infectious disease: bacteria and virus Flashcards

1
Q

Streptococcus M protein

A

filamentous structure extending out cell surface
may contain hyaluronic acid capsule
antiphagocytic properties

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2
Q

Streptococci M protein gene

A

emm gene

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3
Q

Streptococci virulence factores

A

M protein (prevents complement binding)
Streptolysin O (lyses RBCs)
hyaluronidase (breaks down connective tissue)
DNAses A, B, C, D (break down DNA)
streptokinase (dissolves clots)
NADases, proteinases, esterases, amylase
erythrogenic toxins (scarlet fever)

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4
Q

Streptococcus epidemology

A

pharyingitis
scarlet fever
impetigo
necrotizing fasciitis
toxic shock syndrome
sequelae
rheumatic fever
acute glomerulonephristis

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5
Q

ASO reference method unit:

A

Todd unit (TU)

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6
Q

Todd Unit is…

A

the reciprocal of the highest dilution of patient serum that inhibits RBC lysis
(the last tube that shows no hemolysis)

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7
Q

Antistreptolysin O test principle

A

neutralization reactions
add patient serum, add streptolysin O (positive patient will bind with ASO neutralizing its effect), add indicator cell RBC (positive patient no RBC lysis)

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8
Q

Infectious mononucleosis symptoms

A

fever
pharyngitis
enlarged cervical lymph nodes

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9
Q

Infectious mononucleosis infects what cells?

A

B lymphocytes

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10
Q

heterophile antibodies are….

A

antibodies to a heterogeneous group of antigens found on the surface of unrelated animals and microorganisms

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11
Q

Forssman antibodies…

A

type of heterophile antibodies
non specific

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12
Q

Serum sickness is…

A

type of heterophile antibodies
immune complex disorders post injection with animal serum

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13
Q

Infectious mononucleosis heterophile antibodies..

A

Epstein Barr virus

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14
Q

Paul Bunnel screening test for Infectious mononucleosis

A

react patient serum with sheep RBCs
positive: caused by any type of heterophile antibodies

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15
Q

Davidsohn differential test

A

discovered the cause of differential reactivity of cells w/ sera for heterophile Ab
uses guinea pig kidney cells, sheep rbcs, beef erythrocytes

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16
Q

Salmonella antigens:

A

O somatic antigen: A, B, C, D, E
H flageller antigen
Vi antigen capsule or envelope antigen (virulent strains)

17
Q

Tularemia can cross react with what bacterial antibodies

A

Brucella antibodies

18
Q

infectious mononucleosis lab results

A

increased AST and ALT
N bilirubin
+ Heterophile antibody test

19
Q

Forssman Ab are adsorbed with what?

A

guinea-pig kidney cells

20
Q

Infectious mononucleosis Ab are adsorbed with what?

A

beef erythrocytes

21
Q

serium sickness Ab are adsorbed with what?

A

guinea-pig kidney cells and beef erythrocytes

22
Q

significant titer of ASO in adults

A

> 240 TU

23
Q

significant titer of ASO in kids

A

> 320 TU

24
Q

significant titer of what in ASO over a 1-2 week period is indicative of current disease?

A

rise in titer or over 50 TU