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80 Cards in this Set

  • Front
  • Back

Painless, swollen, black, crusty ulcer

Eschar

Pus-producing skin infection

Pyoderma

Name of the microorganism that is the cause of rubella

Rubivirus

Enzyme that converts fibrinogen to fibrin; prevents phagocytosis by producing localized clotting

Coagulase

Infection of the skin, most common in children; that is characterized by raised erythematous lesions covered with yellow-gray crust; frequently found on the face

Impetigo

Other name for a Langerhans cell. It is unique because it can present antigens on MHC Class I and MHC Class II molecules

Dendritic Cells

Shingles; reactivation of a latent viral infection of the dorsal root ganglia (neurons)

Zoster

Term for the interruption of blood supply to tissue

Ischemia

Common name for an infection of a hair follicle. The follicle becomes red, swollen, and filled with pus

Pimple

Name of the microorganism that causes measles

Morbillivirus

Term for death of tissue

Necrosis

Name of the disease that occurs when Bacillus anthracis, shed from an infected animal, enters a cut on the skin and produces a solid skin nodule

Cutaneous Anthrax

Viral infection that spreads through use of the bloodstream as a vehicle; no multiplication during transit

Viremia

Main type of dead leukocyte found in pus

Neutrophil

Macules that have progressed to form raised sores

Papules

Syndrome that is secondary to a primary S. aureus infection of the skin, nose, throat, mouth, umbilicus or GI; exfoliatins released cause epidermis to separate from the dermis.

Scalded Skin

Exotoxin produced by S. pyogenes that activates T cell nonspecifically; causes overproduction of cytokines which causes overstimulation of macrophages leading to tissue damage.

Exotoxin A

Infection of the skin that spreads into the surrounding lymph nodes triggering pain and inflammation. This is usually caused by Group A Streptococcus pyogenes.

Erysipelas

Most common opportunistic pathogen that is seen in burn victims. When it enters the bloodstream, it causes fever, chills and shock. Infection by this microorganism are readily diagnosed because it produces a blue-green pigment.

Pseudomonas Aeruginosa

Name for the disease that is commonly called German measles

Rubella

Subacute (or slow) sclerosing panencephalitis is a sequela of this disease (technical name)

Rubeola

Made from hyaluronic acid, similar to that found in connective tissue, this structure of S. pyogenes helps to evade phagocytosis by hiding surface antigens

Capsule

Infection that is potentially fatal. It is characterized by toxemia, organ failure, and destruction of muscle and fat tissue following infection by Streptococcus pyogenes

Necrotizing Fasciitis

Abbreviation for the name of the microorganism that is the cause of warts. There are almost 60 different strains of this.

HPV

Benign growth of the epithelium of the skin or mucous membrane

Papilloma

Accumulation of pus in a cavity hallowed out from tissue damage that is surrounded by inflammation

Abscess

Waterproofing protein found in the epidermis. A hardened form of this forms nails and hair.

Keratin

Abbreviation for the name of the microorganism that is the cause of 85% of genital herpes cases. It infects the skin and mucous membranes of the external genitalia, thighs, buttocks, and anus

HSV II

Spores of this Gram + bacillus that responsible for causing gas gangrene

Clostridium perfringens

Surface protein produced by S. aureus that binds to the Fc portion of antibodies thereby preventing complement activation of phagocytosis.

Protein A

Disease characterized by tissue necrosis and bloating; metabolic activities of pathogen produce a distinctive sell

Gas Gangrene

Abbreviation for the name of the microorganism that is the cause of 90% of cold sores, fever blisters, and whitlow. It infects the skin and mucous membranes of the face, mouth and trunk

HSV I

Proteins released by Staphylococcus aureus that causes reddening of the skin and the epidermis separate from the dermis

Exfoliative Toxins

Folliculitis that spreads to the subcutaneous tissue; also known as a boil

Furuncle

Cell damage; viral proteins cause host cell membranes to fuse giving appearance of a giant cell with many nuclei

Syncitium

Spherical cells arranged in a chain

Streptococcus

Name of the obligate anaerobic microorganisms that is normal flora of the epidermis. It typically grows on sebum within the sebaceous glands.

Propionibacterium Acnes

Small, ulcerated lesions in the oral mucosa that are diagnostic of a measles infection

Koplik's Spots

Endospores of this microorganism are responsible for causing cutaneous anthrax

Bacillus Anthracis

First type of skin lesion that is observed during a poxvirus infection. These are flat, reddened lesions.

