Virulence Factors Flashcards

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1
Q

What is virulence?

A

The capacity of a microbe to cause damage to the host.

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2
Q

What is a virulence factor?

A

An intrinsic character of infectious bacteria that facilitates its ability to cause disease.

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3
Q

Name the 5 virulence factors

A
Adhesin
Invasin
Impedin
Aggressin
Modulin
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4
Q

Define an adhesin

A

Allows the organism to BIND to the host tissue

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5
Q

Define an invasin

A

Enables the organism to INVADE the host tissue

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6
Q

Define an impedin

A

Allows the organism to AVOID host defense mechanisms

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7
Q

Define an aggressin

A

Causes damage to the host DIRECTLY

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8
Q

Define a modulin

A

Causes damage to the host INDIRECTLY

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9
Q

Describe the pathogenicity of Staph aureus

A
  1. Superficial lesions leading to
  2. Systemic life-threatening infections
  3. Toxinoses
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10
Q

What are the main virulence factors of S. aureus?

A
  • Adhesin: Fibrinogen Binding Protein
  • Kills Leukocytes: Leukocidin (PVL)
  • Causes shock, rash, desquamation: TSST-1 (toxin)
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11
Q

What is Panton-Valentine Leukocidin (PVL)

A

A bicomponent bacterial toxin with specific action against leukocytes

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12
Q

Name infections caused by S. aureus with PVL

A
  • necrotising fasciitis
  • necrotising pneumonia
  • severe contagious skin infections
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13
Q

Which strains of S. aureus are more likely to contain PVL?

A

Infective CA-MRSA

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14
Q

Which strains of S. aureus are more likely to contain TSST-1?

A

All

Both colonising and infective HA-MRSA and CA-MRSA

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15
Q

Describe necrotising pneumonia

A
RAPID PROGRESSION from influenza-like syndrome
Acute respiratory distress
Refractory hypoxaemia
Decreasing pulmonary function
Multiorgan failure
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16
Q

What is TSST-1?

A

“superantigen”

Causes massive release of cytokines and an inappropriate immune response

17
Q

How do you diagnose the presence of TSST-1?

A

Fever >39deg
Diffuse macular rash + desquamation
Hypotension
Involvement of > 3 organ systems

18
Q

Name 3 skin infections caused by Strep. pyogenes

A

Impetigo
Cellulitis (erysipelas)
Necrotising fasciitis