Final Flash Cards
Folliculitis
- skin infection
- Staphylococcus aureus (bacteria)
- inflammation of the hair follicles or glands
- furuncle and carbuncle
Scaled Skin Syndrome
- skin infection
- Staphylococcus aureus (bacteria)
- split in the epidermal layer
- skin peels off leaving a wet red spot
- exfoliative toxins A+B
Toxic Shock Syndrome
- skin infection
- Staphylococcus aureus (bacteria)
- rash like severe sunburn
- toxic shock syndrom toxin
- superantigen
HA-MRSA + CA-MRSA
- skin infection
- Staphylococcus aureus (bacteria)
- healthcare + community acquired methicillin resistant S. aureus
- encode enzyme B-lactamase
- virulence factors: coagulase, hyaluronidase, lipase
- raised, red, tender, warm to touch lesions, pus secretion
Cellulitis
- skin infection
- Streptococcus pyogenes (bacteria)
- dermis + subcutaneous layers
- tight + glossy stretched skin
- warm to touch
- hyaluronidase
Erysipelas
- skin infection
- Streptococcus pyogenes (bacteria)
- skin texture like orange peel
Scarlet Fever
- skin infection
- Streptococcus pyogenes (bacteria)
- strawberry tongue
- erythrogenic toxin
- sand-paper like rash
Necrotizing Fasciitis
- skin infection
- Streptococcus pyogenes (bacteria)
- Flesh eating disease
- centre may become blackened
- Exotoxin B
Oral Herpes
- skin infection
- Herpes Simplex 1 virus (HSV-1)
- vesicles filled with fluid in or around mouth
- oral mucosa
- stays dormant in nerve cells until reactivation
- no prevention
Chicken Pox/Shingles
- skin infection
- Varicella-Zoster Virus (VZV) human herpesvirus 3
- itchy rash and blisters filled with fluid
- enters respiratory tract -> attaches to respiratory mucosa -> bloodstream -> skin
- enters dorsal root ganglion and is dormant until reactivation (shingles)
- respiratory droplets
- live attenuated vaccine
Rubella
- skin infection
- Rubella Virus
- mild rash, joint inflammation, and pain
- has the ability to stop mitosis
- MMR Vaccine : live attenuated
Ringworm
- fungal infection of the skin
- Cutaneous mycoses
- confined to epidermal tissue, hair, nails
- invade + digest keratin
- direct/indirect contact with infected animals or humans
Tinea Versicolor
- fungal infection of skin
- Superficial mycoses: outer epidermal surface
- yeast genus Malassezia
- scaling of skin, discoloured skin pigmentation
- yeast feeds on high oil content of skin glands
Chromoblastomycosis
- Subcutaneous mycoses
- Fonsecaea pedrosoi, Phialophora verrucosa, Cladosporium carrionii, Fonsecaea compacta
- chronic fungal infection of skin
- papular lesions: large wart-like
Pseudomonas aeruginosa
- most common bacteria to infect wound of burn patients
- skin infection
- virulence factors: proteases, exotoxin A, hemolysin
Gas Gangrene
- skin infection
- Clostridium perferingens (bacteria)
- alpha toxin
- produces gas in affected tissue
- blisters filled with brown-red liquid
Conjunctivitis (Pink Eye)
- eye infection
- Chlamydia trachomatis, Neisseria gonnorhoeae, Strep. pyogenes/pneumoniae, Staph. aureus, viruses
- milky discharge from eye (bacteria)
- clear watery discharge (virus)
- inflammation or swelling of the conjunctiva
Keratitis
- eye infection
- inflation of cornea
- gritty feeling in eye, sharp pain, sensitivity to light
- Herpes simples type 1
- Protozoa Acanthamoeba
Pharyngitis
- respiratory infection
- Streptococcus pyogenes (bacteria)
- inflammation of the throat
- swollen tonsils and sometimes white inflammatory products
- untreated can result in scarlet fever, rheumatic fever, glomerulonephritis
Rheumatic Fever
- Streptococcus pyogenes (bacteria)
- skin models over bony surfaces
- immunologic cross-reaction of the M protein and heart muscles
Glomerulonephritis
- Streptococcus pyogenes (bacteria)
- nephritis = swelling in hands and feet, low urine output
- antigen-antibody complexes deposited in kidneys
Pertussis (Whopping Cough)
- respiratory infection
- Bordetella pertussis (bacteria)
- choking + vomiting during coughing spells
- catarrhal stage then paroxysmal stage
- damage to cilia
- pertussis toxin: mucus
- tracheal toxin: damage to cilia
- DTaP Pertussis toxoid Vaccine
Bacterial Pneumonia
