strep infections Flashcards

1
Q

which bacteria have the IgA protease s a virulence factor ?

A

SHiN
strep pneumonia
Haemophilus influenza
Neisseria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the lab features of strep pyogens ?

A

group A streptococci
gram positive in chains
on;ybeta hemolytic strep that is PYR positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the virulence factor of strep pyogens ?

A

M protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the toxin mediated diseases in association with strep pyogens ?

A

scarlet fever
necrotizing fascitis
toxic shock syndromew

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the immune diseases associated with strep pyogens ?

A

rheumatic fever
post strep GN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the 2 important skin infections in association with strep pyogens ?

A

cellulitis
impetigo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the strep pharyngitis complication ?

A

scarlet fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the toxin associated with nscarlet fever that happens as a complication of strep pharyngitis ?

A

erythrogenic toxin
the skin reacts to this toxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where is the gene for the eryhtrogenic encoded ?

A

in the lysogenic phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is distinctive about scarlet fever ?

A

strawberry tongue
sandpaper skin
can be differentiated from kawasaki by the presence of a sore throat before the appearance of the strawberry tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what toxin is associated with necrotizing fasciitis ?

A

strep pyogenic exotoxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the two types of necrotizing fasciitis ?

A

type 1 - caused by anaerobes and usually in diabetics and in the immunocompromised
type 2 - associated with group A strep and occurs in healthy people after skin injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the classic case associated with necrotizing fasciitis ?

A

pain that is out of proportion
can be commonly mistaken for cellulitis
may be further associated with hypotension and shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what type of autoimmune reaction is rheumatic fever ?

A

type 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the pathognomonic features of rheumatic fever ?

A

aschoff bodies - nodues in the heart , granuloma
antisckow cell- has an owl eye appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the lab findings associated with rheumatic fever ?

A

elevated ASO titre

17
Q

what are the clinical clues asociated with rheumatic fever ?

A

patient with a sore throat
which then presented with a new heart murmur and joint pain is most likley rheumatic

18
Q

what is the treatment for rheumatic fever ?

A

penicillin for life

19
Q

what valvular abnormality is associated with late RF ?

A

mitral stenosis

20
Q

what are the features of strep agalactai ?

A

its a group b strep which releases CAMP that interacts with beta hemolysin in staph aureus

21
Q

what is the normal flora of the vagina ?

A

group b strep 3amatan

22
Q

what is the shape of strep pneumoniae ?

A

lancet shaped gram positive cocci

23
Q

what is the most important virulence factor in strep pneumonia ?

A

IgA protease polysaccharide capsule
which is used for vaccinations

24
Q

what is the function of the polysacchride capsule in strep pneumonia ?

A

prevents phagocytosis

25
what complications are associated with strep pneumonaie ?
MOPS meningitis otitis media pneumonia sinusitis
26
which of the bstrep is part of the normal mouth flora ?
viridans
27
what are the clinical applications associated with viridans ?
after a dental procedure may cause endocarditis disease in patients with pre existing valvular conditions
28
which of the strep cause dental caries ?
strep mutans
29
which of the strep cause subacute endocarditis ?
strep sanguinis
30
how does viridans cause endocarditis ?
ferments dextran which attaches to fibrin which is found where there is endothelial damage
31
what treatment is used for enterococcus ?
resistant to penicillin vancomycin resistant strain so vanco genta combination is given
32
which bacteria cause nitrite negative UTI ?
staph saprophyticus enterococcus
33
surgical manipulation of GUT then later on presented with endocarditis , what is the most likely causative organism ?
enterococcus GU manipulation like cytoscopy or TURP procedure
34
which of the strep is associated with colon cancer ?
strep bovis