Shigellosis Flashcards
Slender, gram-negative rods; coccobacillary forms
Shigellae
Synonym of Shigellosis
Bacillary Dysentery
Acute bacterial infection of the lining of the intestines caused by extremely infectious bacteria
Shigellosis
Most serious form of Shigellosis
Dysentery
Group of bacteria that causes Shigellosis
Shigella
Now known as the Shigella dysenteriae type 1
Shiga bacillus
Non spore-forming, gram negative bacterium; non-motile, rod shaped bacterium and does not produce gas from sugars; facultative anaerobes; ferment glucose except S. sonnei
Shigella
Only one that ferments lactose
Shigella sonnei
Four types of Shigella bacteria
S. dysenteriae
S. sonnei
S. flexneri
S. boydii
Toxin that contributes to the irritation of the bowel wall during autolysis
Endotoxin
Toxin that affects both the gut and CNS, heat-labile exotoxin; antigenic, produces diarrhea, inhibits sugar and amino acid absorption; dysentery with blood and pus in stools
Exotoxin
Contribute to the severity and fatal nature of s. dysenteriae
Neurotoxin
CNS infections caused by Shigella
Meningismus and comatose
Toxic activity of shigella that is distinct in dysentery
Dysentery with blood and pus in stool
Virulence factor responsible for the binding of the host cell while initiating pathways that kill macrophage upon infection
IpaB
Virulence factor that activates protein to form actin polymerizing complex that allows shigella bacteria to move and spread
IpaC
Virulence factor responsible for the bacteria to enter the small intestine due to SPA; recognize and cause inflammatory response
Ipa
Responsible for fever during shigellosis infection
Lipid A
Causes the diarrhea in shigellosis
ShET (Shigella Enterotoxin)
Mode of transmission of Shigellosis:
Fecal-Oral route, Ingestion, Drinking, Person-Person
Infective dose of shigellosis
10^3
Constant need to empty the bowel with pain
Tenesmus
Drug of Choice for Children suffering from Shigellosis
Ampicillin
If allergic to ampicillin
Sulfamethoxazole/Trimethoprim
Drug of Choice for Adults
Cephalosporin/Ceftriaxone
If allergic to Ceftriaxone
Ciprofloxacin
Last option for Adults
Azithromycin
Two Phases of Shigellosis
- Watery Diarrhea
2. Bloody Diarrhea