IDS Flashcards
Cells seen in measles
Warthin-Finkeldy (multinucleated giant cells), and also Koplik spots (opposite 2nd upper molars at exit of Stensen’s duct)
Herpes simplex
Cowdry Type A (pink to purple intranuclear inclusions)
Varicella zoster (chickenpox)
Dewdrops on a rose petal
CMV
Owl’s eye (intranuclear basophilic inclusions surrounded by clear halo)
EBV
Mononucleosis, burkitt’s lymphoma, nasophrayngeal CA, B-cell non-Hodgkin’s lymphoma
Heterophile (Monospot) negative
CMV
Heterophile (monospot) positive
EBV
Pseudomembrane
Diphtheria
Granulomatosis infantiseptica
Listeria monocytogenes (gram positive intracellular bacteria)
Capsule of Bacillus anthracis
Only non-polysaccharide capsule, composed of D-glutamate peptides
Fleur-de-lis pattern of necrotizing pneumonia (pale necrotic center with red, hemorrhagic periphery)
Pseudomonas
Perivascular blue haze
Pseudomonas
Buboes
Yersinia pestis
Organism causing chancroid
Haemophilus ducreyi
Organism causing granuloma inguinale
Klebsiella granulomatis
Painful, prominent, non-indurated buboes
Haemophilus ducreyi (chancroid)
Beefy red ulcer with indurated borders
Klebsiella granulomatis (granuloma inguinale)
Gram negative coccobacilli
BOTH chancroid and granuloma inguinale)
Donovan bodies
Granuloma inguinale (may dove sa aking groin / inguinal area)
Produced by APCs for TH1 differentiation
IL 12
Produced by TH1 to activate macrophages
IFN-gamma
Cytotoxic T-cells
MHC I, CD8, Th2
Helper T cells
MHC II, CD4, Th1 and Th17
Focus of caseation necrosis in TB?
Ghon focus
Ghon focus + lymph nodes
Ghon complex
Healed Ghon focus leading to fibrosis and/or calcification
Ranke complex
Secondary or reinfection of TB, tends to be cavitary
Simmon focus
Most common form of extrapulmonary TB
TB adenitis (scrofula)
Most commonly affected segment in GITB
Ileum
Disseminated intracellular infection in ICC individuals (ex AIDS)
Mycobacterium avium intracellulare complex (MAC)
Two types of leprosy
Paucibacillary/tuberculoid and multibacillary/lepromatous
Lipid laden macrophages seen in lepromatous leprosy
Lepra cells (macrophages) with globi (AFB)
Lesion of primary syphilis
Chancre
Causative agent of syphilis
Treponema pallidum
Manifestation of secondary syphilis
Oral cavity ulcer, palms and soles
Lesion of tertiary syphilis
Gumma
Other complications of tertiary syphilis
Neurosyphilis, aortitis (obliterative endarteritis of the vasa vasorum, causing aneurysm)
Manifestations of congenital syphilis
Saber shins and saddle nose, interstitial pneumonia, triad of late manifestations - interstitial keratitis / Hutchinson teeth / CN VIII deafness
Toxin of C. perfringens
Alpha toxin (lecithinase)
Causative agent of gas gangrene
C. perfringens
Causative agent of pseudomembranous colitis
C. difficile
Two toxins of C. difficile
Toxin A: chemokine, toxin B: cytotoxin
Most common bacterial STI
Chlamydia trachomatis
Seen in chlamydia urethritis
Purulent discharge WITHOUT ORGANISMS
Caused by Chlamydia L strains
Lymphogranuloma venereum
Structure stained by India ink in Cryptococcus neoformans
Polysaccharide capsule
Structure seen in candida albicans
Pseudohyphae
Characteristic of Aspergillus morphology
Septate hyphae that branch at acute angles (A-A, acute aspergillus)
Characteristic of Mucor morphology
Septate hyphae that branch at right angles
Mold with CNS involvement (rhinocerebral)
Aspergillus
Causative organism of babesiosis
Babesia microti, Babesia divergens
Causative organism of malaria
Plasmodium
Used for diagnosis of malaria and babesiosis on blood smear
Giemsa stain
Maltese cross pattern
Babesia
Asexual stages of parasite with hemozoin
Malaria
Parasite without hemozin
Babesia
Special lesion of cerebral malaria
Durck granuloma
Four kinds of leishmaniasis
Visceral (splenic, liver, LN), cutaneous, mucocutaneous, diffuse cutaneous
General morphology of leishmaniasis
Macrophages filled with leishmania
Hyperpigmentation seen in leishmaniasis
Kala-azar
African sleeping sickness
Trypanosoma brucei
Complications of T. cruzi
Dilated cardiomyopathy, megacolon and megaesophagus
Tom Cruise gave me a reduviid bug in South America. It broke my HEART, kaya Chagas siya
Chagas disease
Trypanosoma cruzi
Disease caused by cerebral leptomeningitis in T. brucei
Demyelinating panencephalitis
This makes Strongyloides stercoralis bad
Autoinfection and hyperinfection
Characteristic of hyperinfection
Strongyloides larva invade colonic submucosa, lymphatics, blood vessels
In what muscles does Trichinella spiralis like to encyst?
Striated muscles with rich blood supply (diaphragm, EOMs, deltoid, laryngeal, deltoid, gastrocnemius, intercostals)
Found in Trichinella
Nurse cells
Causes of lymphatic filariasis
Brugia malayi and Wuchereria bancrofti
Intense eosinophilia with hemorrhage and fibrin
Recurrent filarial funiculoepididymitis
Found in tropical pulmonary eosinophilia (from filariasis)
Meyers-Kouwenaar bodies
Leading cause of preventable blindness in Sub Saharan Africa
Onchocerca volvulus
Location of onchocercoma
Subcutaneous nodule
Vector of African sleeping sickness (T. brucei)
Tsetse fly
Mazzotti reaction
Accentuation of sclerosing keratitis with antifiliarial treatment of Onchocerca
Lateral knob of schistosoma
S. japonicum
Lateral spine of schistosoma
S. mansoni
Terminal spine
S. haematobium
Trematode that increases risk of bladder squamous CA
S. haematobium
Taenia solium / saginata and Echinococcus granulosus are what kind of worms?
Cestodes
Schistosoma is what kind of worm?
Trematode
Causative agent of hydatid disease
Echinococcus granulosus
Degenerating scolices in Echinococcus
Hydatid sand
Taenia solium is found in what kind of meat?
Pork (T. saginata found in beef - think Japanese cows, wagyu)
Tapeworms
Cestodes (Ate Ces likes to tape things)
Flukes
Trematodes
Roundworms
Nematodes (Nema, ang kapatid ni Nemo, is fat and round)