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14 Cards in this Set

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Case Study: Patient presented with scratchy throat, sneezing, runny nose.
Rhinovirus

Common Cold
Antibodies bind to surface of rhinovirus and block attachment to cell surface.
Case Study: difficult-to-isolate, looks like crown from glycoprotein spikes. Symptoms include cold-like symptoms.
Coronavirus

Common cold
Can cause other infections
Case Study: Toddler presents with loud barking cough that worsens at night. Mucus accumulation and hoarseness apparent, with recurrent episodes.
Parainfluenza virus

Bronchitis, Croup in toddlers, laryngotracheobronchitis
ssRNA, capsid spikes adhere to cell
The patient first showed signs of upper respiratory disease like rhinitis, pharyngitis, and otitis media. Later, coughing, wheezing, dyspnea, and rales. the 86-year old patient then grew worse. The infant patient was infected also.
Respiratory syncytial virus.
Highly contagious, enveloped virus. Use direct fluorescent antibody to detect. Treat using ribovarin
Patient: both UR and LR tracts were affected and exhibited chills, fever headache, general ache, fatigue, malaise, vomiting. The patient goes to daycare and got symptoms during January. The patient was sneezed on and shook hands with someone clearly sick.
Influenza virus
Virus has lipid bilayer with projections and antigens. H spikes recognize and attach to body cells. N spikes help virus escape cell after replication. Three types. Antgenic shifts result in new combinations. ssRNA, very variable.
A patient was in the Southwest US and rolling around in deer mice droppings. Later he exhibitied fever, chills, headache, nausea, vomiting, diarrhea, and acute respiratory distress. There was a drop in blood pressure.
Hantavirus
Pulmonary syndrome
Fluid from blood vessels fills capillaires of lung alveoli, filling air space and causing breathing difficulties
The patient showed a gray membrane in the back of the throat, that bled when scraped to be removed.
Corynebacterium diptheriae
Gram + Rod
Part A and B polypeptides key to virulence
B attaches to host cel
Toxin enters
A part separates from B and enters cytoplasm
A part = enzyme that deactivates EF2 and so stops protein synthesis.
causes cell death
Patient 1 presents with headache, chills, fever, muscle ache.

Patient 2 presents with pain in heart and joints.

Patient 3 presents with kidney inflammation.
Streptococcus pyogenes.
Gram + cocci chains
B hemolytic
Pyrogenic
GAS
M proteins, pyrogenic exotoxins = key to virulence. capsule protects
Streptokinase break up blood clots
Streptolysis lyse RBC
erythrogenic toxins casue rash, fever, and shock
Super antigen = TSS
The child presented with normal cold symptoms, then a cough and vomiting with cough.
Bordatella pertussis
Pertussis
Obligate aerobe Gram- coccobaccillus with capsule
Attachment by filamentous hemagglutinin to cilated cells in trachea.
Causes mucous accumulation and toxins
The child's epiglottis was inflamed, as well as ear infection and inflamed sinuses. The disease progressed to bacterial meningitis.
Haemophilus influenzae
Very small G- Rod
Type b has capsule
Fastidious, chocolate agar, w/ red blood cells to break down in heat
CF patient presented with a respiratory infection and UTI and skin infections after being hospitalized.
Pseudomonas aeruginosa
Gram - aerobic rod
Has pigments
Mucoid or fried egg appearance
Patient had otitis media nad other respiratory infections
Stain showed gram negative dipplococcus with rough, pinkish-brown opaque colonies on blood agar
Moraxella catarrhalis
otitis media
Gram - diplococcus
part of normal throat/nose biota
Patient showed lesions in lung tissue ... also chronic cough, fatigue, weight loss.
Negative pressure helped.
Mycobacterium tuberculosis
TB
Rod-like bacteria, acid fast positive
Mycolic acid
Can be asymptomatic
Can be reactivated
Evades immune system
Primary (asymptomatic, form granuloma)
Secondary: reactive years later
Patient presented with red lungs, high fever, breathign diffculty and chest pain, coughing up blood
S. pneumoniae,
K. pneumoniae,
Mycoplasma
Legionella pneumonila
Chlamydia pneumoniae
Chlamydiapneumoniae and chlamydia psittaci
H. influenza, S. aureus, Y pestis
Lungs red, alveoli fill with RBCs, neutrophils, fluid, no toxins associated