Micro Summary: Diseases Flashcards
Bacteriodes: Bacilus, Prevotella, Porphoryngeus
B. fragilis, P. bivia, P. melaninogenica, P. gingivalis, Abscess, Bacteremia
Histotoxic Clostridia: C. perfringens, C. septicum
Wound (gas, anaerobic cellulitis, simple), organ, septicemia, food poisoining
C. tetani
Tetanus (CNS, spastic paralysis)
C. botulism
Flaccid paralysis, CN dysfunction, double vision, swallowing difficulties, flaccid paralysis, breathing problems, constipation (infants), classical foodborne botulism: contaminated foods, intoxication, infant botulism: most common form of botulism in US, GI tract colonized, infection, adult infant botulism: GI tract colonized, disrupt normal flroa, toxin production, wound botulism: toxin grows in wound, class A select agent: bioterrorism, biowarfare
C. difficile
Hospital-acquired infectious diarrhea
Campylobacter jejuni
Acute gastroenteritis
Haemophilus influenzae
Children: otitis media/sinusitis, epiglottitis, pneumonia, meningitis/bacteremia; Adults: otitis media, sinusitis, LRT
Mycoplasma pneumoniae
Persistent cough + erythema multiforme + anemia, thrombotic purpura
Escherichia coli
UTIs, neonatal/childhood meningitis
Salmonella
Diarrhea (gastroenteritis), enteric fever (typhoid fever)
Shigella
Dysentery, GI Symptoms of shigellosis vary from mild diarrhea (no blood) to dysentery (low volume, bloody stool). Shigellosis is usually considered a disease of the colon; it may also involve the ileum? S. sonnei infections usually mildest; S. dysenteriae and S. flexneri more severe
Klebsiella
Bloodstream infection, nosocomial pneumonia and urinary tract infection
Yersinia pestis
Plague, diarrhea, lymphadenitis, Bubonic: most common, fevers, chills, weakness, headache, painful swollen lymph nodes, Pneumonic: infection of lungs, fever, cough, difficulty breathing, bloody sputum, Septicemic: generalized (bloodstream)
Chlamydia trachomatis
Serovars A-K: trachoma, cervicitis, PID, etc., Serovars L1-L3: lymphogranuloma venereum (LGV), Chlamydophila pneumonia: bronchitis & pneumonia, Chlamydophila psittaci: zoonotic, pneumonia (psittacosis)
Treponema pallidum
Syphilis
Rickettsia rickettsii
“Rocky Mountain Spotted Fever: Rash localized to extremities, Fever, malaise, severe frontal headache, myalgia and vomiting, Abdominal pain, diarrhea, conjunctivitis, mental confusion, meningitis, respiratory difficulties, renal
dysfunction, and/or myocarditis, Lysis of endothelial cells leads to endothelitis”
Borrelia burgdorferi
Lyme Disease: Early: bull’s eye expanding rash, malaise, fatigue, headache, fever, chills, myalgia, Early-Disseminated: cranial neuropathy, meningitis, radiculoneuropathy, iritis, encrotizing retinis, cardiac dysfunction, Late: oligoarthritis, dermatologic syndromes, neurologic demylination
Bacillus anthracis
Cutaneous (95%): exposure of abraded skin to spores, purpitic painless papule, black eschar, enlarged lymph nodes, Inhalational (5%): flu-like, mediastinal widening, hemorrhagic mediastinitis, hemorrhagic meningitis, GI (sporadic): uncooked meat, GI symptoms
Francisella tularensis
Tularemia: Ulceroglandular, Pharyngeal, Pneumonic, Oculoglandular, Typhoidal, Glandular
Helicobacter pylori
Mild GI inflammation (chronic gastritis), Duodenal or gastric ulcers due to inflammation (ammonia/urease, VacA, CagA), Gastric cancer or lymphoma
Enterococcus faecium
Bloodstream infection, endocarditis, UTIs
Staphylococcus aureus
Skin & soft tissue disease (abscess, cellulitis, osteomyelitis, myositis, septic arthritis, impetigo, folliculitis, furuncles, fasciitis), Disseminated disease (toxic shock syndrome (intoxication), septicemia, endocarditis), Device infections (*central venous catheters, implanted devices, post-surgical infections), CA-MRSA (presence of Panton-Valentine Leukocidin (PVL) gene), Superantigens (food poisoning)
