Introduction to Infection Flashcards

1
Q

What are the different classes of organism causing infection in decreasing size order?

A
  • Helminths
  • Insects
  • Protozoa
  • Fungi
  • Bacteria
  • Viruses
  • Prions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are medical parasites?

A

Endoparasites
Ectoparasites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are endoparasites?

A

Live inside body
Major cause of illness
- Helminths (worms)
- Protozoa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are ectoparasites?

A

Live outside body
Minor symptoms but can transmit other infections
- Fleas
- Lice
- Bed bugs
- Ticks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are protozoa?

A

Unicellular organisms
Some have complex life cycles involving more than 1 host

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are helminths? (worms)

A

Complex organisms
Some have complex life cycles with more than one host
Other species have their helminths which can accidentally cause human disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are 3 examples of helminths?

A

Cestodes (tapeworms)
- Segmented, flat
Trematodes (flukes)
- Unsegmented, flat
Nematodes (round worms)
- Cylindrical, have digestive tract with lips, teeth and anus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is an example of a cestodes?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an example of Trematodes?

A

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?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is an example of Protozoa- amoebae?

A

Entamoeba histolytica
Invades large bowel lining
Causes dysentery
- Abdominal craps
- Bloody diarrhoea
Excreted with faeces
Spread= contaminated food & water
Risks= poo hygiene/ santiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is an example of Protozoa malaria?

A

Plasmodium falciparum (malaria)
Lifecycle of both humans and mosquitoes
Infects RBCs & liver
Symptoms= fever, headache, joint pains
Complications= kidney failure, coma, death
Risk= geographical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Example of an ectoparasite?

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 2 main forms of fungal infections?

A

Yeasts (single cells which bud)
Moulds (filamentous strands)
Some can switch between yeast & mould (diamorphic fungi)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are 2 examples of superficial fungal infections?

A
  • Tinea pedis (athletes foot)
  • Tinea corporis (ringworm)
    Usually due to 3 common species of mould
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 6 features of bacteria?

A
  • Unicellular organism (prokaryotes)
  • Cell membrane
  • Cell wall
  • No nucleus
  • Reproduce asexually
  • Move using flagellae and pili
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What 7 common infections are bacteria responsible for?

A
  • Pneumonia
  • UTI
  • Cellulitis
  • Meningitis
  • Cholecystitis
  • Diverticulitis
  • Appendicitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are bacteria stained with?

A

Gram stain
Too small to see without a microscope and special stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the basic medical classification of bacteria?

A
  • Shape (round coccus or rod Bacillus)
  • Grouping
  • Gram stain
19
Q

What is gram stain?

A

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

20
Q

What is gram pos?

21
Q

What is gram neg?

22
Q

What is an example of a bacterial infection?

A

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

23
Q

What are Viruses?

A
  • 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
24
Q

Viruses can cause a wide spectrum of diseases…

A

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

25
Some Viral infections contribute to cancer example
Epstein- barr virus
26
How does the Epstein- barr virus contribute to cancer
Usually causes mild illness e.g. glandular fever Infects immune cells (B cells) and epithelial cells of nose and mouth (nasopharynx) Very common (90% get) Causes latent lifelong infection Contributes to certain cancers with other factors - Nasopharyngeal carcinoma especially in southern china - Lymphoma in HIV infection
27
12 common infections and their locations
- sinusitis - Meningitis= brain - Laryngitis= larynx - Pneumonia= lungs - Hepatitis= liver - Endocarditis= heart - Colitis or gastroenteritis= intestines - Cystitis= bladder - Osteomyelitis= bones - Cellulitis - Wound infections - Endometritis
28
Infection
the invasion and multiplication of microorganisms in body tissues, which may be clinically apparent or result in local cellular injury
29
Variations in infection
vary in severity, location, host response to treatment, and potential for debilitating consequences
30
Consequences of unmanaged infections
Septic shock syndrome Multi system organ failure
31
What is the physiological process following infection
- Pathogen invades body - Immune response initiated, minimise tissue & organ damage Vasodilation Increased vascular permeability WBC recruitment Phagocytosis Cytokine release
32
What are general symptoms of infection?
- Redness - Heat - Swelling - Pain - Exudate - Cough - Fever - Fatigue
33
Management of infection
- Bacterial infection- treat with antibiotics - Viral infection- treat with antivirals - Fungal infection- treat with antifungals - Parasitic infection- treat with antiprotazoals
34
HIV life cycle
* HIV, attacks main target cell which is CD4 lympocyte * Glycoproteins (GP120) on HIV bind to cell surface receptors * Other receptors include CCR5, responsible for entry of viruses RNA into lympocytes * Co- receptor binding * Viral RNA exposed in host cell cytoplasm, reverse transcriptase enzyme present, converts exposed viral RNA into Viral DNA (HIV DNA) * Viral DNA migrates into the nucleus of host cell via nucelar pores * Process of integration, integrase enzyme used to slice through DNA of host cell and allow Viral DNA to be inserted= provirus * Infected DNA is then used to transcripe viral proteins, which go on to form more HIV cells which can infect other healthy cells in the body
35
HIV natural history
- Proportion of CD4 cells decreases steeply at point of primary infection, has a slight rise due to immune response up to week twelve however continues to fall in the coming years
36
Acute infection
Symptoms are often quite severe and appear soon after the initial infection occurs. Usually <6 months in terms of duration
37
Chronic infection
In these infections, the micro- organism is present for a long period and some may persist for life. Usually >6 months in terms of duration
38
Latent infection
A latent infection is persistent and the symptoms come and go. The infection can lie dormant and reactivate at any time
39
Opportunistic infection
Caused by normally non- pathogenic organisms. These infections occur in individuals that are immunocompromised
40
Examples of acute infection
- Norovirus infects hosts for days, causing diarrhoea and vomiting - Acute bacterial meningitis
41
Example of chronic infection
- Hep C virus causes liver inflammation for years - Chronic infection with tuberculosis
42
Latent infection examples
- Herpesviruses can be dormant for decades before reactivating to cause disease - Tuberculosis can lie dormant for years and reactivate in reduced immunity
43
Opportunistic infection examples
- Pneumocystic jiroveci pneumonia
44
Common examples of latent infection of viruses
- Varicella Zoster virus - Primary infection= chickenpox - Virus becomes dormant in sensory nerve roots - Reactivates years later as shingles Same rash Confined to dermatome= area supplied by single sensory nerve