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55 Cards in this Set

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  • Back

When was TB discovered? By Who?

March 24, 1882 by Robet Koch

What Ig binds allergies? How does desensitization work?

IgE


Desensitization injects IGG which binds instead blocking IgE

Possible reason for autoimmune disease?

Error in clonal deletion

Who discovered cells?

Robert Hooke

Animalcules

Leuwenhook

Microscope

Leuwenhook

Meat in jar

Redi


Nutrient broth instead of meat

John Needham

Heating nutrients in sealed flask prevents growth

Spallanzani

Argued Oxygen is missing

Lavoisier

What was the first vaccine?


Who developed/discovered it?

Cowpox scraping prevent smallpox


Edward Jenner

S-Shaped flask

Louis Pasteur

What is aseptic technique?

Prevent microbial contamination


S-shaped flask

What did Pasteur prove?

Microbes cannot originate form mystical forces

Germ theory of disease was proposed by several. Who are they and what are their examples?

1. Bassi and Pasteur-Silkworm disease by fungi


2. Joseph Lister-Medical procedures go better when treating wounds with phenol


3. Robert Koch- TB, Cholera, Anthrax

What were Koch's findings?

Microbes are the infectious agent the produce disease.


The causative agents of TB, Cholera, Anthrax

What are the Koch postulates?

1. Same pathogen in every case


2. Pathogen must be isolated for host and grown in culture.


3. Pathogen from culture must cause disease if injected into healthy host


4. Pathogen must be isolated from inoculated host and shown to be original organism

Chemotherapy

Chemicals to treat disease

Antibiotics

Substance used to treat infection

Discovered salvarsan could treat syphilis

Paul Ehrlich

What was the first antibiotic?


Who discovered it?


When?


How?

Penicillin


Alexander Fleming


1928


By accident

Types of microbes that cause disease and example

1. Bacteria-E. Coli


2. Fungi-Pnemocystis jiroveci


3. Protozoa-Entamoeba histolytica


4. Virus-HIV


5. Multicellular-helminths(roundworms)

Carriers

latent disease

Zoonoses

Transmitted to humans from animals

Sources of infection

1. Humans


2. Animals


3. Nonliving

fomites

objects capable of spreading disease

Transmission mthods

1. direct


2. indirect


3. droplets

What are Vectors?


What methods?

1. Transmit disease


2.


-Mechanical transmission-feces on fly feet


-Biological-tick bite

What is a nosocomial infection?

infection acquired as a result of hospital stay

What class of antibodies helps to protect the mucosal surfaces of the respiratory system?

IgA

What are the symptoms of TB?

Weakness


Weight loss


Fever


Night sweats


Coughing


Chest pain


Bloddy Sputum

How is TB transmitted?

Aerosol-cough, sneeze, speak, sing


Usually living with people

What is Latent TB?

-TB in body with no symptoms


-Cannot spread


-May develop months or years later


-Prophylaxis adminsitered

What is active TB?

-Obvious symptoms


-TB is replicating and destroying tissue


-Capable of spreading to other


-Treatment needed immediately

How to diagnose TB?

1. PPD, TST-skin test


2. Blood test


3. Sputum


-grow culture


-acid fast staining


-drug susceptibility



What is the treatment for latent TB?

3-9 months isoniazid prophylaxis

What is the treatment for activeTB?

6-12 months-isoniazid(INH), rifampin(RIF), pyrazinamine, ethambutal

Biggest issue with TB treatment?


What is a solution?

Patient compliance


Direct Observation Therapy

TB Etiology?

Mycobacterium tuberculosis

TB Pathogensys?

1. Mycolic acid creates inflammation activating macrophages TB cell is ingested by macrophage but survives (infected, but no symptoms)


2. Macrophages enter alveoli via chemotaxis and serve as incubators for TB cells to form an early tubercle (inflammation, but still no symptoms)


3. Some macrophages die and release TB cells forming a caseous center (symptoms begin to appear)


4. Caseous center develops into an air-filled cavity in a process called liquefaction


5. Tubercle ruptures and TB cells are disseminated throughout lungs, circulatory and lymphatic systems

What is liquefaction?

Becoming liquid and then Release of TB bacilli into lung

What do Mycolic acids do?

Stimulate inflamation

What is a tubercle?

A walled off lesion

What is a second line TB drug?

fluroquinolone

How do normal microbiota suppress the growth of potential pathogens?

1) Compete with them fro nutrients


2) Produce inhibitory substances

Three types of TB

1) Mycobaterium tuberculosis


2) M. bovis-Eator drink unpasteurized dairy


3) M. Avian-Intracellularae-SHower

Mechanisms for resistance to antibiotics?

1) Inhibit influx


2) Enzymatic Inactivation


3) Alter target site


4) Increase efflux


5) Resistance genes on plasmids transferred between cells

1) MDR


2) XDR


3) TDR


1) MDR: resistance to first-line drugs INH and RIF


2) XDR: resistance to second-line drugs such as fluoroquinolone


3) TDR: total drug resistance

What is disseminated/military TB?

Blood vessels erode and rupture casing fatal hemorhagging

Characteristics of viruses

Small


Acellular


Obligate Intracellular Parasites


DNA or RNA


Capsid


Some are enveloped

Characteristics of Protozoa

Eukaryotic


Amoeba


Paramecium


Pseudopods, cilia, flagella


Entameoba histolytica

Characteristics of Fungi

Eukaryotes


-Unicellular-yeast


-Multicellular-Mold, mushrooms


Chitin cell wall


Pnemocystis jiroveci

Characteristics of Bacteria

Prokaryotes


Single-celled


Many shaped


Divide by binary fission


Peptidoglycan cell wall


-E.Coli


-Staphylococcus aureus


Pathogenic

Disease producing

Microbe

Tiny living things