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35 Cards in this Set

  • Front
  • Back
Bordetella discovered by _____ and _____ in _____.
Bordet and Gangov in 1906
Bordetella is similar to _____ but does not need _____.
similar to hemophilus but does not need x/v factors
3 species of Bordetella
B. pertussis
B. para-pertussis
B. bronchiseptica
most serious of the Bordatellas
B. pertussis - highly contagious, mostly in children, 90% non-immunized
___% of B. pertussis victims suffer permanent CNS damage
17%
___% of B. pertussis victims suffer mental retardation.
27.5%
Do children normally recover who develop coma resulting from B. pertussis?
No, they die.
What does LPF in B. pertussis pathogenicity stand for?
lymphocytosis promoting factor
What does HSF in B. pertussis pathogenicity stand for?
histamine sensitizing factor
(promotes coughing)
To diagnose B. pertussis, it grows on ______.
BG media (Bordet and Gangov)
therapy for B. pertussis
erythromycin (safest)
prevention of B. pertussis
a component of DPT, a killed phase I organism
The mode of transmission of B. pertussis is____.
whooping cough
Bordetella is gram - or +
gram negative coccobacillus (rod), small in size, non-motile (except in B. bronchiseptica), non spore forming
the organism Bordetella forms by pairs or chains?
by pairs - end to end
(short chains in liquid cultures)
The disease pertussis is also called____.
whooping cough
Chinese called whooping cough ______.
"cough of 100 days"
___% of whooping cough cases occur when?
1st year of life
____% of non-immunized against pertussis who are exposed, contract the disease.
90%
Is pertussis well-controlled in the U.S.?
No. It is the least well controlled bacterial vaccine-preventable disease.
B. pertussis produces a endotoxin or exotoxin?
Both.
In a Bordetella culture, incubation takes ___hrs at __degrees
72 hrs at 37 deg C
How do the toxins form in the epithelium of the resp tract?
colonization (smooth, pearly)
What agar is pertussis cultured on?
potato-blood-glycerol
whooping cough treatment
1st (catarrhal) stage - antitoxin
2nd (paroxysmal) stage - erythromycin
5 toxins of pertussis
1. Lipopolysaccharide (endotoxin)
2. Heat labile (unstable) protein - may be change to toxoid
3. Pertussis toxin - most harmful
4. Metabolic alterations (IAP)
5. LPF - change into toxoid, neutralized by antitoxin
T or F. Phase I of B. pertussis is capsulated, smooth wet pearly colonies and is the most contagious.
True. Phase IV however is uncapsulated, dry rough colonies
3 stages of B. pertussis
1st - catarrhal
2nd - paroxysmal
3rd - convalescent
Which stage of pertussis is known as the spasmodic stage?
2nd - paroxysmal
incubation of the 1st (catarrhal) stage of pertussis
7-14 days
The 2nd (paroxysmal) stage of pertussis lasts ___ weeks.
1-6 weeks
Which stage is the most serious of pertussis?
2nd (paroxysmal) stage. thick mucous, vomitting, convulsions, spasms, sudden onset CNS damage, coma, death
The 3rd (convalescent) stage lasts ____ weeks.
2-3 weeks
T or F. The 3rd stage of pertussis is the most severe?
False. It is a gradual decline in severity, secondary, 10% bacterial, hemophilus, strep pneum
Which stage of pertussis involves whoop and pharyngitis primarily?
1st (catarrhal) stage. It also includes ropy discharge, slight conjuctivitis, and sneezing