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305 Cards in this Set

  • Front
  • Back

Aerobes

Nocardia


Mycobacterium Tuberculosis


Pseudomonas



anaerobes

Fusobacterium


Clostridium


Bacteriodes


Actinomyces

non gram staining

legionella


chlyamdia


treponema


ricketssia


mycobacterium


mycoplasma (sterols)


ureaplasma

encapsulated bacterium

e coli


strep pneumo


psuedomonas


klebsiella


hib


salmonella


gbs

giemsa stain

intracellular:


chlamydia


trypanosomes


rickettsia


borrelia


plasmodium

PAS

glycogen stain


Treponema whippei (Whipples disease)

Ziehl Neelsen (carbol fuchsin) stain

Acid fast


Mycobacterium


Nocardia


Cryptosporidum oocyst

India ink

Cryptococcus neoformans

silverstain

Legionella


Fungi


Helicobacter pylori

thayer martin culture

vancomycin


colistin


nystatin


Trimethoprim




Nesseira

tellurite

corynebacterium diptheria



loffler medium

cornyebacterium

lowenstein jesen

mycobacterium

eaton agar

mycoplasma

sabouraud

fungi

obligate intracellular

rickestia


chlamydia


coxiella



encapsulated



e coli


strep pneumo


haemophilus influenza b


salmonella


klebsiella


GBS


psuedomnonas

urease positive

cryptococus


h pylori


proteus


ureaplasma


nocardia


klebsiella


s epidermis


s saphryophytics

catalase positive

nocardia


psuedomonas


listeria


aspergillus


candida


e coli


staphyloccci


seratti

type III

e coli


pssuedonomas


salmonella


shigella

ef2 inactivation

diptheria beta prophage


psuendomas exotoxin a

inactivate 60 via remoing adenine from rRNA

shigella


EHEC O157:h7

increase camp

etec HLT: overactivates adenylyl cyclase increase cl secretion in gut


baciilus atrnacis: mimics adelyate cyclase to increase camp


V cholera: overacitvates by permanelty actvating gs: increase cl secretion


Bodetella persuttis: increase adelyate ccylase via disabiling gi

increase cgmp

hst of etec: decrease na absorption

etec hlt

overactivates adenlylate cyclase


increase camp


increase cl seccretion

etec hst

overactivates guanylate cyclase


increase cgmp


deccrease na absorption

edema toxin of bacillus

mimic adylate cyclase to increase cgmp

cholera toxin

permanently activates gs to activate adenylate cyclase


increase cl secretion

pertussis toxin

increase camp via gi inhibiiton to prevent phagocytosis

clostridium tetani

snare prevent ach from inhibitory neurons gaba and bylcine from renshaw

clstodirum toxin

alpha toxin


lecthicinase decreagade tissue

specliazed lysogenic phase

shiga like toxin


botlinum toxin


cholera toxin


ditperha toxin


erythgeonic toxin of step pyogesnes

parvo in adults

mimics rheumtoid arhtiritis

GRAM + LPS stimulator

LIPTEICHOIC ACID IN CELL WALL

gram - lps stimulator

lipid A

o polysaccharide

ag for gram -

spore producing

clostriduium bacillius coxiella

glycocalyx

polysaccharide network

only gram - without endotoxin

bacteroidies

only gram + with endotoxin

listeria

single polar faglella

v cholera


campylobacter jejuni



mutiple falgella

escherichia coli


proteus mirabilis

gram + with rods and spores

bacillus


clostridium

Do not gram stain well

treponema


chlamydia


mycoplasma


mycobacterium


ricketssia


legionellla

vancomycin


trimethoprim


colistin


nystatin

thayer martin for Neissiera



Bordget Gengou agar (potatos)


Regan Lowe (charcoal bloood abx)

