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22 Cards in this Set

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Suppurative Acute Inflamation
Leukocyte inflamation
-PMNs are attracted to the site by release of chemoattractants produced by *rapidly dividing* extracellular bacteria
-**large pus formation
Mononuclear and granulomatous inflammation
-mononuclear interstitial infiltrates in respnse
Cytopathic-Cytoproliferative Inflammation
- virus mediated damage
-absence of host inflamatory response
-can cause proliferationf of epithelial cells and form warts
-
Necortizing inflamation
-toxin-mediated
-tissue damage and cell death
-Few inflamatory cells involved
-Don't see many infamatory cells because the infection occurs so quickly that there isnt time for the WBCs to get there.
CHronic Inflamation
-final pathway of many infections
-lead to complte healing or extensive scarring
-
Bacteria invovled in chronic inflamation
H. Pylori
Crytosporidium
Microsporidium
Troponeum palladium
Direct Staining methods for fungus
lactophenol Blue
KOH-used to distinguish fungi in hair and neails
KOH-Calcuflour- really looks
for fungal elements
-India INK- can identify capsule of cryptococcus.
Types of Inflamation
1. Supuralitive acute inflamation
2. Granulomatous
3. Cytopathic or cytoproliferative
4. Necrotizing
5. Chronic
Supurrative (acute) infection
1. Strong congregation of PMNs
2. Rapidly divinding Bacteria produce chemokines which attract more PMNs
3. going to create pus
4. severity of exudate production is dependient on the pathogen of infection.
Granulatomous (mononuclear) Infection
1. usually seen with interstitial infiltrates- bacterial, viral, parsitic infections
2. Parasites-eosionphils
2. lymphocytes- viruses
3. Macrophages aggregate to form giant cell.
4. seen predominately with casseous necrosis infections.
Cytopathic or Cytoproliferative inflammation
1. virally mediated
2. Think HPV and HSV
3. Virus indiuces sloughing and hypertrophy.
Necrotizing inflamation
-usually toxin mediated
- think GAS and Clostridium perfringens
Chronic Inflamation
1. Can either lead to complete healing, or scarring.
2. PMN inflamation and fibrosis usually overlap.
Four staining methods
1. Gram stain
2. ACid Fast stain
3. Florescent Staining
4. Auramine-Rhodamine Stain
Auramine-Rhodamine Stain
-Used for staining mycobacterium
Lab diagnositcs for Fungi!
1. Lactophenol Blue
2. KOH
3. KOH-Calcuofluor White
4. India Ink
lactophenol Blue
-gives off a light blue structure
-preserves structures
-
KOH
-dissoleves some tissues and makes them transparent
-
KOH-Calcuofluorr White
-binds to the chittin of fungi
India Ink
-Binds ot the capsuel, especially in cryptococcus.
parasitic Infections
1. can diagnose usually directly microscopically
2. can see in the tissus
3. Wright-Geimsa stain can be used for blood detection
4. can cause chronic or granulomatous infections
5. protozoa and eggs are observed under the microscope.
Four types of laboratory susceptibility diagnosis
1. macrodilution
2. microdilution
3. Kirby-Bauer test
4. E-test- bascially there is a strip with varying concentration of antibiotics on it, and where the border of no growth is is going to be the MIC of that organism.