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191 Cards in this Set

  • Front
  • Back
which org attaches to host via pilli?
N. gonnorhea
which org uses lectins to help with attachment to host?
Giardia
Which org mimic the host immune system as a way of attachment?
HIV
Which org attaches to host creating a slime/biofilm?
S. epidermidis
Which organism is capable of escaping the lysosome?
mycobacterium
which org can prevent fusion with phagolysosome?
toxoplasma
legionella
which org survives inside the phagosome?
Leishmania
Which org enters macrophage via C3b and avoids rep. burst?
Leishmania
Which organism secrete IgA proteases as a mechanism of immune evasion?
H. Influenza
Which organism has a capsule that protects it from phagocytic injection>
S. pneumoniae
Which organism have variable pilus antigens?
N. gonnorhea
Transmitted via food?
Samonella
Transmitted via aerosol?
Influenza virus
Transmitted via hands
S. aureus
Tranmistted sexually
T. pallidium
Transmitted fecal orally
Shigella
Transmitted via arthropod
Yellow fever
transmitter via environment (water)
Legionella
Infection vs colonization
- colonization limited to epithelial surface such as commensal organisms ex normal flora.
- infection is the presence of microbial organisms in or on a larger organism --> cause illhealth (ex pathogens)
Disease vs infectious disease
Disease = disruption of human physiology
Infection disease = disruption of physiology caused by action of a foreign microorganism or by the host immune response to that organism
which immune cells are phagocytoitic?
neutrophils, macrophages, dendritic
which cells function in antigen presenation?
Macrophages and Denditics
Interaction bw APC and Thelper cell
1. TCR on Th bind antigen, CD4 on Th bind MHCII.
2. IL-1 produced by APC and bind to Th receptor &
CD28 on Th binds B7 on APC. --> costimulation
3. signal transduced to nucleus and stimulates Txn of IL2 receptor AND IL2 molecule. IL2 binds IL2R and cause signal transduction to nuleus.
4. Increased txn of mitotic proteins
5. Clonal expansion.
Which components of innate immunity are targeted toward extracellular pathogens?
- PMNs
- Ab
- Skin/mucous
- complement
- M0
- Dendritic cells
Which components of the immune system are targeted toward intracellular pathogens?
- M0
- NK cell
- Tcells
What is an interferon?
a protein produced in response to viral infectoin that blocks the replication of viruses in other cells
Role of NK cells?
- bind MHC on forign target and puts pored in cell wall also causes it to apoptose
- primarily virus and tumor infected cells
Roles of M0?
- can recognize foreign debris
- can recognize antigen
- can recognize antigen bound by complement
Main role = phagocytosis
- also have cytotoxic capabilities ( can cause death without phagocytosis)
Mechanism of Fever
1. Gram -ve bacteria, viruses, fungi, endotoxins, antigen-antibody rxn act as fever producing stimuli
2. bind to M0 and Tcells which in turn released cytokines (IL1, IL6, TNF)
3. The cytokines circulate to brain and liver. At liver they will stimulated the acute phase response ( limit tissue damage by inhibiting proteases that attack healthy cells). At brain, they will cause the released of prostaglandins (vasodilator) from endothelial cells. PG will then act at hypothalamus to increase the temp setpoint ---> FEVER
Bacteremia, Sepsis, Septic shock
Bacteremia is bacteria in the blood. Can be either silent or illicit an immune reponse --> Sepsis is bacteremia that causes a systemic immune response to infectoin ( can include high/low temp, increased WBC count, increase HR, decreased BP) --> Septic shock is sepsis that results in dangerous drops in BP and organ dysfunction.
Mutualistic, Commensal and Parasitic relationships
Mutualistic = mutually beneficial
Commensal = no harm to either
Parasitic = harm to the host
Which org releases exotoxins that block normal inhibitory neurons?
Tetanus
Which org causes overproduction of cAMP and efflux of ions and fluids --> watery diarrhea and severe dehydration?
Cholera
Which is one of the few organisms that can chew through intact skin?
Hookworm
Which org survies low gastric pH by excreting urease --> neutralizes pH?
H. Pylori
Which organism can inject their own receptor ( Tir) bound to surface protein leading to cytoskeletal rearragments?
E.coli
Which organisms are all resistant to phagocytosis and complement opsinization due to a polysaccaride capsule?
- Strep pneumonia (GP)
- H. influenza (GN)
- Neisseria meningitis (GN)
Which org is intracellular pathogen that escapes the phagosome (hemolysin) and hijacks actin to rocket into other cells?