Bordetella pertussis

aerobes

nocardia pseudomonas


Mycobacterium

faculative intracellularlar

salmonella


neiseria


brucella


mycobacterium


listeria


francisella


legionalla


yersinia

take up naked DNA

transofrmation

transformation bacteria

strep penumonaeia


h influx


Neissiera

Conjugation


f+ X F-:

singel strand of plasmid DNA transfered across conjugal bridge


No chromosomal transfer

HfrxF-

F plasmid incorporates into bacterial chromosonal DNA


Transfer for plasmid and chromosomal genes

Generalized transduction

Lytic phage infects bacterium


cleave of bacterial dNA


Transfer of genes via packaging of said genes

Specialized transudction

Lysogenic phage infect bacterial and viral DNA incorporated into bacterial DNA,


when phage DNA is excited falnking DNA can be incorporated and packaged



lysogenic phage have

shia like toxin


botolinum toxin


cholera toxin


diptheria toxin


erythogrgenic toxin of strep pygoenus

novobiocin

staph saphrophytiucs Resistant


Epidermis sesntitive

optochin

Optocin reistant: step viridans


optochin sensitive streppneumoni

bacitracin

GBS Resistant


GAS sesntivei

alpha hemolytic

strep penumoni


strep viridans

beta hemolytic

listera


step pyogenes


strep agalactidae


staph aures

protein A for staph aureus

binds fc portion of IgG prevent complement activation

Panton Valentine leukocidin

neutrophil and macropahge destruction

lancet shaped gram + diplococcic

strep penumoniae


encapsualted


IgA protease

rusty sputum


capsulated

strep penumoniae

makes dextrans

strep sanuinis of strep viridans

Pyrrolidonyl amrylamidase + PYR

strep pyogenes

scarlet rash withs andpaper like texture


strawberry tongue


cirumoral pallor


subsequent desquamtion

strep pyogenes


gas

cAMP factor

enlarges area ofh emolysis by s aureas


GBS

Hippurate test +

GBS

metachormatic blue and red granules


+elek test


+chinesse letters

corynebacterium ditpheria

dipicolinic acid

spores

toxin a of c difficile

enterotoxin


binds brush border

toxin b clostiridum difficle

cytoskeletal disruption via actin depolymerization



recurring c dif

fidaxomicin

painless with central necrosis


black eschar

cutenaeous athrax

emetic type b cerues

nausea and vomti within 1-5 hours


preformed toxin cereulide

diarrype type b cerues

non bloddy diarrhea dn gi pain wtihin 8-18 hrs

cold meets and unpastuerized diary products


transplancental


vagina transmission

listera monocytogenes

rocket tails of actin


tumbling motility



listeria monocytogenes

listeria monocytegenes

speticmemia


spoteanous abortion


granulomatous infantispetica


neonatal menigiitis


menigitis in immunoty compromised


mild gasterogenteries

cord factor mycobacterium tuberculi

virulent strains inhbit macrophage maturation and induce release of tnf alpha

sulfatides mycobacteria

inhibit phagolysosomoal fusion

lepromatous mycobacterium leprae

th2


communciable

tuberculoid mycobacterium leprae

th1 noncommunicable

tuberculoid tx

dapsone rifampin

lepromatous form tx

clofazimine

slow gram - rod fermenter

citrobacter serratia



fastf ermenter lactose gram - rod

e coli


enterobacter


kelbieslla

no lactose fermenting


oxidase +

psuedomonas

no lactose fermenting


hs2-

shigella

no lactoase fermeneting gram - rod with hs2

salmonella


porteus


yernia

oxidase + comma shape


alkaline media

v cholera



oxidase + comma shaped


urease +

h pylori

oxidase + comma shaped


42 degree growth

campylobacter jejuni

beta galactosidase producer

e coli

polyribosylribitol phosphate

haemophilus influneza type b capsular polysaccahraide

legionella labs

hyponatremia


urine positive for ag

legionaires diasease

severea unilara and lboar pneumoniae


fever


gi and cns symptoms with bradicardia



non sortibal fermentating gram - rod

ehec

anemia


thrmobcytoepnia a


cute renal failure

hus

dark red current jelly sputum


llobar pneumoniae

diabeteis and alcohol


klesiella

corkscrew motility

campylobacter jejuni

reactive arthitis and bacteria

campylobacteria


slamonella


shigella

specific invasion of m cells

salmonelal except s typhi

slamonelli typhi

v1 capsule


require large inoculum: senstiive to gastric acid

salmonelli typhi vaccine

live attenuated bacteria oral


and


IM vaccine vi capsule

rose spots on abdomen, abdominal pain


constpation


fever

salmonella typhi

gram - coccobacillli with + bipolar stain

yersinia entercolitica

aniline dye stains

write or giemsa


only visualize borreli

leptospira

spiral shaped bacteria with axial fialments

flu like symptoms

myaglias


jaundice




photophobia


conjuctive suffision (erythema without exudate)