Macules

Superficial infection initiated by damage to hair follicles; also known as pimples

Folliculitis

Raised lesions of the skin that are filled with fluid

Pustules

Furuncles that form and merge

Carbuncle

Group A Beta-Hemolytic Streptococcus

GABHS

Medical term for chickenpox

Varicella

Spherical cells clustered together (like grapes)

Staphylococcus

Folliculitis that occurs at the base of an eyelid

Sty

Upper layer of skin. Does not contain blood vessels. It is colonized by several species of normal flora.

Epidermis

Inflamed blister that may result from infection with herpes simplex viruses via a cut or break in the skin

Whitlow

Overproduction of sebum that causes clogged pores leading to an overgrowth of the obligate anaerobe Propionibacterium acnes; usually seen during puberty because of increased production of androgens causes overproduction of sebum

Acne

Folliculitis

Pathogen: Staphylococcus aureus


Symptoms: Itching, rash


Pathology: Damage to hair follicle->Bacteria enter->Infection->Inflammation


Treatment: Topical antiseptic


Transmission: Endogenous/Exogenous (direct contact, fomites)


Consequence of non-treatment: Furuncle

Staphylococcus aureus characterisitics

Gram +, Facultative anaerobe, Catalase +, Coagulase +, Beta Hemolysis. Infects sebaceous glands & hair follicles

Furuncle (Boil)

Pathogen: S. aureus


Symptoms: Red nodule, swollen, pain


Pathology: Bacteria spread into subcutaneous tissue->Trigger more inflammation


Treatment: Drainage, Oral Methicillin


Transmission: Endogenous


Consequence of non-treatment: Sepsis

Sty

Pathogen: S. aureus


Symptoms: Eyelid tender, redness, swelling, blurred vision


Pathology: Bacteria spread into subcutaneous tissue->Trigger more inflammation


Treatment: Ophthalmic antibiotic, erythromycin


Transmission: Endogenous/Exogenous (fomites)


Consequence: Ruptured sty can infect cornea

Scalded Skin Syndrome

Pathogen: S. aureus


Symptoms: Fever, skin tender to touch, gentle pressure will cause peeling


Pathology: From primary infection, bacteria release exfoliative toxin->toxemia->skin->inflammation


Treatment: Methilcillin, treat as burn, hydrate


Transmission: Exogenous


Consequence of non-treatment: Secondary bacterial infection of exposed skin

Impetigo

Pathogen: S. aureus


Symptoms: Raised reddish lesions, pus-filled yellow-gray crust


Pathology: Bacteria enters skin->infection->inflammation->redness->WBC attracted to area->pus


Treatment: Gram stain, antibiotic sensitivity, penicillin, wound cleaning


Transmission: Endogenous (scratch)/Exogenous (direct contact, fomites)


Consequence of non-treatment: spread to lymph nodes->Erysipela

Streptococcus pyogenes characteristics

Gram +, facultative anaerobe, catalase -, coagulase -, strong beta hemolysis. Infects skin, pharynx, resp. tract

Streptococcal cellulitis

Pathogen: S. pyogenes


Symptoms: Pain, tenderness, swelling, redness, fever


Treatment: Antibiotics


Transmission: Exogenous

Necrotizing Fasciitis

Pathogen: S. pyogenes


Symptoms: skin disproportionately painful, tissues become red, hot, swollen, skin turns purple & blisters, necrosis, toxic shock


Pathology: Break in skin->Rapid spread->exotoxin A released (activates macrophages nonspecifically)->release cytokines


Treatment: IV Penicillin and Clindamycin, Debridement, Amputation


Transmission: Person-to-person, trauma


Consequence of non-treatment: Death

Propionibacterium acnes characteristics

Gram +, bacillus, obligate anaerobe, catalase +, coagulase -, weak alpha hemolysis. Infects sebaceous glands

Acne

Pathogen: Propionibacterium acnes


Symptoms: redness, swelling, pustule, pain


Pathology: Excess sebum->bacteria, glycerol & fatty acids grow in pore->rupture->Inflammation->pus


