Week 6 - Microorganisms Flashcards

1
Q

Describe viruses

A

18-300nm
Obligate - cannot replicate outside of host cell
DNA or RNA enclosed in a virus encoded protein coat (nucleocapsid)

Some have an outer most host cell membrane-derived envelope

Infectious virus particle - virion

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2
Q

What can the nucleic acid be like in viruses?

A

DNA or RNA
Double or single stranded (ds or ss)
Circular or linear
One piece or segmented

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3
Q

What is the capsid made of?

A

Capsomeres - determine symmetry

Icosahedral/cuboidal - 20 sided

Helical

Complex

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4
Q

How does a virus replicate?

A

Adsorbs to cells via receptor binding proteins

If the nucleic acid is positive sense ss RNA it is treated as mRNA

If it is negative sense ss RNA it is converted to positive by viral RNA polymerase

Retroviruses have ss RNA which is reversely transcribed to double stranded DNA by reverse transcriptase which is then transcribed to mRNA.

These all then produce new viral proteins

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5
Q

How to viruses egress?

A

Budding - most likely in viruses with envelopes

Cytolysis

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6
Q

How can a virus be transmitted?

A
Oral
Direct skin contact
Droplet transmission
Direct inoculation
Trans-placental
Sexual
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7
Q

Stages of infection of viruses

A
Infection
Spread
Multiplication
Evasion
Shedding or egress resulting in transmission
Pathology
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8
Q

Describe fungal infections

A

Often in immunocompromised patients

Aspergillus - opportunistic and often fatal
Cryptococcus neoformans - indicates AIDS - causes meningitis and fungaemia

Fungi are uni or multicellular and have a hard carbohydrate cell wall and membrane bound organelles

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9
Q

Describe parasites

A

Protozoa are single celled - malaria

Helminths are worms

arthropods carry Lyme’s disease or yellow fever

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10
Q

What are prions

A

Host proteins which are abnormally folded and so disrupt cell function

Form fibrils in brain or cause refolding of other proteins

Resistant to treatment

Often transmitted through food or other contaminated items

Creutzfeldt Jacob disease can cross species barrier

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11
Q

What are bacteria

A

Single celled
Prokaryotic - don’t have membrane bound organelles
DNA in cytoplasm, mostly as circular chromosomes.
Often have plasmids
Reproduce through binary fission or spore formation
Genetic variation from horizontal gene transfer

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12
Q

What do bacteria need to survive?

A
Energy source (e.g. glucose)
Water
Nitrogen, sulphur, iron etc
Some need complex organic materials
Temperature, pH
Atmosphere
- strict aerobes
-facultative
-strict anaerobes
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13
Q

What are the three types of horizontal gene transfer?

A

Transformation - bacteria takes in DNA fragments outside of the cell and integrates them into its own

Conjugation - bacteria replicates plasmid and transfers it to another bacteria via a sex pilus

Transduction - via bacteriophages - viruses which infect bacterial cells - inject cells with DNA fragments when they infect another cell

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14
Q

Describe the phases of the bacterial growth curve

A

Logarithmic scale
Lag phase - synthesising RNA, adapting to environment
Exponential phase - exponential growth, straight due to log scale
Stationary phase - growth limiting factor such as lack of a nutrient
Death phase - toxin buildup, lack of nutrients or adverse conditions

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15
Q

What are gram positive bacteria

A

Thick peptidoglycan layer
Purple gram stain
Mostly sensitive to penicillin and vancomycin
Some have spores

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16
Q

What are gram negative bacteria?

A

Thin peptidoglycan layer
Lipopolysaccharide layer
Pink on gram stain
Mostly resistant to penicillin and vancomycin

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17
Q

What are the two types of haemolysis?

A

Alpha-incomplete degradation of haemoglobin
Green on blood agar

Beta - complete lysis of RBCs - more pathogenic
Yellow and transparent on blood agar

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18
Q

What are yeasts

A

Unicellular fungi

Candida causes thrush and athlete’s foot
In blood called candidaemia - much worse

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19
Q

Directions in which bacteria can divide

A

Three planes - staphylococcus (makes grape-like clusters)

One plane - streptococcus and enterococci- chains

                     - diplococci - pairs
                     - bacilli
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20
Q

