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76 Cards in this Set

  • Front
  • Back
Inflammation of the lining of the brain or spinal chord

Meningitis


(swelling of the meninges)

Acute or subacute inflammation of the brainAcute forms almost always caused by viral infectionSigns and symptoms vary but may include behavior changes, confusion, decreased consciousness, seizures
Encephalitis

Many different microorganisms can cause infection


If suspected, lumbar puncture is performed to obtain cerebrospinal fluid (CSF)


Typical symptoms


Headache


Painful or stiff neck


FeverElevated white blood cell count in the CSF

Meningitis

Gram-negative diplococci


Commonly known as meningococcus


Often associated with epidemic forms of meningitis


Causes the most serious form of acute meningitis


Acute=Rapid onset & Severe Symptoms

Neisseria Meningtides
Name the Causative Agent
Type of Organism
Mode of Transmission
Affected Cells/tissues/organs
Meningococcus

Name the Causative Agent


Type of Organism


Mode of Transmission


Affected Cells/tissues/organs


Meningococcus

Neiseeria meningitides

which causes the most serious form of meningitis? Bacteria, Viruses or Fungus

Bacteria

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Meningococcus

Neiserria Meningitides


Bacteria


Nasopharynx/bacterimia


Meninges

This form of Meningitis is often associated with epidemic forms and the most serious acute of the meningitis.



Neiserria meningitides

Is there a vaccine available for Neiserris Mengitides?

Yes


Small gram-positive flattenedcoccus
•Most frequent cause ofcommunity-acquired meningitis (highly Communicable)
•Very severe
•Does not cause the petechiae associated with meningococcalmeningitis; useful for clinical analysis
Petechiae (microscopic hemmorhages)

Pneumococcus


a.k.a


Streptococcus pnuemoniae

Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
pnuemococcus

Streptococcus Pneumoniae


bacteria gram (+)


Airborne


Respiratory tract


Meninges

•Causessevere meningitis
•Tinygram-negative pleomorphic rods
•Sensitiveto drying, temperature extremes, and disinfectants
•Symptoms–Fever–Stiff neck–Vomiting–Neurological impairment
Haemophilus Influenza
Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
Haemophilus Influenza

Haemophilus Inlfuenza


bacterium


Airborne


Meninges

•Gram-positive
•Rangesin morphology from coccobacilli to long filaments in palisades formation
Resistantto cold, heat, salt, pH extremes, and bile
•Innormal adults: mild infection with nonspecific symptoms of fever, diarrhea, andsore throat
Inelderly or immunocompromised patients, fetuses, or neonates: affects the brainand meninges and results in septicemia

Listeria Monocytogenes

Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
Listeria Monocytogenes

Listeis Monocytogenes


bacterium (gram +)


Enteric


Food Borne

This infection of the meninges can cross the placenta

Listeria monocytogenes

•Meningitis Almostalways a result of infection transmitted by the mother, either inutero orduring passage through the birth canal

•Twomost common causes
Streptococcusagalactiae•Group B strep
–Escherichiacoli

Neonatal Meningitis

what two bacterium are the common causes for neonatal meningitis

Escherichia Colo


Streptococcus Agalactia Group B strep

In what meningitis can bacteria enter the eye, nose, ears of the fetus in utero or in birth canal


And what two bacteria can cause it?

Neonatal Meningitis


•What infection of the meninges is also known as lockjaw?_________
Caused by what bacterium?_______
•Gram-positive,spore-forming rod
•Releases a powerful neurotoxin Called ______ That Bindsto target sites on peripheral motor neurons, spinal cord and brain, and in thesympathetic nervous system
•Toxin blocks the inhibition ofmuscle contraction–Resultsin spastic paralysis
First symptoms : clenching of thejaw,
followed in succession by extreme arching of the back, flexion of thearms, and extension of the legs
Tetanus

Caused by Clostridiumtetani–

,Toxin =tetanospasmin

What is given to a person to treat Tetanus?

An antitoxin, antibodies to neutralize the toxin



What does tetanospasmin do?

It blocks the inhibition of muscle contraction. Muscles can not relax

Botulism is
•Causedby _______________
–Spore forming anaerobe
–Releases an exotoxin
Intoxicationassociated with eating poorly preserved foods
•Canalso occur as a true infection

Clostridium Botulinum

Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
Tetanus

Clostridium tetani


bacterium Gram (+)


Stepping on rusty nail/ trauma


meninges/ CNS/SNS

Name the Causative Agent
type of organis
mmode of transmission
Affected cells/tissues/organs for
Neiserria monocytogenes

Escherichia Coli


Streptococcus algalactie group B strep


In utero/ birth canal


Meninges

What are the 3 Major forms of Botulinum?