Treatment: skin cleanser, Accutane, Doxycycline


Consequence of non-treatment: Scarring

Pseudomonas aeruginosa characteristics

Gram -, bacillus (mono or diplo), aerobe. Opportunistic & nosocomial pathogen

Pseudomonas aeruginosa

Symptoms: Pyocanin (blue-green pigment)


Pathology: Burned skin->bacteria colonizes->crust forms over burn->bacteria enters blood->bacteria releases toxins, kills cells, triggers shock->releases endotoxin - fever, vasodilation, shock


Treatment: Debridement, topical polymyxin, Beta-lactam & Aminoglycoside antibiotics


Consequence of non-treatment: Death

Bacillus anthracis characteristics

Gram +, streptobacillus, facultative anaerobe, zoonotic

Cutaneous anthrax

Pathogen: Bacillus anthracis


Symptoms: Itching, Papular lesions, eschar


Pathology: Endospores enter skin->endospores germinate->inflammation->solid skin nodule->bacteria releases toxins->increase inflammation->papular lesions->toxins kills cells->Eschar formation


Treatment: Ciprofloxacin, Penicillin, Erythromycin


Transmission: Direct contact with endospores


Consequence: Death


Vaccine: BioThrax, ABThrax

Clostridium perfringens

Gram +, bacillus, obligate anaerobe. Normal flora of intestinal tract

Gas Gangrene

Pathogen: Clostridium perfringens


Symptoms: swelling, severe pain, extreme tenderness, blisters, foul odor, redness, skin discoloration, necrosis


Pathology: Trauma/surgery->endospores enter & germinate->inflammation->bacteria releases exotoxins that lead to necrosis->metabolism of bacteria lead to trapped gas in tissue


Transmission: Direct endospore contact


Treatment: IV Penicillin, Hyperbaric O2 chamber, debridement, amputation


Consequence: Death

Herpes Simplex Virus characterisitics

Enveloped, icosahedral nucleocapsid, DNA in genome

HSV I

Ulcerated lesions, latent infection w/ reactivation


Cold sores, fever, blisters, whitlow


Transmission: Fomites, direct contact

HSV II (Genital Herpes)

Ulcerated lesions, latent infection w/ reactivation


Transmission: STD, oral


Treatment: No cure, reduce duration with nucleotide analog drugs

Human Papilloma Virus characteristics

Naked virus, icosahedral, warts

Warts

Pathogen: HPV


Symptoms: Itch, painless


Transmission: Direct contact, fomites, childbirth, STD, endogenous


Pathology: Virus enters skin->Infects epithelial cells->epithelial cells proliferate (grow)


Treatment: Remove infected tissue


Consequence: Endogenous spread


Poxvirus Lesion Stages

Macule - flat, reddened lesion


Papule - raised sore


Vesicle - fills with clear fluid


Pustule - fills with pus

Varicella-Zoster Virus characteristics

Enveloped, icosahedral nucleocapsid, genome: DNA

Varicella (Chickenpox)

Pathogen: VZV


Symptoms: Fever, common cold-like, progressing rash


Pathology: Virus infect mucous membranes->inflammation (cough, sneeze)->Viremia->Virus infects skin->inflammation->rash


Transmission: Aerosol


Treatment: Supportive


Vaccine: Varivax, Zostavax

Zoster (Shingles)

Symptoms: Pain, itch, rash, blisters, pain


Transmission: Endogenous


Pathology: Latent infection is reactivated


Treatment: Acyclovir


Consequence: Nerve damage, secondary infection to exposed area

Morbillivirus characteristics

Enveloped, helical nucleocapsid, genome: RNA

Rubeola (Measles)

Pathogen: Morbillivirus


Symptoms: Fever, runny nose, malaise, diffuse rash, Koplik's spots


Transmission: Aerosol, droplet nuclei


Pathology: Virus infects mucous membranes of resp tract->inflammation (fever, runny nose, malaise)->viremia->skin->rash


Treatment: Supportive


Vaccine: MMR


Complications: pneumona, slow sclerosing panencephalitis, death

Rubivirus characteristics

Enveloped, icosahedral nucleocapsid, genome: RNA

Rubella

German Measles


Pathogen: Rubivirus


Symptoms: Fever, runny nose, rash, malaise, no Koplik's spots


Pathology: Virus infects cells of upper resp. tract->inflammation (runny nose, fever)->viremia: skin->inflammation->rash


Transmission: Aerosol, droplet nuclei


Treatment: Supportive


Vaccine: MMR