Staphylococcus aureus

A
Gram positive
Clusters
beta haemolysis - haemolysins
Catalase positive - breaks down hydrogen peroxide
Coagulase positive   - turns fibrinogen to fibrin - coats bacterial cells and prevents phagocytosis
Facultative anaerobe
pore forming alpha toxin
o	Skin and soft tissue infections - CELLULITIS
o	Pneumonia
o	Bone and joint infections
o	ENDOCARDITIS
Scalded skin syndrome
Toxic shock syndrome - exotoxin
Gastroenteritis

protein A - binds to antibodies, preventing strong immune response

hyaluronidases - hyaluronic acid –> hyaluronan - used as a source of carbon for growth

flucloxacillin for succeptible
MRSA - vancomycin

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21
Q

Streptococcus pneumoniae

A
Gram positive 
diplococci
Facultative anaerobe
alpha haemolytic
Most common cause of Community acquired pneumonia (CAP)
pneumococcal menigitis
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22
Q

Streptococcus pyogenes

A
Form chains
Facultative anaerobe
gram positive
Beta haemolytic (group A)
One of the most important bacteria pathogens in humans
hyaluronidases - hyaluronic acid --> hyaluronan - used as a source of carbon for growth
DNAases
fimbriae for adhesion
haemolysins
Protein M - helps gain entry to cells
o	Pharyngitis
o	Scarlet fever
o	Rheumatic fever
o	Post-streptococcal glomerulonephritis
o	Bacteraemia
o	Necrotizing fasciitis

strep throat

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23
Q

Clostridium tetani

A

Gram positive
Bacilli
anaerobe
Spores in soil – contaminates wounds
Excitation of motor neurons by blocking release of inhibitory neurotransmitter GABA
Spastic paralysis – rigidity of voluntary muscle e.g. “lock jaw”
Hyper-sympathetic state as catelcholamine not inhibited
Fatal

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24
Q

Clostridium botulinum

A
Gram positive
Bacilli
anaerobe
Food-borne usually 
Neurotoxin - prevents acetylcholine release
Symmetrical flaccid descending paralysis
Oculomotor muscles affected, dysphagia, respiratory depression
Botox
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25
Q

Clostridium difficile

A

Gram positive
Bacilli
anaerobe
spores survive alcohol and temp/drying out
Enterotoxin -diarrhoea and cell death of colonic epithelium by digesting connective tissue
Severe watery diarrhea
Major cause of healthcare associated infection (HAI)

26
Q

Clostridium perfringens

A
Gram positive 
Bacilli
anaerobe
alpha toxin - enzyme which causes lysis
gas gangrene and other soft tissue infections 
food poisoning
27
Q

Rickettsia

A

Causes rocky mountain spotted fever NOT RICKETS

Don’t take up gram stain

28
Q

Legionella pneumophila

A
Fastidious = difficult to grow in the laboratory
Gram negative
Bacilli
aerobe
water-bourne
legionnaire's and pontiac fever
Atypical pneumonia
29
Q

Chlamydia trachomatis

A
Don't take up gram stain
Resistant to many antibiotics
Lack of cell wall
Limited metabolic activity
Replicate intracellularly
Cannot be cultured by standard methods
30
Q

Mycoplasma pneumoniae

A
Don't take up gram stain
Resistant to many antibiotics
Lack of cell wall
Limited metabolic activity
Replicate intracellularly
Cannot be cultured by standard methods
Atypical pneumonia
31
Q

Neisseria meningitidis

A

Gram-negative cocci
commensal
Facultative anaerobe
meningitis, bacteraemia and pneumonia

32
Q

Neisseria gonorrhoeae

A

Gram-negative cocci
Facultative anaerobe
Transmitted through sexual contact or mother to infant (perinatally)
Localized – urethritis, cervicitis, conjunctivitis
Pelvis inflammatory disease
Concerns of drug resistance

33
Q

Moraxella catarrhalis

A

Gram-negative cocci
Facultative anaerobe
Common commensal of the human upper respiratory tract (esp infants)
Opportunistic pathogen
Children- otitis media
Adults – lower respiratory tract infection in chronic obstructive pulmonary disease (COPD)
More than 90% produce β-lactamase – amoxicillin resistant

34
Q

Staphylococcus saprophyticus

A

clusters (obviously)
gamma haemolysis
coagulase negative
catheters - UTIs

35
Q

Staphylococcus epidermidis

A

clusters (obviously)
gamma haemolysis
coagulase negative
catheters - UTIs

vancomycin

36
Q

Staphylococcus capitis

A

clusters (obviously)
coagulase negative
prosthetic heart valves -endocarditis

37
Q

Viridans streptococci

A

alpha haemolytic

gram positive

38
Q

Streptococcus agalactiae

A
Beta haemolytic (group B
gram positive
39
Q

Streptococcus dysgalactiae

A
Beta haemolytic (group C
gram positive
40
Q

Streptococcus bovis

A
Beta haemolytic (group D
gram positive
endocarditis
41
Q

Bacillus anthracis

A

Gram positive bacilli
In soil
Multiple toxins and virulence factors – high mortality
Infected by cutaneous inoculation (IVDU) or inhalation

42
Q

Corynebacterium diphtheriae

A

Gram positive bacilli
faculative
exotoxin inhibits protein synthesis
causes diptheria - throat swelling - bull necking

43
Q

what are lipopolysaccharides?