Listeria monocytogenes
What can occur when antigens non-specifically activate T cells resulting in massive increases in TNF, shock and organ failure?
toxic shock syndrome
which organisms can produce biofilms?
pseudomonas and related species
Which org prevents itself from being opsinized by Ab by binding to Fc portion of igG thus preventing its binding to phagocyte?
S. aureus
Which organism cause viral hemorrhagic fever and are highly infectious and rapidly fatal?
Ebola
Which organisms are slow smouldering and allow long time for transmission?
TB and H.pylori
Which organisms hide dormant for a long time?
HIV, TB, Varicella-Zoster(reactivation causes shingles) and some malarias
which organisms are acid fast?
Mycobacterium (TB and leprosy) and Nocardia spp
Which organisms have no cell wall and cant stain?
Ureaplasm and mycoplasm
What two gram + bacilli are spore forming and motile?
Closteridium tetani and C. dificile
Which organism causes 'risus sarconicus' and why? Include toxins involved.
Tetani - toxin released (tetanospasmin) --> taken up at NMJ and inhibit interneuron --> loss of inhibition by gaba and glycine --> increased frequency of contraction --> lock jaw --> risus sarconicus
Which bacili can cause respiratory failure?
Tetani: severe muscle spasms can occur in resp muscle --> resp failure
How is tetani Dx and Tx?
Dx: GS (rods, +ve, spores, drumstick appreance) + Culture (aerobic conditions)
List gram +ve resident flora.
- C. dificile ( intestine)
- strep enterococcus ( bowel)
- Staph epidermidis ( skin)
Which org is part of normal interstinal flora and causes pseudomembranous enterocolitis (diarrhea)?
C. difficile
What toxins are released by C. difficile and what CF are present?
- exotoxins cause fever and ab cramping
1. diarrea (toxin A)
2. cytotoxic toxin: invade colonic cells leading to necrosis of
3.mucosal surface - psudomembranous ( toxin B)
How would you Tx and Dx C. dificile?
Dx: C. difficile toxin test of stool
Tx: Vancomycin
Which gram +ve bacili can escape phagosytosis, motile and survive in low temp?
Listeria
Which 3 bacteria are responsible for most meningitis aquired by baby coming out of birth canal?
- listeria
- ecoli
- Group B strep
Which 2 bacteria most commonly causes meningitis later in life?
- Neisseria Meningitis
- H. influenza
Which organism is considered "a human antibiotic" and why?
C. Diptheria because it inhbit protein synthesis in heart and neural cells resulting in damage.
Which org colonizes the pharynx, creates pseudomembrane and releases exotoxins into the blood stream that lead to fever + heart and neural cell damage?
C. Diptheria
Which organism show CF of dark inflammatory exudate on pharynx and sore throat?
C. Diptheria
How is diptheria Dx and Tx?
Dx: Swab for culture
Tx: Antitoxin, Penicillin or erythoromcin
Which org is transmitted in contaminated food ( coleslaw, milk, cheese, butter, deli meats?
Listeria
Which org is phagocytosed by M0 leading to septicemia and meningitis in elderly and immunocompromised?
Listeria
Which org most commonly infects those with depressed cell mediate immunity (preg women, neonates, elderly) and why?
Listeria. It is facultative intracelllar but in healthy individuals is detected by cell mediated immunity.
Listeria Dx and Tx?
Dx: Gram stain and culture
Tx: Ampicillin
Which gram + rods are catalase +ve?
Diptheria and Listeria
Which gram +ve cocci can cause TSS and scarlet fever?
Strep pyogenes
Which gram +ve cocci releases a superantigen toxin and what is the result?
Staph aureus and Strep pyogenes. Result is hyperstimaution for Tcells to produce cytokines leading to TSS.
What is the result of enzymes releazed by strep pyogenes? include CFs.
local inflammation and invasion of tissue --> skin infections (impetigo, red swollen skin), pharyngitis (sore throat), otitis media
What is the result of bacteremia of Strep pyogenes?
meningitis (stiff neck, fever, headache), arthritis, osteomyelitis (joint pain, swelling)
Which organism can lead to acute rheumatic fever and protineuria and how?
Strep pyogenes.
1. Released of antigen that create immunocomplexes --> accumulate subendothelially at glomerulus --> post strep glomerulonephritis --> proteinuria
2. antigen --> B lymphocyte acitvated to produce Ab --> acute rheumatic fever --> damage to heart valves
How is strep pyogenes Dx and Tx?