+surfers

leptospirsosis

jaundice

azotemia


liver and kidney disfuction


fever hemorrage anemia


contact with animal urine

wiel disease


leptospirosis

ixodes deer tick

borreli burgodrifi


anaplasma


basbesia

lyme disease


early

erytehma conhronicum migrans


flu like symptoms


facial nerve palsy

lyme diseae later

monoarthitiis


migratory polyarhittis


cardiac av nodal block


facila nerve plasy


ponly nueroatphy

rash on palsma nd soles

2 spyhillus


rocky moutin spotted fever


coxsackie virus a


kawazaki disease

louse

borreli recurrentis


relapsing fever




ricketsi prowazeki- epidemic typhus

unpasteruzied dairy

brucella

ambylomma tick

erchilosis

animal urine

leptospirosis

dermacentor

ricketsia rickettisi

fleas

ricketsi typhi - endemic typhus


bubonic plaque yersinia

rash starting from wrists and ankles


spreading to trunk palsms and soles


head ache, fever, rash

rocky mountain spotted fever


ricketsia ricketsssi

fever


headache


rash on trunk spreading out centrally avoiding hands and soles

ricketssia typhus


endemic fleas


epidemic louse (r. prowazeki

monocytes wtih morulae in cytopalsma

erclichiosis (ambylomma)

granuloctes wtihi morulae in cytoplasma

anaplasmosis (ixodses)

