Introduction to Infection Flashcards
What are the different classes of organism causing infection in decreasing size order?
- Helminths
- Insects
- Protozoa
- Fungi
- Bacteria
- Viruses
- Prions
What are medical parasites?
Endoparasites
Ectoparasites
What are endoparasites?
Live inside body
Major cause of illness
- Helminths (worms)
- Protozoa
What are ectoparasites?
Live outside body
Minor symptoms but can transmit other infections
- Fleas
- Lice
- Bed bugs
- Ticks
What are protozoa?
Unicellular organisms
Some have complex life cycles involving more than 1 host
What are helminths? (worms)
Complex organisms
Some have complex life cycles with more than one host
Other species have their helminths which can accidentally cause human disease
What are 3 examples of helminths?
Cestodes (tapeworms)
- Segmented, flat
Trematodes (flukes)
- Unsegmented, flat
Nematodes (round worms)
- Cylindrical, have digestive tract with lips, teeth and anus
What is an example of a cestodes?
Taenia Saginata (beef tapeworm)
Intestinal parasite of human (obligatory host)
Largely asymptomatic
Some symptoms:
- Abdominal pain
- Malnutrition
- Diagnosis
- Patient
- Stool microscopy
- Cattle are intermediate host
What is an example of Trematodes?
Schistosoma haematobium (bilharzia)
Human host= infection of veins around bladder
Causes bladder inflammation, bleeding into urine (haematuria)
Intermediate host freshwater snail
Diagnosis= urine microscopy for eggs?
What is an example of Protozoa- amoebae?
Entamoeba histolytica
Invades large bowel lining
Causes dysentery
- Abdominal craps
- Bloody diarrhoea
Excreted with faeces
Spread= contaminated food & water
Risks= poo hygiene/ santiation
What is an example of Protozoa malaria?
Plasmodium falciparum (malaria)
Lifecycle of both humans and mosquitoes
Infects RBCs & liver
Symptoms= fever, headache, joint pains
Complications= kidney failure, coma, death
Risk= geographical
Example of an ectoparasite?
Cimex Lectularius (bedbug)
Wingless insect
Worldwide infestation of human dwellings
Hide in furniture & walls
Emerge at night to feed- 5-10 minute blood meal
Itchy rash after bite
Can transmit other infections (e.g. SAmerica- trypanosomiasis)
What are the 2 main forms of fungal infections?
Yeasts (single cells which bud)
Moulds (filamentous strands)
Some can switch between yeast & mould (diamorphic fungi)
What are 2 examples of superficial fungal infections?
- Tinea pedis (athletes foot)
- Tinea corporis (ringworm)
Usually due to 3 common species of mould
What are the 6 features of bacteria?
- Unicellular organism (prokaryotes)
- Cell membrane
- Cell wall
- No nucleus
- Reproduce asexually
- Move using flagellae and pili
What 7 common infections are bacteria responsible for?
- Pneumonia
- UTI
- Cellulitis
- Meningitis
- Cholecystitis
- Diverticulitis
- Appendicitis
What are bacteria stained with?
Gram stain
Too small to see without a microscope and special stain
What is the basic medical classification of bacteria?
- Shape (round coccus or rod Bacillus)
- Grouping
- Gram stain
What is gram stain?
Bacterial cell walls vary in composition
Some retain crystal violet stain
Clinical importance of classification of bacteria by appearance on shape, grouping and gram stain
Allows to predict which antibiotics will be effective quickly
What is gram pos?
Purple
What is gram neg?
pink
What is an example of a bacterial infection?
Streptococcus pneumoniae (pneumoccus)
Gram positive cocci in pairs (diplococci)
Colonise nose & throat (40-50% adults)
Invade other sites (lungs= pneumonia)
Symptoms= Cough, dirty sputum, chest pain, breathless, fever
Complication= blood stream infection, meningitis, death
What are Viruses?
- Dependent on infection of host cell for metabolism & replication
- Contain protein core surrounding genetic material (DNA & RNA), protein coat +/- outer membrane
- Very small (1/100th size bacteria)
- Require EM to see
Viruses can cause a wide spectrum of diseases…
Trivial infections (e.g. rhinovirus= common cold)
Severe chronic disease (e.g.HIV)
Acute life threatening disease (EBOLA- viral haemorrhagic fever)
Many viruses yet to be identified= reemerge with changing human behaviour