Shigella Flashcards

1
Q

Shigella almost exculsively effects what species and where?

A

primates large bowel

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2
Q

What is the most common species of Shigella?

A

Shigella dysenteriae

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3
Q

What is the most important virulence factor of Shigella dysenteriae?

A

Shiga toxin

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4
Q

How does Shigella look under a microscope?

A

gram negative rod

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5
Q

What cells does the shigella adhere to in the large bowel?

A

M cells and epithelial cells

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6
Q

Shiga toxin disrupts ____ synthesis in the endothelial cells and causes cell death

A

protein

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7
Q

What are the effector proteins that are injected via type III secretions from Shigella that induce lysis of phagocytes?

A

IpaB and IpaC

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8
Q

What effector proteins of Shigella help with mobility of shigella inside the cell

A

IcsA and IcsB

*highjack the cytoskeleton

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9
Q

how is shigella transmitted?

A

Fecal oral transmission

*highly infectious

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10
Q

The presence of ____ will overcome Shigella

A

normal flora

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11
Q

How does shigella survive in the PH of the stomach?

A

RpoS (RNS polymerase)

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12
Q

Shigella reaches the intestinal cells and destroy the mucus via the _____ attach to the M cells via the _____

A

destroys the mucus via the Pic

Attaches to the M cells mainly via the IpaD

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13
Q

What does Shigella Dysenteria cause in primates?

A

hemorrhagic diarrhea and hemolytic uremic syndrome

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14
Q

True/False: Antibody secretion is important for Shigella

A

true

*They bind and protect the bacteria from adhering to the large bowel

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15
Q

Case of african green monkey that is 15 years old in a very packed cage. Highly stressed out and starts presenting bloody diarrhea. What would the best differential be?

A

Shigella

side note (Now you isolate a lactose positive organism and during a necropsy you find attaching and effasing lesions in the GI tract. What is the most likely agent now? Enterohemorragic E. coli)

Side note: (now you isolate a gram positive rod which is positive for the naglers test. What is the best differential? Clostridium perfringens)

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16
Q

What is the best treatment for Shigella?

A

prevention, nursing, and supportive care