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37 Cards in this Set

  • Front
  • Back

Streptococcal Pharyngitis




(aka Strep throat)

Respiratory BACTERIA




Streptococcus pyogenes




reservoir: human POE: respiratory


throat, tonsils pus-filled lesions


RARE: acute glomerunephritis, Rheumatic fever


treatment: Penicillin NO VACCINE

Diphtheria

Respiratory BACTERIA




Corynebacterium diphtheria




reservoir: human POE: respiratory


pseudomembrane, phage-infected bacteria-> exotoxins effect protein synthesis= damage to heart, kidneys, nervous system


treatment: antitoxin, PCN, Erythromycin


YES VACCINE!

Common Cold

Respiratory VIRUS




rhinovirus




res: human fomites,aerosols POE: nose/mouth


inflammation mucous membranes, sneezing


treatment: symptomatic NO VACCINE

Cryptococcosis

Respiratory FUNGUS




Filobasidiella neoformans




res: BIRDS skin, nose, mouth


mild respiratory symptoms, often affects meninges!


treatment: antifungals NO VACCINE

Pneumococcal Pneumonia

Respiratory BACTERIA




Streptococcus pneumoniae




res: human resp. droplets


sudden, high fever, bloody sputum


treatment: Penicillin YES VACCINE

Klebsiella Pneumonia

Respiratory BACTERIA




Klebsiella pneumoniae




res: human respiratory


chronic ulcerative lesions in lungs, 50%mortality, currant-jelly sputum


treatment: antibacterials NO VACCINE

Mycoplasmal Pneumonia

Respiratory BACTERIA




Mycoplasma pneumoniae




res: human respiratory droplets


mildest pneumonia, few symptoms, fever, malaise


treatment: antibacterials NO VACCINE

Pertussis




(aka Whooping cough)



Respiratory BACTERIA




Bordatella pertussis




res: human respiratory droplets


endo- and exo-toxins kill ciliated epithelial cells= mucous build up-lungs. violent cough "whooping"


treatment: antibacterials, antitoxin YES VACCINE

Tuberculosis

Respiratory BACTERIA




Mycobacterium tuberculosis




res: human respiratory droplet nuclei


tubercles (chronic granulomas in lungs)


latent state possible


treatment: Isoniazid, rifampin YES VACCINE

Legionnaire's disease

Respiratory BACTERIA




Legionella pneumophilia




res: soil/water aerosol particles nose/mouth


fever/chills, vomiting/diarrhea, fluid in lungs


from water sources (humidifiers, A/C, etc.)


treatment: antibacterials NO VACCINE

Influenza

Respiratory VIRUS




influenza virus




res: mammals resp droplets/contact w secretions


antigenic variations! (always changing)


head/body aches, fever, resp. symptoms


treatment: antivirals YES VACCINE

Hantavirus

Respiratory VIRUS




sin nombre




res: rodents respiratory(inhale feces)


sudden! death within hours. also renal and hemorrhagic symptoms


treatment: none NO VACCINE

Coccidioidomycosis




(aka Valley Fever)



Respiratory FUNGUS




Coccidioides immitis




res: DUST (fecal spores) inhale spores


flu-like symptoms, CAN affect meninges!


treatment: antifungals NO VACCINE

Histoplasmosis




(aka Spelunker's disease)



Respiratory FUNGUS




Histoplasma capsulatum




res: chickens and bats inhale fecal spores


granulotomatous lesions in lungs and spleen


treatment: antifungals NO VACCINE

Folliculitis

Skin BACTERIA




Staphylococcus aureus




res: humans through hair follicle, skin/fomites


furuncles, carbuncles, abscesses


treatment: anti-staph meds NO VACCINE

SSSS


Staphylococcal Scalded Skin Syndrome

Skin BACTERIA




Staphylococcus aureus




certain strains produce exotoxin= exfolatin


skin layers peel off. CAN go systemic!


