhea
- Pili
- IgA protease
Describe the structure of:
1. Adenovirus
2. Enterivirus 70 & Coxsackie virus A24
3. HSV-1
- Non-enveloped ds-DNA
- Non-enveloped ss-RNA
- Enveloped ds-DNA
Describe the ocular diseases caused by adenovirus and their C/P
-Non-specific follicular conjunctivitis
-Acute pharyngoconjunctival fever in children having triad of fever, pharyngitis & conjunctivitis (swimming pool conjunctivitis)
Ocular disease caused by Enterivirus 70 & Coxsackie virus A24 is…..
Acute severe hemorrhagic conjunctivitis
N.gonorrhea & C.trachomatis may result from……
Autoinoculation from a genital infection (via hands & fomites)
Describe clinical manifestations of conjunctivitis
Red eye with excessive lacrimation, purulent sticky discharge in case of bacterial & watery discharge in case of viral infection. May start in one eye & spread to the other.
List the causative agents of neonatal conjunctivitis in order of frequency
- C.trachomatis
- N.gonorrhea
- S.aureus
- S.pneumoniae
Mention preventive measures of neonatal conjunctivitis
Application of erythromycin eye drops or oinment immediately after delivery plays imp role in prevention of gonococcal infections. Oral erythromycin is preferred in chlamidial conjunctivitis prevention
All chlamidiae share…..detected by….., they also posses immunotype-specific proteins fetected by……
Group-specific lipopolysaccharide antigen, complement fixation test
Immunofluoresecnce