Microbial pathogenisis Flashcards

1
Q

def. pathogenicity

A

ability of microbe to cause disease

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2
Q

def. virulence

A

traits that render micorbes pathogenic

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3
Q

2 general divisions of virulence

A
  1. invasion

2. host damage

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4
Q

4 virulence factors involving invasion

A
  1. portal of entry
  2. surface colonization
  3. surviving host defences
  4. portal of exit - transmission to new host
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5
Q

3 main sites of entry

A
  1. skin - reuires break
  2. mucosa
  3. transplants
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6
Q

2 ways to surface colonize

A
  1. adhesins - fimbriae, capsues

2. bind to receptors of host and transcytosis

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7
Q

2 general classes of host defences

A
  1. non-specific

2. specific

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8
Q

3 types of non-specific host defences

A
  1. barriers
  2. complement
  3. phago
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9
Q

2 specific host defences

A
  1. antibody mediated

2. cell-mediated

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10
Q

ways to survive complement (2)

A
  1. surface proteins that bind/inhibit complement

2. capsules and biofilms that mask activating substances

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11
Q

3 ways to survive phago

A
  1. capsules and biofilms so no access
  2. exotoxins kill neutrophils and macros
  3. intracellular survival
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12
Q

6 ways to survive specific defences

A
  1. immunosupression (HIV)
  2. diversion of lymphocyes function - superantigens
  3. antigenic variation - change surface antigens
  4. proteolysis of ABs - extracellular proteases
  5. prevnt opsinization - bind the Fc portions
  6. viral latency
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13
Q

5 modes of transmission

A
  1. contact (direct or indirect)
  2. droplet
  3. airborne
  4. vector borne
  5. common vehicle
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14
Q

4 general ways a microbe causes damage

A
  1. due to host response
  2. toxins
  3. apoptosis
  4. mechanical causes
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15
Q

potential problems from host reponse

A
  1. inflammation - prostattis
  2. rheumatic fever
  3. complement - septic shock
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16
Q

2 types of toxins

A
  1. exotoxins - secreted by bacteria into surronds

2. endotoxin - part of outer membrane of gram- bacteria

17
Q

5 mechanisms of action of exotoxins

A
  1. help spread in tissue - break down tissues
  2. lyse cells - kill WBC or RBC
  3. block protein synthesis
  4. elevate/supress normal cell function
  5. block nerve function - most potent
18
Q

what does tetanus toxin do

A
  • travels up neuron with retrograde transport

- inhibs. release of GABA which is inhibitory neurotransmitter, hence muscle contractions

19
Q

what does botulinum toxin do

A
  • affects peripheral nerve endings
  • block presynaptic Ach
  • can’t move
20
Q

2 ways to protect against exotoxins

A
  1. vaccinate with toxoids

2. treat with anti-toxins

21
Q

what are endotoxin effects at low and high levels

A

low - interact with phagos to stim cytokines and cause fever

high - alarming cytokine repsonse leading to shock and intravascular coagulation

22
Q

what is effect of microbes on apop

A

some prevent ever dying (warts) and some make cell do so prematurely

23
Q

what is mechanical cause of damage

A

worm blockage - gross

24
Q

what are 2 classifications of pathogens

A
  1. opportunistic

2. true pathogens

25
Q

what are opportinitic pathogens

A

require some sort of break in the host defences to get in

26
Q

what are true pathogens

A

able to cause disease despite solid defences

27
Q

how does virulence factor relate to pathogens

A

true pathogens have more virulence factors

28
Q

what is normal flora

A

micro-organisms that are normally found on healthy persons

29
Q

4 locations to have normal flora

A
  1. skin
  2. resp tract
  3. GI
  4. GU
30
Q
  • 3 normal bact. on skin
A
  1. staphylococcus
  2. cornybacterium
  3. bacillus
31
Q
  • 3 normal bact. in oropharynx
A
  1. neisseria
  2. heamophilus
  3. candida
32
Q

5 normal bact. in intestine

A
  1. enterococcus
  2. E.coli
  3. BActeroides
  4. Clostridium
  5. Candida
33
Q

2 normal bact. in vagina

A
  1. streptococcus

2. candida

34
Q

4 benefits of normal flora

A
  1. immune stimulation
  2. infection prevention
  3. human nutrition
  4. digestion
35
Q

2 harmful effects of normal flora

A
  1. source of opportunistic infections

2. source of contaminations in tests