RTI IX Flashcards

1
Q

Chlamydophila psittaci is a (G+ve/G-ve) and obligate _____ and causes ______

A

Chlamydophila psittaci is a G-ve and obligate intracellular and causes Ornithosis (Psittacosis, Parrot fever)

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2
Q

Chlamydophila psittaci are round with narrow _____

A

Chlamydophila psittaci are round with narrow periplasmic space

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3
Q

Chlamydophila psittaci has no _____ in the cell wall and instead contains a _____ with weak endotoxicity

A

Chlamydophila psittaci has no peptidoglycan in the cell wall and instead contains a lipopolysaccharide (LPS) with weak endotoxicity

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4
Q

____ is a major cell wall component and unique to each Chlamydophila species

A

Major Outer Membrane Protein (MOMP) is a major cell wall component and unique to each Chlamydophila species

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5
Q

Chlamydophila psittaci

small infectious EBs attach to _____, followed by _____

A

small infectious EBs attach to microvilli, followed by active penetration in the cell

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6
Q

Chlamydophila psittaci

intact _____ inhibits fusion to the ___ thus, not killing Chlamydia

A

intact EB outer membrane inhibits fusion to the lysosomes thus, not killing Chlamydia

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7
Q

Chlamydophila psittaci

6-8 hours after penetration, ____ reorganize to become _____

18-24 hrs later, the ____ divide to become ____

A

6-8 hours after penetration, EBs reorganize to become large metabolically active RBs

18-24 hrs later, the RBs divide to become smaller EBs again, rupturing the host cell

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8
Q

Chlamydophila psittaci is transmitted to humans through _____

A

Chlamydophila psittaci is transmitted to humans through inhalation of excreta, urine or resp. droplets of birds

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9
Q

Chlamydophila psittaci spreads to the ____ producing necrosis

A

Chlamydophila psittaci spreads to the RES of liver and kidneys producing necrosis

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10
Q

Chlamydophila psittaci is seeded in the lung through ____ causing lymphocytic inflammation in the _____

A

Chlamydophila psittaci is seeded in the lung through blood causing lymphocytic inflammation in the alveoli

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11
Q

Chlamydophila psittaci produces edema, thickening of the ___, infiltration of ____, necrosis and occasional hemorrhages

A

Chlamydophila psittaci produces edema, thickening of the alveolar walls, infiltration of macrophages, necrosis and occasional hemorrhages

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12
Q

name the populations at highest risk of Chlamydophila psittaci

A
  • high risk:
    • vets
    • zookeepers
    • pet shop owners
    • employees of poultry-processing plants
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13
Q

describe clinical features of Chlamydophila psittaci

A
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14
Q

diagnosis of Chlamydophila psittaci is by _____

A

diagnosis of Chlamydophila psittaci is by serology

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15
Q

describe the biology of Hantavirus

A
  • family = bunyavirus
    • negative sense ssRNA virus
  • RNA virus, spherical, lipid envelope with 2 major glycoproteins
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16
Q

______ is the commonest cause of HPS (Hantavirus Pulmonary Syndrome) and is carried by _____

A

Sin nombre virus is the commonest cause of HPS (Hantavirus Pulmonary Syndrome) and is carried by the deer mouse

17
Q

name settings where exposure to rodents (thus leading to HPS) is common

A
  • peridomestic settings:
    • barns
    • outbuildings
    • sheds
    • camping
18
Q

hantavirus is mainly transmitted to humans when _____

A

hantavirus is mainly transmitted to humans when they breathe in air contaminated with the virus - airborne transmission (most common)

19
Q

describe the 3 clinical phases seen in HPS

20
Q

in HPS, there is a generalized increase in _____ that results from ____ damage

A

in HPS, there is a generalized increase in capillary permeability that results from endothelial damage

21
Q

injury in HPS is a consequence of _____

A

injury in HPS is a consequence of the host’s immunological response to viral antigens that have penetrated the endothelium

22
Q

describe the diagnosis and treatment of HPS

23
Q

Meliodosis (Whitemore’s disease) is an infection caused by _____

where is this disease endemic in?

A

Meliodosis (Whitemore’s disease) is an infection caused by Burkholderia pseudomallei

endemic regions = South Asia, SE Asia including China, northern Australia

24
Q

Burkholderia pseudomallei is (G+ve/G-ve), rod-shaped, motile, aerobic

A

Burkholderia pseudomallei is G-ve, rod-shaped, motile, aerobic

25
Burkholderia pseudomallei is G-ve, rod-shaped, (motile/non-motile), aerobic
Burkholderia pseudomallei is G-ve, rod-shaped, **motile**, aerobic
26
the predominant mode of transmission of Burkholderia pseduomallei is through \_\_\_\_\_
the predominant mode of transmission of Burkholderia pseduomallei is through **broken skin (percutaneous inoculation during exposure to *_wet soils or contaminated water_*)**
27
list risk factors for Meliodosis
28
adults with Meliodosis primarily present with \_\_\_\_ while children with Meliodosis primarily present with \_\_\_\_\_
adults with Meliodosis primarily present with **pneumonia** while children with Meliodosis primarily present with **cutaneous infxns**
29
describe the lab diagnosis of Meliodosis
30
Meliodosis is grown on ____ agar and has a _____ morphology
Meliodosis is grown on **Ashdown's** agar and has a **cauliflower-head** morphology
31
describe what is seen on microscopy of Meliodosis
**G-ve bacilli, bipolar staining**
32
Coxiella burnietti is an obligate _____ and ____ are important reservoirs
Coxiella burnetti is an obligate **intracellular bacteria (G-ve)** and **cattle, sheep, goats** are important reservoirs
33
describe the 3 main acute clinical presentations of Q fever
* self-limiting flu-like illness * pneumonia (predominant in N. America) * hepatitis (predominant in Europe)
34
describe the 2 phases of Coxiella burnetti
* phase I * highly infectious with intact LPS * phase II * not infectious, with truncated LPS
35
describe chronic Q fever and those at risk for it
sometimes present years after primary infection: **culture negative** **endocarditis** * risk group: * pre-existing heart defects * pregnancy * immunocompromised