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49 Cards in this Set

  • Front
  • Back
What are the 4 ways bacteria can gain entry into the Nervous System
1) Skull or backbone fractures
2) Medical procedures
3) Peripheral Nerves
4) Blood or Lymph
Which bacteria/Virus gains entry through the Skull or backbone fractures?
Neisseria meningitidis
Which bacteria/Virus gains entry through Medical procedures?
Rabiesvirus, prions
Which bacteria/Virus gains entry through the Peripheral Nerves?
HSV 1 and 2
Which bacteria/Virus gains entry through the Blood or Lymph?
Measles virus
Bacteria can grow in the serebrospinal fluid in where of the CNS?
subarachnoid space
What is the function of the blood brain barrier?
Uses capillaries to prevent passage of materials like antimicrobial drugs into the CNS
What is Meningitis?
Inflamation of meninges
What is Encephalitis?
Inflamation of the brain
For Bacterial Meningitis what is the precentage of cases and fatality rate?
1) Streptococcus pneumoniae
2) Neisseria meningitidis
3) Haemophilus influenzae
4) Others
1) 30-50%, 19-46
2) 15-40%, 3-17
3) 2-7%, 3-11
4) 6-8% of cases
Bacterial Meningitis:
1) Symtoms?
2) Followed by what?
3) Progressive into what?
4) Diagnosed with what?
5) Treated with what?
1) Fever, headache, stiff neck
2) Nausea and vomiting
3) convulsions and coma
4) Gram stain of CSF
5) Cephalosporins and Chloraphenicol
Haemophilus influenza B:
1) Discovered?
2) Occurs mostly in what?
3) What kind of Bacteria?
4) What kind of Capsules?
1) 1918 fly epidemic
2) Chidren
3) G- aerobic bacteria, normal throat microbiota
4) Antigen Type B
How is Haemophilus influenzae b prevented?
with the hib vaccine
HiB+DTaP={tetramune] (immune to 4 things)
Neisseria Meningitis:
1) AKA?
2) Type of Bacteria
3) % of carriers?
4) Symptoms?
5) Death occurs by what in how long?
1) Meningococcal Meningitis
2) G- Aerobic cocci, capsule
3) 10
4) Throat infection rash, red spots that turn blue then black
5) By meningoccemia in 2 Hr
Streptococcus pneumonia meningitis:
1) AKA?
2) Kind of Bacteria?
3) % of people that are nasopharyngeal carriers
4) Most common in?
5) Mortality for children and elderly?
1) Pneumococcal Pneumonia
2) G+ encapsulated diplococci
3) 70%
4) children (1 month to 4 years)
5) C:30%;E:80%
What is the Vaccination of Streptococcus Pneumonia Meningitis?
Pneumovax 23: 23 capsules material from 23 different strains of streptococcus pneumonia
Streptococcus Penumoniae:
1) How is it disagnosed?
2) What kind of hemolysis?
3) What is the drug of choice and why?
1) culturing bacteria
2) alpha
3) Natural penicillion G or V since they are more effective than semisynthetics
Listeriosis:
1) Caused by what Bacteria?
2) What kind of Bacteria?
3) Transmitted by what?
4) Grows in the refrigerator meaning?
5) Reproduces in what?
1) Listeria Monocytogenes
2) Small G- aerobic rod
3) Food borne and transmitted to fetus
4) is Psychotropic
5) Phagocytes
Meningitis:
1) what is it?
2) what are the annual cases?
3) what is the mortality %?
1) blood disease, uterus infection, respiratory distress with diarrhea and back pain making diagnosis difficult (food poisoning and cancer)
2) 2,000
3) 25%
Tetanus:
1) Caused by?
2) What kind of Bacteria
3) Grow in what?
1) Clostridium tetani
2) G+, endospore-forming, obligate anaerobe
3) deep wounds and produces a toxin
Tetanospasmin:
1) result of what?
2) what is it?
3) released from?
4) what does it do to muscles?
1) Tetanus
2) Exotoxin
3) Dead Cells
4) blocks relaxation pathways in muscles and causes threshold for muscle firing to be lowered
Treatment of Tetanus:
1) what is the vaccine?
2) what is the booster?
3) treatment with what?
1) Tetanus toxoid (DTaP)
2) dT
3) Immune globulin: every 5 years
Botulism:
1) Caused by what?
2) What kind of bacteria?
3) Doesn't cause infection but what?
1) Clostridium botulinum
2) G+, endospore-forming, obligate anaerobe
3) Intoxication due to ingesting botulinal toxin
Boulinal toxin:
1) Releases what Neutransmitter?