Food-bornebotulism
•Ingestionof preformed toxin
Infantbotulism
•Entranceof botulinum toxin into the bloodstream
–Woundbotulism

•Entranceof botulinumtoxin into the bloodstream
What is characterized by these symptoms
•Symptoms
–Doublevision
–Difficultyin swallowing
–Dizziness
–Latersymptoms include descending muscular paralysis and respiratory compromise

Botulism

What is used to treat Botulim? And where do they work at in the cell?

Antitoxin
At the motor nueron end plate

Antitoxin


At the motor nueron end plate

•Spherical to ovoid cell shape and alarge capsule•Produces more chronic form ofmeningitis•More gradual onset of symptoms
•Headache is most common symptom;also nausea and stiff neck
•Sometime classified as a meningoencephalitis

Fungal


Cryptococcus neoformans

Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
meningoencephalitis

Cryptococcus neoformans
Fungus
Airborne/ Soilborne/fungal spores
Meninges/Lungs/blood/brain tissue
Produces more chronic form ofmeningitis

cryptococcus neoformans

•Produces
disease called “Valley
Fever” •At
25°C forms a moist white to brown colony with abundant, branching, septate
hyphae forming arthroconidia •Usually
begins with pulmonary infection
•Producesdisease called “ValleyFever”
•At25°C forms a moist white to brown colony with abundant, branching, septatehyphae forming arthroconidia
•Usuallybegins with pulmonary infection

Coccidiodes immitis


fungus


soil borne


Coccidioides immitis
Fungal infection

Coccidioides immitis


Fungal infection

Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
valley Fever

coccidioides immites


fungus


soilborne


meninges/lungs/skin granulomas

Viral Infection of the Meninges are also known as


_________


•Majorityof cases occur in children


•90%caused by enteroviruses


•Generallymilder than bacterial or fungal meningitis

aseptic meningitis


aseptic= no bacteria


septic- bacterial presence

Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
Viral infections of Meninges

Aseptic meningitis


virus


Enterovirus(through gastrointestinal )Food/water


Meninges

•Viraldiseases of the meninges
borne by insects;(arthropods) most feed on the blood of hosts
•Commonoutcome is acute fever, often accompanied by rash

Arboviral Diseaseses



Name the Causative Agent
type of organism
mode of transmission
Affected cells/tissues/organs for
Viral Diseases borne by insects

Arboviral


Insects/arthropods


in blood/ saliva/coagulase


Meninges

•Appearsfirst in horses then in humans
•Carriedby mosquito
•Extremelydangerous to infants and small children

Western Equine Encephalitis (WEE)

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Western Equine Encephalitis

Virus


Mosquito to human


Zoonitic Infection


Encephalitis/ Brain

Eastern coast of North American and CanadaUsually appears first in horses and caged birdsVery high case fatality rate


Neurological Distress

Eastern Equine Encephalitis (EEE)

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Eastern Equine Encephatlitis

Eatern Equine encephalitis Virus


Virus


Mosquito


Encephalitis/Brain

May be caused by two different viral strains:


California strain and


the LaCrosse strain


Children living in rural areas: primary target group

California Encephalitis

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


California Encephalitis

California Encephalitis Virus


Virus


Mosquitoes


Encephalitis

May be most common of all American viral encephalitides


Epidemics in the US occur most often in


the Midwest and South

St. Louis Encephalitis (SLE)

Name the Causative Agent


type of organism mode of transmission


Affected cells/tissues/organs for


St louis Encephalitis

St Louis Encephalitis (SLE) VIrus


Virus


Mosquito


Encephalitis

Zooniotic infection
Increasing in numbers in the United States

Endemic in 47 states

Birds are the reservoir
Mosquito vector
High Fevers/ conulsions/Nuerological distress
Traveled from Tel Aviv Israel

Zooniotic infection


Increasing in numbers in the United States


Endemic in 47 states


Birds are the reservoir


Mosquito vector


High Fevers/ conulsions/Nuerological distress


Traveled from Tel Aviv Israel



West Nile Virus

Can cause encephalitis in newborns born to HSV-positive mothersPrognosis is poor


The Virus goes Latent in Nerve Cells.

Herpes Simplex Virus

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


West Nile Virus

West NIle Virus


Virus


Mosquito/Birds


Encephalitis



Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Herpes Simplex Virus

Herpes Simplex Virus Type II Genital Herpes


Virus


Newborns in Birth Canal/Cross Placenta


Encephalitis and meningitis

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Leukoencephalopathy (PML)

JC virus John Cunnigham


Virus




Encephalitis/ White matter

Infection is common (70-90% of humans)


In patients with immune dysfunction,


cause progressive multifocal leukoencephalopathy (PML)


uncommon but generally fatal


Most humans have antibodies for it

JC Virus

Slow, progressive zoonotic disease


Characterized by fatal encephalitis


Average incubation time: 1-2 months or moreProdromal phase begins with fever, nausea, vomiting, headache, fatigue, and other nonspecific symptoms