Dx: Gram stain, culture, throat swab, and rapid antigen detection test
Tx: Penecillin, erythromycin
Which gram +ve cocci causes neonatal meningities, pneumonia and sepsis? Most commonly in elderly and diabetic patients.
Group B strep
Which virulence factors and toxins are associated with Strep pyogenes?
- pyrogeneix exotoxin
- M protein (vir)
- streptolysin O/S
- streptokinases
- hyaluronidases- DNAses
- anti CSA peptidases
Which toxins/enzymes/vir are associated wtih listeria?
- listeriolysin O (intracellular survival)
- phospholipidases
Which gram +ve resident cocci can cause biliary tract infections, UTIs and subacute bacterial endocarditis? What vir factor allows for binding to heart valves?
Strep Enterococcus
- dextran
What are some CF of subacute endocarditis?
- heart murmurs
- fatigue
- fever
- anemia
Tx and Dx of Strep enterococcus?
Dx: gram stain, culture
Tx: ampicillin
Which gram +ve diplocci has a capsule that allows it to escape phagocytosis?
Strep pneumoniae
What are the vir and toxins associated with strep pneumo?
- polysaccaride capsule (vir)
- pneumolysin (toxin)
What are the CF of a strep pneumococci infection?
pneumonia --> shaking chills, high fever, chest pain, respirations, SOB --> alveoli of one or more lung lobes fill up with WBC(pus), bacteria and exudate --> yellow green sputum ---> bactermia --> meningitis (+stiff neck), ottis media
How is strep pneumo Dx and Tx?
Dx: Gram stain, culture, +ve quelling test
Tx: penicillin, erythromycin
Which is the only pathogenic staph species?
Staph aureus
Which gram +ve cocci lives in nasopharynx and skin of up to 50% of people?
staph aureus
Which vir, enzymes and toxins are associated with staph aureus?
- protein A, coagulase
- hyaluroinsdase (degrade BM), staph leukinase, lipase, protease
- transpeptidase
- penicllinase
- leukocidins (destroy WBCs)
- exofoliatin
- enterotoxin
- TSS toxin
Which organism causes local skin/subcutaneous infections that appear as impetigo, cellulitis, folliculits and carbuncles? and how?
Staph aureus
- bateria colonize skin or nasopharynx (folowing intubation or viral RTI)
- evade host defenses using: 1. protein A (binds Fc portion of igG) 2. coagulase (forms fibrin coat around organism), 3. hemolysins, and 4. leukcidins (destroy RBCs and WBCs)
Which gram + cocci can cause acute endocarditis?
Staph aureus. Can present with high fever, chill and myalgia. Can cause embolism to brain or lungs.
Which gram + cocci can invade synovial membranes and what is the result?
Staph aureus.
- leads to septic arthritis, red swollen joing and decreased range or motion, and loss of joint function
What happens when staph aureus infects the face, skin, hair follicle or wound?
face --> impetigo
tissue --> red hot shinny swollen --> cellulitis
hair follicle --> absess -> deeper -> furnucle -> carbuncles
wound -> absess and or cellultis
Which organisms can infect via catherters and what is effect?
Staph epidermis
Staph aureus
- bacteremia, endocarditis, septic shock
Which gram + cocci has a polysaccaride cap and is resident flora of the skin?
Staph epidermidis
What happens if staph epidermidis dissminates in blood?
infection of prosthetic devices --> heart valves, prosthetic joints, catheters
Which is the only pathogenic gram -ve cocci?
Neisseria
Which gram -ve cocci are kidney bean shaped?
Neisseria meningitis & gonnorhea
Which gram -ve cocci can escape phagocytosis?
N. meningitis and N. gonorrhea
Which Neisseria cocci are glucose and maltose oxidizers? just glucose?
N. meningitis ( G & M)
N. gonorrhea (G only)
Which gram - cocci evades IgA antibodies with IgA proteases allowing it to cross mucosa and disseminate releasing toxins that disseminate and cause vascular necrosis and hemorrage sto skin (petechial rash)?
N. meningitis
Which organism has topism for meninges and causes inflammation?
N. meningitis
Which organisms can casue vascular necroses and hemorrage in adrenal glands leading to adrenal insufficiency, shock, DIC --> multiorgan failure --> possible death
N. meningitis
Which organism survives only in humans and uses pili to attach to mucosal cells of the urethra and vagina and can lead to pelvic inflammatory disease?
N. gonnorhea
Dx and Tx of N. meningitis?
