Microochenes Flashcards
Virus: Oral hairy leukoplakia in HIV infected
Epstain barr virus
bacteria most associated with acute bacterial endocarditis
staph aureus
bacteria most associated with subacute bacterial endocarditis
strep viridans
primary bacteria for dental caries in enamel, dentin, and root surfaces?
enamel - strep mutans
dentin - lactobacillus acidophilus or lactobacillus casei
root - actinomyces viscosus
bacteria: 1st colonizer of plaque
strep sanguis (alpha hemolytic)
bacteria: 1st colonizer of oral cavity
strep salivarius (alpha hemolytic)
most common cause of food poisoning
staph aureus
Babes-Ernst granules
red metachromic granules seen in Corynebacterium (gram +)
Hx: Chinese characters or club-shaped
note: diphtheria
B(abes) C D E(rnst)
causes whooping cough or high pitched sound when inhaling
Bordatella pertussis (gram +)
pertussis
bacteria exhibiting tumbling motility and umbrella shape
Listeria monocytogenes (gram +)
partly gram positive, partly acid fast bacteria
Nocardia (N. asteroides)
gram positive spore forming bacteria
bacillus -obligate aerobe
clostridium -obligate anaerobe
endospores —> resting cell (unfavorable condition) —> vegetative/active cell (favorable)
primarily a disease of herbivores though humans can be infected by contact with infected animals? other name?
caused bacillus antracis
anthrax aka wool-sorter’s disease
causes pseudomembranous colitis
overgrowth of C. difficile (normal GI flora) because of Clindamycin
associated with food poisoning which causes gas gangrene
C. perfringes (gram +, obligate anaerobe)
results to muscle paralysis or muscle relaxation
botilinum toxin (C. botilinum) gram + obligate anaerobe
*Curare
*Succinylcholine
results to muscle spasm due to EXCITATION of neurons
tetanus toxins from C. tetani(gram +, obligate anaerobe)
most commonly encountered actinomyces
actinomyces israelii (gram +)
Bacteria Associated with root surface caries
Actinomyces viscosus (gram +)
Bacteria Associated with dentital caries
Lactobacillus acidophilis/casei (gram +)
Meningitis in young adult
Neisseria meningitidis (gram -)
Waterhouse-friderichsen syndrome
Meningitis in neonates
- Escherichia coli
-causes cystitis, traveller’s diarrhea (montezuma’s revenge) - S. agalactiae
- Listeria
Causes meningitis in infants and children
Haemophilus influenza (gram -)
Meningitis in old adults
Streptococcus pneumoniae (gram +)
-causes bacterial pneumonia
Causative agent of syphilis?
Stages of syphilis and presentation?
Treponema pallidum (spirochetes, gram -)
Primary - chancre sores
Secondary - white mucous patches (condyloma lata)
Tertiary - gummatous necrosis
Causative agent of Vincent’s disease
Treponema denticola (spirochetes, gram -) -causes periodontal disease
Vincent’s= trench mouth/NUG
Causative agent of Weil’s disease
Weil = rat fever = leptospirosis
Leptospira (spirochetes, gram -) -establishes in the liver and kidney
Most common gram - bacteria associated with nosocomial infections
Pseudomonas aeruginosa
Bacteriodes are re-classified into
Prevotella
Porphyromonas
Gram (-) obligate intracellular parasites
Rickettsia
Chlamydia (most common STD)
Causative of Louse-borne/epidemic typhus
R. Prowazekii (human lice)
Gram -
Causative of murine/endemic typhus
R. typhi (fleas)
Gram -
Causative of rocky mountain spotted fever
R. rickettsia (ticks)
Gram -
Produces red pigment when cultured. It causes UTI
Serratia marcescens
Causative agent of bubonic plague or black death disease
Yersinia pestis (gram -)
Causative agent of typhoid fever
Salmonella typhi
Causative agent of peptic ulcers
Helicobacter pylori (gram -)
Causative agent of cholera (watery diarrhea)
Vibrio cholera (gram -)
Causative agent of shigellosis (bloody diarrhea)
Shigella dysenteriae (gram -)
Causative agent of amoebiasis (bloody stool)
Entamoeba histolytica
Stays dormant in the phagocyte
Mycobacterium tuberculosis -causes tuberculosis
Causes Hansen’s disease
Aka Leprosy / ketong
Mycobacterium leprae
Causes infectious mononucleosis-like symptoms
Cytomegalovirus (dormant in salivary glands) - HHV 5
HHV 1 and HHV 2
Herpes simplex virus
Type 1 - dormant in CN V
Primary lesion: primary herpetic gingivostomatitis
Secondary lesion: herpes labialis (cold sores)
Type II - genitals (dormant in Sacral Ganglia)
Epstain Barr virus is associated with?
