Neisseria Flashcards

1
Q

neissera morphology

A

gram negative diplococci

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2
Q

“meningococcus”

A

neisseria meningitidis

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3
Q

“gonococcus”

A

neisseria gonorrhoeae

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4
Q

neisseria meningitidis transmission

A

person-to-person via respiratory droplets

often occur in crowded conditions

carrier state in nasopharynx lasts days to months

small % it goes to blood

incubation is 1 week

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5
Q

where does neisseria meningitidis multiply?

A

outside cell

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6
Q

is neisseria meningitidis encapsulated?

A

yes- but gonorrhea is not

capsule has antiphagocytic properties that contributes to virulence

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7
Q

neisseria meningitidis virulence factors

A

capsule
protease that splits IgA
pili/OMPs- colonization and affect colony morpholgy

LOS- no O side chains but still acts as endotoxin

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8
Q

sub saharan meningitis belt

A

largest burden of meningococcal meningitis in the world

mostly type A

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9
Q

neisseria meningitidis serotypes

A

there are many different types/ outbreaks can occur when people from different areas congregate and there is no immuno protection to the foriegn serotypes

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10
Q

neisseria meningitidis symptoms

A

high fever, signs of meningitis, patechiae followed by large ecchymosis

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11
Q

waterhouse friederichsen syndrome

A

uncommone meningiococemia causes adrenal failure, circulator collapse and shock, death

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12
Q

treatment of neisseria meningitidis

A

penicllin, 3rd generation of cephalosporin

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13
Q

neisseria meningitidis vaccine

A

conjugate vaccine used in Africa

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14
Q

neisseria meningitidis grows on both blood agar and chocolate agar

A

ok

in opposition to haemophilius

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15
Q

gonococcus serotypes

A

over 100

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16
Q

gonococcus infection

A

STI via direct genital contact

also: rectal and pharyngeal

17
Q

gonococcus virulence factors

A

pili- establish infection w/in an hour and impair phagocytosis

reach sub-epithelial CT, causing inflammation and pus

18
Q

gonococcus complications of disseminated disease

A

arthritis-dermatitis syndrome

tendosynovitis

chronic pelvic inflammatory disease in females

19
Q

gonococcus diagnosis

A

stain w/ exudate and PMN

like thayer martin selective medium

cultures w/ oxidase positive, gram - diplococci

gonococcus- glucose fermentation only

meningitidis- glucose and maltose only

20
Q

gonococcus treatment

A

drug resistance 3 types:

plasmid mediated penicillinase

plasmid mediated tetracyclin

choromsome mediated resistant- broad resistance

use 3rd gen cephlasporin and tetracyclin or azythromicin for chlamydia

21
Q

gonococcus vaccine

A

no vaccine