Prodormal Phase in an infection is a collection of symptoms before getting the full blown disease symptoms

Rabies

___________Periods of agitation, disorientation, seizures, and twitching(foaming of mouth)


Spasms in the neck and pharyngeal muscles lead to hydrophobia


____________Patient is not hyperactive but is paralyzed, disoriented and stuporous


Both forms progress to the coma phase, resulting in death

Furios Rabies




Dumb Rabies

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Rabies

Rabies Virus


Virus


Animal bite


Encephalitis

Are vaccines available for Rabies? If so when?
Yes for postexposure

Acute enteroviral infection of the spinal cord


Can cause neuromuscular paralysis


Often affects small children


Most infections are contained as short-term, mild viremia(99%)


Some develop mild nonspecific symptoms of fever, headache, nausea, sore throat, and myalgiaThen spreads along specific pathways in the spinal cord and brain

Poliomyelitis

Neurotropic virus infiltrates the motor neurons of the anterior horn of the spinal cord


____________: invasion but not destruction of


nervous tissue


____________ various degrees of flaccid paralysis

Nonparalytic Polio


Paralytic Polio

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Polio

Poliomyelitis


Virus


Food/water borne/ Fecal- Oral.


Direct Contact/ Contact with pleghm


Motor Neurons of Spinal Chord

What type of infection is Poliomyelitis?
A focal Infection

Can people with no symptoms of poliomyelitis still pass on the Virus? If so how?




What percentage of people have no symptoms, or just mild like flu symtpoms

yes. pass it through Fecal Matter, contaminate food and water




99%

_________produced formaldehyde-fixed vaccine in 1955


__________ developed live,


attenuated virus vaccine in 1961Taken orally

Jonas Salk


Albert Sabin

What is this disease and what is the causative agent?


Transmitted by mosquito


Results in underdevelopment of the brain;


cranial cavity collapses leading to microencephaly

Zika Encephalopathy


Zika Virus

Two protozoans produce Meningoenciphalitis

Naegleria fowleri


Acanthamoeba

Small, flask-shaped amoebaForms a rounded, thick-walled, uninucleate cyst


Causes primary amoebic meningoencephalitis (PAM)


Infection begins when amoebas are forced into human nasal passages as a result of swimming, diving, or other aquatic activities


Amoeba burrows in to the nasal mucosa, multiplies, and migrates into the brain and surrounding structure

Naegfleri Fowleri

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Zika encephalapothy

Zika Virus


Virus


Mosquitoes


Encephalitis/ Brain of children

Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


Primary amoebic meningoencephalitis (PAM)

Naegleria Fowleri


Protozoan


Water borne


Encephalitis/ Brain and meninges



Large, amoeboid trophozoite with spiny pseudopods and a double-walled cyst


Causes granulomatous amoebic meningoencephalitis (GAM)


Invades broken skin, the conjunctiva,


and occasionally the lungs and urogenital epithelia

Acanthamoeba
Acanthamoeba causes what disease? what kind of microorganism is it?

granulomatous amoebic meningoencephalitis


A protozoan



Name the Causative Agent


type of organism


mode of transmission


Affected cells/tissues/organs for


granulomatous amoebic meningoencephalitis

Acanthamoeba


protozoan


Water borne/Respiratory


Eye/Lungs/urogenital



Name this disease caused and Causative Agent
causedby flagellated parasite

Most cases go unnoticed

Severe and often fatal in the fetus and immunodeficient people

May be asymptomatic or marked by mild symptoms such as sore throat, lymph node ...

Name this disease caused and Causative Agent


causedby flagellated parasite


Most cases go unnoticed


Severe and often fatal in the fetus and immunodeficient people


May be asymptomatic or marked by mild symptoms such as sore throat, lymph node enlargement, and low-grade fever

Toxoplasma gondii causes Toxoplasmosis

Caused by Trypanosoma brucei


Also called trypanosomiasis


Affects the lymphatics and areas surrounding blood vessels


Usually a long asymptomatic period precedes onset of symptoms


Symptoms include intermittent fever, enlarged spleen, swollen lymph nodes, and joint painCentral nervous system is affected with personality and behavioral changes that progress to lassitude and sleep disturbances

African Sleeping Sickness

African Sleeping Sickness

Caused by abnormal proteins,


not microorganisms


Transmissible spongiform encephalopathies (TSEs)


Neurodegenerative diseases with long incubation periods but rapid progression once they begin

Prion Diseases


Abnormal Proteins

Human TSE s


(Transmissible spongiform encephalopathies )


Creutzfeldt-Jakob disease (CJD)


Gerstmann-Strussler-Scheinker disease


Fatal familial insomnia

Prion Diseases


Abnormal Proteins


Prion Diseases Abnormal Proteins