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34 Cards in this Set

  • Front
  • Back
shigella infects what part of the GI tract
terminal ileum and large intestine
transmission of shigella
fecal-oral
reservoir of shigella
humans
clinical signs of shigella infection
sudden abdominal pain
diarrhea
fever
infectious dose of shigella
low (due to resistance to stomach acid)
species of shigella that contain shiga toxin
shigella dysenteriae
species of shigella that is most common in industrialized countries
shigella sonnei
mechanism of shiga toxin
cleaves the 60S ribosome resulting in apoptosis
shigella enters what cells in the gut
M cells (due to inadequate glycocalyx layer)
why is the M cell the target of invasion for shigella
reduced glycocalyx layer
rudimentary brush border
hallmark of inflammatory diarrhea
presence of neutrophils in clumps of mucus
salmonella infects what part of the GI system
ileum
two clinical syndromes caused by salmonella
gastroenteritis
typhoid fever
antigens present on salmonella that classification is based off of
O and H
transmission of salmonella
ingested in foods or contaminated water
strains of salmonella that cause typhoid fever
typhi
paratyphi
strains of salmonella that cause gastroenteritis
cholerasuis
enteritidis
dublin
reservoir for salmonella typhi and paratyphi
humans
most frequent manifestation of salmonella infection
gastroenteritis
dose required for infection from salmonella
high (susceptible to pH)
exudative inflammatory infiltrates in the intestines that are dominated by a massive neutrophil influx
salmonella gastroenteritis
systemic illness due to salmonella that can lead to bacteremia
typhoid fever
tyhpoid fever is spread through what
lymphatics
high fever
abdominal pain
transient diarrhea
rash on trunk
typhoid fever
hypertrophy of peyers patches, mesenteric lymph nodes, spleen and bone marrow
typhoid fever
salmonella typhi eventually infect what
gallbladder (and grow in the bile)
salmonella invades enterocytes by what mechanism
bacterial mediated endocytosis
salmonella injects toxin by what mechanism
type III secretion system
toll like receptor ligands contained on salmonella
LPS (activates TLR4)
flagellin (activates TLR5)
importance of TLR activation
NFkB (recuits cytokines and macrophages)
how are salmonella taken from the enterocyte to the lymph nodes
they enter macrophages (in the lamina propria)
transport salmonella to the mesenteric lymph nodes
macrophages
4 different species of shigella
dysenteriae
flexneri
boydii
sonneii
shigella classification is based on what
O antigen