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51 Cards in this Set

  • Front
  • Back

Colonization

A pathogen is living within the host but does not mean infection exists

Infection

Invasion, colonization, and multiplication of pathogens within the host


- diagnosed when there is isolation of a pathogen


- evidence of its presence and pathogen-related host symptoms

Virulence

Disease-producing potential of an organism

Virulence Factors

Enhance the pathogen's ability to infect the host


- pathogenic toxins that destroy host cells


- adhesion factors that enhance attachment of the pathogen to the host cells

Severity of infection depends on:

- virulence of the pathogen


- strength of the host defenses at the time of infection

Reservoir

Any organism or substance with the disease caused by the pathogen if reservoir is alive


Ex:


- a child with chickenpox because they harbor the transmissible microorganism


- Fomites

Vector

A living organism that can carry the pathogenic organism from the reservoir to the host


- commonly an insect


- not infected but can transmit to host

Epidemiology

- The study of disease distributions in human population

Incidence

Number of new cases of infection within a population

Prevalence

Number of active ongoing cases of infection at any given time

Endemic Disease

The incidence and prevalence are relatively stable

Epidemic Disease

An abrupt increase in the incidence of disease within a geographic region is observed

Pandemic Disease

Global spread of a specific disease is observed


- high virulence, cause disease so fast, immune system doesn't have a chance

Normal Flora

Do not cause infection when they remain within the strict boundaries of their anatomic niche in the body


- if they invade non-colonized areas of the body, they can cause infection

Carriers

Individuals who can carry certain bacteria and transmit infection to susceptible individuals


- Mary Mallon

Immunocompetence

An individual's ability to protect oneself from infectious agents because of a strong immune system

#1 cause of nosocomial infection

Healthcare workers not washing their hands between patients

Gram Positive

Turns purple, thick peptidoglycan cell wall


- staph


- pneumonia strep

Gram Negative

Thin cell wall with outer membrane


- pink-colored stain


- E.coli

Spirochetes

Corkscrew shape


- syphilis

Bacteria that can't be classified by shape

- chlamydia


- rickettsia


- mycoplasma

Rickettsia

"in between" viruses and bacteria


- grouped with bacteria usually


- typhus, rocky mountain, spotted fever


- spread by arthropods usually

Mycoplasma

- tiny


- commonly found in genitourinary tracts


- urethritis

A virus enters a human cell and...

reprograms the infected cell to synthesize viral particles

HIV so virulent because it is a...

retrovirus


- mutate exceptionally fast and doesn't lose virulence

Flu virus not endemic because

it mutates slowly and loses virulence

Fungi

- moldlike organisms also called mycoses


- candida (thrush, yeast infection) - cause disease on mucus membrane


- trichophyton (ringworm, dermatophyte)

Thrush

Candida of the mouth

Parasites

Protozoa, helminths, and insects


- entamoeba histolytica


- giardia lamblia


- toxoplasma gondii


- plasmodium


- taenia saginata (tapeworm)


- trichinella spiralis (trichinosis)


- enterbius vermicularis (pinworm)



Prions are resistant to human...

proteases and have the ability to confer this resistance to other proteins in human cells

Prions enter brain neurons and...

convert existing proteins


- proteins clump together, giving spongy appearance to brain tissue under microscope


- creutzfeldt-jakob, spongiform encephalopathy

Adaptive immunity begins

>3 days to 2 weeks

Five Distinct Stages of Infection

1 - incubation period


2 - prodromal stage


3 - acute stage


4 - convalescent stage


5 - resolution stage

Incubation Period

- active replication of pathogen without symptoms in the host


- takes time to grow large/big enough int #

Prodromal Stage

Initial appearance of symptoms in host


- duplicated itself enough to evoke inflammation

Acute Stage

Host experiences full infectious disease with rapid replication of pathogen

Convalescent Stage

Host's body attempts to contain and eliminate the pathogen


- T-lymph/B-lymph active = exudate changes

Resolution Stage:

Host eliminates pathogen without residual signs or symptoms


- can mean death

Mucus color indicator of stage of infection

Clear = still infected


Green/Gunky = fighting it/getting over, T-lymph/B-lymp active

Weapons used in innate response to injury

- WBCs


- Complement System


- Coagulation System


- Cytokines

Weapons used in adaptive response to injury and infection:

- needs more time than innate


- specific white blood cells

Antibodies

Proteins secreted by B plasma cells that recognize antigen and leads to pathogen destruction


- keep blueprint, not full-fledged antibodies

Basic Structure of Antibodies

- 2 heavy chains + 2 Light Chains create Y-shape


- Constant vs Variable regions


- antigen binding site

Constant Region

- millions in lymph nodes


- precursor

Variable Regions

- part that gets tailor-made


- premade blueprints for variable synthesis

5 Categories of Antibodies

- IgG


- IgM


- IgA


- IgD


- IgE

Antigen causes proliferation of...

clone effector cells

T cells create receptors to...

bind to and neutralize epitopes

T cells mature in thymus but most are destroyed before successful cells enter circulation. Why?

- self vs. non-self discrimination


- fail to develop appropriate T-cel receptor (TcR)

B cells most are destroyed. Why?

- Fail to develop appropriate Ig


- Self vs. non-self discrimination

B cells lifespan

4 weeks