pneumoniae


culture - endocarditis

coxiella

reactive arthitis

yersinia


chlamydia


salmonela


shigella


campylobacter

small painless ulcers on genitals


turning into sowellen painful ingiuinal lymph nodes that ulcerate

chalmydia trachimonias serovar l1-l3

tinea bacterium

microsporum


trichophyton


epidermophyton


branching septae hyphae on KOH with blue fungal stain

microsporum canis

erytematous scaling rings with scaling central clearing

sphaghetti an dmeatballs

summer weather


hypopigementation fo skin

malassezia


tx: selenium sulfide

germ tubes


can contaminate cultures

candidia apbicans

fungus ball


acute 45 degree angles

aspergilliusfumigatus

crytococcus neoformas

+ india ink


= sabourad sagar


=mucicarmine


poly saccharide capsule


latex agglutinatino test: pooly saccrid ag



soap buggle in brain


+india ink


+mucicramine

crytopcocus neoformas

back necrotic eschar on face with peentraiton of cirbiform plate

muco or rhizopus with rireggular broad nonspetae hayphae with wide angles

ground glass pneumoniae


+disc shaped yeast on methanamine silver stain

pcp

cigar shaped budding yeast


draiing lymphatics

sporothrix scheneckki

tx for sporothrix schenckii



Kidoide

bloating flatulence, fatty stools fooul smelling

giardia


cyst in water with traophozeis or cyst in stool

blodoy diarhea with faslk shaped ulcer and ruq pain

cyst in water


seroglogy with trophozites wth rbc in cytopaslms

severe diarrhea in AIDS

oocyst in water


crytposporidum

choriorenittnis


hydrocephalus


intracrnaial calficiations

txoplasma

tx for toxoplasma


sulfadiazinze pyrmethamine

tsete fly


painful bite


tyrpanoma brucei

naegleria fowleri

rapid fatal menigoencphilitis

fever head ache anemia splenomegally

malaria


48 hour cycle: vivax/oale


doment form in liver


falciparum irregular patterns


malarise 72 horus

maltese cross in rbc with fever and hemolytic anemia

ixodes tick trasnmite babesia

enterobius vermicularis tx

bednazole

hook works


ancyclostoma duodenale


necator americanus


tx

bendazole

fever


vomit


periorbal edema


myaglia


post infeciton with

trichenlla


tx bendazoles

diethylcarbamazine tx for

wuchereria bancrotfit and loa loa

black skin nodules hyperpigement skin and river blindness

onchocerca volvulus

ingeisted nematodes

enterobius ascaris toxocara trichennlla

cutenaous infection nematodes

strogyloides


ancylostoma


necator

bites nematode

loa loa


onchocerca voluvlus


wucehrecia bancrotfti

praziquantel tx for

diphyloobathroium and taenea solium

albedazole tx for egg ingestion

echinococcus

squamous cell cancer of bladder

schistoma haemtobium

cholagiocarcionam post ingestion fo undercooked fish

cholrchis sinesis

microcytic anemia

ancylostoma


necator

vit b 12 decienty

diphylobothrium labtum

brain cyst seizures

taenia solium

bilitary trac disease and cholagiocarcionma



clonorchis senensis

recombination

exchange between 2 chromosomes by crossing over with enough sequence homology

reassortment

segment genomes

complmentation

mtation + no n fx


porgeny still have nonfx protein

phenotypic mixing

2 virus infect same host cell


mix of progeny genetic materia of progeny has not change,d only surfACE PRTEIN, PROGENY WILL RETURN TO PARENT

