Infectology Flashcards
Microorganismo causante de neumonías intersticiales
Virus
Principales microorganismos de los que se sospecha en infx pulmonar con granulomas
Hongos y tuberculosis
Vasos dilatados, infiltrado inflamatorio y plasma en pulmones
Fase congestiva
Exudado inflamatorio, con leucocitos y plasma en alvéolos.
Hepatización rojo
Pulmón gris por pus, alvéolos llenos de neutrófilos
Hepatización gris
Neutrophil infested and congestive lung vessels
Bronchopneumonia
Microorganism that leaves alveoli clean, linfocyte infiltrates in septums and dilated vessels.
Virus
Principales patógenos de neumonía hospitalaria
S. aureus, gram - y Pseudomonas
Fase donde hay abscesos pulmonares de tuberculo
Bacilífero
Tinciones para M. tuberculosis
Ziehl-Neelsen
auramina-rhodamina
Tipo de reacción inmune en M. tuberculosis
Reacción tipo 4 (misma que vs hongos)
Calcificación en ganglios y pulmones en tuberculosis
Complejo de Gohn
Solo en el ganglio se llama foco
Necrosis central, linfocitos alrededor y histoiocitos epiteloides.
Granuloma
Combinación de hemorragia con parénquima hepática, apariencia de nuez moscada
Hepatitis aguda
Puentes necro inflamatorios de porta a vena hepática, terminan reemplazándose por fibrosis
Hepatitis aguda
Eosinophilic intracytoplasmic inclusions shown, often in rabbies.
Negri Bodies
Complement deficiencies lead to infections by
Encapsulated bacteria (S. pneumoniae and Neisseria spp.)
Pathogens causing hospital-acquired pneumonia
Klebsiella, Serratia, E. coli, Pseudomonas, S. aureus
Pathogens causing health care-acquired pneumonia
S. aureus, P. aeruginosa, S. pneumoniae
Pathogens that cause chronic pneumonia
Nocardia, actinomyces, mycobacteria, histoplasma, coccidioides, blastomyces
Pathogens causing necrotizing pneumonia and lung abscesses
S. aureus, S. pyogenes, Klebsiella
Most common cause of community acquired pneumonia, vaccines with capsular polysacc.
S. pneumoniae
Most common bacterial cause of acute exacerbations of COPD, it causes meningitis.
H. influenzae
Pathogen that will cause pneumonia in the elderly, complicate COPD and otitis media in children.
Moraxella catarrhalis
It causes second bacterial pneumonia after viral respiratory illnesses.
Hospital-acquired pneumonia
S. aureus
Common cause of hospital-acquired pneumonias, cystic fibrosis and immunocompromised patients.
P. aeruginosa
It causes local epidemics and pneumonia. Schools, military camps and prisons.
Mycoplasma pneumonia
Patchy involvement in lungs is known as
Lobar consolidation
Lobar pneumonia stage 1: congestion Intra-alveolar edema, fluid with neutrophils and bacteria
Red hepatization: Massive hexudation (neutrophils, red cells, fibrin).
Gray hepatization: Desintegration of RBC and fibrinosuppurative exudate that changes color
Cellular debris, macrophage infiltrate and fibroblast proliferation
Pneumonia resolution
Consolidated areas of acute supurative inflammation
Bronchopneumonia
Tissue destruction and necrosis in pneumonia leads to…
An abscess
Genome of influenza virus
Single-stranded RNA
Genetic change of influenza, mutation changing antigenic properties of H and N leading to new strains that evade prior immunity.
Drift (B and A)
H and N genes are recombined with animal influenza virus, leading to pandemic, only happens in influenza A.
Shift
Morphology of coronavirus
Enveloped, positive-sense RNA virus
Alveoli surface protein to which coronaviruses bind
ACE 2
Histologic finding and clinical manifestation
Interstitial lymphocytic infiltrates, no alveolar exudate.
Patient does not have cough.
Viruses associated with necrosis of bronchial and alveolar epithelium and accute inflammation.
HSV, VZV and adenovirus
Giant multinuclated cell with cytoplasmic inclusion corresponding to
RSV
Aspiration pneumonia
Comensal anaerobic organisms of oral cavity that cause lung abscesses
Bateroides, Fusobacterium, Peptococcus genera
When all risk factors for lung abscesses have been excluded as a cause, it is called…
Primary cryptogenic lung abscess
CD4 count for pneumonia etiology in HIV infected patients
Bacterial and tubular infx: CD4>200
Pneumocystis: CD4<200
CMV, fungal and mycobacterium avium: <50
Most common pathogens causative of chronic pneumonia
Mycobacterium and H. capsulatum
Type of response in M. tuberculosis infx
Th1, effective but destroys tissue.
M. tuberculosis damage
Macrophage receptors that M. tuberculosis binds for entry
Mannosa-binding lectin and CR3
M. tuberculosis PAMP that binds to TLR2
Lipoarabinomannan
IL mediating Th1 response in tuberculosis
IL12 and IL18
Type of necrosis formed in Th1 response in tuberculosis
Caseous necrosis
Cells to which IFNy activated M-phages differentiate in tuberculosis
Epitheloid histiocytes
Multitude of small tan granulomas scattered throughout the lung parenchyma
Miliary pattern of granulomas
It involves the apex of upper lobes of the lungs with cavitation, previously sensitized hosts.
Secondary tuberculosis
Most frequent presentation of extrapulmonary tuberculosis
Cervical lymphadenitis (scrofula)
Most common cause of esophageal infections in healthy individuals
HSV
Gray-white pseudomembranes on the esophagus. Inflammatory cells covering the mucosa.
Candida infx
Esophageal infection with punched out ulcers with viral nuclear inclusions, multinuclear cells at the margin of the ulcer.
Herpes infx
Shallower ulcers on esophagus with nuclear and cytoplasmic inclusions.
CMV
Antibiotic associated collitis, fibrinopurulent exudate.
Mucupurulent exudate that erupts from cripts “volcano lesions”
C. difficile
Mechanism of transmission of HAV
Contaminated water and foods
Morphology of HAV
Non-enveloped positive strand RNA
Transmission of HBV
Vertical, sex, needles. Enveloped DNA virus.
It has prolonged incubation period 4-26w
Cause of hepatocellular injury in HBV
CD8 T cells and viral replication and protein synthesis
Clinical indicator of HBV, undetectable in 12 weeks in those who clear the infection
HBsAg
Most common cause of chronic viral hepatitis, it rarely causes symptoms
Hepatitis C virus
Morphology of HCV, it incubates 9 weeks
Enveloped single-stranded RNA
Only protein produced by HDV
Delta antigen HDAg
Transmission of HEV
Fecal-oral
Liver fibrosis
Collapse of liver parenchyma
Ground-glass appearance of hepatocytes, swollen with HBsAg