Medically important Microorganisms Flashcards

1
Q

Define a Pathogen

A

An organism capable of causing disease in it’s host

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2
Q

List the many infections in humans caused by Bacterial pathogens

A

–Nuisance – recovery without treatment – sore throats, food poisoning, skin infections.

–Deadly – Small chance of recovery without treatment - TB, Plague, Anthrax, MRSA, Cl. difficile

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3
Q

Most commonly pathogens are seen to infect?

A

respiratory system

nervous system

urogenital tract,

cardiovascular system

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4
Q

Define Pathogenesis

A

The mechanism by which a pathogen causes disease

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5
Q

Define Virulence

A

The relative ability of a pathogen to cause disease

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6
Q

Define Virulence factors

A

Properties of pathogens which contribute to disease

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7
Q

Define a Toxin

A

A microbial product able to cause host cell and tissue damage

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8
Q

How much bacteria is expelled during a sneeze?

A

10,000 to 100,000 bacteria

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9
Q

Explain the Primary infection of TB (Mycobacterium Tuberculosis)?

A

localised lung infection causing the production of aggregates (tubercles)may:spread (Miliary TB) - fatal or become dormant (immunity)

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10
Q

Explain the PostPrimary infection of TB (Mycobacterium Tuberculosis)?

A

reactivation related to aging, malnutrition, overcrowding, chronic infection

destruction of lung tissue, calcification, gradual spread

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11
Q

What is known Habitat of Streptococcus pyogenes (Sore Throat)?

A

Commonly isolated from upper respiratory tract and skin of adults

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12
Q

What is known Frequency of Streptococcus pyogenes (Sore Throat)?

A

Strep. pyogenes counts ~50% all throat infections (rest are viral)

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13
Q

What kinds of diseases can Streptococcus pyogenes cause?

A

Streptococcal pharyngitis - “strep throat” (tonsillitis)

severe sore throat,

enlarged tonsils (exudate),

mild fever

malaise

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14
Q

If untreated what can Streptococcus pyogenes lead too?

A

Scarlet fever - erythrogenic toxin ( exotoxin ), damages small blood vessels - rash

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15
Q

Explain infection with Corynebacterium diphtheriae (Diphtheria)

A

Usually infects children

The bacterium is inhaled and lodges in the throat and tonsils

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16
Q

Explain the effects of infection of Corynebacterium diphtheriae (Diphtheria)

A

Produce and exotoxin known as diphtheria toxin which kills the host cells.

Damaged host cells and replicated pathogen produce a Pseudomembrane

Toxin cause systemic damage to heart, kidneys and liver

A combination of partial suffocation and organ damage can prove fatal (5-10% death rate)

17
Q

Explain the treatments used for Corynebacterium diphtheriae (Diphtheria).

A

rare in UK and USA (DTaP/Polio/Hib immunisation: Diphtheria, Tetanus, Pertussis / Polio / - Haemophilus influenzae type b )

although ~50,000 cases occur annually world wide

Penicillin, gentomycin, erythromycin

18
Q

What is the Casusative Agent of Meningococcal Disease?

A

Neisseria meningitidis (meningococcus)

Gram -ve, encapsulated diplococcus up to 30% adults are carriers

(Bacterial / viral / fungal)

19
Q

Explain transmission/Pathogenesis with central nervous system infections

A

airborne -> nasopharynx -> bloodstream

->bacteraemia
transient appearance of bacteria in blood

20
Q

Briefly explain Meningococcemia

A

septicaemia (pathogens proliferate in blood) vascular coagulation shock -> death 17% cases

21
Q

Briefly explain Meningitis

A

meninges inflammation (membranes lining the brain) death (3%)

22
Q

Explain Primary syphilis

A

painless red ulcer, hard chancre disappears with or without treatment 4-6 weeks

23
Q

Explain Secondary syphilis

A

-runny nose,watery eyes, aches and pains, rash on palms and soles

24
Q

Explain Tertiary syphilis

A
  • Gumma formation
  • damage to large blood vessels
  • eyes (blindness),

central nervous system

(madness)

25
Explain the difference between male and female symptoms with Gonorrhoea (Neisseria gonorrhoea)
Men -pain during urination, thick pus-containing discharge Women-painful urination and discharge asymptomatic or mild
26
What the symptoms of Disseminated Gonococcal infection?
– not usually preceded by urogenital symptoms * rash * arthritis * heart valve infection
27
What are the treatments for Disseminated Gonococcal infection?
Initially sensitive to penicillin 1944, 100,000 units - 4.8 million ‘70s (chromosomal mutation, penicillinase production) tetracyline, spectinomycin, semisynthetic cephalosporins
28
Briefly explain the symptoms of Genital Chlamydial infections
Appear 7-14 days after exposure Grey-white discharge males/females(abdominal pain females) Females may be asymptomatic pelvic inflammatory disease (PID), ectopic pregnancy and infertility
29
What is used to treat Genital Chlamydial infections?
Tetracycline or erythromycin
30
What organs in the body are infected by Urinary tract infections?
kidneys (upper UT) bladder (lower UT)
31
UT protected from infection by?
– downward flushing by urine –antimicrobial urine constituents (organic acids, antibodies)
32
The interruption of urine flow causes?
Predispostion to paralysis of the lower body
33
What are Bladder infections usually caused by?
90% caused by normal faecal flora Usually originating from the patient’s own intestinal bacteria
34
Explain what causes heart disease
Normal flora of oral cavity - enter blood during dental work, tooth brushing In an abnormal heart, small blood clots form and are trapped in turbulent flow near defective valves These clots trap circulating bacteria - eventually break-up and may: block blood vessels causing tissue damage (infarction) lodge in other body parts, skin, eyes, kidney
35
How is heart disease prevented?
Prophylactic administration antibiotics during dentistry
36
What is Subacute Bacterial Endocarditis?
infection of heart inner lining - heart valve
37
What are the symptoms of Subacute bacterial Endocarditis?
fatigue, slight fever (condition gradually deteriorates over months)
38
What organism causes Subacute bacterial Endocarditis?
Viridans streptococci Staphylococcus epidermidis
39
What is Acute Bacterial Endocarditis?
SBE sudden and acute Pathogenesis similar to SBE, except - organisms more virulent Staph. aureus, Strep. pneumoniae