Strep pyogenes Flashcards
virulence factors, clinical infections, testing methods
In cell structure in group A Strep this blocks the binding of C3b (opsonization).80 different types
M protein
Fibronectin-binding protein. adhere and invade the epithelial
Protein F
Mediate attachment to host cells
Lipoteichoic Acid
this virulence factor prevents opsonized phagocytosis. part of the bacterial structure;
made up of polysaccharide or polypeptide; function as antiphagocytic
Capsule
Inactivates C5a (no chemotaxis)
C5 Peptidase
helps destroy foreign DNA
DNAses
Destroys white blood cells (WBCs),
platelets, RBCs, and other tissues; Oxygen labile
Streptolysin O (Hemolysin)
Can lyse RBCs and WBCs, Oxygen stable
Streptolysin S (Hemolysin)
Breakdown of connective tissue (spreading factor)
Hyaluronidase
Lysis fibrin clots
Streptokinase
Act as Superantigens ; responsible for most clinical manifestations of severe strep diseases,Causes a red spreading rash
Streptococcal pyrogenic exotoxins (SPEs)
most common disease caused by a strep species
Pharyngitis
skin infections through bites or abrasions of the skin
pyoderma
skin infection usually in very young children
impetigo
Skin infection with a spreading red rash with a
demarcated but irregular edge; Mostly elderly
Erysipelas
Deep invasion of GAS leading to necrosis and
gangrene
Cellulitis
blood infections
sepsis
invasive infection characterized by a rapidly progressing inflammation and necrosis of the
skin, subcutaneous fat, and fascia; Described as “flesh-eating disease”
Necrotizing fasciitis
Can occur after pharyngitis or cutaneous infection; Ag-Ab complexes, resulting in damage to the kidneys
Acute glomerulonephritis (AGN)
(SPES)cause rash. carried by bacteriophage T12, rash appears on the chest then spreads to trunk and limbs lasting 5-7 days, after rash skin desquamates. (complication on pharyngitis)
Scarlet fever
Occurs after pharyngitis, Inflammation of the joints, heart, blood vessels, and subcutaneous tissues; Can cause serious damage to the heart valves.
Rheumatic fever
Direct Detection of Antigen
Group A Strep Immunoassay
Agglutination occurs: Ag-Ab complex is visible. used to differentiate strep sp groups
Latex Agglutination Strep Grouping Assays