treatment: anti-staph meds NO VACCINE

Impetigo

skin BACTERIA




Streptococcus




res: direct contact


lesions crust over RARE: acute glomerulonephritis, Rheumatic fever


treatment: Penicillin NO VACCINE

Varicella




(Chicken pox)

skin VIRUS




varicella-zoster virus




res: human respiratory OR direct contact-lesions


rash- lesions that crust over, latent=Shingles


treatment: antivirals YES VACCINE

Rubeola




(Measles)

skin VIRUS




rubeola virus




res: human respiratory


Koplik's spots, red raised rash, 6-8 yrs later ->


RARE: Subacute Sclerosing Panencephalitis


treatment: none YES VACCINE

Rubella




(German Measles)

skin VIRUS




rubella virus




res: human respiratory


crosses placenta= fetal deformities


mild, pink flat rash


treatment: none YES VACCINE

Dermatomycoses

skin FUNGUS




dermatophytes




res: human spores/direct contact


red, moist, scaly border rash, itch


treatment: antifungals NO VACCINE



Dental Caries




(cavities)

upper GI BACTERIA




Streptococcus mutans




res: humans


bacteria ferments sugar and produce acid that eats away enamel.


treatment: none brush/floss NO VACCINE

Gastritis

upper GI BACTERIA




Helicobacter pylori




res: unknown


causes ulcers from ammonia produced (to tolerate stomach pH)


treatment: antibacterials NO VACCINE

Mumps

upper GI VIRUS




mumps virus (paramyxovirus)




res: human saliva/drop respiratory or oral cavity


affects parotid salivary gland, testes and meninges


treatment: none YES VACCINE

Cholera

lower GI BACTERIA




Vibrio cholera




res:human fecal/water oral


enterotoxin, shreds intestinal lining and sloughs


22L fluid loss/day


treatment: fluid replacement YES VACCINE

Shigellosis

lower GI BACTERIA




Shigella




FOOD


produces Shiga toxin (neurotoxin)


RARE: hemolytic uremic syndrome (HUS)


*kidney failure*


treatment: antibacterials NO VACCINE

Enterohemorrhagic enteritis

lower GI BACTERIA




E. coli O157:H7




res: cow manure POE: mouth/food


produces Shiga 1 and 2, bloody diarrhea


treatment: antibacterials NO VACCINE

Salmonellosis

lower GI BACTERIA




Salmonella




res: poultry, rodents, reptiles PEO: mouth/food


can get into blood=sepsis


treatment: self limiting NO VACCINE

Giardiasis

lower GI PROTOZOAN




Giardia lambdia




res: mammals food/water/feces mouth


adhesive disk-attaches to intestinal lining. water cysts: diarrhea


treatment: metronidazole NO VACCINE

Botulism

lower GI BACTERIA




Clostridim botulinum




foodborne canned foods


neurotoxin produced, affects Ach= no muscle contractions= paralysis


treatment: antitoxin NO VACCINE

FOODBORNE DISEASES

Botulism


Salmonellosis


Shigellosis


Enterohemorrhagic enteritis

UPPER GI NORMAL MICROFLORA

(oral cavity: esophagus: pharynx: stomach)




Lactobacillus


Streptococcus


Staphylococcus epidermidis


Candida

LOWER GI NORMAL MICROFLORA

(small and large intestine)




Lactobacillus, Streptococcus


Staphylococcus epidermidis


E.coli


Clostridium


Bacteroides


Enterococcus

UPPER RESPIRATORY NORMAL MICROFLORA

(nose, to pharynx)




Staphylococcus aureus


Staphylococcus epidermidis


corynebacterium


Streptococcus pneumoniae

LOWER RESPIRATORY NORMAL MICROFLORA

(lungs... anything past pharynx)




none!




mucociliary escalator


and


macrophages eat bacteria

SKIN NORMAL MICROFLORA

Staphylococcus epidermidis


Micrococcus


Corynebacterium


Propionibacterium

DISEASES WITH VACCINES

Chicken pox


Cholera (not used in US)


Diphtheria


Influenza


Measles, Mumps, Rubella


Pertussis


Pneumococcal pneumonia


Tuberculosis