Infection (3) Flashcards

1
Q

What are Koch’s postulates?

A

4 criteria for proving the pathogen-disease link
1. The microorganism must be found in abundance in all organisms suffering from the disease, but should not be found in healthy organisms

  1. Microorganism must be isolated from a diseased organism and grown in culture
  2. Cultured microorganism should cause disease when introduced into a healthy organism
  3. Microorganism must be re-isolated from the inoculated experimental host and be identified as identical to the original specific causative agent
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2
Q

What are the 5 classes of microorganisms in size order

A
Viruses 20nm-1uM
Bacteria 1-10uM
Fungi 5-10uM
Protoza 10-100uM
Prions 10nm
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3
Q

How do bacteria differ from human cells?

A

Human cells have a plasma membrane and no cell wall, whereas bacteria have a cytoplasmic membrane and either a peptidoglycan or lipopolysaccharide cell wall

In human cells DNA is found in the nucleus whereas bacteria have a single stranded DNA chromosome found in the cytoplasm

Human cells have many more organelles - bacteria just have ribosomes

Bacteria have a flagella and pilli on their surface

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4
Q

How do bacteria and viruses differ?

A

Viruses are smaller, they have no independent metabolism and no organelles

Bacteria have an independent metabolism and still no organelles except some ribosomes

Viruses have a simple protein coat and cell membrane from the host cell, bacteria have a cell wall which is distinct from the host organism

Viruses have RNA or DNA, bacteria have DNA single chromosome

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5
Q

How are bacteria classified?

A

Shape: coccus or bacillus (round or rod shaped)
Gram staining: positive or negative

Peptidoglycan cell walls stain purple (positive)
Lipopolysaccharide cell walls remain pink (negative)

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6
Q

Outline the structure of fungi

A

5-10uM in size
DNA as multiple chromosomes in a nucleus = eukaryotes
Independent metabolism + organelles
Cell wall which is distinct from cell membrane of host organism

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7
Q

Outline the structure of protozoa

A

10-100uM in size
DNA as multiple chromosomes in a nucleus (eukaryotes)
Independent metabolism and organelles
Cell membrane is similar to host organism

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8
Q

Outline the structure of prions and prion disease

A

10nM in size
No RNA or DNA just a protein enzyme
No independent metabolism or organelles
No protein coat, cell wall or membrane

Normal protein PrPc -> PrPsc -> accumulates = CJD/vCJD/BSE

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9
Q

What’s a symbiotic relationship?

A

Close and long term interaction between two different species (can be mutualistic, commensal, parasitic)

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10
Q

What’s a commensal relationship?

A

Symbiotic relationship between two different species where one derives some benefit and the other is unaffected

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11
Q

What’s colonisation?

A

When a microbe grows on/in another organism without causing disease

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12
Q

Define infection

A

The invasion and multiplication of microbes in an area of the body where they are not normally present

An infection may cause no symptom and be sub-clinical or it may cause varying degrees of symptoms and be clinically apparent

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13
Q

What’s a pathogen? Obligate pathogen? Opportunistic pathogen?

A

Pathogen = microorganism that is able to cause disease

Obligate pathogen = a pathogen that must cause disease in order to be transmitted from one host to another and must also infect a host in order to survive

Opportunistic pathogen = a pathogen that takes advantage of an opportunity not normally available, such as a host with a weakened immune system, altered microbiota, breached integumentary barriers

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14
Q

What are normal commensal bacteria called? Where are they usually found and what can disrupt them?

A

Gut flora / microbiota
GI tract, skin, mouth, upper airways, lower airways, genital tract
Antibiotics (cephalosporins - ceftriaxone) may also kill normal flora meaning the individual is more susceptible to infection - eg C.diff associated diarrhoea

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15
Q

What’s inflammation designed to do and what type of immunity is it part of?

A

Inflammation is the body’s response to injury

Designed to rid the body of the initial cause of injury and break down cells damaged by injury

Part of innate immunity (first line defence)

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16
Q

What are the beneficial effects of the immune response?

A
Delivery of immune cells and proteins
Dilution of toxins
Eliminate substances and repair tissue
Can stimulate further responses
Provide entry for drugs
17
Q

Define acute inflammation

A

The immediate defensive reaction of tissue to an injury, which vascular and exudative processes predominate

18
Q

Define chronic inflammation

A

Prolonged and persistent inflammation, which may be a continuation of acute inflammation, or the result of insidious insult, characterised by scar tissue formation

19
Q

What are 5 macroscopic features of acute inflammation?

A
Erythema
Oedema
Warmth
Pain
Loss of function
20
Q

What are the 2 microscopic features of acute inflammation and what do they lead to?

A

Vascular changes - increased permeability and vasodilation (leading to erythema, warmth and oedema -> pain and loss of function)

Exudative changes - fluid and proteins leakage and emigration of leukocytes (neutrophils/phagocytosis)

21
Q

What are the outcomes of acute inflammation?

A

Resolution or:
Acute -> chronic -> tissue scarring
Healthy tissue injury by lytic enzymes, accumulation of pus, autoimmunity

22
Q

What are some causes of chronic inflammation?

A
Persisting trauma
Persisting infection
Persisting foreign bodies
Inadequate response (AIDS)
Autoimmune (RA, Crohn's)
23
Q

What are the features of chronic inflammation?

What type of immunity is it part of?

A

Prolonged and persistent
Scar tissue formation

Macroscopic: tissue destruction -> necrosis and fibrosis -> loss of function
Microscopic: new leukocytes (lymphocytes, macrophages, eosinophils, basophils)

Part of adaptive immunity

24
Q

Other than leukocytes, what are some mediators in chronic inflammation?

A

Monocytes/macrophages
Interleukins (cause fever)
Acute phase proteins
Complement

25
Q

What are 4 patterns of inflammation and what are they?

A

Granulomas = collections of macrophages

Ulcers = break in epithelial surface

Serous and fibrous fluid = accumulation of fluid (serous acute, fibrous chronic)

Suppuration = pus from persistent organism/foreign body

26
Q

What are possible outcomes from inflammation?

A
Repair and return
Ongoing inflammation
Change in tissue function (atrophy/necrosis)
Dysfunction from scarring
Catastrophe
27
Q

What causes oedema?

A

Vasodilation and increased permeability allowing movement/leakage of fluid and plasma proteins into extracellular spaces

28
Q

What are 4 biochemical barriers to infection?

A

Sebaceous secretions in skin
Lysozome in tears
Spermine in sperm
Gastric acidity

29
Q

What are 4 physical barriers to infection?

A

Skin
Mucus
Respiratory cilia
Commensal organisms

30
Q

What are 4 ways most infectious agents enter the body?

A
Via the mucosal surfaces of:
Nasopharynx
Respiratory tract
Alimentary tract
Genito-urinary tract
31
Q

What are host risk factors for infection?

A

Extremes of age
Stress and starvation
Compromised barriers to infection (physical/biochemical)
Immunocompromised host: primary or secondary immunodeficiency or immunosuppression from drug treatment

32
Q

Outline the steps of bacterial pathogenesis

A

Access -> Adhere -> Invasion -> Multiplication -> Evasion -> Resistance -> Damage -> Transmission

33
Q

What are some investigations for infection and what types of microorganism are they best for?

A

Markers of inflammation in blood/body fluids
Microscopy, culture and sensitivity for bacteria
PCR/nucleic acid detection for viruses
Serology/antibody detection for viruses and unusual pathogens
Imaging studies look for a focus

34
Q

What are 4 roles of the immune system?

A

Provide immunity to infection
Inflammatory processes
Removal of senescent cells
Defence against neoplasia