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116 Cards in this Set

  • Front
  • Back

Infection

Colonization of the body by a microorganism

Symptoms

Subjective: pain and headache

Signs

Evidence of infection: rash and fever

Disease

Interruption of process, organ, or body. A definite pathological process with a characteristic set of signs and symptoms

Negative Roles of Bacteria

Rot Food and Cause Disease

Positive Roles of Bacteria

Waste Disposal, Digestion, Photosynthesis, and Nitrogen Fixation

Epidemiology

Study of WHEN and WHERE infectious diseases occur and HOW they are transmitted in populations emphasis on prevention and cure.

Mutualism

Both Benefit

Commensulism

One benefits and the other is unaffected



Parasitism

One benefits and the other suffers

Host

Body or organism that is infected

Disease

any deviation from health

Infectious Disease

disease caused by microbe (disruption of tissue or organs)

Infection Proces

Portal of Entry --> Attachment --> Survive Host Defenses--->Cause Damage (Disease)--> Exit Host

Virulance

Ability to cause Disease

Virulence Factors

Anything that helps a microbe to cause disease

Pathogen

any microbe capable of causing disease

True Pathogen

a microorganism capable of causing disease in a healthy person

Opportunistic Pathogen

pathogenic organism that causes disease in a host with a weakened immune system OR microbes that cause disease only when in places they don't belong

Primary Infection

Occurs in otherwise healthy individual

Secondary Infection

When an infection occurs due to the individual being weakened by primary infection

Local Infection

Localized to one region of body

Systemic Infection

Infection that has spread to deeper organs or systems

Portals of Entry

Mucous membranes (mucosa) respiratory, gastrointestinal, genitouninary, Skin cuts or damage

Transmission

Reservoir --> Mode of Transmission --> New Host

Reservoir

Natural host or habitat of a pathogen. Long Term places: where a pathogen normally lives/multiplies

Living Reservoirs (Human CASE)

Person has it and shows they have it




Living Reservoir (Human CARRIER)

Human has it and doesn't show they have it. 1. Incubation period, 2 subclinical infection, 3 infection is resolving, chronic carriers, contaminated hands or clothing

Living Reservoir (Zoonic infections)

Diseases that exist in animals and can be passed to humans

Non Living Reservoirs

Food, water, and soil

Transmission (Direct)

Touch, droplets, or vertical (birth)

Transmission (Indirect - Mechanical Vector)

Living - Biological Vector: living and part of virus lifecycle


Non Living - Vector: water, food, air, and fomites

Reasons for disease in the past

No sewage system, dirty water sources, and garbage

Endemic

Disease lives in population, population adapts to disease and disease adapts to population.

Travelers and Endemics

Travelers at high risk to get endemic diseases and would bring their own endemic diseases to new place

Early thoughts on disease

Punishments from god. Hippocrates fathered western medicine: separated religion from disease and determined it to be a factor of living conditions and ways of life.

Leprosy (Bacteria Description)

-Skin/nerve disease


-Bacteria: Gram Positive bacillus, acid fast, slow-growing, intracellula, discovered by Gerhard Armauer Hansen

Tuberculoid Leprosy

-Shallow, irregular skin lesions


-Some loss of sensation due to nerve damage

Lepromatous Leprosy

-Disfiguring lumpy skin


-Significant nerve damage



Leprosy in religion

Christians said to isolate lepors and leprosy was likely a blanket term for many skin diseases

Leprosy's impact

-Probably led to belief that disease is contagious


-Isolation can prevent spread


-Certain diseases cause stigmatization

Plague (Bacteria Description)

-Gram Negative

-Coccobacillus


-Discovered by Alexandre Yersin


-Yesinia Pestis


-Vector Born



Bubonic Plague

-Infection of lymph nodes


-Swollen necrotic lymph nodes "bubos" fever, chills, headache +15% mortality rate

Septicemic "Black" Plague

-Often the progression of bubonic plague


-Bacteria goes from lymph nodes --> bloodstream


-Causes excessive immune system response to endotoxin

Septicemic "Black" Plague Process

-Intravascular coagulation


-Clots in blood stream


-Capillaries plugged


-Bleeding under skin


-Tissues die and blacken


-Death from septic shock


-mortality is 100%

Pneumonic Plague

-Progression of Bubonic Plague


-Infects lungs


-Becomes airborne and can spread


-Respiratory failure


-Death by septic shock


-mortality 100%

Plague Cases

-First was "Justinian Plague" Romaniam Empire 500AD


-Second was "Black Death" 1347-1351

Plague Resulted in

-Public Health Measures


-Medicine as science


-Church gained strength



Syphilis "The Great Pox"

-Treponemia Palladium


-Gram negative


-Spirochete


-Discovered by Erich Hoffman and Fritz Schaum


-1 to 4 stages

Primary Syphilis

-Single Chancre (painless sore)


-Transmitted through direct contact with chancre


-Bacteria spread via blood or lymph nodes


-Chancre heals, bacteria remain

Secondary Syphilis

-3-6 weeks after chancre heals


-Rashes appear on skin, throat, or cervix


-fever, headache, sore throat, hair loss


-sometimes joint, liver, and bone damage


-Contact with rash spread infection

Latent Syphilis

-Signs disappear and remain gone for up to 20 years

-After 2-4 years, secondary syphilis is not transferable except via birth

Tertiary Syphilis

-~15% of people with latent syphilis develop tertiary syphilis.


