Infections Of The Nervous System Flashcards
Are the diseases that infect the nervous system the most dangerous?
Yes, super
Will severe inflammation help the nervous system if it is under attack by the disease?
The purpose of inflammation is to help you, however if there is severe inflammation, then no
( only doing more harm than good )
Does the nervous system have regenerative tissue? If so what happens?
No
( usually will happen if presented with a disease is that it’ll most like get very severe if not caught on quickly )
What is meningitis?
Inflammation of the meninges
What is the function of the meninges?
Protective covering of the brain & spinal cord
What is encephalitis?
Infection of the brain
What’s the difference of meningitis & encephalitis?
Meningitis
- inflammation of the meninges
Encephalitis
- infection of the brain
Can all microbes that enter the brain cause meningitis?
Yes
Can virus, bacteria, fungal, Protozoa, cause meningitis?
Yes
What are the most common types of microbes that can cause meningitis?
Viral & bacteria
What are the more deadlier microbes that can cause meningitis?
Fungal & Protozoa
How is bacterial meningitis transmitted by?
Respiratory
( droplets )
If meningitis is found to be in a dorm, nursing home or anywhere, what do you have to do or happens?
Tell people that you have meningitis
Ask others who were near you to go check out
And be very careful
What are the symptoms of meningitis?
Headache
Nausea
Vomiting
Stiff neck
Convulsions
Meningitis have a high mortality rate? But??
Yes, if we catch it early it can be preventable
Are viral cases of meningitis usually non fatal?
Yes
How do we find out someone has meningitis?
Spinal tap
( lumbar puncture )
(Extra information
Clear tube - viral
Cloudy tube - bacteria )
What are the 4 bacteria that mainly cause meningitis?
(SA, H, SP, N )
Streptococcus agalactiae
Hemophilis incluenzae type B
Streptococcus Pneumoniae
Neisseria menigitidis
What is streptococcus agalactiae?
( gram stain, shape, group?)
Gram positive
Coccus
Beta hemolytic group B
What does streptococcus agalactiae mainly cause, in who? And acquired where? (3)
Cause neo-natal meningitis
Mainly infects infants
Acquired from mother birth canal
Does hemophilus influenzae cause the flu?
NO!!
What is hemophilus influnenzae type B?
( gram stain, shape, capsule or en capsuled?)
Gram negative
Rod
Encapsulated
How many capsules does hemophilus influenzae type b has and the most virulent?
6 total capsules
Type B is most virulent
( named HIB )
What is the transmission for hemophilus influenzae type B?
Respiratory ( nasopharynx)
Blood
Meninges
Before vaccination, what was the percentage of infected childern with hemophilus Influenzae type B? And age group of childern ?
45-66%
( 6 months - 5 year old )
Is there a vaccine for hemophilus Influenzae type B? And name? And what is it?
Yes
HIB vaccine
Subunits vaccine
At what age did we give out the HIB vaccine?
2 months of age
( then 4, 6, 8 months )
( again at 5 years )
Why do we give out the HIB vaccine so much?
To promote immunity
What is streptococcus Pneumoniae?
( gram staining, shape, encapsules, alpha or beta?)
Positive
Diplococci
Encapsulated
Alpha hemolytic
40 year old comes into the ER complaining about stiff Neck and Naseua, he comes back positive for meningitis. It shows that it is diplococci, alpha hemolytic and gram positive? What bacteria is it?
Streptococci Pneumoniae
Streptococcus Pneumoniae causes ___ of all Pneumoniaes in children of age 6 months to 6 year old?
80%
What is the transmission of streptococcus pneumonia?
Respiratory ( nasopharynx ) -> blood -> meninges
Is streptococcus pneumonia the leading causes of meningitis? If so, what is the morality rate in kids & elders?
Yes
Kids - 30%
Elderly - 80%
Is there a vaccine for streptococcus pneumonia? Name and what is it?
Capsule conjugated vaccine ( name )
Subunit conjugated vaccine
( is what it is )
When do we normally give out the capsule conjugated vaccine to kids and elderly?
50+ plus
2 year of age
What is neisseria meningitidis
( gram stain, shape )
Gram negative
Diplococcus
How is neisseria meningitidis transmitted?
Respiratory ( nasopharynx ) -> blood -> cerebral spinal fluid
What are the symptoms of Neisseria meningitidis ?
Endoxtiun causes fever, headache and RASH ON ABDOMEN
Biggest symptom of neisseria meningitis?
Rash on abdomen
Is neisseria meningitids the deadliest ? And percentage and how fast?
