Summary Sheet Cards Flashcards
Staph Aureus
- Coagulase Positive
- MRSA
- Invasive tissue infections
- Food poisoning (pre formed enterotoxin)
- TSST
- Toxic Epidermal Necrolysis (TEN)
- Septicemia/bacteremia
- Bone/joint infection
Staph Epidermidis
- Coagulase negative staph
- Normal Skin Flora
- Endocarditis
Staph Saprophyticus
-UTI in women of child bearing age
Step Pyogenes, Group A
- Invasive tissue infections (enzymes and toxins)
- Impetigo, cellulitis, erysipelas
- Scarlet Fever - erythrogenic toxin
- Necrotizing Fasciitis (strep gangrene, invasive cellulitis “flesh eating”
- Streptococcal toxin shock syndrome from (highly invasive enzymes and toxins)
- Acute exudative pharyngitis —> post streptococcal complications –rheumatic fever, acute glomerulonephritis
Group B Strep
pneumonitis and meningitis in neonates from vaginal flora
Strep Pneumoniae
- Capsule, IgA protease
- Meningitis
- Otitis Media
- Pneumonia
- Sinusitis
Enterococcus Faecalis
- Bacteremia
- Nosocomial wounds
- UTI
- Multi Drug Resistance
Vibrio Cholerae
- Curved Bacilli
- Massive Diarrhea (toxin)
Vibrio Parahemolyticus
-Gastroenteritis from contaminated shellfish
Vibrio Vulnificus
- Septicimia, cellulitis, gastroenteritis
Camplylobacter Jejuni
- Microaerophilic, curved bacilli
- Gastroenteritis esp. from contaminated chicken or raw milk
Salmonella Enteritidis
- Antigenic types B & D predominate in USA
- Gastroenteritis (diarrhea), esp from contaminated poultry and reptiles
- Invasion of intestinal mucous membrane but w/o significant deeper invasion or bloodstream invasion
Salmonella typhi
- Typhoid fever
- initial invasion and multiplication w/in intestinal membrane followed by invasion of bloodstream
- Invasion/localization in gallbladder, spleen, liver, and bones
Shigella
- Antigenic groups D and B predominate in USA
- Dysentery (bacillary dysentery, shigellosis) - invasion of intestinal epithelial cells with sloughing and bleeding
- Exotoxin produced by some strains
- endotoxins stimulate some disease responses
Escherichia coli
- Genes from most toxins on plasmids
- Normal fecal flora
- Urinary tract infections (adherence and colonization)
- ETEC - severe watery diarrhea due to CHOLERA-LIKE enterotoxins esp in TRAVELERS
- EHEC - hemorrhagic colitis, enteroinvasive - invasion of intestinal epithelium, dysentery/bloody diarhhea, SHIGA-TOXINS, endotoxin)
- May cause hemolytic uremic syndrome; predominantly due to serotype O157:H7
Mycobacterium tuberculosis
- Acid fast bacillus
- Use 3 to 5 drugs to overcome multi-drug resistance
- PRIMARY TB - mild/asymptomatic - skin test pos; chest x-ray neg; no sputum produced
- Tubercle bacteria survive macrophage & in lymph nodes
- CMI slows growth & causes inflammation; bacteria contained w/in tubercles; disease remains latent/dormant possibly for years
- SECONDARY TB - clinical TB - skin test pos, x-ray pos, sputum pos
- CMI fails to contain growth; tubercles (ghon complex) necrotic; enlarge & rupture into airways and blood vessels
Mycobacterium avium-intracellulare
-complex–pulmonary lesions and lymphdenitis; esp in AIDS patients; resistant to many antituberculosis drugs
Haemophilus influenzae
- Meningitis in unvaccinated young children (HIB)
- Epigottitis
- Otitis media
Haemophilus ducreyi
Chancroid (asia)
Neisseria Meningitis
Meningococcal meningitis
-Primarily in ages 4-40; outbreaks in school settings
Neisseria gonorrhoeae
- Gonorrhea
- Urethritis, endocervicitis
- Septic arthritis
Chlamydia trachomatis
- Atypical bacteria, tissue cell culture; lab diagnosis by Ag detection
- STD “non gonococcal urethritis/cervicitis”
- Trachoma-Inclusion Conjunctivitis
Chlaemydia pneumoniae
- Mild pneumonia
- Bronchitis
- Atherosclerosis
Mycoplasma pneumoniae
- Atypical bacteria, not cultured on typical agar media; lab diagnosis by Ag or Ab detection
- Primary atypical pneumoniae