Intro to Bacteria Part 3 Flashcards
H. influenzae growth medium
blood containing medium
H. influenzae virulence factor
polysaccharide capsule
H. influenzae in children
causes meningitis, epiglottitis, septic arthritis
H. influenzae meningitis presentation
children present with fever, vomiting, altered mental status
H. influenzae epiglottitis presentation
child presents with history of sore throat and fever, then develops stridor and is unable to swallow, may be excessively drooling
H. influenzae septic arthritis presentation
infants present with fever, pain, swelling, and decreased ROM in joint
H. influenzae sepsis presentation
Children between 6 months and 3 years present with fever, lethargy, loss of appetite, no evidence of localized disease
H. influenzae B vaccination
very difficult to stimulate an immune response in young children, cells are taught to fight against b capsule antigens with a variety of other vectors
H. ducreyi associated disease and presentation
STI, chancroid; pt presents with painful genital ulcer, painful inguinal LN which may become matted and rupture
H. ducreyi differential diagnoses
syphilis (but chancre is painless); herpes (accomp by fever and myalgias); Lymphogranula venerum (painless LN)
Gardnerella vaginalis disease and presentation
vaginitis with anaerobic vaginal bacteria; women present with burning or itching of labia, dysuria, copious, foul smelling vaginal discharge
Clue cells
vaginal epithelial cells that contain pleomorphic bacilli in cytoplasm
B. pertussis disease association
whooping cough
B. pertussis virulence factors
pertussis toxin, extra cytoplasmic adenylate cyclase, filamentous hemagglutinin, tracheal cytotoxin
Pertussis toxin
A and B subunits, causes histamine sensitization, increase in insulin synthesis, promotion of lymphocyte production and inhibition of phagocytosis; ultimately increase cAMP
Extra cytoplasmic adenylate cyclase in B. pertussis
cAMP production results in impaired chemotaxis and generation of H2O2 and superoxide
Filamentous hemagglutinin in B. pertussis
pili that assists in binding to epithelial cells
Tracheal cytotoxin in B. pertussis
destroys ciliated epithelial cells; impaired clearance of bacteria, mucus, inflammatory exudate
Legionella pneumohpila characteristics
aerobic G- rod, contaminated water sources; facultative intracellular parasite, survives in a biofilm
Pontiac fever
HA, muscle aches, fatigue, fever, chills
Legionnaires’ disease
pts develop high fevers and severe pneumonia, HA, confusion, myalgias, cough, elevated liver enzymes, hyponatremia
Y. pestis disease association
bubonic plague carried by rats and fleas
Y. pestis F1
capsular antigen with antiphagocytic properties
Y. pestis V and W antigens
actions unknown
Y. pestis characteristics
G- with bipolar staining pattern
Y. pestis presentation
nodes are hot, red, painful, fever, HA, hemorrhages under skin lead to black discoloration; pt may be hiking in AZ or NM
Francisella rularenis disease association
Tularemia, infects rabbits, ticks, deerflies
Ulceroglandular tularemia
F. rularenis; hole in skin with black base, fever, swollen LN, skin ulcer differs from plague
Pneumonic tularemia
aerosolized bacteria infects lungs leading to pneumonia
Brucella transmission
contact with infected animal meat or aborted placentas
Brucella transmission
Meat-packing worker, vet, farmer, traveler presents with fever, chills, sweat, loss of appetite, backache, ha, lymphadenopathy, undulant fever
Pasturella multocida
G- zoonotic organism, colonizes mouths of cats; pt will present with cat bite or scratch
Chlamydia infections
conjunctivitis, cervicitis, pneumonia
Chlamydia elementary body
metabolically inert
Chlamydia initial body
enveloped in a cell, produces it’s own DNA/RNA/protein, but relies on the cell for ATP
Chlamydia life cycle
EB enters columnar epithelial cells, transforms into an IB(or multiple IBs)
Chlamydia trachomatis
infects eyes and genitals, chronic conjunctivitis
Inclusion conjunctivitis
C. trachomatis, conjunctival inflammation with purulent yellow discharge and swelling of eyelids
Infant pneumonia with C. trachomatis
infant in first 4-11 weeks of life, UR sxs, rapid breathing, cough, and resp distress
Urethritis with C. trachomatis
nongonococcal urethritis; usually asymptomatic but may develop dysuria, mucoid discharge
Cervicitis and PID, C. trichomatis
red, swollen, yellow mucopurulent discharge from cervix, can spread upward to cause PID
PID presentation
abnormal vaginal discharge or bleeding, dyspareunia, nausea, vomiting, fever, lower abd pain, “chandelier sign”
may cause infertility, tubal pregnancy, chronic pelvic pain
Epididymitis, C. trichomatis
urethritis, unilateral scrotal swelling, tenderness, pain, fever
Reiter’s syndrome
arthritis of large joints in men between 20 and 40, inflammation of eyes and urethritis; C. trichomatis
Fitz-Hugh-Curtis syndrome
infection of liver capsule with symptoms of RUQ pain in men and women; C. trichomatis
Lymphogranuloma Venerum
STI caused by C. trachomatis, painless ulceration or papule that may heal spontaneously, followed by LN enlargement
Chlamydophila psittaci
common in birds, will cause atypical pneumonia called psittacosis
Atypical pneumonia presentation
dry cough, fever, less “sick-looking,” less well-defined infiltrates
Chlamydophila pneumoniae
Taiwan and Acute Respiratory, atypical pneumonia in young adults