- respiratory infection
- inflammatory condition of the lung where fluid fills the alveoli
- Community acquired and Healthcare associated
- Streptococcus pneumoniae (bacteria): multiply in bronchi and alveoli; Polysaccharide vaccine
- Legionella pneumophila (bacteria): aqueous habitats, resistant to chlorine
- Mycoplasma pneumoniae (bacteria): walking pneumonia
- Haemophilus influenzae (bacteria)
Tuberculosis
- respiratory infection
- Mycobacterium tuberculosis (bacteria)
- active or passive
- tubercle formation
- EMB = Ethambutol, INH = Isoniazid, PZA = Pyrazinamide, RIF = Rifampin, RPT = Rifapentine
- Vaccine not recorded for routine use in Canada
Blastomycoses
- fungal lung infection
- Blastomycosis dermatitidis (fungus)
- symptoms similar to pneumonia
Histoplasmosis
- fungal lung infection
- Histoplasma capsulatum (fungus)
- symptoms similar to pneumonia
Cocciomycosis
- fungal lung infection
- Coccidioides immitis or Coccidioides posadasii (fungus)
- flu-like symptoms
Pneumocystis
- fungal lung infection
- Pneumocystis jirovecii (fungus)
- Pneumonia
Rhinitis
- common cold; respiratory infection
- rhinoviruses
- penetrates mucus that coats respiratory system
Influenza
- respiratory infection
- Influenza virus
- glycoproteins: Hemagglutinin and Neurominidase
- constant mutation of glycoproteins = antigenic drift
- swapping of RNA stands with different influenza virus = antigenic shift
- Seasonal vaccines
Cholera
- enteric infection
- Vibrio cholerae (bacteria)
- secretary diarrhea
- “rice water stool”
- loss of body weight
- Cholera toxin
inactivated vaccine DUKORAL
Shigellosis
- enteric infection
- Shigella genus of bacteria
- dysentery
- Shiga toxin
- No vaccine
Typhoid Fever
- enteric infection
- Salmonella typhi (bacteria)
- first week, second week (listened abdomen and rose spots), third week (delirious), fourth week (intestinal and neurological complications)
- infiltrates the lymph nodes
- Polysaccharide vaccine, live attenuated
Food Poisoning
- acute diarrhea accompanied by vomiting; cause by a toxin
- Staphylococcus aureus
- Bacillus cereus
- Clostridium perfingens
- Campylobacter jejuni
- Listeria monocytogenes
Escherichia coli
- Enterohemorrhagic E. Coli: verotoxin
- Enterotoxigenic E. Coli: SL toxin + LT toxin
- Enteroinasive E. coli: blood + mucus in stool
- Enteropthogenic E. coli
- Enteroaggregative E. coli: chronic disease in children
Giardiasis
- protozoa infection
- Giardia lamblia
- greasy stool
- cysts are ingested
- No vaccine
Cryptosporidiosis
- protozoa infection
- Cryptosporidium genus
- ingestion of cysts
- diarrhea
- resistance to treatment with chlorine
Toxoplasmosis
- protozoa infection
- Toxoplasma gondii
- consumption of raw or undercooked meat
- formation of cysts
Pseudomembranous colitis
- Clostridium difficile (bacteria)
- superinfects large intestine when normal biota is disrupted
- toxins A + B
Gastritis & Gastric Ulcers
- gastritis: sharp or burning pain emanating from the abdomen
- gastric ulcers: lesions in the mucosa of the stomach or the upper small intestine
- Helicobacter pylori (bacteria)
Hepatitis A
- Hepatitis A virus
- infers the liver
- necrosis of hepatocytes
- dark urine, jaundice
- inactivated vaccine
Urinary Tract Infection
- invasion and infection of the urethra and bladder by bacteria or other microorganisms
- burning pain when urinating = dysuria
- cloudy urine due to WBC
- or orange tint from RBC
- back pain + fever
- most caused by E. coli
- one organ to another
- realize toxins which induce an inflammatory response
Cystitis
- bladder infection
Pyelonephritis
- kidney infection
Urethritis
- urethra infection
Gonorrhea
- STI
-Neisseria gonorrhoea (bacteria) - male: yellowish discharge, can spread to prostate and epididymis
- females: urinary + genital tracts infected, mucus & pus, or bloody discharge
- IgA protease
- No vaccine
Syphilis
- STI
- Treponema pallidum (bacteria)
- Primary, secondary, latent, tertiary
- hard chancre
- red or brown rash
- tutors called gummas
- no vaccine
Chancroid
- STI
- haemophilus ducreyi (bacteria)
- soft chancre
- entry through wounds and cases lesions
Trichomoniasis
