W12 Infectious agents Flashcards

1
Q

5 Kingdom system

A
Protista
Plantae
Animalia
Fungi
Monera
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2
Q

Three Domain System

A

Multiple Kingdoms

Modern DNA analysis

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3
Q

Distinctive biological characteristics

A
All organisms are cells
	not viruses!
Membranes
Cellular and genome organisation
Single cells
Multiple stages –life cycles
Multicellular - parasites
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4
Q

Prokaryotic

A

No nucleus
No mitochondria
Mainly circular DNA
e.g. bacteria

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5
Q

Eukaryotic

A

Chromosome

Nucleus

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6
Q

Identification essential to understand:

A
Biology and microbiology 
Evolution and phylogenetics
Pathogenesis of infectious diseases
Life cycles
Accurate diagnosis 
Effective treatment
Public health control of infectious diseases
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7
Q

Criteria: (Systems of Classification of Pathogenic Organisms)

A

Structural and functional and metabolic observations

Molecular and genetic and genome analysis

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8
Q

Sub-species classification:

A

Differentiate pathogenic and non-pathogenic strains

- different disease patterns and clinical outcomes

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9
Q

Linnaean Classification - Hierarchical

A

Domain - Eubacteria

Kingdom - Procaryote

Phylum - Gram +ve

Class - Actinobacteridae

Order - Actinomyceteales

Family - Mycobacteriaceae

Genus - Mycobacterium

Species - Mycobacterium tuberculosis

Strain - Beijing W1

Isolate - Mr Bloggs (12/02/2004)

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10
Q

Visualisation of Microbes - Viruses

A

Can be seen with
electron microscope
x100,000

20 – 300nm

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11
Q

Viruses - size

A

20nm - 300nm

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12
Q

Viruses - structure

A

DNA or RNA genome
- linear, segmented, single or double stranded genome size 9Kb- 300Kb

  • protein nucleocapsid - individual capsomeres Helical, cubic or complex arrangement

No cytoplasm

Enveloped or non-enveloped
- may have components derived from host cell

obligate intracellular organism

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13
Q

Virus life cycle

A
Recognition
Attachment
Penetration
Fusion
Uncoating
Transcription
Protein synthesis
Replication
Envelopment
Budding and release
Lysis and release
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14
Q

Common viral infections in the UK - Community

A

Upper respiratory tract infection - rhinovirus, influenza, RSV

Gastroenteritis e.g.
Norovirus (SRSV), adenovirus, rotavirus

Rashes e.g. varicella zoster virus (chickenpox), measles

Meningitis e.g. enterovirus

Hepatitis virus e.g. HepB

Human Papilloma virus (HPV) - genital warts

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15
Q

Common viral infections in the UK - Healthcare-associated Infection (Hospital Acquired)

A

Norovirus, flu

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16
Q

adenovirus

A

Non-enveloped

DNA virus

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17
Q

What virus causes muco-cutaneous lesions ?

A

Human Herpes simplex Type 1

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18
Q

Herpes viruses

A

Icosahedral nucleocapsid

Envelope

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19
Q

Influenza virus

e.g. H3N2

A

Surface Haemagglutinin

Enveloped
pleomorphic
Segmented RNA genome
Mutation and recombination
Epidemics and pandemics
Vaccine component H and N
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20
Q

Bacteria - size

A

1/1000th of a mm

0.5 μm to 3 μm

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21
Q

Bacteria - structure

A

Prokaryotic

Haploid DNA, circular genome

no nucleus

usually have rigid cell wall outside cytoplasmic membrane

no mitochondria

Binary fission

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22
Q

Visualisation of Bacteria

A

Unstained at x400

Motile bacteria with flagella move rapidly
Non-motile bacteria also move “on the spot”
i.e. Brownian motion

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23
Q

Gram Staining Bacteria

A

All purple = iodine + crystal violet

G+ purple = alcohol

G- colourless = alcohol

G+ purple = safranin

G- red = safranin

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24
Q

Morphology

A

cocci, rod/bacilli, coccobacilli, spirochetes

  • atypicals e.g. mycoplasma (no cell wall), chlamydia (biphasic)
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25
Q

Gram stain

A

positive or negative, acid fast, variable

26
Q

Growth requirements

A

aerobic vs anaerobic

27
Q

Biochemical reactions

A

e.g. lactose fermenting or non-fermenting

28
Q

Serotype groups

A

e.g. Streptococcus group A or B; meningococcus B or C

29
Q

Antibiotic resistance

A

e.g. MSSA or MRSA

30
Q

Other classification criteria for bacteria

A

rRNA sequencing
Genome sequencing
MLST or RFLP typing – genetic variation typing methods