Dx: GS, culture, maltose (to differentiate from N gonnorhea)
Tx: Penicillin
Which gram - cocci can cause purulent discharge and painful urination?
N. gonorrhoea
Infection of which gram - cocci does not provide immunity after infection?
N. gonorrhea
Tx and Dx of N. gonorrhea?
Dx: culture pus from urethra or vagina, GS
Tx: 3rd gen cephalosporin, fluroquinoles
Which 3 bacteria share the shiga toxin?
E. coli, Shigella and Vibro
Which gram - bacilli is heat labile?
E.coli
Which E.coli strain releases ST, and LT exotoxins and what is the effect?
ETEC (toxigenic) - inhibits Na/Cl reabsorption leading to water and electrolyte loss --> watery diarrhea
Which ecoli strains cause bloody diarrhea?
EHEC (hemorragic) and EIEC (invasive)
Which of the specific Ecoli release shiga like toxin and how does this present?
EHEC inhibits 60S ribosome and inhbits protein syntehsis --> hemmoragic colitis -> blood diarrhea and abdominal cramps
Which ecoli can invade epithelia cells and diseminat leading to fever, sepsis, meningitis(new born) and pnemonia?
EIEC (invasive)
Which gram - organisms have pili?
- Neiseria
- Ecoli
- Pertussis
How is ecoli Dx and Tx?
Dx. Gram stain, culture, lactose fermentation
Tx: cephalosporin; aminoglycosides
Which gram - bacilli is always a pathogen and is trasmitted fecal orally?
Shigella
Which gram - bacilli invades enteroepithlial cell and causes fever, bloody diarrhea, ab cramps and dissemination?
Shigella and EHEC
Dx and Tx of shigella?
Dx. Stool culture
Tx. fluroquinolones
Which 4 disease states are caused by salmonella?
1. typhoid fever
2. carrier state
3. Sepsis
4. gastroenteritis (diarrhea)
Which gram - bacilli is transmitter fecal orally and invades intestinal epithelium and causes fever, abd cramps and watery/bloody diarrhea?
Salmonella typhi
Which gram - bacilli can invade regional lymphnodes and dismminate to the spleen causing diarrhea, rose spots on abdomen and transient rash?
Salmonella typhi
Which gram - bacilli can survive intracellularly in monocytes (carrier state)?
Salmonella typhi
Dx and Tx of Salmonella typhi?
Dx: Microscopic exam (stool), selective media with antibiotics
Tx: fluroquinolone, erythromycin
What are the 3 most common causes of diarrhea in the world?
C. jejuni
ETEC
Rotavirus
Which gram - bacili is transmitted fecal orally and is both capable of invading small intestinal lining AND releases LT toxin causing either bloody loose or watery diarrhea?
C. jejuni
What are the two toxins released by C. jejuni and their effects?
LT -> inhibit Na/Cl reabsorption -> diarrhea
Cytotoxin -> mucosal cell destruction
Dx and Tx of C. jejuni?
Dx: microscopic exam (stool), selective media w antibiotics
Tx: Fluroquinolone, erythromycin
Which gram - bacillli is microaerophilic and urease +ve?
Helico pylori
Which org is the most common cause of duodenal ulcers and chronic gastritis (inflammed stomach)?
H. pylori
Which org is the second leading casue of gastic stomach ulcers?
H. pylori
Tx for H pylori?
Metronidazole
Which organisms inhabits soil, water and large intestine and causes infection following breach of immune defense barriers ( burn, UTI, Immunocompromised)?
P. aeruginosa
Which org releases endotoxin A and inhibits protein synthesis leading to cell cell damage and inflammation at site of infection?
P. aeruginosa
Whic gram - bacili can cause corneal infectoin, endocarditis, foot ulcer, osteromyelitis, pneumonia and otitis?
P. aeruginosa
What are the 4 toxins important for P. aeruginosa nutrition and dissemination?
1. Exotoxin A paralyzes host cell protein machinery
2. Phospholipase C cleaves phosphate from phospholipids and damages host cell membranes (phosphate feed oragnism)
3. Elastase - cleaves elastin, collage, complement proteins, and Ig and allows org to disminate
4. endotoxin - shock
What are the effect of cholera toxin?
1. stimulate g protein to produce cAMP which inhibits Na/cl reab
2. inhibits NaCl reab and stimulates HCO3 secretion -> watery diarrhea
Which organism causes istonic fluid loss, sunken eyes, poor skin turgor, and diminished pulse?
Vibrio cholera
Dx and Tx or cholera?
