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36 Cards in this Set

  • Front
  • Back
what caused one of the first worldwide epidemics of influenze?
Haemophilus influenzae
describe the distinguishing characteristics of Haemophilus influenza
small Gram - rods frequently called coccobacillary
Non-motile
Fastidious
Capnophilic
Facultative anaerobe
Haemophilus influenza is extremely fastidious. What do they require?
Requires X factor (hematin) and V factor (NAD)
what is the carrier rate of Haemophilus influenza in children < 6 years of age?
3-5% carrier rate
what strain of Haemophilus influenza causes disease?
Type B strains (Hib)
what type of disease does Haemophilus influenza cause?
Meningitis
Osteomyelitis
Epiglottis
Otitis
what type of stain is associated with invasive disease of Haemophilus influenza?
Non capsulated strains are associated with acute exacerbations of chronic bronchitis
How fast is the progression of disease with Heamophilus influenza meningitis?
from unapparent to vegetative state very quickly with little chance of recovery
what are the virulence factors associated with Haemophilus influenza?
Antiphagocytic capsule
LPS
Fimbriae
Adhesions
Extracellular protease active on subclass 1 of IgA allows infections on membranes
How is Heamophilus influenza transmitted?
normally found in URT
transmission from person to person by airborne route
what is the most serious infection caused by Haemophilius influenza?
Meningitis
caused by type b
who is most susceptible to Haemophilus influenza infection?
children between the ages of 6 months to 3 years
what type of antibodies are produced/can be developed to protect against Haemophilus influenza?
anti-capsular antibodies
Polyribose phosphate vaccine against type b capsule
what is the most common cause of septic arthritis?
Haemophilus influenza type b
what disease does Haemophilus ducreyi cause?
Chancroidal ulcer
which is a STD
how is Haemphilus ducreyi, Chancroidal ulcer different from syphilis?
only causes 1 lesion
how do you acquire a Haemophilus ducreyi infection?
sexual contact
poor hygiene
autoinoculation
what type of factors does Haemophilus ducreyi require?
X factor only
Fastidious
Streptobacillus
hos is Haemophilius ducreyi clinically diagnosed?
it is hard to grow so it is diagnosed based on clinical presentation
what is a common cause among children of acute conjuctivitis?
Haemophilus aegyptius
what type of factors does Haemophilus aegyptius require?
requires both X and V factors
what is the etiological agent of Whooping Cough?
Bordetella pertussis
Is Bordetella pertussis gram positive or negative?
Gram Negative
what are the virulence factors of Bordetlla pertussis?
Tracheal cytotoxin
Fimbrial antigen
Endotoxin
what type of exotoxin is found in Bordetella pertussis
A-B exotoxin
what does the tracheal toxins of B. pertussis allow?
dermoncecrotic filamentous hemagglutination which allows for adherence to the cell
how is B. pertussis transmitted?
Human pathogen spread by airborne route from cases of disease
Is there a vaccine for B. pertussis?
YES it is part of the DPT series
how is B. pertussis id in the clinical lab
requires enriched medium
intolerant to fatty acids in medium
fails to grow on routine blood agar
requires 3-7 day incubation period in moist atmosphere
what other Bordetella pathogens can cause whooping cough?
Bordetella parapertussis: mild
Bordetella bronchiseptica: zoonosis
why was Gardeneralla Vaginalis separated from the Haemophilus species?
because it does NOT require X factor or V factor for growth in culture
What type of bacteria is Gardeneralla vaginalis?
Gram +/-
Fstidious but doesn't required X or V factor
Facultative anaerobe
What does Gardenerall VAginalis do to the vaginal pH?
raises vaginal pH from 3.8 to 5.5 which eliminates lactobacilli
what is diagnostic for Gardeneralla Vaginalis
Thin gray odorous discharge
Clue cells
Sniff test: vaginal swab in 10% KOH
what does Gardeneralla cause to grow in the vagina?
High yeast growth in vagina
how is Gardenerall vaginalis transmitted?
appears to be sexually transmitted
males may be asymptomatic carriers