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15 Cards in this Set
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- Back
Corynebacterium Diphtheriae
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Typically occurs in immigrants without vaccine.
Since the vaccine, cases have dropped pseudomembrane-Don't touch because of bleeding or slip "bull neck" |
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Medium you test on if you suspect Corynebacterium Diphtheriae
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Cysterine-tellurite Loeffler's Medium
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Diphtheriae Pathogenicity
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Diptheria secrets a toxin with
A=active domain B=Binding domain T-Translocation domain The A domain halts protein synthesis and kills the cell |
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What is the diptheria vaccine?
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Slightly denatured A domain= inactive toxin
Toxoid -antibodies against B domain is created. -When antibodies bind the B unit, the toxin cannot bind, preventing Diphtheria toxin B domain still in tact |
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Epstein-Barr Virus
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Clinical
Tonsillitis/pharyngitis Extreme Malaise!!! Cervical lymphadenopathy Spleenomegaly (avoid contact sport) atypical T-lymphocytes Test monospot test heterophile anitbodies for sheep RBC Treatment Symptomatic |
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Influenza Virus
structure and symptoms |
Orthomyxovirus
Single stranded (-) RNA Virus Haemagglutinin Neuraminidase Symptoms Fever headache cough body ache runny nose sore throat Superbowl |
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Influenze Drift
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Annual point mutations
Single stranded RNA make it more susceptible to mistakes and variation to the original code This results in H and N which are still like H1N1 but have little variations in antibody binding etc |
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Influenza Shift
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Every 10 years
mixed infection ressortment of RNA pieces |
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Reyes Syndrome
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Neurological complication which occurs when aspirin is given to an individual with the FLU.
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Adenovirus
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Sore throat
Pneumonia Conjunctivitis palpable preauricular lymphadenopathy Extremely common (children) |
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Moraxella Catarrhalis
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Infection of the middle
Connection to throat results in sore throat Noted for antibiotic resistance |
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Neisseria gonorrhoea
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gross
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Coxsackievirus A
Herpangina (vesicles/ulcerations) |
Vesicles and ulcerations
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Arcanobacterium hemolyticum
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sore throat + scarlatine rash
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GABS
How does it infect? What are its virulent factors? How does it evade the immune system? |
Group A Refers to the C carbohydrate Lancefield Antigen A
Mechanism Step 1: Adherence •M Protein, lipoteichoic acid, and protein F oMediated attachment to the fatty acid binding sites in fibronectin oFibronectin cover the epithelial cell surface Step 2:Release of Toxins •Streptolysin O- An enzyme that destroys red and white blood cells giving to its beta-hemolytic state oStreptokinase- activates the proteolytic enzyme plamin which breaks up fibrin blood clots oHyaluronidase- breaks down hyaluronic capsule which protects bacteria from immune system. This aids in spread of bacteria Evading Immune system •M-protein inhibits the activation of complement and protects the organism from phagocytosis •C5a peptidase oDegrades complement component C5a (complement attracts phagocytes to the battlefield) oDestroys the chemotactic signals |