Microscopic exam of stool (no WBC)
Tx. fluid and electrolytes + doxycycline
Which org has a capsule with O antigen, non motile and causes pneumonia with sig lung necrosis and bloody sputum? can be hospital aquired causes UTI and sepsis
Klebsiella pneumoniae
Which org posses the LPS toxin and colonizes and infects resp tract causing acute epiglotitis -> sore throat -> wheezing, difficulty swallowing, drooling?
H. Influenza
Which gram - org can cause septic arthritis, ottis media, sore throat, fever, meningial infectoin, vomitting, fever, altered mental status?
H. influenza
Which org releases LPS toxin following Tx with antibiotis leading to violent immune reponse and neuronal destruction?
H. Influenza
Dx and Tx of H influenza>
Dx: GS, culture, ELISA, +ve quelling test
Tx: 2nd - 3rd gen cephalosporin
Which gram - bacilli attaches to resp tract epithlial cells via filamentous hemagglutini pili and causes a violent cough?
B. Pertussis
Which organism releases a tracheal cytotoxin that destroys epithlial cells, impairs clearance of mucous and produces cough?
Pertussis
What is the effect of the pertussis toxin?
increases histamine sensitization, increases insulin, increases lymphocyte production
inhibits phagocytosis
Which org causes attaches to ciliated epithlial cells to stimulate cytoplamic adenylate cyclase to produce extra cAMP impairing chemotaxis, production of H2o2 and superoxide --> evasion of host defenses
Pertussis
Dx and Tx of Elisa?
Dx: elisa (culture), direct fluorescnes labelled Ab, PCR
Tx: Erythromycin
Which org can be transmitted via aerosolized contaminated water and settled in lower resp tract?
Legionella
Which gram - bacilli is a facultative intracellular parasite?
Legionella
How does Legionella survive inside macrophages?
prevents fusion of phagosome to lysosome and can live and reproduce intracellularly
Which gram - bacilli can cause pontiac fever, severe pneumonia, and a non productive cough?
Legionella
Dx and Tx of Legionella?
Dx: Culture, serology, urine antigen test
Tx: erythromycin, rifampin
Which gram - bacili is tranmitted through personal contact and causes scarring of the eyeline OR genital infection?
Chlamydia
Which organism can cause urethritis, cervicitis, PID, epididymitis, prostatitis?
Chlamydia
Which gram - bacili can cause blindness (trachoma)?
Chlamydia
Which gram - org has no peptidoglycan layer and no murmaic acid?
Chlamydia
Dx and Tx of Chlamydia?
Dx: PCR, serology
Tx: Genital and eye = doxycycline
What is the org responsible for syphilis?
T. Pallidum
Which spirochete can be transmitted sexually OR can cross placenta to infect fetus?
T. Pallidum
CF of 1 degree syphilis?
- regional lymph node swelling
- painless ulcers
CF of 2 degree (bacteremia) syphilis?
- hair loss
- rash on palms and soles of feet
- lymphadenopathy
- fever
- weight loss
Which gram - bacilli can lie dormant?
T. Pallidium
CF of 3 degree syphilis?
- neurosyphilis
- CV (aortitis)
- Gummas of skin and bone (localized granulomatous lesions --> fibrotic) --> deep knawing pain
Dx and Tx of T. Pallidum?
Dx: ELISA, VDRL, PCR
Tx: Peniciilin G, Erythromycin, doxycycline
Which are the bacteria with no cell wall?
Mycoplasm pneumonia
Which org possess P1 attachment protein that allows it to bind resp. epithlium and cause either tracheobronchitis or walking pneumonia?
Mycoplasma pneumonia
CF of walking pneumonia?
- fever
- sore throat
- malaise
- dry hacking cough
Dx and Tx of Mycoplasma pnemonia?
Dx: CXR (patchy infiltrate), culture, complement fixation test, cold agglutins, rapid ID test
Tx: macrolids, tetracyclins, quinolones
Which org can infect middle and lower lung zones (with greatest airflow?
Mycobacterium TB
Which org leads to caseous necrosis and why?
M. TB
- activagted macrophages cause local tissue destruction
What is a Ghon focus and which organism causes it?
Calcified tubercle (mid or upper lobe)
Ghon focus + perihillar lymphnode = ghon complex
Which org can lay dormant as a granuloma?
M. TB
Effect of TB reactivation in: pulm parenchyma, pleural/pericardial, lymph nodes, kidney, joints, skeletal, CNS, milliary?
