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38 Cards in this Set

  • Front
  • Back
Airborne diseases
Airborne pathogens:

•are carried on _______

•usually cause ______

•Transmission usually occurs over short distances because microorganisms ________

•Pathogens that can survive dry conditions such as many
____ & _____ are easier to transmit by air

-Most respiratory pathogens are transferred from person to person via _____-coughing, sneezing, talking, breathing
-dust particles

-respiratory infections

-survive poorly in air

-Gram (+) & Mycobacteria

-respiratory aerosols
26.2 Streptococcal Diseases
•Streptococcus pyogenes – ______

•strep throat (_____)=5 to 10% of sore throats;diagnosis- ___=slow, ___=rapid

•infections of the ___

•impetigo- ____

•Scarlet fever – _____;can follow pharyngitis; pink rash & "strawberry tongue"

•Rheumatic fever – ______;antibodies against S. pyogenes react with host tissue-damages ______

•necrotizing fasciitis "_____"
-60 + strands

-pharyngitis, blood agar, antibody test

-inner ear

-skin infection

-exotoxin superantigen

-autoimmune

-"flesh eating"
Streptococcus pneumoniae-

•__________ pneumonia

•Inflammatory reaction in _____

•Usually a _______

•Capsule protects organism from _____

•untreated- _____ mortality

•Alveoli become filled with _______

•Symptoms = sudden onset of
________

•Pneumonia can also be caused by _____, other bacteria, or fungi

•S. pneumoniae is found in respiratory flora in about ________
-lower respiratory diseases; can also cause meningitis

-pneumococcal

-alveoli

-secondary infection

-phagocytosis

-30%

-blood, bacteria, & phagocytic cells

-chills, labored breathing, pleural (chest) pain

-viruses, other bacteria, or fungi

-40% of healthy people
26.3 Corynebacterium diphtheriae

•Childhood ____________, diphtheria.

•Pathogen strains of Corynebacterium diphtheriae produce ____ that inhibits ____

•Formation of ____-damaged host cells & bacterial cells

•Causes constriction of throat, _______

•Early childhood immunization with diphtheria ________ (part of DTP) is very effective for prevention of diptheria.
-upper respiratory infection

-etoxin, protein synthesis

-pseudomembrane

-suffocation

-toxoid
26.4 Bordetella pertussis

•Childhood ___________, pertussis.

•Pertussis _____ causes ____;endotoxin causes _____

•Violent cough that lasts up to _____

•Pathogen binds to__________ of bronchi and trachea

•Early childhood immunization with ____________ derived from B. pertussis (part of DTP) is very effective.
-upper repiratory infection

-exotoxin causes tissue damage; endotoxin causes cough

-6 weeks

-ciliated epithelial cells

-proteins (acellular pertussis)
26.5 Mycobacterium tuberculosis

•Tuberculosis

•As much as ____ of world population infected

•11% of deaths due to _____ are caused by ____
-1/3

-infectious diseases, tuberculosis
•Tuberculin test for ____;__ staing for active infection

•Treatment with _____&___ for ____

•Immunization with an____________ effectively prevents tuberculosis.
-hypersensitivity, acid-fast

-isoniazid & rifampin, 9 months

-attenuated strain of M. bovis (BCG)
Primary (initial) infection

•Inhalation of M. tuberculosis

•Bacteria settle in the ____

•Host immune response: macrophage ingestion of bacteria results in a ______; aggregated of macrphages called tubercules

•The bacteria survive and grow within the ______

•Most cases, infection remains ____
-lungs

-delayed-type hypersensitivity reaction

-macrophage

-localized
Reinfection or Postprimary infection

•Reinfection from outside sources or _______

•_______________ can reduce effective immunity and allow reactivation of dormant bacteria
-reactivation of dormant bacteria

-Aging, malnutrition, overcrowding, stress
26.6 Neisseria meningitidis

•Bacterial_________ meningitis

•Occur in epidemics in closed populations like ____&___. ___ are carriers

•Initial upper respiratory and blood infections. Meningitis can also occur characterized by sudden onset of ________________

•Vaccination made of ________

•Others bacteria and viruses can also cause meningitis
-meningococcal

-dorms & military, 30

-headache, vomiting, still neck; within hours, coma & death

-polysaccharides from most prevalent strains
26.7 – 26.8 Viruses

•The____________ are caused by viruses.