live attentuated viruses

influenza nasal


mmr


vzv


rotavirus


sabin polio


small pox


yellow fever



killed

rabies


influenza im


polio salk


hep a



subunit

hbsag

hpv 6,11, 16, 18


naked rna viruses

reovirus


calicvirus


hepe virus


picorna



naked dna viruses

adenovirus


parvovirus


polyomavirus


papillomvirus

+ ss srna and dsdna infections


ss+RNA

retroviruses


togaviruses


flavivirus


corona virus


hepevirus


calicvirus


picorna viruses

HBV dna

partislaly ds and cicurlcate with Reverse transcriptase

conjcutiviits post uri


outbreak of red ees and cverical lymphadenoatpy

adenovirus

breakbone fever


retroorbial ha


muscle join pain with increase capillayr fragility test


can progress to hemmorahtic fever

dengue fever

severe muscle weakness flacid palarysis like polio

west nile virus

black vomittus and councilment bodies


coffe ground emesis

yellow fever virus


aedes osquito

winter diarrhea

reo virus


rota virus

parvovirus child

transient apalstic nameia in sickle cell


erythema infectosum 5th diease


adult : inflatmor arhtitis like rf

shift versus drift



epidemics drift


shift: reassortment of viral genus pandemics

rubella

toga virusa


fever


posteraurical


arthisia dn fine rash

infant infection with rubella

pda


sensorinueral ndeafness


and cataracts

mother infection iwth rubella


deafness


menigitis


penumonia


lowg rade fever



winter month infections

influenza rotavirus rsv

summer months infecionts

enteroviruses


polio


echovirus


excakie


arboviurses

cough coryza conjucitivtiis to blue grey spots on buccal mucase


maculopapular rash on head and body

measelse


r/o HHV6 roseola

borchioitics in babies in winter

rsv

supplment iwth mealses infections

vit a

mumps

paramysox parotitis


ocrhitits


mengiittis

ebola

person to person transmission with nonspefici signs to v/d


fluid class


death



aspetic menigitis casues



coxsakcie


echoviruses


enteroviruses


mumps

window period

antiHBc

HIV gnem

diploid 2 moleulces of RNA

env HIV

gp 120 and gp 41


cleavage of gp 160 to form envoleop glycproteins

gp 120

attach to cd 4 t cell

gp 41

fusion adn entry

gag p 24

capsid protein

pol


reverse trascirptase


aspartate protease


integranse

macrphage and t cell invasion

ccr5 macrhoages


cxcr4 t cells

AIDS

cd4 count < 200 or cd4% %14


with aids deining illness

bacillary aniomatosis versus kaposi sarcoma

neutrophil lymph in bartonella


lymphocytic infltrate hhv8

mutliplering enahncing leasons in mri

toxoplasma



cns lymphoma single ring enhancing lesions

b cell lymphomaa

b cell infeciton by ebv

oval yeast cells whtin macrophages

histplasmaosis captlusm

meingitis in hiv

cyrpotocuccus neoframs

retinitis

cmv < 50


cotton wooll spots

colon bactera

bateroidids fragillus > e coli

dare care outbreaks of bloody diarrhea iwth spuedoappeicitisi

yersinai enteroclitical

bloody diarrhea

shigella salmonella


eiec


yersina enteroclitica


ehec


enatboma histolytica


camplyobacter jejuni

watery diarrhea



rota virus


norovirus


adenovirus


vibrocholera


protozoa


entarotoxigenic e coli


clostridum perfigens


clostiridlue difficle

atypical pneumonia

mycoplasma legionella hlmadia

most common causes of puenuma children

rsv


mycoplasma


chlymida trahcomosotos

oval shaped vesciles on plams and soles


vesiclesand ulcers in oral mucosa

xocsakie tpye a

high fever


rose colored macules appear on body

hhv6

cough coryza conjjutnifivitis


blue white koplik splots


rash begining at head and moving down

measles

slapped cheek

erythema infectosis


barvob 19

pink coasleicing macules begining at head and moving down


fine desquamting truncual rash with psteiorr auricular lyphadneopathy

rubella

sand paper liker rash erhtaous with fever adn sore throt


red toungue



gas

vescular rash on trunk spreading to face with varying lesions

vzv

painful ulcers in gentials

chanroid h. ducreyi


genieticla herpes hsv

school of fish on cultures

h ducreyi

trichonominas

strawberry red cervix

intrasvascular cathethers

saureus



organ transplant recipient

CMV

amoxicillin and ampicillin uses

haemophilus influenza


hpylori


e coli


listeria


proteus


salmonella


shigella

amoxicillin + ampicillin + mononucleosis

full body rash

1st generation cephalosporins


USES

CEFAZOLIN


CEPHALEXIN




proteus


e coli


klebsiella

2nd gen ceph

Cefuroxime


Cefaclor


Cefoxitin




Haemophilus influenza


Enterobious


Nistermis


Serratia


Protues


Ecoli


Klebsiela

3rd gen ceph


uses

ceftraizone


cefotaxime




ceftazidime


gram - (cetriaxone meinigitis ghonoora dissemtinated lyme disease)




ceftazidime


psuedonmas

4th gen

cefepime


Psuedomas

5th gen

Cetaroline MRSA

moa reistance against cephalosporins

change in transpeptidases

cilastin

always give with impedenem


aztreonam moa


gram- rods only


binds to pencillin binding protein 3 s


syngertic with ameinoglycocsides


gram negative

vancomycin

nephrotoxic


ototoxic


thrombophlebitis


diffuse flushignd ue to histamine release

irrevesrible inhibition of intiaitla complex via 30s


blcok translocation


cause misreading of mrna


require o2

aminoglycosides

bacterialcidal:


Gentamicin


Neomycin


amikacin


Tobramycin


Streptomycin


aminoglycosides mo reistansce

bacterial trasnferase enzymes inactiave via aceytlation phosphrylation or adenylation

aminoglycosides toxicity

nephrotoxic


neurmoustlc blockade


ototoxic


teratogen

bind to 30 s and prevent attachment of aminoacyl t rna

tetracyclines



avoid using with antacides of milk or iron

tetracyclines

ues for teatraycclines

borrelia burdgorefri


mycoplasma pneumoniae


rickestisa


chlyamida


acne

reistancea gainst teracycliens

paslmid ecoded transport pumps


decreased influx or increased efflux

block peptidyltransferase at 50s

chorlamphenicol

mo resistance against chlorampheincol

plasmid encoded aceytal transferase

risks of chloramphenicol

anemia


aplstic anemia


gray baby syndrome (lack udp)

clindamycin moa

block 50 s translocaiton


anaearobic infections above hte diaprhgam

inhbiit 50 s initiaton complex

linezolid



mo resistance in linezolid

point mutation of ribosomal rna

mo resitance in macrolies

methylation of 23 s r rna at 50 s

block transloation by bidning to 23 s rna of 50 s rna inhibiting protein syntehsis

