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19 Cards in this Set

  • Front
  • Back
Organism?

- carried by many sp. of wild rodents, rabbits, beavers, muskrats
-low infectious dose (Highly infectious, ID50 = 10-50 bacteria) – like shigella (KEY)
-can infect skin (handle animals), respiratory infection or enter food supply.
Francisella tularensis (tularemia or Rabbit Fever)
What virulence factor associated with Bacillus anthracis is an adenylate cyclase which causes increase in cAMP, disrupts cell metabolism, and requires calmodulin as co-factor (analogous to invasive adenylate cyclase)?
edema factor (EF)

Edema toxin comprised of PA plus edema factor (EF)

Anthrax toxin comprised of 3 elements:
1. Protective antigen (PA)
2. Edema toxin comprised of PA plus edema factor (EF)
3. Lethal toxin comprised of PA plus lethal factor (LF)
Virulence factor associated with Yersina pestis which:
- form channel between bacterium and eukaryotic cell

-are kinase, phosphatase; disrupt actin and cytokine production

-have effect to disrupt macrophage & PMN functions
Yersinia outer membrane protein (Yop)

Delivered inside a cell by TYPE III SECRETIONS

MUST KNOW**
Organism?

Gram(-) pleomorphic rod
-can be grown in vitro but risk of lab-acquired infection high (KEY)
Francisella tularensis (tularemia or Rabbit Fever)
Organism?

large G(+) bacilli
nonmotile
non-hemolytic on BAP
B. anthracis
Organism and disease?

-hematogenous spread, bronchopneumonia; person-person by respiratory droplet

-organisms transmitted via aerosols are more virulent (adaptation to human host)

-high mortality rate
Pneumonic plague

Yersinia pestis (The Plague)

Pneumonic plague has higher mortality rate than bubonic plague
What category of diseases / agents are described as:
• can be easily disseminated or transmitted from person to person;
• result in high mortality rates and have the potential for major public health impact;
• might cause public panic and social disruption; and require special action for public
health preparedness.
Category A Diseases/Agents
What signal is needed for the opening of pores formed by Yops?
Yops = Yersinia outer membrane protien

Low Ca2+

Low calcium response (Lcr)
- released by type III secretion but not injected into cells
Organism and disease?

-Painless ulcer develops with coal-black necrotic center
- found in soil or contaminated animal products (hides, wool, bone)
- highly resistant to disinfectants, heat, desiccation, and UV radiation
Spores of Bacillus anthracis (anthrax)

Cutaneous anthrax
Organism associated with:

-Fever, lymphadenitis, vasculitis, bubonic purpura, gangrenous necrosis

-persons infected by flea bite

-affinity for lymphatics leads to swollen lymph nodes, formation of “buboes”

-gangrene of acral regions (peripheral parts of the body) “black death”
Yersinia pestis (The Plague)
What organisms are listed under Category A Diseases/Agents?
Category A Agents
1. Anthrax (Bacillus anthracis)
2. Botulism (Clostridium botulinum toxin)
3. Plague (Yersinia pestis)
4. Smallpox (variola major)
5. Tularemia (Francisella tularensis)
6. Viral hemorrhagic fevers (filoviruses [e.g., Ebola, Marburg] and arenaviruses [e.g., Lassa, Machupo])

MUST KNOW**
What organism has toxic products injected directly into mammalian cell cytoplasm?
Yersinia pestis which occurs by Type 3 secretion of Yop ( yersina outer membrane proteins)
What virulence factor associated with Bacillus anthracis is the binding subunit; used for vaccine?
Protective antigen (PA)

Anthrax toxin comprised of 3 elements:
1. Protective antigen (PA)
2. Edema toxin comprised of PA plus edema factor (EF)
3. Lethal toxin comprised of PA plus lethal factor (LF)
Organism?

-Gram(-) rod
-Safety pin appearance
-immunofluorescence staining
-vaccine available for high-risk groups.
Yersinia pestis (The Plague)
Organism and disease?

-Initial symptoms are non-specific (low grade fever, a dry hacking cough, malaise)

-Respiratory distress with shock occurs followed by sudden death

-Respiratory distress: massive pulmonary edema and mediastinal hemorrhage

-Antibiotic therapy begun after symptoms develop may not save patient
Inhalation anthrax (Woolsorter’s disease)

Bacillus Anthracis spores germinate in lungs and bacilli produce toxins
What organism has :

Arthropod vector: Rat flea regurgitates the organism upon blood meals?
Yersinia pestis (The Plague)
What category of disease / agents are associated with :
-moderately easy to disseminate;
-result in moderate morbidity rates and low mortality rates;
-primarily associated with animal terrorism (cattle)
Category B Diseases/Agents
What virulence factor associated with Bacillus anthracis is:

- a metalloprotease, cleaves mitogen-activated protein (MAP) kinases 1 and 2

- short circuits major signal transduction pathway in monocytes?
Lethal Factor (LF)

Lethal toxin comprised of PA plus lethal factor (LF)

Anthrax toxin comprised of 3 elements:
1. Protective antigen (PA)
2. Edema toxin comprised of PA plus edema factor (EF)
3. Lethal toxin comprised of PA plus lethal factor (LF)
What organisms associated with bioterrorism have available vaccines to individuals at high risk?
Bacillus anthracis

Yersinia pestis