Microbio Chapter 22- Microbial Diseases of the Nervous System Flashcards
What are the names of some bacteria diseases affecting the nervous system?
a. Meningitis
b. Tetanus
c. Botulism
d. Leprosy
What are the initial symptoms of meningitis?
- Fever/headaches
- Nausea, vommiting
What do the initial symptoms of meningitis progress to?
Stiff neck, kerning’s sign and convulsions, coma and death
Over how many hours do meningitis symptoms take to progress?
~24hours
How is meningitis diagnosed?
CSF sample by a spinal tap
How is meningitis spinal tap sample stained?
A gram stain, cultured and serology tested for different strains
How is bacterial meningitis treated?
3rd gen Cephalosporins
What are the main causes (bacterias) of meningitis?
a. Haemophilus influenza
b. Neisseiria meningitis
c. Streptococcus pneumoniae
(a,b,c = 3 main causes)
d.Listeria monocytogenes
e. Escheria coli
How many strains of H. influenzae are there?
6 strains A-F
What strain of H. influenzae is most common?
B strain 95% of cases
Is H. influenzae preventable?
Yes, Hib vaccine
What are the strains of Neisseria meningitis?
A,B,C, W135, y
Who is commonly affected by N. meningitis?
Children and college students
What strain of N. meningitis is most common?
C strain
Is death slow or fast with N. meningitis?
Fast, death is within a short time
How many strains of Streptococcus pneumoniae are there?
~90 strains
How many strains of Streptococcus pneumoniae can be prevented by a vaccine?
~20 strains
How is S. pneumoniae treated?
Penicillin and 3rd gen Chloramphenicol
Who is commonly affected by Streptococcus pneumoniae?
children and elderly
What are the points of entry for S. pneumoniae?
Ear, surgery, head/neck trauma
-Opens subarachnoid space that contains CSF
What does Listeria monocytogenes cause?
Listeriosis
How is L. monocytogenes spread?
Food source
What temperature does L. monocytogenes like?
Cold-loving (Psychrotrophs)
What bacteria is a common cause for neonatal meningitis?
E. coli
-Transimitted in birth canal
What are the symptoms of N. meningitis?
Headache
sore throat
Necrosis (amputation required)
Petechiae rash
Residual damage; deafness, paralysis
What does a Petechiae look like?
Purple spots
What bacteria causes tetanus?
Clostridium tetani
What does tetanus toxin block?
Relaxation pathway (GABA neurotransmitter)
What does Tetanus cause?
Spasms
What are the stages of Tetanus spasms?
- Stiffneck and lockjaw
- Opsithrotones
- CV spasms –> Death
What bacteria causes Botulism?
Clostridium botulinum
What are the types of botulism?
A, B, E, F
(A is the worst)
How long does Botulism take to develop?
12-36 hours
How is Botulism spread?
Canned foods (lethal food poisoning)
What does botulinum toxin block?
AcH at NMJ inhibiting muscle tone
What does Botulism result in?
Flaccid paralysis
What are the symptoms of botulism?
- Dry mouth
- Abdominal cramps
- Diarrhea/ constipation
- Blurred vision
- Death
What bacteria causes Leprosy?
Mycobacterium leprae
What is the other name for leprosy?
Hansen’s disease
What are the two phases of leprosy?
- Paucibacillary (neural)
- Multibacillary (progressive)
What kind of response is Paucibacillary characterised by?
Effective, cell mediated immunity
How long is Paucibacillary treatment?
6 months
How is Leprosy treated?
Dapsone, rifampin and clofazimine
What does Multibacillary leprosy cause?
- Exudation of the nose (disintegrates, infectious)
- Nodules over body and face
- Hand deformities
- Necrosis, loss of fingers and toes
How long is Multibacillary treatment?
24 months
What viral disease affects the nervous system?
Polio
What are the initial symptoms of Polio?
Sore throat and nausea (intestine) —> enters lymph nodes and blood stream
Once Polio virus enters the blood stream what occurs?
Viremia
-2 forms
What are the two forms of viremia (Polio)?
- Transient
- Persistent
What is Transient form?
Immune system kills it
-No clinical symptoms
What is Persistent form?
Virus enters neurons, grow and cause paralysis
Is Polio preventable?
Yes, there is a vaccine. Paralysis from polio occurs in ~1% of cases.
-As of 2012 vaccination success in India eliminated polio
What are the 2 polio vaccines?
- IPV
-Inactivated Polio vaccine - OPV
-Oral polio vaccine
Who discovered the IPV?
G. Salk 1954
Who discovered the OPV?
A. Sabin 1963
How is the IPV administered?
Injection
What does the IPV require?
Boosters
How is the OPV administered?
Orally
What does the OPV require?
Boosters
Why is the OPV not commonly used?
1/1 million cases causes the virus to revert back