macrolides


erythromycin alrotihormycin azithromycine

issues with macrolides

motiliity issues, arrthemia via qt elogation


choelstatic hepatitis


rash


eosiophilia


increase contents of theophylins and


clarithomycina dnerthrmycin inhibit cyp 450

inhibit dihydrofolate reductase

trimethorprim


methotretxate


pymethaminde

inhibit dihydroprteroate synthase

dapsone


sulfonamides

inhbiit topo II and Iv

flouroquinolones

chormosome mediated dna gyrase utaiton


plasmid meadiated reistanse and efflux pumps

cloroquinone resistance

daptomycin moa

cell memebrane disurptoin



daptomycin rsisks

myopathy


rhabdomylotitis

metronidzole

toxic free fradicas in bacterialc ell

uses for metronidzole

giardia


enterobius


trichimonas


gardenella vaginallis


anaareobes


h ypolori

rifampin moa

inhibit dna depend rna polymrease


orange body fluids

isoniaizid moa

inhibit mycolic acid syn but requires bacterial ctalase oxdiase

pyraiznmide

producg that causes hyperuriciemia hyepatox toxicity

ehtambutol

inhibit arabinosyltransferase


optic neuroapthy

tx for mrsa

vancomycin


daptomycin


linezolid


tigecycline


cetaroline


v

vre tx

lienzolid


streptogramins quinupristin dalfopristin



p. auergionas and acterinobactera buamanii

poly myxisns b and e colistin

amphotercin b

binds to ergostoerl and forms holes in cell emembrane

toxicities of amphotercin b

hypotension


nephrotixic


arrythemais anemia


iv phelmibitits


hydration decreases and using liposomal version


supplment k and mg

cell membrane pores

amphotercin b


nystatin

nucleic acid sytnehsis



clycytosine via 5 clurocuracil conversion by ctosine daminase

azoles

inhibit cyp450


no conversion of lanosterol to ergosterol

terbinafine

inhibits squalene epoxidase

enchincandinds

-fungin ending

inbhiitn cell wall sntehsis of beta glucan



-fungin ending

griseofulvin

mt disruption despits in kertain containing itssues

pyrmethamine use

toxoplasmosis

suramin and melarsoprol

tyrpanosoma burcei

nifrutimox

trypanosoma cruzi

sodium stibugluconate

leshimaniasis

permethirin moa

lbock na

malathion

block ache

lindane

lbock gaba

chlroquine

prevent detoxiticaiton of heme into hemozoin causing toxi accumulations

maraviroc

prevents attachemtn

enfurvitide

prevent penetration

integrase inhibitors

raltegravir

nnrtis

delevirdine


efavirenz


nevirapine



protease ihibitors



atazanavir


darunavir


forsamprenavir


indinavir


lopinavi


ritonavir


sqauinavir

nrtis

abacavir


diandonsine


emtricitiabine


lamivudine


stavurdine


tenofovoir


sidzovuine

oseltamiavir zanamavir

inhibit NA

guansoine analogs

acyclovir


famciclvoir


valcyclcovir



ganciclvoir

5' monophostphate guanon sine analog for cMv

foscarnet



pyrophosphate

3 regiment resmie of hiv

2 nrtis and eiter 1 protease inhibitor


1 ingtegrase inhbiitor


1 nnrti

interferon gamma

cgd

dont use in pregnancy

sulfonamides


aminoglycocisdes


fluroquinolones


clarithoromycin


tegracyclines


ribavirin


gresoefulvin


hclorampheicol

sporicidal

hydrogen peroxide, idone, autoclave

sofosbuvir

inhibits hcv rna dependment rna polymerase


dont use as monotherapy

simeprevir

hcv protease inhibitor

ribavirin

inhibit ysnethesis of guanine nucleotides by inhibiting IMP dehydrogenase

amatoxin

mushroom point aht inhibits RNA II


no mrnas

g6pd defiency

isoaniazid


sulfoanmides


dapsone


primiaquine


asaprine


iburpofen


nitrofuraton



weil felix


test

ricksetti