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238 Cards in this Set

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Define commensalism. Give an example.
One organisms benefits, and the other is not impacted.

microflora
Define mutualism. Give an example.
Both organisms benefit.

e.coli in the gut
Define parasitism
Microbe benefits at the expense of the host
"True" or "primary" pathogens vs. Opportunistic pathogens
True pathogens are linked to a disease when they are found. They cause disease in healthy persons

Opportunistic pathogens cause disease when the immune system is suppressed as opposed to infecting healthy persons ex. superinfections
What is the basis of Koch's Postulates?
to act as a guide to link specific microbes to a specific disease
List the events of Koch's Postulates
-isolate potential pathogen from a diseased individual
-grow to pure culture in a lab
-inoculate into experimental host and look for signs of disease
-if disease is evident and if the potential pathogen can be re-isolated, it is the likely cause of disease
Events in the production of disease
-contact and colonization
-infection (microbe establishes itself and evokes an immune response)
-disease (normal physiology is altered)
-virulence (the ability to cause disease)
Portals of Entry/Exit
-skin (dead skin cells)
-GI tract (lumen)
-respiratory
-urogenital
-placenta (for congenital disorders) (STORCH infections)
Transients
microbes that occupy the body for only a short amount (as opposed to resident microbes)
Microbial factors that affect virulence
adherence
invasiveness
toxins (endo vs. exotoxins)
Structures that support for adherence
-capsules (slime)
-pilli and fimbriae
-attachment proteins on viruses
Structures that support for invasiveness
-enzymes (e.g collangenase, hyaluronidase, streptokinase)
-antiphagocytic factors (capsules)
List an example of an antiphagocytic factor
leukocidin which are toxic to WBCs
hyaluronidase
spreading factor, in C.T
streptokinase
clot dissolving enzyme
Endotoxin
not secreted but is released after cell is damaged
Exotoxin
secreted by a living bacterial cell into the infected tissues
Characteristics of Endotoxin
-LPS
-from gram negative bacteria only
-associated with cell wall of bacteria
-poorly antigenic
-heat stable
-non-toxoidable
Toxoid
neutralizes toxicity but still remains effective antigen for vaccines
Characteristics of Exotoxin
-protein
-from either gram negative or gram positive bacteria
-secreted by cells
-good antigens
-heal liable (sensitive)
-toxoidable
Endotoxin effects
general, systemic effects: fever, edema, disseminated intravascular coagulation
Exotoxin effects
varied, often directed toward specific body systems: neurotoxins, entertoxins, etc
Stages of Infections
-Incubation phase: pathogen makes contact, grows, and repicates
-Prodromal phase: malaise (generalized ill-feeling)
-Illness (invasive phase: symptoms and signs
-Convalescent phase: recovery
Symptoms vs. Signs
symptoms are effects experienced by patients

signs are effects observed by examination of patient
Local vs. Systemic
local is contained at one site

systemic is a widespread infection in many sites of the body
List an example of a localized infection
TB
List an example of a systemic infection
bacteremia, septicemia (bacterial infection that is out of control), viremia, etc
Primary vs. Secondary infection
a primary infection is an infection that weakens the immune system

A secondary infection is a 2nd infection that arises from an impending primary infection that is completely different from that of the primary infection
List an example of a primary vs. a secondary infection
primary- influenza virus
secondary- hemophilus influenzae
List an example of an acute vs. chronic infections
acute- varciella (chickenpox)
chronic- herpes zoster (shingles)
Epidemiology
cause and spread of a disease
Prevalence
total number of existing cases in population over a given period
Incidence
ratio of new cases to healthy persons over a certain time period
Morbidity vs. Mortality
morbidity- sickness
mortality- death
Endemic
expected amount of a particular disease that you would see in a population
Epidemic
significant rise above expected level of disease
Pandemic
world wide epidemic
Sporadic
limited in low numbers, isolated cases with no connection between them
List a type of chronic infection
latent infection-comes and goes, an infection that just simply gets worse
Reservoir
place in nature where an organism survives and replicates
Source
place or object from which a pathogen spreads to a new worse
2 types of animate objects
animals and humans
Zoonoses
an infection indigenous to animals but is naturally transmissible to humans
Vector borne diseases (mechanical vs. biological)
biological- actively participate in a pathogen's live cycle

mechanical- merely transports without being infected
Vector
a live animal that transmits an infectious agent from one host to another (ex. mosquitoes)
4 types of inanimate objects
soil, water, food, formites
List the "Five F's"
fingers
food
formites
feces
flies
Direct transmission
portals of entry and exit overlap
Indirect transmission
pathogen exists outside of the host population for a period of time
Horizontal transmission
disease is spread through a population from one infected individual to another
Vertical transmission
transmission from one parent to their offspring via ovum, sperm, placenta or breastmilk
List the general characteristics of staphylococcus
-gram positive cocci
-catalase positive
-salt NaCl positive
Catalase
degrades hydrogen peroxide into water and oxygen.