Staphylococcus epidermidis
Nosocomial infections w/ IV lines or implanted foreign materials
Acinetobacter baumanii
Ventilator associated pneumonia (VAP)
Neisseria meningitidis
Meningitis
Neisseria gonorrhoeae
M: acute urethritis, urethral dischare, dysuria, most resolve, F: asymptomatic or cervicitis, urethritis, PID (bilateral abdominal pain, tenderness fever), N: conjunctivitis
Streptococcus pyogenes
Bacteremia, pneumonia, bone & joint infections, meningitis, endocarditis, Mucosal infections: streptococcal pharyngitis,Pyogenic infections: necrotizing faciitis (attachment from M protein & LTA), Toxigenic: toxic shock syndrome, scarlet fever, Non-suppurative or immunologic: rheumatic fever (inadvertent autoimmunity molecular mimicry), poststreptococcal glomerulonephritis (hematuria/Coca-cola urine, edema, hypertension)
Streptococcus pneumoniae
Respiratory Disease: upper (otitis media, sinusitis, conjunctivitis) & lower (CA-pneumonia, death), Disseminated: bacteremia, meningitis, bacterial peritonitis, septic arthritis, osteomyelitis
Listeria monocytogenes
Meningitis in babies, bacteremia or meningitis in immunocompromised
Legionella pneumophila
Legionnaires’ disease & Pontiac fever, cough, fever, diarrhea
Pseudomonas aeruginosa
Shock, cystic fibrosis, burn infections, catheters (UTIs), & IV lines
Mycobacterium tuberculosis
Tuberculosis: cough, fever, difficulty breathing
Mycobacterium leprae
Leprosy
Corynebacterium diphtheria
C. diphtheriae cells remain on the mucosal epithelium (not invasive), some are absorbed & enter circulation to damage internal organs, causing death
Vibrio cholera
“fluid/electrolyte loss & diarrhea, severe cholera: diarrheal fluid has a pale yellow/brown color with flecks of small
white mucous material (““rice water stool””), poor skin turgor, sunken eyes, vomiting, dehydration, cardiac problems, shock, coma, & death”
Bordetella pertussis
tracheitis and bronchitis, with accumulation of mucus, cells, and bacteria in the airways; mucociliary elevator is impaired; hemorrhages & vomiting
Candida albicans
Thrush, esophagus infections, vulvovaginitis
Bloodstream infections
Cryptococcus neoformans & gattii
Meningitis, meningoencephalitis, bloodstream infections
Dermatophytes
Zoophilic: tinea corporis (ring worm), Geophilic, Anthropophilic (tinea pedis (athletes foot), tinea cruris (jock itch), onychomycosis (nail))
Pneumocystis jiroveci
PJP (in immunocompromised)
Aspergillus fumigatus & niger
Respiratory tract, airway colonization, allergic bronchopulmonary aspergillosis (ABPA), tracheobronchitis, sinusitis, aspergilloma, invasive pulmonary aspergillosis, disseminated aspergillosis
Zygomycoses: mucor, absidia, rhizopus, rhizomucor
Rhinocerebral mucormycosis in pts w/ metabolic disorders (diabetes) & free iron rich states
Sporothrix schenckii
Sporotrichosis: non-healing, inflamaed cutaneous nodule that doesn’t respond to antibacteirals w/ lymphatic spread
Dematiaceous
Fungal meningitis
Fusarium
Hematological malignancies & bone marrow transplants
Scedosporium
Infection in immunocompetent
Histoplasma capsulatum
Flu-like respiratory tract infection, mediastinal granuloma, fibrosis, chronic/cavitary pulmonary histoplasmosis, disseminated histoplasmosis
Coccidiodes immitis
Peripheral eosinophilia, erythema nodosum, dissemination to CNS, bones, joints, & skin
Blastomyces dermatidis
Chronic, granulomatous & suppurative lesions in lungs, dissemination to skin & bones
Entamoeba histolytica
Bloody diarrhea & liver abscess
Acanthamoeba
In contact lens wearers
Naegleria fowleri
Brain-eating amoeba causing meningo-encephalitis
Giardia lamblia
Diarrhea, gastroenteritis
Cryptosporidium
Prolonged diarrhea
Microsporidium
Diarrhea in immunocompromised
Trichomonas vaginalis
