IDR Block 3C Flashcards
Does Mycobacterium leprae cause a systemic infection?
No, causes skin and nerve problems
What type of Acid Fast Bacteria are associated with traumatic inoculation of bacteria under the skin?
What area are they from? What drugs can you use?
M. chelonae and M. abscessus fast growing
South and Central America (Doctor introduced, cosmetic surgery)
Standard Antibiotics
The opa proteins are specific to which Gram Negative?
They help the bacteria cross epithelial cells, endothelilal cells, and what two other locations?
N. Gonorrhea
Lymphocytes and Granulocytes
What types of cells does N. Gonorrhea infect? (think about histology)
Cervix/columnar cells
What type of augar does N. Gonorrhea grow on? Two options, which one is best? With what conditions?
Chocolate Agar is best, and Blood Agar
High humidity, CO2
What types of drugs work for N. Gonorrhea? What drugs do not work?
Azithromycin (macrolide) and Ceftriaxone (cephalosporin)
No: 1st generation Beta Lactams, ciprofloxacin, tetracyclines
What are the two methods of moving bacterial DNA that move B-lactamase genes?
Conjugation and Natural Transformation
What is the magic thing that causes Meningococcemia?
Lipo-oligosaccharide, a more exposed version of TLR4
What is a common cause of pneumonia in the eldery?
What drugs can be used/given?
What color is the sputum?
Over 75 crowd, Moraxella Catarrhalis
Anything that is not 1st generation Beta Lactams
White Sputum
Kerning’s Sign is what?
Brudzinski’s Sign is what?
What disease would cause this?
Cannot Straighten the leg of patient
Cannot pick up head without pulling up the patient’s knees
N. Meningitis
How is N. Meningitis spread, moved into a patient?
Upper Respiratory Tract, no symptoms via inhalation
Showers, Recycled air, dorms, barracks, and prisons
What gram negative bacteria is a fastidious capnophile?
N. Meningitis
Strept. Agalactaie causes what in pregnant women?
UTI and possible dissemination; can cause mastitis during breastfeeding
Strept. Agalactaie causes what in immuncompromised patients?
Sepsis, pneumonia, bone/joint, skin/soft tissue
___________ contains iron like TSI slants do, so bacteria that produce H2S (like Salmonella) grow into black colonies on these plates
Hektoen enteric agar
Haemophilus Ducreyi is a sexually transmitted infection that looks a lot like what?
It causes an ulcerated, painful lesion on the genitals that bleeds easily called what?
Treponema pallidum (syphilis)
Chancroid
What does the Pertussis toxin inhibit?
adenylate cyclase inhibitor
Interferes with PMN and monocyte function, catalyzes synthesis of cAMP, killing by inducing apoptosis?
ACT Adenylate Cyclase Toxin
What do tracheal cytotoxin and dermonecrotic toxin do?
Tracheal: Bind and immobilize cilia
Kill ciliated tracheal cells
Dermonecrotic: Localized Necrosis
What are the two adhesin proteins that bind to other cells that allow Bordetella pertussis to move into another cell?
Filamentous hemagglutinin and Pertactin
What are the four pieces that make up the acellular pertussis vaccine?
Pertactin, filamentous hemagglutinin, pertussis toxoid and adenylate cyclase
What part of bordetella pertussis is not able to be attacked in modernized scenarios?
Pertactin
During the bordetella pertussis growth, at what point is the Bacterial population the highest?
At what point does the heavy coughing take place?
Catarrhal
Paroxysmal