BIHHN
Burkitts lymphoma
Infections mononucleosis
Hodgkin’s lymphoma
Hairy leukoplakia (white)
Nasopharyngeal carcinoma
HHV 3
HHV 4
HHV 5
HHV 6
HHV 7
HHV 8
3- Varicella zoster virus (dorsal root and cranial nerve ganglion)
4- epstein barr virus (resting memory B lymphocytes)
5- cytomegalovirus (nucleui of cells in endothelium of arterial wall and T lymphocytes)
6- roseola infantum
7-
8- kaposi sarcoma (purple/red/brown)
1, 2 VE CyRo Ka (1,2 behh zero ka)
Vzv is dormant where? It causes what diseases
Posterior root ganglia of spinal cord
Chicken pox (varicella zoster)
Shingles (herpes zoster) -follows dermatome
Ramsay-hunt syndrome (herpes zoster oticus)
Adenovirus causes?
Pharyngitis, pneumonia, and conjunctivitis
*Astrazenica is an adenovirus
Human papilloma virus causes
Warts and cervical cancer
Type 2 and type 4 are the most common cause of common warts
Type 16 - cervical cancer
Type 18 - hot wart-related
Smallest double stranded DNA virus
Hepadnavirus (hepatitis B virus)
Incubation period of hepadnavirus
6 to 8 weeks
Only hepatitis virus that has DNA Genome!!!
Uses reverse transcriptase that allows viral replication
Viral antigens of hepadnavirus
HBsAg - australian antigen, surface antigen
HBcAg - core antigen
Shortest incubation hepatitis
Hep A (2-6 weeks)
Picornavirus
Most serious type of hepatitis
Hep C (flavivirus)
Hep that can only bind if infected with Hep B
Hepatitis D (delta virus)
Hepatitis viruses family
Hep A - picornavirus
Hep B - hepadnavirus
Hep C - flavivirus
Hep D - delta virus
Hep E - calicivirus
Molluscum contagiousum is caused by?
Poxvirus
Inclusion bodies: guarneri bodies
Poxvirus/ variola/ smallpox
Inclusion bodies: negri bodies
Rhabdoviridae
Inclusion bodies: councilman bodies
Yellow fever (flavivirus)
Virus family that causes poliomyelitis
Picornavirus - enterovirus - poliovirus
Viruses that causes common cold (mild)
Adenovirus (DNA)
Coronavirus (RNA)
Influenza (RNA, orthomyxovirus)
Parainfluenza (RNA, paramyxovirus)
Rhinovirus (RNA, picornavirus)
Disease associated with coxsackie virus
Coxsackie A
Herpangina
Hand-food-mouth disease
Acute hemorrhagic conjunctivitis
Coxsackie B
Pleurodynia (epidemic myalgia)
Myocarditis/pericariditis
Can be associated with mild infections (mild respiratory infections) to more severe ones (aseptic meningitis)
Echovirus from enterovirus of the picornaviruses
Picornaviruses
- ENTEROVIRUS
a. Poliovirus
b. Rhinovirus
c. Coxsackie virus (A and B)
d. Echovirus - HEPATITIS A
Causes flu and adult viral pneumonia
Influenza virus (orthomyxovirus)
In infants (1yr old), the most common cause is respiratory syncytial virus
Paramyxoviruses
- Parainfluenza virus - causes respiratory infections
- Respiratory syncytial virus - viral pneumonia in infants
- Rubeola/measles - associated with koplik spots (whitish lesion surrounded by bluish red areola) BEFORE rashes
- Mumps virus (orchitis, oophoritis, pancreatitis)
Causes rubella or german measles
Togavirus
Causes morbilliform rash, malaise, low-grade fever
Complication:congenital defects (deafness, microcephaly)
Dental: forchheimer spots on soft palate
Most common cause of gastroenteritis in <2 yrs old
Rotavirus of reoviruses
Viruses under flavivirus family
- Dengue virus (attacks bone marrow cells resulting to leuko and thrombocytopenia) aedes aegypti
- Yellow fever (attacks liver/kidney. Hx. Councilman bodies)
- Zika virus (assoc w/ Guillan Barre syndrome)
- West nile virus
- Hepatitis C virus
Flavi DezC WY (Flappy disk why)
Family of HIV
Lentivirus (subtype of retrovirus)
Retro kasi may reverse transcriptase (RNA to DNA)
HIV diagnostic tests
ELISA (enzyme linked immunosorbent assay)
PCR (polymerase chain rxn)
Northern blot - RNA blot test
Southern blot - DNA blot test
Western blot - detects HIV proteins
Western + elisa = 99.9% accurate
Toxoid vaccines
Diptheria
Tetanus
Live attenuated vaccines
MMR
rotavirus
Smallpox
Chicken pox
Yellow fever
MRS YELLOW CHICKEN
Inactivated vaccines
Hep A
Flu
Rabies
Polio (Salk and sabin *live attenuated)
Fungal infection of skin/hair/nails due to dermophytes (tricophyton, epidermophyton, microsporum)
Dermatophytoses (tinea pedis, capitis -scalp, cruris -jock itch, ungulum -nails, corporis -non hairy skin, barbae -skin in the beard area, facie nonbearded parts of the face)
❗If due to yeast like candida, cutaneous candidiasis
Causes histoplasmosis
Histoplasmosis capsulatum
(Fungal)
*Birds and bats
Causative of coccidiodomycosis (other name for the diseasae)
Aka valley fever or san joaquin fever
*Usually in US mexico etc
Coccidioides immitis
(Fungal)
May present pulmonary lesion resembling coin lesion of TB
Histoplasmosis and coccidiodomycosis
(fungal)
Causative of cryptococcosis
Cryptococcus neoformans or cryptococcus gattii
*Inhaled from the environment and migrate to CNS leading to meningoencephalitis
(Fungal)
Mycotic infection involving lungs, skin, etc with ship wheeler appearance under microscope (3 names)
Blastomycosis / Gilchrist’s disease / North American blastomycosis
Number 1 killer among parasitic infection
Malaria caused by plasmodium
Invades the liver before invading the RBCs
Vector: female anopheles’ mosquito
Causative of toxoplasmosis
Toxoplasma gondii (from cats)
Causative of pneumocytosis
Pneumocystis carinii
Causes trichomoniasis
Trichomonas vaginalis
Inflammation of vagina, prostate, or urethra
Causes rat-bite fever
Spirillum minus
Causative agent of Lyme disease
Borrelia carried by ticks
-causes bulls eye rash (erythrma migrans)
How to differentiate staph and strep??