•Chickenpox is caused by the _________

•VZV can lay dormant in___________ for long periods of time. Shingles is caused by the
migration of VZV to the ____; painful blisters

________________, are the most common infectious diseases
-most common infectious diseases

-Varicella-zoster virus (VZV), a herpesvirus

-nerve cells, skin

-Colds & Influenza/flu
Common cold

•about ______ different cold viruses exist

–_________: 50-75% of colds

–_________: ~ 15%

–_________ and others: ~ 10%

•Specific, local, neutralizing __________

•Symptoms last about _____
-150

-Rhinovirus

-Coronavirus

-Adenovirus

-IgA immune response

-1 week-sneezing, runny nose
Influenza

•Caused by ______

•Influenza A, Influenza B, and Influenza C

•Flu symptoms – ______

•Can last from ______

•World-wide epidemics can occur
-orthomyxoviruses

-fever, headache, body aches

-1 to few weeks
•1918-1919, ______ died

•Immunity due to

•Early treatment-

•Immunization is effective but choice of vaccines is complicated by the ______

________ – genome divided into 8 pieces which can recombine when
-20 to 40 million people

-IgA

-drugs that inhibit viral replication

-# of strains

-Antigenic shift
•_______ – high mutation rates cause a _______

•Influenza outbreaks occur annually, and more serious ___________
-Antigenic drift, more gradual change

-epidemics & pandemics
Other viral respiratory diseases

•Measles- ________

•Mumps- ______

•Rubella (German measles)- similar to measles but milder

•Can be prevented with ____
-fever, cough, rash

-inflammation of salivary glands

-MMR vaccine
26.9 Staphylococcus

•Acne, boils, pimples, ___,___,____

•Staphylococcus aureus

–Hemolysins, superantigen enterotoxin A (food poisoning), coagulase, _______

–Treatment with penicillins, ________- resistant ______
-impetigo, pneumonia, meningitis

-leukocidin, superantigen TSST (toxic shock syndrome)

-methicillin-resistant S.aureus (MRSA)
26.10 Helicobacter pylori

•Gastric _____&____

•Antibody immune response ____

•antibiotics plus antacid treatment is _____
-ulcers & cancers

-not sufficient

-effective
26.11 Hepatitis Viruses

•Liver inflammation __________(cirrhosis) liver cancer

•Six hepatitis viruses, A-G

•Symptoms- fever & jaundice (_______________)

•Treatment is mainly supportive to allow liver to ______

•Immunization for HAV and HBV is effective. All school-age children are required to have ______
-destruction of cells in acute infections

-yellos of skin from excess bilirubin due to destruction of liver cells

-repair

-HBV vaccination
•Most sexually transmitted infections are curable or controllable with timely, appropriate medical intervention.

•Prevention by ________
-abstinence or barrier (condoms)
26.12 Neisseria gonorrhoeae
•Gonorrhea

•One of the _____

•Enters body through ____

•Infants – _______

•Female – inflammation of vaginal mucosa, easily ____, can lead to ____

•Male – painful _______

•Untreated, can result in______

•Prophylactic – erythromycin ________
-commone human diseases

-mucous membranes

-eye infections during birth

-easily unoticeable, pelvic inflammatory

-urethra infection, discharge

-sterility, damage to heart valves & joints

-eye ointment for newborns
26.12 Treponema pallidum
•Syphilis

•Newborns can contract it from ________

•Initial site of infection is usually _____-lesion called ______

•Chancre usually heals & ________

•Generalized _____

•½ of people with untreated syphilis develop infections of _________

•Most of last symptoms due to ______
-mother-cogenital syphilis

-genitals-chancre forms

-bacterium spreads

-rash

-skin, bone, heart, CNS
26.13 Chlamydia trachomatis

•Most ______

•75% of women and 50% of men have ______; do not seek health care

•If symptoms do occur, they are _______

•Newborns can contract C. trachomatis-____,____

•Nongonococcal urethritis

•Can cause ______&_____
-#1 most common

-prevalent STD

-no symprtoms

-similar to gonorrhea

-conjunctivitis, pneumonia

-pelvic inflammatory disease & fallopian tube damage
26.13 Herpes simplex viruses
Herpes simplex virus type 1

•Cold ________

•Latent infection with _____
-sores/fever blisters

-virus persists in nerve tissue
Herpes simplex virus type 2

•Painful ______

•Spread by _______

•Correlation between ___&____

•Can be transmitted to newborn by mother (_____)

•_______, but blister treatment with oral and topical antiviral drug acyclovir to inhibit viral replication and limit shed of active virus.
-blisters in genital region

-contact with blisters

-genital herpes & cervical cancer

-(C-section advised)

-No cure
26.13 Trichomonas vaginalis

•_________ responsible for trichomoniasis

•Can survive up to 24 hours in urine or semen therefore transmission can occur by ____

•Symptoms: none in males; ______________

•Diagnosis by microscopic observation of protozoan in discharge
-Protozoan

-contact with fluids (toilet seats, sauna benches)

-vaginal discharge, inflammation of vaginal mucosa, painful urination in females
26.14 Human Immunodeficiency Virus (HIV)

