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38 Cards in this Set

  • Front
  • Back
Structure of Digestive system
GI tract: mouth, pharynx, esophagus, stomach, small and large intestine
Accessory: salivary glands, liver, gall bladder, pancreas
Dental caries mainly caused by what organism?
main cause is Streptococcus mutans
How does S. mutans initiate formation of plaque (biofilm)?
converts sucrose to dextran, a sticky polysaccharide (froms glycocalyx)
glycocalyx enables attachment to tooth enamel
other bacterial spp. adheres to glycocalyx via fimbriae forming biofilm
if not removed, may harden into calculus (tartar)
In caries, what causes decalcification of enamel?
lactic acid fermentation of sugars
Periodontal disease may lead to...
sepsis and heart damage
Bacterial diseases of GI tract
Foodborne intoxications (food poisoning), foodborne and waterborne infections
Foodborne intoxications
noninflammatory gastroenteritis
brief incubation, period, quick resolution
Staphylococcal food poisoning caused by
Staphylococcus aureus
When is food usually contaminated with S. aureus?
during preperation
What type of exotoxin is produced by S. aureus?
heat-stable enterotoxin
How long does it take for symptoms to appear after ingesting toxin? What are the symptoms?
1 to 6 hours; cramps, vomiting, diarrhea
Clostridial food poisoning caused by
Clostridium perfringens
C. perfringens produces endospores? Is it anaerobic or aerobic?
endospore forming obligate anaerobe
Where can we find C. perfringens?
dwells in soils and GI tract
Will endospores of C. perfringens survive cooking?
They may still germinate
C. perfringens produces what kind of toxin?
heat labile enterotoxin
Symptoms appear within...and they are...
8 to 24 hours, cramps and diarrhea only
Botulism caused by
Clostridium botulinum (very similar to C. perfringens in that it is also endospore forming, obligate anaerobe found in soil and GI tract)
Where do endospores germinate for C. botulinum?
anaerobic environment like cans
What kind of toxin is botulism toxin? What does it do?
neurotoxin that inhibits acetylcholine release (respiratory failure to due to paralysis)
Symptoms appear within...and cause...
12 to 48 hours; blurred vision, slurred speach, difficulty swallowing, paralysis follows, death due to respiratory failure
Infant botulism characteristics
results from ingestion of endospores, infants less than a year old shouldn't eat honey
Foodborne and waterborne infections have a longer or shorter incubation period than intoxications?
longer
Inflammatory gastroenteritis characterized by...
diarrhea and/or vomiting, often fever, no blood in stool
Cholera caused by
Vibrio cholarae
How do people get cholera usually?
Raw oysters and water
Why does cholera require a high infectious dose?
V. cholarae has a low resistance to acidity
What does cholera toxin cause?
Causes loss of water and electrolytes
Cholera toxin is characterized by what kind of stools?
"rice-water stool"
How does cholera lead to death?
shock and coma from water loss
How do you treat cholera?
Water, electrolytes, and antibiotics
Other Vibrio species causing cholera-like illness
V. parahaemolyticus and V. vulnifians (infection from raw shellfish)
Escherichia Coli common form is
Enterotoxigenic E. coli (ETEC) (most common cause of bacterial traveler's diarrhea)
How is it transmitted :P
via fecal-oral route
Produces 2 enterotoxins
one resembles cholera toxin, lasts 3 to 7 days
Who is susceptible to Clostridium difficile (C. diff.)
Elderly and long-term antibiotics users
Where are the endospores of C. diff. usually acquired?
Health care facility (nosocomial infection) - long lasting infection may result
Treatment of C. diff.?
Stop using antibiotics, fecal transplants