Catalase testing
+ = staph
- = strep
Positive to gram staining, catalase test and coagulase/protein A
Staph aureus
Panton valentine leukocidin
Staph aureus
Non enveloped virus with icosahedral capsid composed of an outer and inner protein shell containing segmented ds RNA
Reovirus -virion contains an RNA-dependent RNA polymerase –replicate in cytoplasm
Members: rotaviruses (gastroenteritis in 2yo and under), coltivirus (colorado tick fever virus)
RNA non-enveloped virus families
PRC walang binibigay na envelope
Picornavirus
Reovirus
Calicivirus
Only member of the paramyxovirus that lacks the envelope glycoproteins hemagglutinin and neuraminidase
Respiratory syncytial virus (causes pneumonia in infants) -surface spikes are fusion (F) proteins
Paramyxovirus vs orthomyxovirus
Paramyxo larger in size and have different surface proteins (H, N, F proteins) as well as nonsegmented genomes
Only virus to obtain their virion envelopes by budding from the host nuclear or golgi membrane, not the host plasma membrane
Herpesvirus - replicate in nucleus!
Hallmark: ability to establish latent infection
DNA enveloped virus
Herpesvirus
Poxvirus
Hepadnavirus
Infectious (solely) protein particle and diseases they cause
Prions
Creutzfeldt-Jakob disease (mad cow disease)
Do not ilicit inflammatory or antibody response
Contain EITHER rna or dna encased in capsid
Rna and dna virus transcription sites?
RNA - involves RNA-dependent RNA polymerase; occurs in cytoplasm except retro and influenza
DNA - involves host-cell DNA-dependent RNA polymerase; occurs in nucleus except poxvirus
Reproducr mainly by spore formation, elaborate no endotoxin, grown on Sabouraud’s medium
Fungi
Test to differentiate strep pneumoniae from other strep
Bile solubility test
Test for presumptive detection of E. Coli on urine specimens
Indole test
Bacteria engulfed and enclosed in a vacuole within the cytoplasm is called?
Phagosome
Phagosome + lysosome= phagolysosome
Two major opsonins
IgG and C3b
Smallest bacteria devoid of cell wall and are only surrounded by a cell membrane
Mycoplasma - ONLY PROKARYOTE that has sterols in their cytoplasmic membrane
*Lack of cell wall makes them not affected by antimicrobials such as beta-lactams
Immunoglobulin found in the highest concentration in serum samples from px with perio disease
IgG
Predominant subgingival bacteria associated with gingival health
Strep mitis, sanguis
Actinomyces viscosus, naeslundii
Rothia dentocariosus
Staph epidermidis
Small spirochetes
Actinobacillus actinomycetemcomitans is associated with?
Associated with aggressive periodontal disease and localised aggressive periodontitis
Porphyromonas gingivalis is associated with?
Chronic periodontal disease and aggressive periodontitis
Tannerella forsythia is assoc with?
Perio disease
Associated with anug
Treponema denticola
Prevotella intermedia
Superficial mycoses
Pityriasis versicolor
-Malassezia furfur
Black piedra
-piedrai hortae
-tinea nigra
-hortae werneckii
White piedra
-trichosporon spp
Cutaneous and subcutaneous mycoses
Dermatophytoses
-microsporum
-trichophyton
-epidermophyton
Tinea unguium
-Trichophyton spp
-E. Floccosum
Onychomycosis
-candida
-aspergillus
-trichosporon
-geotrichum
Mycotic keratitis
-fusarium
-aspergillus
-candida
Endemic mycoses
Blstomyces
Histoplasma capsulatum
Coccidiodes
Penicillium
Paracoccidiodes
Most serious type of the four species of malaria
Plasmodium falciparum
Differentiate the different types of helminths: nematodes, trematodes, cestodes
Nematodes (roundworms) and trematodes (flukes) have a mouth and intestinal tract while cestodes (tapeworms absorb directly through the outer tegument)
Black water fever is associated with what microorganism
Plasmodium falciparum (malaria)
Infectious form of a virus outside the host cell
Virion