H2O2 --> H2O + O
Staphylococcus is relatively resistant to...
-disinfectants
-desiccation (drying out)
-antimicrobics (due to staph that has acquired genes for penicillinase)
List the characteristics of S.aureus
-yellow or gold colonies
-mannitol positive (bubbling appears)
-hemolytic
-DNAse positive
-Coagulase positive
List the characteristics of S. epidermidis
-non-pigmented colonies
-mannitol negative
-non-hemolytic
-DNAse negative
-coagulase negative (CNS)
Hemolysins
lyse erythrocytes
Leucoidin
lethal to leukocytes, helps incapacitate phagocytic line of defense
List an example of disorder caused by an exfoliative toxin. List its effects
Scalded skin syndrome

toxin that separates the epidermis from the dermis. most prevalent in babies
Characteristics of enterotoxin
-preformed (toxins already in foods that usually acts in 4-6 hours)
-heat stable
-vomitotoxin
Coagulase
produces fibrin clots around the cell and camouflage the cell from phagocytosis stopping the action of host defenses and promotes staph
Hyaluronidase
spreading factor; promotes invasion by digesting intercellular glue (hyaluronic acid) that binds connective tissue in host tissues
Staphylokinase
fibrinolysin
DNAse
a nuclease, digests DNA

HCl will cause a cloudy precipitate to develop.a clear zone around an area of bacterial growth indicates that the DNA has been degraded.
Lipase
digests lipids and lipoproteins which makes it easier for bacteria to colonize on skin surfaces
Penicillinase
inactivates penicillin
Protein A
binds to immunoglobins at the wrong end
Pyoderma
purulent skin infection
Pyodermic infections
-Furuncles
-Carbuncles
-Impetigo Contagiosum
Furuncles
inflammation of a single hair follicle or sebaceous gland that turns into a boil
Carbuncles
tunneling skin abscesses, deeper lesions created by an aggregation of furuncles
Impetigo contagiosum
bubble-like epidermal swellings, most common in newborns
List the 5 Invasive staphylococcal infections
-Osteomyelitis
-septicemia
-pneumonia
-enterocolitis
-endocarditis
Osteomyelitis
abscess formation in affected areas resulting in elevated lump leading to necrosis and breakage of bone marrow
Septicemia
bacteria in the blood that is out of control
Pneumonia
systematic secondary staph infection resulting in multiple lung abscesses and symptoms of fever, pain in the chest, and bloody sputum
Enterocolitis
superinfection
Endocarditis
inner lining of the heart, cardial abnormalities and destruction of the valves
Cause of Toxic Shock syndrome
absorbent tampons bind to magnesium ions. In the absence of magnesium, S. aureus is produced in much greater levels of the toxin TSST 1
List the symptoms and characteristics of TSS
-fever, vomiting hypotension, rash
-can occur in any age, in either sex
How is staphylococcus transmitted?
-direct transmission
-nosocomial infections common (HA MRSA)
-reservoirs include skin and nose
Characteristics of Mannitol Salt Agar (MSA)
-7.5% NaCl selects for staph
-mannitol fermentation differentiates between S.aureus and S.epidermidis
-fermenters produce acid which turns the pH indicator (phenol red) to yellow
S. aureus is nearly always coagulase ______
positive
List the characteristics of streptococci
-gram positive cocci in chains
-catalase negative
List the cellular components of significance in streptococci
-hyaluronic acid capsule
-M protein
-fimbriae (attachment)
-C carbohydrate
-Cell membrane antigens
What is the significance of the Hyaluronic acid capsule in streptococci?
young cells, is indistinguishable from the H. acid found in humans so it does not provoke the immune response
What is the significance of the M protein in streptococci?
resists phagocytosis
What is the significance of the C carbohydrate in streptococci?
lancefield group system, specialized polysaccharides or teichoic acids found on the surface of the cell wall wall that protects bacterium from being dissolved by the lysozome defense of the host
What are hemolysis patterns based on?
their reaction in blood agar
Alpha-hemolysis
greening, chemical reduction of hemoglobin
Beta-hemolysis
complete lysis of RBCs
Gamma-hemolysis
no hemolysis
Streptolysins
hemolysins that rapidly injure many cells and tissues including leukocytes, liver, heart, and muscle
List the two types of streptolysin
streptolysin S- oxygen stable
streptolysin O- oxygen labile
List the 5 Group A virulence factors
-streptolysins
-streptokinase
-streptodornase
-hyaluronidase
-erythrogenic toxin
Streptokinase
fibrinolysin, activates a pathway leading to digestion of fibrin
Streptodornase
nuclease (breaks down DNA)
Alternative name for hyaluronidase? Why does it go by this name?
spreading factor