-Painful swollen tumors (gumas) in liver skin bone or cartilage


-may cause serious damage

Nuerosyphilis

-Bacteria invade nervous system


-Symptoms go from mild to sever ranging from behavior changes to coordinating muscles


-Internal organ damage: brain, eyes, heart, liver, essentials and eventually death

Congenital Syphilis

-Bacteria goes through umbilical cord and to fetus; disrupts growth and development of fetus


-Miscarriage/stillbirth


-Infants who survive sever nasal discharge, skin eruptions, may have bone, joint, nervous system, eye, and tooth defects (w teeth)

Significance of syphilis

-Epidemic in Europe


-Origin unclear


-Rapid spread blamed on troop movements


-Doctors refused patients and were even turned away from lepor colonies

Important Concepts Syphilis Lead To

-Diseases can result from particular behaviors


-Certain diseases may be treatable (quick silver baths)


-Certain diseases may be prevented (condoms)





Tuskegee Experiments

-Research gov funded study syphilis


-funding ran out


-observed course of syphilis


-penecillian observed to treat it

Smallpox

-Variola Virus


-Transmitted from person to person via droplets or fomites


-Double Strand DNA, envelope


-High Fever, Large fluid filled skin lesions


-1st Vaccine


-1st eradicated disease

Smallpox progression

-Transmission: droplets, contact with lesions, contaminated clothing or cloth


-Symptoms appear in 12 days


-First symptoms: high fever, fatigue, back ache


-Raised spotted rash appears in 2-3 days in mouth and throat, followed by rash on face and arms then to legs.


-Rash starts flat then later fills with fluid in 1-2 days. after 3-4 days blisters scab and fall off


-no treatment

Smallpox significance

-may have killed more people than all infectious diseases


-killed kings and queens as well as commoners


-Europeans brought smallpox blankets to south america: first BIO weapon killed 50% of population in 1 year

Smallpox Attempts to Cure

-Fluid from mild case inhaled or put under skin


-First vaccine


-Led to immunity but also chance of getting it



Edward Jenner

-First vaccine ever (for smallpox)


-Noted women with cowpox had immunity to smallpox


-showed cowpox can be used to prevent smallpox


-His work led to smallpox eradication by 1971





Fathers of Microbiology

-Robert Hooke


-Antonie Van Leeuwenhoek


-Both developed simple microscopes

Robert Hooke

-First to observe cells (called micrographia)



Antonie Van Leeuwenhoek

-First to observe bacteria (wee animalcules)


-Present in food, water, mouth, everywhere he looked

Miasmas vs Germs

-Miasmas were thought to cause disease (bad smells)


-mid 1800s builds evidence of microbes being cause (Germs)



Germ Theory

-Theory that microbes cause many or all disease


-not widely accepted


-many contributed to this work



Ignaz Semmelweiss

-Suspected doctors/midwives were transmitting childbed fever to mothers during childbirth


-Required hand washing in "chloride of lime"


-Childbed fever dropped from 50% to 1%


-Was not believed and died in exile



John Snow

-Father of Epidemiology


-Mapped cholera outbreak


-Conducted survey and prevented outbreak


-Prevented outbreak



Joseph Lister

-Used chemicals to sterilize surgical instruments


-Convinced doctors to be clean to prevent disease


-Hand washing


Louis Pasteur

-Linked microbes to inanimate objects like air and food spoilage


-demonstrated that heat can prevent this


-Discovered weak microbes can be used to generate immunity



Robert Koch

-Proved Germ Theory of Disease by proving bacillus anthracis caused anthrax


-Developed methods to grow bacteria in lab


-Determined Koch's postulates for determining cause of disease


-Discovered microbes responsible for tuberculosis and cholera

Typhoid and Dysentery

-Salmonella Typhi


-Shigella dysenteriae


-Killed tons of people


-lack of sanitation, crowding, and poor nutrition


-killed more people during cival war than civil war killed people



Impact of Antibiotics

-Alexander Fleming discovered penicillin 1928


-Chain and Florey demonstrated effectiveness in patients in 1930s


-Became commercially available in 1941, saved many in WWII


-1940-1960s many antibiotics were discovered and infections dropped dramatically


-Now bacteria resistance to antibiotics threatens this

Decrease in deaths throughout 20th century

-Sanitation


-Hygiene


-Vaccines


-Antibiotics

Tuberculosis

-Direct or indirect transmission (can survive 8 months in aerosol particles)


-Gram Positive Bacillus


-Acid Fast


-Slow Growing


-Can survive phagocytosis


-Older than humans



Tuberculosis Stages

-Primary: Mild fever, walled off into tubercles, often become necrotic and calcified into lesions


