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98 Cards in this Set

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  • Back
What structure provides water, amino acids, and lipids as food to bacteria?
sweat (sebaceous) glands
What is the normal pH of skin?

It is acidic or basic?
pH 4 to pH 6.5; slightly acidic
What skin layer contains dead cells?
Epidermis layer
Why is skin described as unstable?
Because it has a lot of dry skin cells on the topmost layer that flake off easily
sebum
thick oily substance, secreted by the sweat (sebaceous) glands of the skin, that consists of fat, keratin and cellular debris
List the 3 kinds of organisms that are commonly in human skin flora.
Diptheroids
Staphylococcus aureus
Fungi
diptheroids (3)
Grow in hair follicles & break down sweat

Results in body odor

Involved in acne
staphylococcus aureus (s. aureus)
Salt tolerant gram (+) bacteria that grow on the outer surface of skin
Identify the fungus that is common in human skin flora.
Malassezia grows on human skin.
What bacteria causes boils when it reaches the hair follicle?
Staphylococcus aureus
folliculitis
infection of the hair follicle
furuncle
a boil; extension of folliculitis going into the surrounding tissue
carbuncle
a number of boils (mass) in the same location; can potentially infect organs
abscess
symptom consisting of a localized collection of pus (dead neutrophils) surrounded by inflamed tissue
List the 2 bacterial skin infections discussed in class.
Staphylococcus aureus infections
Borrelia burgdorferi
Staphylococcus aureus

Infection/Disease caused
Side FX
How does it spread?
Rx
Causes infection of hair follicles, i.e. boils, carbuncles

Side FX: Swelling, redness

Spreads by getting into hair follicles & sebaceous glands; may spread by human contact

Rx: Must be drained by of pus and individual must be given antibiotics
Borrelia burgdorferia

Infection/Disease caused
Side FX
How does it spread?
Rx
Causes Lyme disease

Side FX: (1 wk) large circular rash, fever, muscle pains, enlarged lymph nodes, (2-8 wks) dizziness, paralysis, headaches, (6 months) arthritis and joint problems

Spread via ticks, which act as vectors for disease

RX: Ampicillin if caught soon enough
Where is borrelia burgdorferia prevalent? Why?
It is most common in the northeast and in the mountains (northern CA) because deers reside there.
What is unique about borrelia burgdorferia compared to other prokaryotes?
It is a spirochete with a "linear genome".
List the 2 viral skin diseases discussed in class. What virus causes these diseases?
Chickenpox = Herpesvirus family
Measles = Rubeola virus
German measles = Rubella virus
Chickenpox = Herpesvirus family

Side FX
How does it spread?
Prognosis
Rx
Side FX: itchy red spots and blisters

Spreads via tiny droplets in the air when an infected person coughs or sneezes

Most recover, except for infants & immuno-compromised individuals

RX: Vaccination
What is reactivation of chicken pox called?
Shingles
Measles = Rubeola virus

Side FX
How does it spread?
Prognosis
Rx
Side FX: fever, cough, swollen eyes, fine red rash

Spreads via tiny droplets in the air when an infected person coughs or sneezes

Most recover, but can be dangerous due to secondary disease, such as pneumonia

RX: Vaccination
German measles = Rubella virus

Side FX
How does it spread?
Prognosis
Rx
Side FX: mild cold symptoms, fine red rash

Spreads via tiny droplets in the air when an infected person coughs or sneezes

Most recover, but it can be very dangerous for pregnant women

RX: Vaccination
Why is the rubella virus so dangerous for pregnant women?
If pregnant women are exposed during the first 6 weeks, abnormal development (i.e. deafness) of the fetus usually occurs
Which is more dangerous: rubeola virus (measles) or rubella virus (German measles)?
Rubeola virus (measles)
List the 5 structures of the upper respiratory system.
Ears
Eyes
Nose
Throat
Mouth
List the 3 structures of the lower respiratory system.
Trachea
Bronchial tubes
Lungs
What structure causes the respiratory system to be moist?
Goblet cells release mucous all the time.
What structure in the URS moves objects either out of the mouth or down to the stomach?
Cilia
List the 2 URS bacterial diseases discussed in class.
Streptococcus pyrogenes = Strep throat
Corynbacterium disptheriae = Diptheria
Corynbacterium disptheriae = Diptheria

Side FX
How does it spread?
Prognosis
Rx
Side FX: fever & sore throat, swelling of neck, coating of throat w/ whtie membrane

Spreads via tiny droplets in the air when an infected person coughs or sneezes

Prognosis depends on location of infection; 10% death rate

RX: Penicillin (for bacteria) and antitoxin
Streptococcus pyrogenes = Strep throat