- STI
- Trichomonas vaginalis (protozoa)
- 70% of infections are asymptomatic
- men: itching or irruption inside the penis; during after urination or ejaculation
- women: vaginal itching, white to green frothy discharge
- no vaccine
Genital Herpes
- STI
- Herpes simplex virus 1 or 2
- single or multiple vesicles on the genitalia, thing, or buttocks; filled with clear liquid
- becomes latent in neuron and can be reactivated
- no vaccine
Genital Warts
- STI
- Human papilloma virus (HPV)
- female: warts on vulva, in or around vagina
- male: warts on penis and scrotum
- both: anus and or skin around groin
- uncontrolled proliferation of cells
- caused the cells to divide uncontrollably
- E6 + E7 protein
- Vaccine available, contains virus like particles
HIV & AIDS
- STI
- Human Immunodeficiency Virus
- glycoprotein spikes: GP-120
- CD4 marker (T-helper cells)
- HIV: the level of virus in the blood and level of T-cells in the blood; low cd4 t-cell count
- AIDS: CD4 T-cell count lower than 200 cells/ul of blood, CD4 cells account for fewer than 14% of all lymphocytes, afflicted by one or more of an AIDS-defining illness
- No vaccine
- reverse transcriptase inhibitors, fusion inhibitors, protase inhibitors, intergrase inhibitors
Meningitis
- inflammation of the meninges
- photophobia
- inroad number of WBC in CSF
Neisseria meningitidis
- meningitis
- bacteria
- meningococcus
Meningococcal meningitis
- bacteria
- meningitis
- IgA protease and capsule
- polysaccharide vaccine
Streptococcus pneumoniae
- bacteria
- meningitis
- Pnemococcus
Pneumococcal meningitis
- bacteria
- meningitis
- alpha-hemolysin and hydrogen peroxide
- polysaccharide vaccine
Listeria monocytogenes
- bacteria
- meningits
- cross the placenta or through the birth canal
- contaminated dairy products, poultry and meat
Streptococcus agalactial
- bacteria
- meningits
neonatal meningitis
Creyptococcus neoformans
- fungal meningitis
- bird droppings
chronic form - air and dust
Encephalitis
- inflammation of the brain
- usually viruses carried by insects
- arthropod-borne viruses
West Nile Virus
- transmitted by Culex Marsalis mosquito
- virus enters through mosquito bite and virus is release into tissue and later becomes established in the brain
- inflammation causes swelling and damage to the brain, nerves and meninges
- no vaccine
Rabies
- Rabies virus
- severe laryngeal and diaphragmatic spasms
- agitated form and paralytic form (flaccid paralysis)
- infection cycle is completed when virus replicated in salivary gland and virus is shed in saliva
- bites, scratches, inhalation of droplets
- pre-exposure immunization
Poliomyelitis (Polio)
- Poliovirus
- infection of the spinal cord that can cause neuromuscular paralysis
- virus sheds into throat, faces, some leak into the blood
- non-paralytic: destruction of nervous tissue
- paralytic: motor neurons invaded, flaccid paralysis
- inactivated vaccine
Hepatitis
- blood borne infection
- necrosis of hepatocytes (liver cells)
- monocular response that swells and disrupts liver architecture
- jaundice
- A-E
Hepatitis A & E
- fecal oral route
- deficient personal hygiene and lack of public health measures
- inadequate sewage control
- HAV has vaccine
- HEV no vaccine
Hepatitis B
- cytotoxic T-cell response
- virus found in blood and body fluids
- Vaccine contains HBV antigen
Hepatitis C
- HCV
- liver failure from hep C is the most common reason for liver transplants
- No vaccine
Hepatitis D
- HDV
- defective virus, cannot replicate by itself, only in cells also infected with HBV
- Co-infected, with HBV and HDV
- Superinfected, HBV then HDV
Malaria
- genus Plasmodium
- invade blood cells and cause them to burst
- bouts of chills, fever and sweating every 48 or 72 hours
- anopheles mosquito
- No vaccine
Nosocomial Infections
- infectious diseases that are acquired or develop during a stay at a hospital or health care facility
- most common: Pneumonia, gastrointestinal illness, urinary tract infections, bloodstream infections, surgical site infections
- Clostridium difficile, Staphylococcus aureus, Klebsiall species, Escherichia coli, Enterococcus species