Tricomoniasis, Vaginitis, Cervicitis (STI): vaginal discharge, frothy, fish-like odor
Plasmodium falciparum
Malaria: microvascular disease, hypoglycemia, cerebral malaria, renal failure, pulmonary edema, anemia, multiorgan failure, coma
Plasmodium vivax & ovale
Malaria
Babesia
Babesiosis & anema
Leishmania
Cutaneous (skin ulcers, soldiers in Iraq or Afghanistan), Visceral (Kala azar, fevers, hepatosplenomegaly)
Trypanosoma
American (Chagas, esophageal & colon dysmotility, cardiomyopathy) / African (sleeping sickness, meningo-encephalitis)
Toxoplasma gondii
Chorioretinitis, Lymphadenopathy, Brain abscesses, Immunocompromised patient: toxoplasma encephalitis (neurological symptoms) & ocular toxoplasmosis (congenital), Congenital toxoplasmosis: results in serious, chorioretinitis, CNS disease
Ascaris lumbricoides
Anemia
Hookworm (Necator americanus, Ancylostoma duodenale)
Cutaneous larva migrans
Pinworm (Enterobius vermicularis)
Anal itch
Strongyloides stercoralis
Hyperinfection syndrome, disseminated
Whipworm (trichuris trichiura)
Anemia
Onchocerca, Wuchereria, Brugia
Filiariasis, river blindness (onchocerciasis) & elephantiasis
Trichinella
Trichinellosis / trichinosis, myalgias, & eosinophilia
Schistosoma hepatobium, japonicum, & mansoni
Acute schistosomiasis (Katayama fever), Chronic schistosomiasis (liver disease, bladder cancer)
Taenia solium
Neurocysteicercosis: most critical location in brain, causes seizures
Echinococcus granulosus
Hydatid disease & liver cysts
HIV
Oral Candidiasis (Thrush), HSV-1 or HSV-2, VZV, MAC, PJP, Mycobacterium tuberculosis, PML, ctyptococcal meningitis, toxoplasmosis, Kaposi’s sarcoma, Non-Hodgkin’s Lymphoma
HCV
Chronic viral infection, Chronic hepatitis, Cryoglobulinemia, Cirrhosis then hepatocellular carcinoma
HSV
HSV-1, HSV-2, VZV, CMV, EBV, HHV6, HHV7, KSHV
HPV
skin warts, anogenital warts, laryngeal wrats, oral pappilomatosis, cervical cancer, oropharyngeal cancer
VZV
Fever headaches, malaise preceding a exanthematous rash; rash begins on the face, scalp or trunk, and the vesicular lesions are very itchy, usually self-limiting, Herpes zoster (shingles): lesions are clustered & dermatomal, painful
West Nile Virus
Encephalitis
Norovirus
Self-limited gastro-enteritis
Rotavirus
Acute gastroenteritis
Adenovirus
Epidemic pneumonia + probable viral source
Hantavirus
Fever, headache, malaise, myalgia, diarrhea, Death from pulmonary edema (respiratory failure) & renal shutdown
Rabies
Rabies: Abnormal sensation at bite site, Confusion, lethargy, paresis, increased salivation, irrational aggressive actions, Hydrophobia, seizures, paralysis, coma, encephalitis, death
Smallpox
Variola major/minor: Centrifungal rash, Lesions of same age, Contagious after rash appears
VHFs
Fever, severe illness, petechiae, unexplained bleeding, shock
EBV
Acute: Asymptomatic or mononucleosis, Fever, pharyngitis, lympahdenopathy, atypical lymphocytosis, Complication: hepatitis rash (from amoxicillin or penicillin) or beta-lactam splenic rupture; Chronic: Burkitt’s lymphoma, nasopharyngeal carcinoma, non-Hodgkin’s or Hodgkin’s lymphomas, Post-transplant lymphoproliferative disease (PTLD)
Influenza
Fever, cough, chills, headache, myalgia, malaise, anorexia
Mumps
Acute viral infection with swelling and tenderness of the parotid and salivary glands, fever, malaise, headache, involvement of parotid and salivary glands (benign)
Measles
Malaise, fever, runny nose, respiratory symptoms (cough) precede the rash, Rash: begins on face, proceeds down body, with extremities last. Erythematous and maculopapular
Rubella
Subclinical infection, rash develops in symptomatic individuals, Infection in early gestation very dangerous, can lead to fetal death, premature delivery and congenital defects, such as deafness, myopia, heart disease, mental retardation