Lec 8-4 - Atypical... Mycoplasma/Legionella/Chlamydia

Question 1

community acquired pneumonia that is consolidative and is 1-2 dense lobes of dense infiltrate

Answer 1

lobar

Question 2

CAP that is diffuse and interstitial and patchy

Answer 2

atypical

Question 3

legionella has very blank food requirements

Answer 3

fastidious

Question 4

most common legionella serotypes

Answer 4

1,6,4,3

Question 5

legionella is gram blank and its enzymes breakdown blank tissue to cause atypical pneumonia

Answer 5

negative, lung

Question 6

legionella always comes from the blank like water, mud, amoebae

Answer 6

environment… not person to person

Question 7

legionella lives here

Answer 7

distal airways/alveoli

Question 8

legionella can cause blank or blank CAP in those who are blank

Answer 8

lobar, atypical, immunocompromised (copd, smokers)

Question 9

legionella can cause this which has mild fever, chills, malaise, headache

Answer 9

pontiac fever

Question 10

think legionella pneumonia if gram stain shows blank but not blank

Answer 10

wbc, organisms

Question 11

think legionella if patient doesnt respond to blank but cultures do not reveal blank

Answer 11

antibioitics, pathogen

Question 12

legionella is often diagnosed by blank even though each serotype shows up differently

Answer 12

direct fluorescent antibody

Question 13

agar for legionella

Answer 13

buffered charcoal yeast extract

Question 14

this is used to diagnose only serotype 1 of legionella

Answer 14

urinary antigen

Question 15

serology diagnosis is not useful for blank stage

Answer 15

acute

Question 16

legionella antibiotics are these but blank doesnt work

Answer 16

fluoroquinolones/macrolides, penicillin

Question 17

legionella is killed in faucets by blank ions

Answer 17

silver, copper

Question 18

mycoplasma has a single blank and has blank food requirements

Answer 18

serogroup, fastidious

Question 19

mycoplasma part that mediates attachment to cells

Answer 19

P1 protein

Question 20

mycoplasma is spread through blank contact like college, barracks and are slow spreading

Answer 20

close

Question 21

mycoplasma causes these

Answer 21

pharyngitis, bronchitis, pneumonia, otitis media

Question 22

preferred method of diagnosing mycoplasma

Answer 22

serology (looking for IgM)

Question 23

mycoplasma diagnosis doesnt use blank

Answer 23

culture

Question 24

mycoplasmas are treated with blank not blank

Answer 24

tetracyclines/macrolides, not cell wall agents

Question 25

organism that is considered a bridge organism because it is like a virus and bacteria

Answer 25

chlamydia

Question 26

cant treat chlamydia with blank agents

Answer 26

cell wall (like penicillin)

Question 27

diagnosis of chlamydia

Answer 27

NAAT, culture (look for inclusion bodies)

Question 28

the chlamydia type that can cause pneumonia in newborns but is an std

Answer 28

chlamydia trachomatis

Question 29

chlamydia that can cause pneumonia but is a single serotype and was originally called TWAR

Answer 29

C pneumoniae

Question 30

chlamydia that causes pneumonia and is from contact with birds

Answer 30

C psittaci