1. pulm parenchyma --> most reactivation occurs in upper lobe (high 02 tension) --> weight loss, productive cough, chronic low grade fever, sweats, slow erosive effects as body M0 and T cells battele to wall off bacteria)
2. Pleural and pericardial --> fluid accumulation around heart and lungs
3. Lymph node: usually cervical --> swell, mat together and drain = scrofula
4. Kidney: RBC and WBC in urine
5. Skeletal.: thoracic and lumbar spine intervertebral disks
6. Joints: chronic arthritis
7. CNS: subacute meningits
8. Milliary TB: tubercles (granulomas) all over
Dx and Tx for TB?
Dx. Acid fast stain, rapid culture, PPD skin test, CXR, PCR and DNA probes, M. TB direct test
Tx: Isoniazid, Rifampin, pyrasinamide, ethambutol, streptomycin
Which org lives in water or soil and usually only infects birds but can infect AIDs patients?
M. Avium intracellulare
What is Vibrio Cholerae's major exotoxin and its effect on the body?
Cholera toxin - binds receptors in gut epithelium and increases cAMP
Effect: inhibits Na/Cl reabsorption --> water and electrolytes lost --> watery diarrhea (like ETEC)
What is ETEC major exotoxin and its effect on the body?
LT toxin (ETEC) - binds receptors in gut epithelium and increases cAMP
ST toxin - same as LT toxin but via different receptor (increase cGMP)
Effect: inhibits Na/Cl reabsorption --> water and electrolytes lost --> watery diarrhea (like cholera)
What is B. Pertussis major exotoxin and its effect on the body?
Pertussis toxin - increase in cAMP
Effect: increase histamine, insulin sensativity in cells, impairs chemotaxis and production of H202 superoxide --> evasion of host defenses --> --> cough (due to tracheal cytotoxin)
What is C. diptheria major exotoxin and its effect on the body?
Diptheria toxin - binds cell surface receptors and causes a cascade which inhibits protein synthesis
Effect: heart and neural cell damage + fever
What is P. aeruginosa major exotoxin and its effect on the body?
exotoxin A - binds cell surface receptors and causes a cascade which inhibits protein synthesis
Effect: inhibits protein synthesis -> cell damage and inflammation (ear, lungs, bones, feet, heart)
What is S. dysenteria major exotoxin and its effect on the body?
Shiga toxin - binds 60S ribosome and inhibits protein synthesis
Effect: immune mediated inflammation --> hemmoragic colitis --> ab cramps + bloody diarrhea (with WBC) + fever also a decreased in intestinal reabsorption (malnutrition)
What is EHEC major exotoxin and its effect on the body?
Shiga-like toxin: binds 60S ribosome and inhibits protein synthesis
Effect: immune mediated inflammation --> hemmoragic colitis --> ab cramps + bloody diarrhea (with WBC) + fever also a decreased in intestinal reabsorption (malnutrition)
What is C. tetani major exotoxin and its effect on the body?
tetanospasm - cleaves protein involved in vesicle fusion to PM and thus inhibits release of neurotransmitters (GABA and glycine) that normally act to inhibit other neurons
Effect: increase frequency of muscle contractoin --> spasms --> lock jaw (risus sardonicus) + resporatory failure + tetany
What is C. botulism major exotoxin and its effect on the body?
botulism toxin - blocks fusion of Ach vesicle to membrane and thus prevents neurotransmission
Effect: decrease frequency of contraction
What is S. aureus major exotoxin and its effect on the body?
TSST-1 - induces excess cytokine release (superantigen)
Effect: toxic shock syndrome
What is S. pyogenes major exotoxin and its effect on the body?
erythrogenic toxin - induces excess cytokine release (like TSST-1)
Which organisms can cause septic arthritis?
- N. gonorrhoea
- S. aureus
- H. influenza
WHich organisms can cause infection of bone (osteomyelitis)?
- Staph aureus
- Salmonella typhi
Which organism can cause myosistis (inflammation of muscle)?
- S. aureus
- Coxsackie virus B
- Dengue fever
Which organisms can cause necrotic fasciitis (inflammation of facia ie layer below subcutaneous fat that contains blood vessels)?
- S. pyogenes
Which organism can cause cellulitis (inflammation of subcutaneous fat layer)?
- S. pygoenes
- S. aureus
- P. aeruginosa
Which organism can cause formation of bullae on skin?
- S aureus
- S pyogenes
Which organisms can cause vesicles to form on skin?
- VSV (varicella zoster virus aka chicken pox)
- Small pox virus
- HSV 1 and 2
- Coxackivirus