Infection Flashcards

1
Q

what is pathogenicity

A

capacity for a microorganism to cause infection

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2
Q

what factors are needed for pathogenicity

A

transmissible, establish in the host, harmful effects, persistent

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3
Q

what are virulence factors

A

encoded by virulence genes, allow the micro-organism to be harmful by: ]facilitating adhesion or invasion
having toxic effects
interfere with hot defences

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4
Q

what is infectivity and what does it require

A

ability for a MO to establish itself in a host

requires ligand receptor interactions

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5
Q

what is an LD50 or ID50

A

doses that will cause death or infection in 50% of host exposures

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6
Q

what are the parts in the circle of infection

A
pathogenic organism 
reservoir 
exit 
transmission
entry 
susceptible host 
pathogenic organism etc
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7
Q

what are the 5 steps in the impact of infection on the host

A

inflammation
abscess formation
excessive host response to endotoxin
granuloma formation

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8
Q

why do we have inflammation in infection

A

response to invasion/tissue damage caused by an infective organism

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9
Q

why is inflammation good and bad

A

protective functions but also reduces endothelial barrier function and can from abscess

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10
Q

what is an abscess

A

enclosed collection of pus ( made up of dead WBC’s, exudate, tissue and MO)

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11
Q

what are the clinical features of abscess formation

A

fluid filled fluctuant mass surround by inflammation with symptoms of infection

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12
Q

what are common causes of superficial abscess formation

A

s. aureus

s. pyogenes

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13
Q

what are endotoxins

A

part of the outer membrane of gram negative cells and are released from them upon their death

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14
Q

what is the active component in an endotoxin

A

LPS

liposaccharides - bind to receptors on phagocytes and lymphocytes

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15
Q

what are some host responses to endotoxin infection

A

uncontrolled cytokine releases - fever, riggers, hypotension, tachycardia

activation of clotting cascade (DIC and depletion of clotting factors)
activation of complement

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16
Q

what is neisseria meningitidis

A

endotoxin mediated increase in vascular permeability causes loss of protein fluid and plasma into tissues with pathological compensatory vasoconstriction which causes gangrenous appearance of extremities

17
Q

what is botulism

A

clostridium botulinum
contained food/wounds/GI colonisation
irreversibly bind to presynoatic vesicles and stabilises them so no muscle contraction - flaccid paralysis = respiratory failure

18
Q

what is tetanus

A

dirty or trivial wounds - tetanospasmin inhibits relates of inhibitory neurotransmitters = rigid paralysis
opisthotonos, sardonic smile, death from rest failure

19
Q

what is a granuloma

A

collection of inflammatory cells due to persistence of non-degradable product and active cell mediated hypersensitivity

20
Q

on examination of a granuloma what is present

A

nodule - pulmonary, hepatic etc

tissue necrosis - caseating

21
Q

how does TB from granuloma

A

primary TB characterised by ranke/ghon complex - solitary granuloma with hilar granulomatous lymphadenopathy
reactivation - inflammation
extrapulmoanry TB - manifests in the bone liver kidneys etc

22
Q

what are two cases of granuloma other than TB

A

schistosomiasis - helminths

viral infections