31
Q

The presence of beta-hemolytic colonies indicates

A

indicates the possibility of Streptococcus pyogenes infection

32
Q

Selective Atmosphere - anaerobic culture

A

eg. Clostridium tetani, Clostridium botulinum, Clostridium difficile

GRAM POSITIVE
SPORE FORMING
ANAEROBIC
ROD/BACILLUS SHAPED

Clostridium perfringens on Blood agar
Grown in ANAEROBIC atmosphere

33
Q

Haemophilus influenzae

A

Genome = 1.83Million bases (Mb)

First genome of a free-living organism sequenced was that of HI - 1995

The genome encodes more than 1700 proteins + 70 RNA molecules

Functions of ~ 50% of proteins were determined by comparison w/other species

34
Q

Fungi - Mycoses size

A

over 2 μm

35
Q

Fungi - Mycoses structure

A

Eukaryotic
Haploid or diploid DNA
Single or multiple nuclei
Rigid chitinous cell wall outside cytoplasm Single or multicellular

36
Q

Single or multicellular e.g.

A
  • yeast (spheroid single cells budding and division)
    or
  • Filamentous form/moulds. – hyphae (e.g. Aspergillus spp) multinucleate branching hyphae forming mycelium

Classification is complex and is based on morphology (growth form), mode of reproduction (sexual or asexual) and disease caused: 70,0000species ~300 human pathogens

37
Q

Superficial mycoses

A

Skin, nail hair and mucous membranes (dermatophytes) or thrush (Candida albicans)

38
Q

Cutaneous mycoses

A

e.g. Tanea – aka ringworm

39
Q

Systemic mycoses

A

e.g Histoplasmosis

Histoplasma capsulatum

40
Q

Dimorphic

A

microconidia and hyphae,

yeast like and spores

41
Q

Oral Candidiasis / Candidosis

A

most common oral fungal infection
carriage rates 20% - 75% without any symptoms.
Usually Candida albicans

42
Q

Yeast

A

normal constituent of the digestive and vaginal tracts
Generally no problems in healthy people
Opportunistic pathogens

43
Q

Cryptococcus neoformans

A

Fungal yeast like form – encapsulated – large capsule

44
Q

Pneumocystis carinii (now jiroveci)

A

Previously classified as a protozoan
PCP in AIDS
Single cells (amoeboid)
forms cysts containing spores

45
Q

Athletes foot - Tinea pedis

A

Dermatophytes

multiple septate branching hyphae on microscopy

46
Q

Ringworm (Dermatophytosis)

A

40 types of fungi can cause ringworm.

DO NOT confuse with pinworm, round worm

47
Q

Tinea unguium

A

of the nails is termed onychomycosis

48
Q

Protozoa

A
Single cells   5 to 300 μm
Single or multiple nuclei
Haploid DNA. 
Morphology varies throughout life cycle`
May have flagella
49
Q

complex life cycles

A

Trophozoites, cysts and other morphotypes

50
Q

Giardia lamblia

A

Trophozoite stage

Cyst stage

51
Q

Protozoa - structures

A

e.g Plasmodium falciparum (malaria)

Uninfected erythrocytes
Schizont
Trophozoites (ring forms)

52
Q

Entamoeba histolytica

A

50 Million people infected
Liver abscess + diarrhoea

Faecal cyst

53
Q

Trichomonas vaginalis

A

Common STI

trophozoite

54
Q

Trypanosoma brucei

A

Trypanosomaa spp – vector tetse fly or reduviid bug
(Chagas disease; Sleeping sickness)

Blood stage

55
Q

Helminths

A

These are multicellular parasitic worms
Different morphology and sizes at different life cycle stages
They can be microscopic or visible to the eye
Multicellular

56
Q

3 Groups of parasites

A

Cestodes are tapeworms e.g. Taenia saginata, the beef tapeworm;

Trematodes are flatworms or flukes and include Schistosoma haematobium the cause of bilharzia or schistosomiasis filarial worm Onchocerca volvulus – River Blindness 

Nematodes which are roundworms e.g. Ascaris lumbricoides

57
Q

River Blindness- Oncocerciasis

A

microfilariae migrate to eyes

58
Q

Schistosomiasis

A

microfilariae

59
Q

Helminths- Cestode

A

Tape worm -Taenia saginata

Egg shed in faeces (human)

Cysts in muscle (beef)

Adult tapeworm (human)
2 – 4 metres long
700- 1000 segments
60
Q

Helminths- Trematoda

A

Schistosoma haematobium

Egg shed in urine (human) (via snails)

Metacercaria in water
(burrow into skin)

Adult fluke in human

61
Q

Helminths - nematodes

A

Ascaris lumbricoides

Egg shed in faeces

Adult worm

62
Q

Enterobious virmicularis

A

a nematode – common in UK children
threadworm or pinworm

Asymmetical shape (50 uM)

Sticky tape mount to pinworm eggs