A

aka lipoglycans and endotoxins
in the walls of gram negative bacteria
activate immune response leading to fever

44
Q

Escherichia coli

A

Enterobacteriaceae - sugar fermentors, non-spore forming, motile by polar flagella, fimbriae for adhesion
gram negative bacilli

Commonly found in the human gut
Diarrhoeal illness
UTI
•	Lower urinary tract infection
•	Upper UTI (ascending to kidneys) - pyelonephritis
45
Q

Klebsiella spp.

A

Enterobacteriaceae - sugar fermentors, non-spore forming, motile by polar flagella, fimbriae for adhesion
gram negative bacilli

•	UTI 
•	Liver abscess
•	Bacteraemia
•	Pneumonia
Important in hospitals due to antibiotic resistance
46
Q

Salmonella spp.

A

Enterobacteriaceae - sugar fermentors, non-spore forming, motile by polar flagella, fimbriae for adhesion
gram negative bacilli

  • Gastroenteritis
  • Typhoid fever
  • bacteraemia
47
Q

Shigella spp.

A

Enterobacteriaceae - sugar fermentors, non-spore forming, motile by polar flagella, fimbriae for adhesion
gram negative bacilli

Found in unclean water and contaminated food – can be transmitted sexually
Causes dysentery
Infective dose is small (10-200)
Major health threat in developing countries

48
Q

Campylobacter spp.

A

Gram negative bacilli
non-fermentor
Microaerophilic – grows in the presence of oxygen at lower concentrations than atmospheric (usually around 2-10%)
Food poisoning
Raw and undercooked meat, unpasteurised milk

49
Q

Pseudomonas aeruginosa

A
Gram negative bacilli
Grows aerobically
non-fermentor
Opportunistic pathogen
Innate resistance to many antibiotics
Produces pigments
50
Q

Vibrio spp.

A

gram negative bacilli
Grows aerobically
non-fermentor
Vibrio cholerae – hyperactivation of cell through exotoxin - diarrhoea - rice water stool

51
Q

Haemophilus influenzae

A

gram negative bacilli
facultative
fastidious
Growth at ~5% CO2
Chocolate agar plate (heat-lysed horse blood)
Absolute requirement for NAD (factor V) and a source of haem (factor X)
Pneumonia, meningitis, otitis media

52
Q

Mycobacterium tuberculosis

A

M. tuberculosis currently causes over 1.8 million deaths a year
Primarily disease of lung, may spread to other sites e.g. miliary TB.
in high risk groups
Multidrug resistance and drug tolerance
Thick, waxy cell wall (containing mycolic acid)
ACID FAST BACILLI – resistant to decolourisation with acidified organic solvents (acid alcohol)
Slow growth rate in culture (average 4 wks, up to 8 wks)

53
Q

Listeria Monocytogenes

A
gram positive bacilli
facultative
no soft cheese or coleslaw during pregnancy
neonatal meningitis/septicaemia 
inauterine meningitis/septicaemia
54
Q

Enterococci spp.

A

NOT ENTEROBACTERIACEAE

gram positive cocci

55
Q

Bacteroids

A

gram negative bacilli
anaerobes
resistant to penicillin

56
Q

what are saprophytes?

A

organisms which live in the environment

57
Q

how can a bacteria increase its survival chances?

A

extracellular - capsules, anti-phagocytotic mechanisms

intracellular - being inside phagocytes or other cells

58
Q

what is an exotoxin?

A

a protein toxin excreted by the organism

59
Q

what is an endotoxin?

A

LPS - lipopolysaccharide
activates endothelial cells, mast cells, platelets, clotting, complement, macrophages, TNF and Interleukin

Fever, Distributive Shock, Disseminated intravascular coagulation (DIC), Hypoglycaemia

60
Q

what is metrinidozole useful for?

A

treatment of anaerobic bacteria