•Retrovirus that causes ____

•one of the most _____

•Diagnosis: test positive for HIV or HIV antibodies (ELISA) and lower T-helper cell count or ____ or ____

•HIV destroys the immune system by infecting ___&___

•Opportunistic pathogens kill the ______

•Worldwide, estimated ____

•Highly effective antiretroviral therapy treatment – ______
-AIDS

-prevalent infectious diseases

-opportunistic pathogen infection or atypical cancer

-macrophages & T-helper cells

-immuno-compromised host

-30 million people infected

-multiple drugs given at once
27.1 Rabies

•Caused by a member of the ________

•Transmitted from infected animal (raccoon, skunk, coyote) to human through ____

•Infects cells of_______________ causing fever, excessive salivation, anxiety, ____________

•Treatment with _________

•Effective immunization for ____&______
-Rhabdovirus family

-infected saliva

-central nervous system
-throat muscle spasms (death from respiratory paralysis)

-immunoglobulin

-domestic animals & high-risk humans
27.2 Hantavirus

•Cause of hantavirus ______&______

•Transmitted by inhalation of virus from infected ____&____

•Symptoms: sudden onset of _____________

•No treatment or vaccine, just prevention by reducing possibility of exposure
-pulmonary syndrome & hemorrhagic fever

-rodent urine & feces

-fever, muscle pain, leakage of fluid into lungs
27.3 Rickettsial diseases

•_______ (transmitted by head louse fecal matter) and _________ (transmitted by dog and wood ticks fecal matter)

•Symptoms: ________
-Typhus, Rocky mountain spotted fever

-fever, headache, weakness, rash
27.4 Borrelia burgdorferi
•Lyme disease

•Transmitted by ______

•Symptoms: headache, backache, chills, fatigue, large _____; left untreated ____,_____,____

•Lyme disease vaccines are available for veterinary use. Prevention by _____
-deer tick bites

-rash at bite
-arthritis, neurological problems, heart damage

-reducing exposure
27.5 Malaria
•Caused by ___,spread by____

•Infects red blood cells; lysis of RBCs results in ______

•Organism remains in _____; can cause relapses years later.

•Treatment with chloroquine is effective but does not ______

•Vaccination expensive and short-lived. Prevention by _______
-protozoan plasmodium; spread by mosquitos

-high fever

-liver

-completely eliminate

-mosquito extermination
27.6 West Nile Virus
•West Nile fever

•Transmitted by ______

•Symptoms: most inapparent; ~20% fever, headache, nausea, muscle aches, rash, swollen lymph nodes, malaise;

•No effective antiviral drugs for treatment. No human vaccine yet. Prevention by _________
- mosquito from birds to humans
most inapparent; ~20% fever, headache, nausea, muscle aches, rash, swollen lymph nodes, malaise; encephalitis or meningitis.

-mosquito extermination
27.7 Plague
•Caused by ______

•Transmitted by ________

•Untreated, ______

•Types differ by place of infection

–_____ – lymph node swelling

–_________ –inhaled; shorteness of breath, chest pain, cough; death within 2 days

–_______ – rapid spread through bloodstream; death before diagnosis



•Prevention by control of _____
-Yersinia pestis

-fleas from rats to humans

-Bubonic plague

-Pneumonic plague

-Septicemic plague

-rodents
Soilborne Diseases

27.9 Clostridium tetani
•Tetanus

•Gains access to the body through a ______

•___ is cause of disease

•Symptoms: prevents _______

•Immunization with tetanus _____ effective for prevention
-soil contaminated wound

-tetanus toxin(exotoxin)

-relaxation of muscles, first of jaw and face

-toxiod (DTP)
Foodborne Diseases
Foodborne infections

•Caused by organisms that are ______

•Can take several _____

•Salmonella – causes _______

•Salmonella can be found in meat, _____________
-transmitted in food and grow in intestins

-days for symptoms to appear

-headache, fever, chills, vomiting, diarrhea

-poultry, eggs, dairy products
•Escherichia coli can be found in _____

•Also responsible for ______

•Causes ____ deaths each year

•Raw shellfish are linked to several diseases including ________
-beef and causes bloody diarrhea and kidney failure

-“Traveler’s diarrhea”

-250 deaths each year

-type A hepatitis- (severe liver damage)
Food poisoning

•Occurs when food is contaminated with a ________

•Toxin causes symptoms which can appear ________

•Most common cause is ______

•Clostridium perfringens causes ______

•Clostridium botulinum causes botulism, most severe type of food poisoning. Produces ________
-microbe that produces a toxin

-1 hour of eating contaminated food

-Staphylococcus aureus – (vomiting and diarrhea)

-diarrhea and intestinal cramps

-neurotoxin that is often fatal.