lecture test 3 part 2 Flashcards
is bacillus gram positive or negative?
gram positive
bacillus forms:
endospores
where do you normally find bacillus?
soil
is bacillus aerobic or anaerobic?
aerobic
what is the function of bacillus?
degrading complex macromolecules and a source of antibiotics
what are the two types of bacillus?
bacillus anthracis
bacillus cereus
what is the shape of bacillus anthracis?
large block shaped rods
does bacillus have endospores?
yes
bacillus have spores that develop under al conditions except:
the human body
what are the virulence factors of bacillus?
polypeptide capsule
exotoxins
bacillus anthracis causes
anthrax
how do humans aquire bacillus anthracis?
contact with infected animals
who used bacillus anthracis in his work?
robert koch
what are the portal of entries of bacillus?
cutaneous
pulmonary
gastrointestinal
what is the cutaneous portal of entry?
spores enter through skin; least dangerous
what is the pulmonary portal of entry?
inhalation of spores
what is the gastrointestinal portal of entry?
ingested spores
what is cutaneous anthrax?
spores enter the skin or small cuts when handling animal hides or hair
what are the symptoms of cutaneous anthrax?
growth of microbe in the skin forms a pupil that turns into a black eschar
what is pulmonary anthrax also known as?
wool-sorter’s disease
how is pulmonaru anthrax aquired?
spores are inhaled and grow in the lungs. the bacillus is phagocytized killing microphages and causing the release of cytokines
what are the effects of pulmonary anthrax?
thrombosis
cardiovascular shock
and rapid death in 99% of cases
what are the symptoms of pulmonary anthrax?
fatigue, malaise, fever, aches and cough. later, high fever, labored brreathing and shock
what is gastrointestianal anthrax?
occurs when contaminated meat is ingested
what are the symptoms of gastrointestinal anthrax?
the same as pulmonary but also bloody diarrhea, abdominal pain and vomitting
what is bacillus cereus?
common airborne and dustborne bacteria that is resistent to disinfection and antisepsis
where does bacillus cereus multiply?
cooked foods like rice, potatoes and meat dishes. the spores survive cooking and reheating
what does bacillus cereus produce?
enterotoxin
what is the treatment for bacillus cereus?
there isn’t one
what are the symtoms of bacillus cereus?
nausea vomitting abdominal cramps diarrhea (24 hours)
who is most at risk for bacillus cereus?
immunosuppressd intubated patients
drug addicts
what is Lab ID?
gram positive bacilli that produce endospores from sputum or skin scraping
what is the antibiotic treatment for Lab ID?
penicilliin
tetracycline
ciproflaxin
what is the vaccine for Lab ID?
biothrax
what is clostridum?
gram postitive, spore forming rods that live in soil and are strict anaerobes
where are clostridum spores produced?
only under anaerobic conditions
what is the function of clostridum?
synthesize organic acids, alcohols and exotoxins
what does clostridum cause?
wound infections, tissue infections and food intoxications
what are the most common types of clostridum?
clostridum perfringes
clostridum tetani
clostridum botulinum
clostridum difficle
what which clostridum infects wounds and tissues?
perfringens
tetani
difficile
what is clostridum perfringens?
causes gas gangrene
where are clostridum perfingens spores found?
soil, human skin, intestine and the vagina
how is clostridum perfingens acquired?
surgical incision punture gunshot wound crushing trauma compound fracture diabetic sore frostbite septic abortions
what is the most potent toxin that perfingens produces?
alpha toxin
what does alpha toxin do?
kills tissue
what are the two forms of perfingens?
anaerobic cellulitis
myonecrosis
what is anaerobic cellulitis?
bacteria spread in damaged necrotic muscle tissue produces toxins and gas but remains localized
what is myonecrosis?
bacteria spread in damaged necrotic muscle tissue produces toxins and gas and progresses into a health issue
what are the symptoms of perfringens
pain, edema, bloody exudate in lesion along with fever, tachycardia, blackened necrotic tissue with gas bubbles
how do you treat perfringens?
immediate cleansing of wounds.
amputation
hyperbaric oxygen therapy
what antibiotics are used to treat perfringens?
cephlasporin
penicillin
what vaccines are available for perfringens?
none
what is clostridum tetani?
causes tetanus or lock jaw
what toxin does clostridum tetani produce?
the neurotoxin tetanospasmin
who is most at risk for tetanus?
geriatric patients and drug users
how is clostridum tetani acquired?
spores enter wound through accidental puncture, burn, frostbite, crushed body or umbilical stump
what is tetanospasmin?
neurotoxin that causes paralysis by bonding to motor nerve endings in the spinal cord
what does tetanospasmin cause?
rigid paralysis
what are the symptoms of clostridum tetani?
clenching of jaw, arching of the back, flexion of the arms, extension of the legs and death due to paralysis in respiratory muscles
how is clostridum tetani treated?
antitixiin therapy inactivates circualting toxin but does not counteract the damage already done.
what antibiotics are prescribed for clostridum tetani?
penicillin and tetracycline
muscle relaxants
what is the vaccine for tetani?
DTaP
what is clostridum difficile?
normal resident of the colone usually kept in low numbers that causes antibiotic associated colitis
how is clostridum difficile acqured?
superinfection caused by antibiotics kill too much bacteria allowing difficile to overgrow
what are the symptoms of clostridum difficile?
diarhea, abdominal cramps, fever, patches of colon lining sloughs off
where is clostridum difficile most commonly found?
in hospitals. increasingly common in in community acquired diarrhea
what is the treatment for clostridum difficile?
fluid and electrilyte replacement
withdrawl of antimicrobials
what antibiotics are used for clostridum dificile?
vancomycin
metranidazole
what is two bacterias cause clostridal food poisoning?
clostridum botulinum
clostridum perfringens