Unit 3: Bacterial Diseases Flashcards
Endotoxin
- part of the outer portion of the cell wall in gram negative bacteria
-liberated when the bacteria dies and cell wall breaks apart
Exotoxin
-mostly in gram positive bacteria as part of their growth and metabolism
- released into surrounding medium
What are the 3 types of exotoxins?
1) superantigens
2) toxins
3) AB toxins
Type 1: Superantigens
1) non-specifically stimulate many families of CD4+ T cells
2) lead to massive cytokine release
Examples of superantigens
-Toxic shock syndrome toxin
-streptococcal mitogenic exotoxin
- streptococcal pyrogenic toxin
Type 2: toxins
destroy host cells by distributing membranes
Examples of toxins
- streptolysion pneumolysin
-alpha toxin
-beta toxin - phospholipase C
Effects of endotoxin on host
-luekocytes release cytokines leading to fever
-some cytokines damage blood vessel walls causing a drop in BD- which leads to shock
- activate innate system comprised of complement proteins that cause inflammation- which could drop BP leading to shock
Causative agent of necrotizing fasciitis
Streptococcus Pyogenes
enters thru breaks in skin
Alpha hemolysis
-Incomplete
-oxidizes iron in hemoglobin producing a “greenish” discoloration on blood plates
Beta hemolysis
Complete destruction of red blood cells ; resulting in clearing around growth
Gamma Hemolysis
No hemolysis ; results in no change in media
What type of hemolysis does streptococcus pyogenes cause?
Beta hemolysis
What exotoxin destroys neutrophils?
Streptolysin
Bullae
Large fluid filled sac
Ecchymosis
Subcutaneous bleeding
Crepitus
Crackling sound under skin