GI 1 Flashcards
what GI host defenses can trigger the expression of bacterial virulence factors (2)
1) mucus
2) bile
inflammation of the stomach
gastritis
inflammation of the stomach and intestines
gastroenteritis
frequent loose and fluid filled stools
diarrhea
inflammatory disorder of the GI associated with
- diarrhea with blood and pus
- pain, fever, abdominal cramps
dysentery
dysentery v. diarrhea
dysentery: usually disease of the large intestine
diarrhea: disease of the small intestine
inflammation of the intestines, especially small
enteritis
inflammation of the mucosa of the small and large intestine
enterocolitis
inflammation of the large colon
colitis
inflammatory GI bacteria (7)
1) campylocater jejuni
2) c. difficile
3) EHEC
4) EIEC
5) Shigella spp.
6) vibrio paraheaemolyticus
7) yersinia enterocolitica
more likely to see fecal occult or visible blood
more likely to see fecal leukocytes
inflammatory GI bacteria
bacteria passing through the intestine or adherent to the intestinal epithelium
non-inflammatory GI bacteria
non-inflammatory GI bacteria (4)
1) EPEC
2) ETEC
3) Vibrio cholerae
4) listeria monocytogenes
preformed toxin
1-8 hrs. after ingestion
production of toxin after ingestion
8-16 hr after ingestion
adherence, growth, and virulence factor production
16+ hr after ingestion
- staph. aureus
- bacillus cereus (emetic)
- clostridium botulinum
preformed toxin
1-8 hr after ingestion
- bacillus cereus (diarrheal)
- clostridum perfringens
- clostridium botulinum
production of toxin after ingestion
8-16 hr
- shigella spp.
- salmonella spp.
listeria monocytogenes - EHEC, EPEC, ETEC, EIEC
- campylobacter
- vibrio spp.
16+ hours after ingestion
adherence, growth and virulence factor production
two types of bacterial food poisoning
- preformed toxins in the food
- large numbers of spores ingested, germinate in intestine, produce toxins without colonization or adherence to GI tract
- diarrhea, vomiting or both
- NO FEVER
- 1-8 hrs or 8-16 hrs after ingestion
symptoms of bacterial food poisoning