II - Infection Biology Flashcards
Pathogens that cause disease in immunocompromised
Opportunistic Pathogens
Measure of a microbe’s ability to cause disease
Virulence
Number of organisms required to cause disease in 50% of pop’n
ID50
Modes of bacterial adherence
Pili, glycocalyx
Adherence protein of Salmonella and E.coli
Curli
Enzymes that degrade subcutaneous tissue
Collagenase, hyaluronidase (spreading factor)
Enzyme that accelerates fibrin clot formation
Coagulase
Protein for adherence to mucosal membranes
IgA protease
Enzyme, destroys neutrophils and macrophages
Leukocidin (Panton Valentine Lekocidin in Staph. Aureus)
Bacteria with IgA protease
Strep. Pneumoniae, Haemophilus influenzae, Neisseria gonorrhea, Neisseria meningitidis
Vaccine for exotoxins
Toxoids, none for endotoxins
MOA of diphtheria toxin, cholera toxin, pertussis toxin
ADP ribosylation
MOA of TSS toxin, staph enterotoxin, erythrogenic toxin
Superantigen
MOA of tetanus toxin, botulinum toxin, scalded skin toxin
Protease
MOA of Clostridium perfringens alpha toxin
Lecithinase
Toxic component of lipopolysaccharide (endotoxin)
Lipid A
All bacteria have peptidogylcan cell walls except
Mycoplasma pneumoniae (none)
All G(+) have no endotoxin except
Listeria monocytogenes
All bacterial capsules are composed of polysaccharide except
Bacillus anthracis
All exotoxins are heat-labile except
Staphylococcal enterotoxin
Clostridium perfringerns agar
Egg yolk
Corynebacterium diphtheriae agar
Tellurite
group D streptococci
Bile Esculin Agar
Staphylococci agar
Mannitol salts
N. meningitidis, N. gonorrhea (sterile)
Chocolate agar
N. gonorrhea (from nonterile sites) agar
Thayer-Martin
Haemophilus inluenzae agar
Chocolate + Factors X, V
Antibiotics in Thayer-Martin agar
Vancomycin, Cholestin, Nystatin
Mycobacterium tuberculosis agar
Lowenstein-Jensen agar
Vibrio cholerae agar
Thiocyanate Citrate Bile Salts/Sucrose Agar
Bordetella pertussis agar
Bordet-Gengou agar
Legionella pneumophilla agar
Charchoal yeat agar
Campylobacter, Helicobacter agar
Skirrow’s/Campi agar
Borrelia burgdorferi agar
Barbour-Stoenner-Kelly (BSK)
Mycoplasma pneumonia agar
Eaton
Pseudomonas aeuroginosa agar
Cetrimide
Salmonella, shigella agar
Xylose-lysine-deoxycholate
Leptospira interrogans
Ellinghausen-McCullough-Johnson-Harris/Fletcher’s
Excellent BBB penetration with or without inflammation
(FIRST Cranial Med in Flame) Fluconazole, Isoniazid, Rifampicin, Sulfonamides, Trimethoprim, Chloramphenicol, Metronidazole, Flucytosine
No BBB passage even with inflammation
(P12CA)Polymixins, 1/2 Cephalosporins (except Cefuroxime), Amphotericin B
Good BBB penetrance only with inflammation
(Im Vying MAC PC)Imipenem+Cilastatin, Vancomycin, Meropenem, Aztreonam, Ciprofloxacin, Penicillins, Cephalosporins (Cefuroxime, all 3 except cefoperazone, cefipime)
Minimal BBB passage even with inflammation
(MALT) Macrolides, Aminoglycosides, Lincosamides, Tetracyclines