FOOD MIC Flashcards
Para makapasa
Is the leading cause of foodborne bacterial illnesses, causing around 1.02 million cases each year.
Nontyphoidal Salmonella enterica
Is responsible for the majority of viral foodborne illnesses, with about 5.4 million cases annually.
Norovirus
Caused by the therapeutic or cosmetic use of BoNT, such as for treating dystonia or reducing wrinkles. Antitoxins can neutralize toxins if administered early, but permanent neurological damage may occur in severe cases.
Inadvertent Botulism
Inadvertent Botulism
Wound Botulism:
Known as the adult version of infant botulism, it occurs in adults with gastrointestinal disorders (e.g., IBD). The source of the toxin is unclear, but Clostridium botulinum is usually found in feces. Clostridium baratii can also be implicated
Hidden Botulism
Occurs when infants ingest Clostridium botulinum spores (from honey or environmental sources), which germinate in their intestines and produce toxins. Symptoms include weakness, inability to suck or control the head, loss of reflexes, and constipation. The normal gastrointestinal flora in individuals over one year old typically prevents spore germination.
Infant Botulism
This is caused by ingesting botulinum neurotoxin (BoNT) formed in contaminated food. Symptoms, including gastrointestinal disorders (nausea, vomiting, diarrhea), appear within 12–36 hours but can start as early as two hours. Severe neurological symptoms, such as difficulty breathing, paralysis, and respiratory failure, follow if large amounts of the toxin are consumed. Death can occur from respiratory failure, even with small doses of the toxin (1 ng/kg body weight).
Foodborne Botulism:
Types and spores are more common in soil and animal feces,
A,B
Types of toxin that Clostridium botulinum are associated with foodborne botulism in humans.
A, B, E, and F
Before the 1940s, Salmonella enterica serovars were the main culprits behind foodborne and waterborne diseases globally. However, due to improvements such as milk pasteurization and water chlorination, these serovars became less of a concern in developed countries.
Typhi and Paratyphi
These types of salmonella are often associated with food animals,
Salmonella enterica ser. Typhimurium and Salmonella enterica ser. Enteritidis.
are Gram-negative, non-sporulating, facultative anaerobic rods that grow optimally at 35°C–37°C, though they can survive and multiply in a wide range of conditions. They are sensitive to low pH and can be killed by pasteurization, yet they can survive in frozen and dried states for long periods, complicating food safety efforts.
Salmonella
can grow at low temperatures, making it a major concern in ready-to-eat (RTE) foods stored for long periods. Many RTE foods are consumed without proper reheating, further increasing the risk of infection.
The pathogen has a zero-tolerance policy in the U.S. for RTE foods, and in Canada and Europe, the acceptable level is 100 cells per 25g. In healthy individuals, higher doses (10^8-10^10 cells) are needed to cause illness, primarily in the form of febrile gastroenteritis.
Listeria
What listeria is pathogenic to human
monocytogenes
What listeria is pathogenic to animals
Listeria ivanovii
Listeria monocytogenes 3 linages or types
Lineage I: Epidemic clones causing most outbreaks.
Lineage II: Clones responsible for sporadic cases.
Lineage III: Rarely causes human disease but is more common in animals.
Gram-positive, psychrotrophic bacterium: Grows between 1°C and 44°C, with optimal growth at 30°C–37°C.
Motility: Tumbling motility facilitated by flagella, which are most active at 20°C–30°C.
Tolerance to environmental stresses: Listeria can survive in high salt (>10%), low pH (>5.0), and cold environments, making it resistant to many food processing conditions.
Sensitive to pasteurization: However, if protected inside white blood cells, higher temperatures are needed for inactivation.
Listeria
Mild symptoms in healthy individuals after consuming high doses of Listeria (10^8-10^10 cells). Symptoms include flu-like illness with diarrhea, which resolve in a few days.
Febrile Gastroenteritis
Affects immunocompromised individuals, pregnant women, and the elderly, with much lower infectious doses (100–1000 cells). The bacteria can cross intestinal, blood-brain, and placental barriers, leading to severe infections such as meningitis, encephalitis, or neonatal infections.
Invasive Systemic Disease:
Key idea: Traveler’s diarrhea, toxin-mediated (LT/ST).
Symptoms: Watery diarrhea, no tissue invasion.
Mechanism: Produces heat-labile (LT) or heat-stable (ST) toxins, increasing fluid secretion.
Enterotoxigenic Escherichia coli (ETEC)
Key idea: Infant diarrhea, attachment/effacement.
Symptoms: Watery diarrhea, especially in infants.
Mechanism: Adheres to intestinal cells using bundle-forming pili (bfp) and causes villi destruction (no toxins).
Enteropathogenic Escherichia coli (EPEC
Key idea: Shigella-like, invasion.
Symptoms: Bloody, mucoid diarrhea (dysentery-like).
Mechanism: Invades and spreads between epithelial cells, leading to inflammation and cell damage.
Enteroinvasive Escherichia coli
Key idea: Shiga-toxin, bloody diarrhea.
Symptoms: Bloody diarrhea, risk of Hemolytic Uremic Syndrome (HUS).
Mechanism: Produces Shiga toxin (Stx), which causes severe tissue damage and potential kidney failure.
Enterohemorrhagic Escherichia coli (EHEC) / Shiga-Toxigenic Escherichia coli
Key idea: Stacked brick pattern, persistent diarrhea.
Symptoms: Chronic watery diarrhea lasting more than 14 days, especially in children.
Mechanism: Adheres to intestinal cells in a stacked brick arrangement and causes mucosal damage.
Enteroaggregative Escherichia coli
Key idea: Diffuse attachment, mild diarrhea.
Symptoms: Mild, watery diarrhea.
Mechanism: Diffusely adheres to epithelial cells, often associated with persistent or recurrent infections.
Diffuse-Adhering Escherichia coli (DAEC):
Unique Features: Does not ferment sorbitol or have glucuronidase activity (helps distinguish it from other E. coli strains).
Temperature Tolerance: Grows at 30°C–42°C, poorly at 44°C–45°C, and not at 10°C or below. Can survive freezing (-20°C) but is destroyed by pasteurization and heat (64.3°C in 9.6 seconds).
Acid Resistance: Some strains can survive in environments with pH 4.5 or lower.
: E. coli O157
Gram-negative, non-motile, facultative anaerobic rods.
Biochemical Features:
Catalase positive.
Oxidase and lactose negative.
Ferment sugars, usually without gas formation.
Temperature Range: Growth occurs between 7°C and 46°C, with an optimum at 37°C.
Survivability: Survives refrigeration, freezing, and acidic conditions (pH 4.5), but is destroyed by pasteurization.
Relation to E. coli: Biochemically similar, possibly pathogenic variants of E. coli.
The Shigella genus
An exotoxin with enterotoxigenic properties, damaging intestinal epithelial cells.
Shiga toxin (Stx):
Gram-negative, motile, non-sporulating, rod-shaped, small and fragile,
often spirally curved.
Campylobacter
Toxin produces ng campylobacter
s cytolethal distending toxins (CDT),