FINAL EXAM CHP. 15 Flashcards
Signs of disease:
- Objective and measurable
- Vital signs
Symptoms of disease
- Subjective to patient
- Difficult to quantify
Syndrome:
Specific group of signs and sxs characteristic of a particular disease
Disease:
Condition where normal structure or functions of the body are damaged or impaired
Asymptomatic or subclinical:
No noticeable signs or symptoms
-Ex: HSV
Most dangerous mode of transmission:
Airborne
Infectious disease:
Any disease caused by pathogen
Communicable infectious disease:
Spread from person to person through direct or indirect mechanisms
Noncommunicable infectious disease:
Not spread from one person to another
-Ex: Tetanus
Contagious disease:
Infectious communicable disease
Iatrogenic disease:
Contracted from medical procedure
Zoonotic disease:
Transmitted from animal to human
Ex: Rabies, west nile virus `
Noninfectious disease:
Not caused by pathogens
Cellular pathogens:
Parasites
Protozoa
Fungi
Acellular pathogens:
Virus and prions
Acute disease:
Short-term
-Ex: Influenza
Latent disease:
Begins late
-Ex: HSV
Chronic disease:
Long-term
-Ex: Cirrhosis
Koch’s postulates:
- Suspected pathogen must be found in every case of disease and not be found in healthy individuals
- Suspected pathogen can be isolated and grown in pure culture
- Healthy test subject infected with suspected pathogen must develop the same signs and sxs as seen in postulate 1
- Pathogen must be re-isolated from the new host and must be identical to pathogen from postulate 2
LD50:
- Dose necessary for lethal dose of 50% of population
- Lower LD50= the less pathogens it takes to kill 50% of population= more pathogenic/deadly
ID50:
Dose necessary for infectious dose of 50% of population
Portal of entry:
Eye Mouth Nose Vagina Urethra Placenta Anus Broken skin Insect bite Shaving Needle
Virulence:
How pathogenic an organism is
Pathogenicity:
Ability of microbial agent to cause disease
Primary pathogen:
Causes disease in host regardless if host is healthy
Opportunistic pathogen:
Only causes disease when host is immunocompromised
- Ex: S. epidermis
- Forms biofilms on catheters and secretes EPS (signal within biofilm)
Candida:
Fungus, yeast
-Ex: Thrush
Pathogenesis
Origin and development of disease
Pathogens capable of crossing placental barrier:
TORCH
Adhesin:
Glycoprotein or protein used for attachment, typically to a host receptor cell
Stages of pathogenesis:
Exposure Attachment (adhesin)/ multiplication Invasion Infection Signs and sxs
Invasion:
Invade new region for nutrients
Infection:
Infect area of body containing pathogen
Emia:
Pathogens in blood
Bacteremia:
Bacteria in blood
Viremia:
Virus in blood
Toxemia:
Toxins in blood
Septemia:
Bacteria present and multiplying in blood
Shock:
Decreased blood pressure
Edema stages:
Phagosome phagocytoses pathogen-> phagosome releases TNF-> causes inflammation/fever-> TNF binds to capillaries and increases permeability-> fluid passes out of blood vessel into tissue-> causes edema
Goal of edema:
To get more immune cells to that site
Hyaluronidase:
- Enzyme expressed by H. pylori that degrades attachment between cells-> invasion of new tissue
- Virulence factor
What is the gene for hyaluronidase kept on?
Plasmids to share via conjugation
Exoenzymes:
Enzyme expressed outside the body/pathogen
Endotoxin:
- Component of pathogen
- Ex: Lipid A of LPS
Exotoxin:
- Outside
- Heat labile
- Very low LD50
- Ex: Collagenase
Capsule:
Provides protection from macrophages being able to engulf
Exoenzyme protease: (3)
- Makes it difficult for immune system to attack
- Kept on plasmids and spread through conjugation
- Virulence factor
Collagenase
- Enzymes that break the peptide bonds in collagen and assist in destroying extracellular structures in the pathogenesis of bacteria
- Virulence factor
Hemagglutinin:
- Spike that attaches to the host and sticks out of virus to make antibodies against it to develop memory of that virus
- Put into flu vaccines against Influenza
Lipid A:
- Lipid component of an endotoxin that is responsible for the toxicity of gram (-) bacteria
- Causes innate response
Antigenic drift:
Small changes/mutations in gene that causes hemagglutinin to change-> YES natural selection
Antigenic shift:
- Large genomic change to genetically change organism-> NO natural selection
- **Coinfection of 2 different strains/viral genomes
Neuraminidase:
Enzyme that allows new mature virus to leave the host
Binds to receptor on host so virus can’t leave:
Dissolves receptors, allowing mature virus to leave:
Hemagglutinin
Neuraminidase
B subunit in A-B exotoxins:
To attach to host cell and get A subunit inside
A subunit in A-B exotoxins:
To create toxic response once inside cell
Cholera A-B exotoxin:
B subunit binds to epithelial intestinal cells-> absorption of A subunit-> inappropriate release of ions into intestines-> excretes water-> hypertonic environment-> severe dehydration
Diphtheria A-B exotoxin:
B subunit binds to cell-> A subunit forms reaction and inhibits ribosome from functioning-> cell can’t make proteins-> cell dies
Botulinum exotoxin:
Toxin inhibits release of acetylcholine-> prevents contraction of the muscle
Tetanus exotoxin:
GABA never released-> constant release of acetylcholine-> constant contraction of muscle
Phospholipase C:
Degrades phospholipids
Evading immune system:
- Degrades antibody so it doesn’t signal immune cells
- Capsules
Fimbrae:
Composed of proteins that used as attachment to host surface
-Without it bacteria would get washed out