Side FX
How does it spread?
Prognosis
Rx
Side FX: fever & sore, red throat

Spreads via tiny droplets in the air when an infected person coughs or sneezes

Most recover; individuals feel better within 24 hours of taking antibiotics

RX: Penicillin
What is the rare disease caused by streptococcus pyrogenes?
Necrotizing fasciitis (flesh-eating disease), which has a death rate of 30–50%
Streptococcus pyrogenes = Necrotizing faciitis

Side FX
How does it spread?
Prognosis
Rx
Side FX: severe pain, swelling, fever

Spreads by entering open wound

Death rate of 30–50%

Rx: Amputate area of infection, antibiotics, IV immunoglobulin
How does this s. pyrogene membrane protein function?

C5a peptidase
Destroys C5a, an enzyme involved in chemotaxis
How does this s. pyrogene membrane protein function?

Capsule
Contains hyaluronic acid, which is only supposed to be in humans
How does this s. pyrogene membrane protein function?

M protein
Degrades C3b, an enzyme that marks bacteria for opsonization
How does this s. pyrogene membrane protein function?

F protein
Attaches to host cells
How does this s. pyrogene membrane protein function?

G protein
Binds to Fc region of IgG, which is an antibody
List the 4 s. pyrogene secreted proteins.
DNAses
Streptolysins O and S
SPE
Proteases
How does this s. pyrogene secreted protein function?

Streptolysins S and O
Lyse blood cells
How does corynbacterium diptheriae infect a person?
AB exotoxins released by the bacteria spread through blood and deactivate EF-2, which results in paralysis
Identify the function of EF-2 (elongation factor-2).
involved in translocation and synthesizing proteins
Describe the vaccine for diptheria.
Vaccine acts on exotoxin with formalin
Identify and define the viral URS infection discussed in class
Rhinovirus/Picornavirus = Common cold

Rhinovirus/Picornavirus - non-enveloped ss RNA
Rhinovirus/Picornavirus

How does it spread?
Prognosis
Rx
Spreads via tiny droplets in the air when an infected person coughs or sneezes

RX: Pleconaril may help
How does the drug pleconaril function?
It binds to the hydrophobic pockets on capsid, which results in changes of the bacteria's 3D conformation thus preventing viral uncoating.
Identify and define the bacterial LRS infection discussed in class
Pneumonia - inflammed and fluid-filled lungs; 4 diff. types caused by diff. bacteria
List the 4 bacteria that cause pneumonia.
Streptococcus pneumoniae
Klebsiella pneumoniae
Mycoplasma pneumoniae
Legionella pneumoniae
Identify and define the first viral LRS infection discussed in class.
Hantavirus = Hantavirus flu

hantavirus - enveloped virus w/ 3 (- (ss) RNA segments
Hantavirus = Hantavirus flu

Side FX
How does it spread?
Side FX: fever, vomiting, diarrhea, cough, shock, death

Spreads via inhalation of air contaminated with urine/feces of rodents
Where is the hantavirus prevalent?
In the 4 corners area of the United States
Identify and define the second viral LRS infection discussed in class.
Influenza A - influenza (flu)

influenza A - enveloped virus with segments of (-) (ss) RNA
Influenza A - influenza (flu)
Side FX: head & body ache, fever, muscle pain, cough, excess mucous, chills, malaise, vomiting

Spreads via air or by touching infected inanimate objects; virus can infects hours after removed from host

Most recover in 10 days or so

Rx: Vaccination
Where is influenza A naturally found?
Wild birds
List the 2 protein spikes found on influenza A.
Hemaglutinin
Neuramindase
Why must new influenza vaccines be made on a yearly basis?
Due to antigenic drift
antigenic drift
A mechanism for variation utilized by viruses that involves the accumulation of mutations within the antibody-binding sites
In order for s. pyrogenes to cause necrotizing faciitis, what exotoxins must be present?
Exotoxin A acts as superantigen and anti-shock.

Exotoxin B acts as protease.
cyanosis
a blue coloration of the skin and mucous membranes due to lack of oxygen
Identify the 2 ways influenza A can kill a human.
Quickly and directly with viral pneumonia aka "burning of the lungs".

