Generalities Flashcards
Creutzfield-Jacob, kuru, BSE
Prion
Spongiform encephalopathy
Jumping genes
Transposons
Outer membranes: Diatom Plants and algae Fungi Bacteria
Silica
Cellulose
Chitin
Peptidoglycan
Bacteria: smallest, no cell wall
Mycoplasma
Bacteria:largest
Dse
Borrelia burgdorferi
Lime dse
Only gram positive organism with LPS (endotoxin)
Listeria monocytogenes
Not seen in gram staining
These Rascals May Microscopically Lack Color
Treponema (dark field microscopy) Rickettsia (Giemsa stain) Mycobacterium (Acid Fast Stain) Mycoplasma (serology) Legionella (silver stain) Chlamydia (inclusion bodies/tissue staining)
Only bacteria with capsule made of polypeptide (D-glutamate)
Bacillus anthracis
Spore forming bacteria
Bacillus
Clostridium
Both antibacterial and B-lactamase inhibitor
Nafcillin
Cloxacillin
Methicillin
Byproducts of aerobic metabolism
H2O2, superoxides
Superoxide desmutase, catalase, peroxidase
Obligate aerobes
Nosy and Nagging Pests Must Breath Lots of oxygen
Nocardia Neisseria Pseudomonas Mycobacteria/Mycoplasma pneumoniae Bordetella/Brucella/B. cereus Leptospira/Legionella
Obligate anaerobes
ABC
Actinomyces
Bacteroides
Clostridium
Example of programmed rearrangement
Relapsing fever (Borrelia recurrentis)
DNA transfer with the use of vector
Transduction
Example of transduction (lysogenic)
Erythrogenic toxin of strep pyogenes (scarlet fever)
Bacteria with IgA protease
SHiNe My Gong
Streptococcus pneumoniae
Haemophilus influenza
Neisseria Meningitidis
neisseria Gonorrhea
Source of toxoid vaccine
Exotoxin
Only heat stable exotoxin
Staphylococcal enterotoxin
Typical dse
Exotoxins
Endotoxin
Tetanus, botulism /
Meningococcemia
Toxic component of LPS
Lipid A
CM: gram positive cocci
Blood agar
CM: enteric gram negative rods
*lactose fermenters vs. non-fermenters
McConkey
Eosin methylene blue (EMB)
CM: enteric gram negative rods
* H2S producers vs non- producers
Triple sugar iron (TSI)
CM: clostridium perfringens
Egg yolk
CM: corynebacterium diphtheriae
Tellurite
CM: group D strep
Bile esculin
CM: staphylococci
Mannitol salt
CM: neisseria meningitidis and neisseria gonorrhea
Chocolate agar
CM: N. gonorrhea
Thayer-Martin (vancomycin, cholecystin, nystatin)
CM: H. Influenzae
Chocolate + factor X and V
CM: Mycobacterium tuberculosis
Lowenstein Jensen
CM: Vibrio cholerae
TCBS
CM: Bordetella pertussis
Bordet-gengou
CM: Legionella pneumophila
Charcoal yeast extract
CM: campylobacter, helicobacter
Skirrows
CM: Borrelia burgdorferi
BSK
CM: mycoplasma pneumoniae
Eaton
CM: pseudomonas aeruginosa
Cetrimide
CM: salmonella, shigella
XLD
CM: Leptospira interogans
EMJH/Fletcher’s
Antibiotics CI in neonates
Chloramphenicol
Sulfonamide
Antibiotic: cut off >18yo
Quinolones
Tetracyclines
CI antibiotics in elderly
Isoniazid (hepatotoxic)
Aminoglycosides (Nephrotoxic)
Pregnancy: cat b to c
Penicillin
B-lactams
Erythromycin
Pregnancy: cat D to X
Metronidazole and Tetarcillin Rifampicin and TMP Tetrecyclin Aminoglycoside Isoniazid
Most hepatotoxic antibiotics
Erythromycin
Chloramphenicol
Lyncomycin
Clindamycin
Crosses BBB without inflammation
Sulfonamide
Chloramphenicol
Metronidazole
Rifampicin
Isoniazid
Fluconazole
Crosses BBB with inflammation
PCN
3rd gen Ceph
Imipenem, Meropenem, aztreonam
Ciprofloxacin, vancomycin
Chloramphenicol: bacteriocidal in
N. meningitidis
Bacteroides fragilis
H. Influenzae
Strep pneumoniae
Not good BBB penetration
Macrolides
Aminoglycosides
Lincosamide
Tetracycline
B cell disorders
Recurrent pyogenic infection
- Bruton’s agammaglobulinemia
- selective IgA deficiency
- Common variable immunodeficiency
T cell disorders
Recurrent fungal, viral, protozoan infection
- Di George syndrome
- Chronic mucocutaneous candidiasis
Di George: CATCH 22
Cardiac defect (TOF) Abnormal facies Thymic aplasia Cleft palate Hypocalcemia Chromosome 22 q 11.2
Combined B and T cell deficiency
Severe combined immunodeficiency (SCID): ADA–> accumulation of adenosine
Wiscott-Aldrich syndrome
Ataxia-telangiectasia
Wiscott-Aldrich syndrome
how do you TIE a WASP
Thrombocytopenia
Infection
Eczema
WASP gene mutation
Ataxia-Telangiectasia
ATI
Ataxia
Telangiectasia
IgA deficiency
Phagocytic Disorder
- Chronic granulomatous dse (Neutrophil: NADPH oxidase activity deficiency)
- Chediak-Higashi (phagolysosome fusion failure)
- Leukocyte adhesion deficiency (impaired diapedesis, delayed separation of umbilical cord)
Complement disorder
C2 deficiency (MCC): septicemia, SLE C3 deficiency: recurrent pyogenic infection C5-C9: MAC