Fun facts about bacteria Flashcards
H.pylori
vibrio, curved GNR, strongly urease positive, upregulates caspases, peptic ulcer disease
V. cholera
vibrio, curved GNR, fecal to oral gastroenteritis, secretes mucinase for attachment to SI, secretes choleragen with AB subunit to disrupt signal transduction using A subunit to activate adenylate cyclse
vibrio
cholera, h. pylori, halophiles, virulence factors for survival in GI- survive acid, attach to lumen
borrelia burgdorferi
spirochete, 24 hours to transmit blood infection, immune evasion, 3 stages (1-erythema migrans, 2-cardiac and neurologic involvement, 3-arthritis), Jarisch-Heixmer reaction
listeria
enterobacteria, GPR, Bhemolytic, grows well in cold, listerolysin, actA, gastroenteritis, sepsis/menigitis
rickettsia
obligate IC, GNR, ticks, RMSF bacteremia leading to vasculitis/rash, tx: doxycycline, chloramphenicol
chlamydia
obligate IC, infectious elementary body, dividing reticulate body, asymptomatic often, hides behind other STDS, tx: doxycycline or erthyromycin/amoxicillin
spirochetes themes
hard to dx, need excellent history, 3 stages of disease, easily cross into bloodstream, immune evasion (no vaccines, exotoxins, inflammation),
Jarisch-Heixmer reaction
syphilis (t. pallidum)
spirochete, not culturable, slow growing, sexual transmission, 3 stages (1-chancre, 2- maculopapular rash on hands/soles, condylomata lata lesions on genitals, 3- granulomas, gummas, CNS) Jarisch-Heixmer reaction
What are two causes of scrofula? Which population are they more likely in?
Tb- adults atypical mycobacterium (M. scrofulaceum)- children
What drug is used to treat leprosy?
dapsone and rifampin
M. leprosy
not culturable, slowest growing, 30C for growth (sticks to superficial), spread by nasal secretions and skin lesions
Which form of leprosy has granulomas/foamy histocytes? Th1/Th2? immunogenic nerve damage/bacterial nerve damage? positive skin test/negative skin test?
tuberculoid: granulomas, Th1, immunogenic, positive
lepramatous: foamy lesion, Th2, bacterial, negative
atypical mycobacterium
environmentally acquired, PPD negative, less aggressive, not lethal in guinea pigs, M. scrofulacum
What drug is used to treat Tb? What type of therapy is recommended?
isoniazid, directly observed therapy with 4 drug regimens
What is remicade? What disease can it cause resurgence of?
TNFa antagonist, depresses CMI, may reactivate Tb
What disease is Pott’s disease caused by?
Tb in the long bones, osteomyelitis in the spine
What type of menigitis does the Brudzinski’s sign indicate? Why only this kind?
Tb menigitis, high inflammation
What is a Ghon complex? Where can bacteria spread from here?
exudative lesion and draining hilar lymph node, typical of pulmonary Tb, can spread to bloodstream