-Secondary: Persistent cough, bloody phlegm, extreme fatigue, and weight loss


-Extrapulmonary: in inmunosuppressed

Significance of Tuberculosis

-Huge increase on tuberculosis 1800-1930s


-Tenet living allowed for aerial transmission


-Poor nutrition means more susceptible


-airborne means everyone ca get it


-Caused 25% of deaths in Europe in 1800s and leading cause of death in 1900s



Treatment of Tuberculosis

-Patients sent to sanatorium


-Streptomycin antibiotic used to treat it


-Current treatment is multi-drug cocktail


(still worldwide threat, increasing in resistance to antibiotics)

Polio

-Polovirus transmitted via contaminated food, water, hands, and fomites via fecal-oral rought


-Single strand DNA


-No envelope


-Robust Capsid



Significance of Polio

-95%-98% of cases of polio are subclinical and exhibit flu signs. These cases spread polio


-2%-5% involve nervous system


-Limb and Lung paralysis


-Iron Lung


-Sanitation increased cases because no vertical transmission to provide immunity

Polio Treatment

-Iron Lung


-President Roosevelt National Foundation for Infant paralysis


-Salk Polio Vaccine


-Sabin Polio Vaccine


-Considered eliminated in western hemisphere

Influenza

-Respiratory disease caused by virus


-Single Strand RNA


-Envelope


-Transmission by droplets, fomites, and airborne routes


-Life threatening to old or young



Significance of Influenza

-1918-1919 Influenza Pandemic


-US soldiers spread across US and then Europe


-Killed young healthy people at highest rate


-Hemorrhagic pneumonia (blood lungs) unusual but happened


-Killed more people in shortest time than any other pandemic


-Influenza came from pig or bird

Some Reemerging or New infectious diseases

-Lyme Disease


-HIV/AIDS


-Hepatitis


-West Nile Encephalitis


-SARS

Eukaryotic Cells

-Animals


-Plants


-Fungi


-Protozoa

Eukaryotic Cell Characteristics

-Larger than bacterial cells


-Contains a nucleus


-Contains organelles



Structures in ALL Eukaryotic Cells

-Cell membranes


-Cytoplasm


-Nucleus


-Mitochondria, endosplasmic reticulum, golgi apparatus


-Ribosomes


-Cytoskeleton

Cell membrane

-phospholipid bilayer with proteins


-selectively permeable membrane


Cytoplasm

-70%-80% water


-Contains: organelles, proteins, sugars, fats, etc



Nucleus

-membrane-bound organelle that contains DNA and chromosomes


*KEY FEATURE

Ribosomes

-Synthesizes proteins


-Located on the endoplasmic reticulum



Mitochondrea

-produces majority of cells energy



Endoplasmic reticulum and golgi apparatus

-molecule processing and transport

Cytoskeleton

-Cell support and shape


-mixing cytoplasm and anchoring other structures


-sometimes movement of cell

Glycocalyx/extra cell membrane

-Structures found in MOST Eukaryotic cells


-attached to cell membrane


-protection of cell


-adherence to other surfaces or cells

Cell Wall

-Structure found in SOME Eukaryotic cells


-made of polysaccharides, chitin, or cellulose, NEVER peptidoglycan


-protect from lysis and give structure

Flagella/Cila

-Appendages for mobility in Eukaryotes


-more complex than bacteria flagella


-Cila many and synchronized motion


-Flagella few per cell and wave or whip motion

Chloroplasts

-Found in plants and algae for photosynthesis

Prokaryotic Cells

-Bacteria


-Archaea


-Both unicellular


-Lack a nucleus and membrane bound organelles

Bacteria and Archaea

-DNA found in cell cytoplasm


-Lack membrane bound organelles: mitochondria, endoplasmic riticulum, golgi apparatus

Bacteria Shapes

-Coccus : spherical


-Bacillus : Rod shaped


-Vibrio : Comma Shaped


-Spirillum : Wavy


-Spirochete : corkscrew shaped



Cell Envolope

Cell membrane + Cell wall


-separates inside from outside-

Cell membrane

selectively permeable barrier to the outside that regulates what enters cell

Cell membrane composition

-phospholipid bilayer


-proteins

Cell Walls

-Prevent bacteria from lysis (rupture)


-Almost all bacteria have this


-made of peptidoglycan

Petidoglyican

-Mesh like structure (chainlink fence)


-very strong and flexible


-open so molecules can flow through



Gram Positive Cell Wall

-No outer membrane


-Stain purple in Gram Stain Gram(+)



Gram Negative Cell Wall

-Has outer membrane


-Stain pink in Gram Stain Gram(-)

Ribosomes

-Make proteins


-10,000s per cell

Microcompartments

-Protein shells packed with enzymes

Cytoskeleton

-Long fibers wrapped around cell under the cell membrane


-probably provides extra support to long stretches of cell wall

Pili

-Join bacteria to transfer DNA

Archaea

-Have cell walls but no peptidoglycan


-unusual lipids


-unique ribosomal structure


-found in harsh environments



Achaea Location

-Found in human body


-might cause disease


-no proof of this