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44 Cards in this Set

  • Front
  • Back
Host
Organism which provides nutrients to another organism.
Parasite
Organism which lives at the expense of its host.
Parasite is smaller than host and is metabolically dependent upon it.
Disease
An upset in the homeostasis of the host resulting in generation of observable changes. (Signs & Symptoms)
Sign

Symptom
Which is objective, subjective?
Sign is objective evidence of damage to the host. (HA)
Symptom is subjective evidence of damage to the host. (fever, rash)
Infectious disease
One in which detrimental changes in health of the host occur as a result of damage caused by the parasite.
Pathogen
Microorganism that is capable of causing disease.
Virulence
A measure of pathogenicity, or the ability to cause disease.
Virulent
Microorganisms that readily cause disease.

(only small #'s of the microbe are needed to initiate and sustain infection.)
Opportunistic
Microorganisms that may or may not cause disease.
Generally colonize but do not infect the host when usually found associated with the host (called normal microbiota).
Can cause disease if they are introduced to a site where they do not usually reside, especially inside host tissues.
Avirulent
microorganisms that do NOT cause disease.
Attenuated
microorganisms with reduced ability to cause disease. Human generated.
Vaccines! (takes microbes and select virulence for vaccines.
Pathogenicity
Ability or tendency of a microbe to cause disease.
Koch's Postulates
1. Present (in every case but absent from healthy host)
2. Isolated (grown in pure culture)
3. Cause (able to cause disease when a pure culture is innoculated into a healthy host.)
4. re-isolated (from the host that was inoculated w/ the pure culture.
**this is not possible in opportunistic disease.
*** Also, NOT possible w/ viruses b/c cant culture on a petri dish.
To cause disease, a pathogen Must:
1. Contact (the host)
2. Colonize (adhere & grow or multiply on host)
3. Infect (proliferate in host cells or tissues)
4. Evade (avoid the hosts defense system)
5. Damage (the host by chemical or physical means)
virulence factors
resp. for the pathogenecity of a microorganism b/c they influence its ability to cause disease by affecting its invasiveness and /or its toxigenicity.
Pathogen
a microbe that causes disease and highly virulent pathogens are more likely to cause disease.
(depends on toxigenicity)
Factors responsible for pathogenicity (5)
1. Adhesins
2. Invasins
3. Evasins
4.Toxins
Adhesions
Adhesins promote attachment to host cells and tissues, which allows bacteria to contact and colonize host surfaces.
ex) pili, capsules, type III secretion, hemagglutinins, hyphal tips
Invasins
Invasins promote entrance into and or movement thru tissues or cells, which allows bacteria to infect the host.
ex) digestive enzymes, fibrinolysin, hyaluronidase, hemolysins, type III secretion sys, hyphal extension
Evasins
Evasins protect pathogen from host defense factors, especially phagocytes, which allows bacteria to evade the host defense system and makes it more possible for them to grow w/in the tissues.
ex) capsules, hyphae, catalase, coagulase, M protein, leukocidins, anti-phagosomal factors, immune system blockades.
Toxins
Toxins are a general category that includes any molecule that can promote damage to the cells or tissues of the host caused, in this case by bacteria.
2 types: Endotoxins and Exotoxins
Exotoxins
toxic proteins that are secreted by living microbes.
Endotoxins
Lipopolysaccharide (LPS) portion of the outer membrane of gram neg bacterial cell walls which is released when the bacteria disintegrate and causes fever and/or endotoxin shock, depending on its concentration in the bloodstream.
Damage caused by viruses
1. Lytic infections
2. Persistent Infections
3. Latent Infections
4. Transformation (benign and malignant tumors)
Benign tumor
Noninvasive (enclosed in capsule of host tissue and does not spread to other tissues.
Malignant (Metastatic) tumor
Invasive (tumor cells spread to other tissues and proliferates there and spreads throughout the body)
Epidemiology
the study of the occurrence of disease, and deals specifically with studying the cause of diseases and how infectious diseases are spread from person to person (transmission).
Epidemic
"upon the people" commonly refers to unusually high incidence of a disease in a community (population) at one time.
Prevalence
the total number of cases in a population at a given time.
Incidence
the number of new cases in a population at one time.
Who is the father of epidemiology?
John Snow (looked for commonalities in an epidemic.)
Pandemic
"all the people" indicates an epidemic involving more than one continent or a worldwide epidemic.
Endemic
"in the people" a disease is constantly present, usually at low incidence in a population.
Outbreak
appearance of several cases of a disease usually in a short period of time, in an area previously experiencing no cases or only sporadic (scattered or isolated) cases of the disease. ("mini" epidemic)
Morbidity
disease, sickness, clinical illness
mortality
death
reservoir
a site in which infectious agents remain viable (alive) and from which infection of individuals may occur.
Carrier
an infected individual which is not showing obvious signs or symptoms of clinical disease, but which is shedding the etiologic agent for a long period of time (greater than six months)
Zoonoses
diseases which occur primarily in animals but are occasionally transmitted to people (plague, Lyme disease, rocky mountain spotted fever)
Vector
Living agent which transmits infectious agent (tick, flea, fly, mosquito)
Fomite
NON-Living abject that transmits infectious agents (pencil, doorknob)
Vehicles
Food, water and air that can transmit infectious disease.
Stages in Transmission of Infectious Diseases
1. Escape from old host
2. Travel to new host
3. Entry to new host
Modes of Transmission of Infectious Diseases
1. Direct (close or intimate contact)
Ex) sex, shaking hands
2. Indirect (from fomites or vectors!)