Mycobacterium Flashcards
Enzyme characteristic of m leprae
O-diphenoloxidase
First pathogen demonstrated in human tissue
M leprae
M leprae grows on Nutrient agar. True or false
False. Doesnt grow on any artificial medium. Obligate intracellular
M leprae causes systemic disease
False
They grow well above 30 degrees. M leprae
False
M leprae can be associated as an immediate cod
False
M leprae prefers hot surfaces of the body like axilla and groin
False
Basis for diagnosis of leprosy
Clinical manifestations
Nasal secretions of m leprae can survive for how long?
36hours
M leprae is HIGHLY infectious
False. Takes 3-4 years to have disease
Incubation period can last up to several years
True. 30 years
Animal used for research in leprosy
Armadillo
Most infectious source of m leprae
Nasal discharges
Immediate forma of leprosy
Borderline
Intermediate
BI measures what
Bacterial load
MI measures what
Bacterial viability
Mainstay drug for leprosy
Dapsone. Clofazimin. Rifampin
Combination therapy
1-2 years
Sign of restoration of CMI after onset of treatment
Erythema nodosumleprosum ENL
Multiple nodular lesions in the face
Leonine facie
Deficient CMI
Lepromatous
High levels of IL 4 and 10
Lepromatous
Diagnosis requires AFB stain, foam cells and false positive syphilis
Lepromatous
A granuloma is sufficient for diagnosis
Tuberculoid
Exam for sub clinical infxn of leprosy
Lepromin skin test
Lepromatous tests positive on lepromin st
False. Tuberculoid
Single lesion tx
ROM
Rifampin
Ofloxacin
Minocycline
Scrapings must be stained with?
Ziehl Neelsen
Serologic tests are valuable
False. No effect
This causes Buruli cancer
M ulcerans
Classified as a scotochromogen
M scrofulaceum
MOTT grows at 41 degrees
MAC or MAI
Grows at 37 degrees MOTT
M kansaii
Photochromogen
Kansaii. Group I
Grows rapidly non pigmented
M fortuitum
Has niacin
TB COMPLEX
DOC for group 4
F-DA
DOXY
AZITHRO
Prophylaxis for MAI
Rifabutin
Initial tx for MAC
ACE
Azithro
Clarithro
Etham
Maintenance for MAC
For life. RAF-C
Rifabutin
Azithro
Fluoro
Clarith
MOTT occuring to those with prosthetic hip joint and indqelling catheters
M fortuitum
Only tx is removal of lymph node
Scrofula
How to prevent leprosy spread
Isolate ALL
Sudden asymmetric nerve involvement
Tuberculoid
High CMI
Tuberculoid
What makes m tubercle acid fast
High lipid content of cell wall
They are obligate pathogen. M tubercle
True
They are non pathogen common in smegma
M smegmatis
This stain creates rods red in blue background
Ziejl neelsen
Culture of m tubercle
Small, scaly dry corrugated surfaces
Are m tubercle killed by heat
True
How long does m tubercle in putrefying sputum lives. In dried?
Weeks 6-8 mos
M tubercle are difficult to disinfect. Use what
5% phenol
M tuerculosis and bovis are equally pathogenic to man
True
More potent than PPD
Seibert proteins A an B
Virulence factor of TB
Serpentine cord
Avirulent culture
Random Brush heap patter
His causes serpentine cord formation
Trehalose dimycolate
Primary lesion of TB
Lower lobes
Secondary lesions
Apex
Define CATEGORIES OF TB
0 no exposure 1 exposed 2 tb infxn 3 current tb dse 4 previous tb dse 5 tb suspect
What causes night sweats in tb
tnf release
Define reinfection from relapse
Diff strain. Same strain
Solid medium culture
Lowenstein-jensen
Liquid medium
Middlebroom
How many specimens must be collected?
2x consecutive days
Define ghon complex
Parenchymal exudative lesion plus draining lymph node
Define tb inactive
Dormant org persist but no longer actively multiplying
Doubling time o m tubercle
18h
Common age bracket affected with TB
2 years old above
Molecular dx for better indication o mycobacterial cell viability
Rna and Mrna
Stain used in ziehl neelsen
Carbolfuschin
Destroys other undesired organism in a culture of m tubercle
KOH
Reading of PPD
48-72h
This vaccine does not prevent having the dse but prevents the complications
BCG
Mutation on pyrazimindase
Pzh
Mut on katG
Inh
Mut on rpoB
Rifampicin
Beta subunit of the DNA dependent RNA polymerase mutation
Rifampicin