2) What does the neurotransmitter cause?
1) Acetylcholine
2) Flaccid paralysis
What are the 2 ways to Prevent Botulism?
1) Proper canning or vaccum packed food
2) Nitrites prevent endospores gremination in sausages and bacon
Botulism:
1) Treatment:
2) Infant botulism results from what?
3) Wound Botulism results from?
1) supportive care and antitoxin
2) C.botulinum growing in intestines
3) Growth of C. botulinum in wounds
Leprosy:
1) Caused By?
2) What is special about the Rods?
3) Grows where?
4) Transmission requires what?
1) Mycobacterium leprae
2) Acid fast rod that grows in 30 *C
3) Peripheral Nerves and Skin Cells
4) Prolonged contact with an infected person
Leprosy produces a Ti-CMI response:
1) What happens with the skin?
2) Positive or negative Lepromin Test
1) Loss of sensation in skin arease
2) Positive
Leprosy produces a Th2- AMI response:
1) What happens with the skin?
2) Positive or negative Lepromin Test
1) Disfigurring nodules over body
2) Negative
Poliomyelitis:
1) Caused by what virus?
2) Transmitted by what?
3) Initial symptoms are?
1) Poliovirus
2) Ingestion
3) Sore throat and nausea
Poliomyelitis:
1) if Viremia occurs where can the virus enter?
2) What happens when the virus enters?
1) CNS
2) destruction of motor cells and paralysis occurs in <1% of cases
Poliomyelitis is prevented by what kind of vaccination? (2)
Enhanced inactivated polio vaccine
1) 1954: Salk (inactivated)
2) 1963: Sabin (attenuated)
When a person has Polio what was used to help them breathe?
Iron Lung
Rabies Virus:
1) caused by what virus?
2) Transmitted by?
3) Multiples where?
4) Initial symptoms?
1) Rhabdoviridae
2) Animal Bites
3) In skeletal muscles, then brain brain cells causing encephalitis
4) Muscle Spasm of mouth and pharynx and hydrophobia
What is Furious rabies?
animals are restless then highly excitable
What is Paralytic rabies?
Anaimals seem unaware of surroundings
What is Pre-exposure prophylaxis for Rabies?
Infection of human diploid cells vaccins (5 shots in the deltoid)
What is the Post Exposure tranment for Rabies?
Vaccine+immune globulin, it is possible to be vaccinated after a bite because it takes so long to reach the brain
Rabies virus control program:
1) what happened in 1988
2) what happened in 1995
3) what happened in 1996
Dropped meat with vaccine from planes
1)2 epizootics a. coyote and gray fox
2) began rabies control program utilizing an oral vaccine (coyote)
3) expanded control program to include gray foxes
What is Arboviral Encephalitis?
Arthropod borne viruses that belong to several families
How do you prevent Arboviral Encephalitis?
By controlling mosquitoes
1) West Nile Virus
2) St. Louis Encephalitis
3) California Encephalitis
Transmissible Spongiform Encephalopathies?
1) What are the diseases characteristics?
2) Caused by?
3) Transmitted by? (4)
1)Slowly progressing but uniformly fatal neurological disease
2) Prions
3) Ingestion, transplant, and surgical intruments, or inherited
What is a Prion?
-PROTEINACEOUS INFECTIOUS PARTICLES
-brain proteins that have altered themselves to be infectious
Types of Prion Disease:
1) Sheep Scrapies
2) Creutzfeldt-Jakob disease
3) Kuru
4) Bovine spongigorm encephalopathy
1) Sheep scrape themselves raw (transmitted by mink encephalopathy)
2) caused by a prion
3) In neguini caused by cannabilim
4) mad bow disease (cows were fed opal of dead sheep)
PrP^(C):
1) What kind of prion?
2) Present where?
1) normal cellular prion
2)protein on cell surface of glial cells (which support neurons)
PrP^(Sc)
1) What kind of Prion?
2) What kind of Protein?
3) Accumulates where?
4) Cells form what?
5) Survive what?
1) Abnormal
2) Scrapie
3) the Brain
4) Plaques
5) Heat, chemical disinfection, and radiation
What is the Protein Only Hypothesis?
Proposes the infectious agents that transmits TSE is PrP^(SC)
PrP^(SC) is described as a seed that induces what?
The formation of more of itself
Creutzfeldt-jakob Disease:
1) iCJD
2) sCJD
3) nvCJD
1) iatrogenic, human growth hormone, duramater grafts
2) sporatic, somatic mutation or conversion
3) New varient ingestion