Slowly and indirectly by stripping the body of its defenses, which lets bacteria into the body, thus causing pneumonia.
What do autopsies tell us about the influenza infections?
Autopsies show that all organs are infected/
Influenza mutates so fast that...
99% of the 100,000-1 million new viral particles that burst out of host cell are too defective to invade another cell
TRUE / FALSE

Mutated particles can be more deadly or less deadly.
TRUE
When was the influenza virus in its most deadly form?
During the 1918 flu pandemic, in which it spread worldwide
1918 Flu Pandemic

Where did it begin?
Haskell County, Kansas
1918 Flu Pandemic

Identify the 3 waves of the disease.
Began in early 1918

June-Dec 1918: Soldiers spread the disease overseas to other soldiers & their families

Last wave in early 1919
1918 Flu Pandemic

How many people did it kill worldwide?
50-100 million, more than any disease in history
1918 Flu Pandemic

What was unique about this disease and how it affected young adults? (2)
Young adults (25-29) had the most deaths.

8-10% of the world's young adult population died.
List the 5 structures of the upper alimentary system.
Mouth
Esophagus
Salivary glands
Stomach

Note: MESS
List the 5 structures of the lower alimentary system.
Pancreas
Intestines
Liver

Note: Take a PIL
Identify and define the bacterial upper alimentary infection discussed in class.
Vibrio cholera = Cholera

vibrio cholera - gram (-) bacteria rod
Identify the function of the AB exotoxin that is released by vibrio cholera.
A fragment turns on cAMP production

B fragment binds to cells of small intestine
What is the result of the A fragment (of the AB exotoxin) keeping cAMP on?
With cAMP being on continuously, it causes water to leave cells continuously.

Individual dies of dehydration.
What is the Rx for cholera?
Vaccination and having a clean water/sanitation system
Identify and define the viral upper alimentary infection discussed in class.
Paramyxovirus family = Mumps

paramyxovirus family - enveloped 1 segment (ss) RNA
Paramyxovirus family = Mumps

Side FX
How does it spread?
Prognosis
Rx
Side FX: fever, headache, swelling of parotid glands

Spreads via tiny droplets in the air when an infected person coughs or sneezes

Most children recover w/ no problems; causes problems in adults

Rx: Vaccination or survive disease
What problems do males get from getting mumps?
If male gets mumps after puberty, they may become sterile b/c virus goes to testes.
What problems do pregnant females get from getting mumps?
Pregnant women can miscarriage.
Identify and define the viral lower alimentary infection discussed in class.
Hepatitis B virus = Hepatitis B

It is a DNA virus.
What is unique about the hepatitis B virus?
It uses reverse transcriptase even though it is a DNA virus.
Hepatitis B virus = Hepatitis B

Side FX
How does it spread?
Prognosis
Rx
Side FX: fatigue, fever, nausea

Spreads via blood, blood products, and semen

Leads to the destruction of liver and eventually death

Rx: Vaccination, but there is no cure once contracted
List the 3 structures of the nervous system.
Brain
Spinal cord
Meninges
Identify and define the first viral nervous system infection discussed in class.
Neisseria meningitidis = Meningococcal meningitis

neisseria meningitidis - gram (-) rod
Identify and define the second viral nervous system infection discussed in class.
rhabdovirus family = Rabies

rhabdovirus family - bullet-shaped, enveloped, (ss) (-) RNA virus
Identify and define the wound infection discussed in class.
Clostridium Tetani = Tetanus aka "lockjaw"

clostridium tetani - gram (+) rod
What is the exotoxin released by the clostridium tetani virus? What is its function?
Tetanospasmin travels trough body and prevents neurons from controlling muscles; muscles kept in contracted position
Identify and define the blood infection discussed in class.
Yersinia Pestis = Black Death aka Plague

yersinia pestis - gram (-) rod
Yersinia Pestis = Black Death aka Plague

Side FX
How does it spread?
Prognosis
Side FX: enlarged lymph nodes, fever, shock, cough, bloody sputum

Spreads by fleas attacking humans and rodents

Death occurs 80% of the time
Identify the function of P1a in yersinia pestis.
Protease that dissolves blood clots in and destroys C3b and C5a
Identify the function of F1 in yersinia pestis.
Gene expressed only at high temps, i.e. in the human body

Leads to capsule production.
Capsules are harder for the body to fight.
Identify the function of the Yops protein in yersinia pestis. (3)
Destroys actin filaments in host cells
Prevents release of cytokines from being released ***
Induces apoptosis
What pneumonia-causing bacteria is most prominent in nosocomial infections?
Klebsiella pneumoniae
What pneumonia-causing bacteria that does NOT have a cell wall?
Mycoplasma pneumoniae
Why won't penicillin work on Mycoplasma pneumoniae?
It doesn't have cell walls.
How does Mycoplasma pneumoniae affect our bodies?
It attaches to epithelia cells and prevents cilia function.
How does legionella pneumophilia affect our bodies?
It enters and lives in our phagocytes