It is
80% mortality
Happens in hours
Where do we normally get or see neisseria meningitidis?
Crowed enclosed places
What are the 4 virulence factors and functions of each in neisseria meningitidis?
( E, F, IG, C )
Endotoxin - fever and shock
Fimbriae - attachment
IGA protease- destroy IGA
Capsule - antiphatocytic
Do we have a vaccine for neisseria meningitidis? And what is it?
Yes
Subunit conjugated vaccine
What is the bacteria that causes tetanus?
Clostridium tetani
What is clostridium tetani?
( stain, spore, anaerobe/aerobe, shape?
Positive
Spore forming
Anaerobic
Rod
Where do we find tetanus?
Soil
Animal/human GI tract
What is the famous known area to get tetanus?
Old rusty nails
How does the spores of tetanus enter through the body?
Cuts
What is tetanus mainly known for?
Lock jaw
What is tetanus neonatorum?
Cuts stump of umbilical cord
What is the virulence of tetanus?
Presence of plasmid that codes for neurotoxin
( tetanospamisn )
What is the neurotoxin in tetanus called?
Tetanospasmin
What does tetanospamin do?
Inhibit muscle relaxation
-> paralysis
Do we have a vaccine for tetanus?name?
Yes
DTaP
What does the T in DTAP mean?
Tetanus toxoid
What is a toxoid?
Denature protein
( exotoxins )
Are toxoids subunit vaccines?
Yes
Why do we get a booster every 10 years for tetanus?
To help with long term immunity
Lets say you don’t have the vaccine for tetanus and step on a nail what is going to need to happen?
Get a vaccine
Artificially acquired passive immunity
What is artificially acquired passive immunity?
Preformed antibodies that are immediate
What are the 2 viral disease of the nervous system?
Poliomyelitis
Rabies
What is poliomyelitis
( family, naked or enveloped, shape, positive or negative, rna or dna, single or double )
Piconarvirdae family
Naked
Isosahedral
Positive
Single stranded
Rna
What does pico mean?
Small
Are humans the only reservoir for poliomyelitis?
Yes
So if humans are the only reservoir for polio, can we potentially eradicate it?
Yes
What is the transmission for poliomyelitis?
Oral - fecal route
What are the 4 steps of polio in the body?
Down the throat
Into GI
Multiplies in small intestine
Viral particle shitted out
Does the polio virus also invade lymph nodes and blood?
Yes
What are the first signs and then severe signs of polio?
Headache fever
Paralysis
What helped with paralysis in kids who had polio? What machine?
Iron lung
Is there a vaccine for polio ? Name?
Yes
1. Salk vaccine
2. Sabin vaccine
What is the Salk vaccine? And was given to people what year?
Killed polio vaccine
( inactivated polio vaccine )
1955
What is the Sabin vaccine?
Oral polio vaccine
- live attenuated vaccine
What type of vaccine do we mainly use today?
- Salk vaccine
When do we normally give the polio vaccine ?
2 months, 4 months, 6-18months
Whole agent vaccines are both live and killed vaccines? True or false
True
What is rabies?
( family, shape, negative or positive, single or double, rna or dna)
Rhabdoviridae
Helical
Negative
Single stranded
Rna
Rabies is mainly known for its ____ appearance?
Bullet shape
How is rabies transmitted by?
Exposure to infected animals
( bites & handling )
Is rabies zoonotic?
Yes
What is the main animal who has rabies in the USA?
Bats
What are the 4 steps that happens to your body when getting rabies?
- Bite
- Pns
- Cns
- Brain
What are the symptoms of rabies?
Agitation
Hydrophobia
Salivation
What does symptoms mean in rabies?
It’s too late to save them
99% morality rate
What is the diagnosis of rabies? ( distinction in the brain )
Negri bodies in the brain
What is the treatment of rabies?
Passive HRIG & vaccine
What does HRIG mean?
Human rabies immunoglobulin
What is the vaccine for rabies name And what is it?
( H D C ?)
HDCV
( human diploid cell vaccine )
Killed viral vaccine
When do we give the vaccine?
( the 4 days ?)
Day 0
Day 3
Day 7
Day 14
Rabies is the only what for vaccination?
Post vaccine given after exposure
What is the prevention of rabies?
Vaccination your animals & wild life
Why does the rabies disease take a while to infect some people and others a short period of time?
It all depends where you got bite
Leg - longer time to reach brain
Neck - shorter time to reach brain
Rabies causes what in the brain?
Encephalitis