breaks down binding factor in C.T thus promoting the spreading of pathogen in the tissues
Erythrogenic toxin
pyogenic (pus-producing) toxin

responsible for bright red rash, induces fever in the temperature regulatory center. Key toxin in scarlet fever
Streptococcus pyogenes (Group A)
most severe streptococcal pathogen in humans
List 5 disorders of streptococcus pyogenes
-cellulitis
-impetigo contagiosum
-necrotizing fascilitis
-streptococcal toxic shock syndrome
-ottis media
Cellulitis is an infection of the ....
connective tissues
List and describe the three disorders associated with cellulitis
-septic sore throat (pus exudate over the tonsils that enlarges them and induces pain)

-puerperal sepsis (uterine infection)

-erysipelas (redness of the skin and mucous membranes)
Impetigo contagiosum

*streptococcus pyogenes
burning, itching papules that break down and form a highly contagious yellow crust
Streptococcal Toxic Shock Syndrome
Profound bacteremia and deep tissue infection rapidly progressing to multiple organ failure
Ottis Media
Streptococcus pneumonia, Inflammation of the middle ear occurring most often in children
Define sequelae
complications
List two sequelae to Group A infections
Rheumatic fever (heart)
Acute glomerulonephritis (kidney)
Explain Acute glomerulonephritis
kidney cells are so damaged that they cannot adequately filter blood.
How is streptococcus pyogenes transmitted?
direct transmission, through aerosols and wounds
How is streptococcus pyogenes identified?
beta-hemolytic, and sensitive to bacitracin (Taxos A disc)
Name the group B streptoccous
S. agalactiae
Characteristics of S.algalctiae
-neonatal sepsis
-vaginal carriers may transmit to child during birth
-beta hemolytic; resistant to bacitracin
Name the Alpha Strep and its characteristics
S.viridans (causes dental caries)
-rarely pathogenic
-may cause endocarditis (following dental surgery or injury to oral mucosa)
Name the Gamma Strep
E. faecalis

causes opportunistic infections of wounds, blood, endocardium, and the urinary and GI tract
Name the characteristics of the gamma strep
-group D enterococci
-tolerates bile, hydrolyzes esculin
-widely resistant to antimicrobics (including vancomyocin)
List the three diseases of streptococcus pneumoniae
-pneumonia
-otitis
-meningitis
How many serological types are there of streptococcus pneumoniae
over 80
Which type of strain is most virulent in streptococcus pneumoniae?
smooth strains (capsules)
List the incidence percentage of streptococcus pneumoniae
40-70%
List the characteristics of neisseria
-gram negative dipolcocci
-fastidious (require elevated levels of CO2 and chocolate agar)
-may exist inside of neutrophils (GNID)
-causes blindness
List the virulence factors of Neisseria
-pilli (promote attachment)
-IgA protease (cleaves secretory antibody and keeps it from working)
-Antiphagocytic capsule
-Endotoxin
Endotoxin in neisseria gives rise to......
fever and disseminated intravascular coagulation (DIC)
Gonorrhea is a ________ tract infection and can be_________ and/or _______
genitourinary

symptomatic, asymptomatic
List the disorder that arises as a complication of gonorrhea
pelvic inflammatory disease (PID)

aka saplingitis, characterized by fever, abdominal pain, and tenderness.
Gonorrhea also cause conjunctivitis. List its alternative name
opthalmia neonatorum
List four disseminated gonococcal infections
dermatitis, arthritis, meningitis, endocarditis
What is the annual incidence of gonorrhea in the U.S?
1-2 million
How is gonorrhea spread? How many females are asymptomatic? males?
spread through direct contact

females-60-80%
males- 20-40%
Gonorrhea is usually mistake for three infections (mixed infections). Name them
chlamydia, herpes, syphilis
Name the antibiotic resistant strain of gonorrhea
PPNG- penicillinase producing N. gnorrheae
List the name of microbe that causes meningococcal disease
N. meningitidis
Where is the microbe implanted in meningococcal disease?
nasopharynx
List and explain two disorders of meningococcal disease.
-meningoccemia (progresses to shock, necrosis of tissues in exterminates and loss of limbs)

-meningitis (permeate meninges of the brain and grows in CSF)
List 4 notable features of meningococcal disease
-petechial rash into pupura (nonraised purple blotches)
-neurological damage
-adrenal damage (Waterhouse-Friderichson Syndrome)
-mortality rate approaches 30% in septicemia
How is meningococcous transmitted?
via aerosols and close personal contact
What are the carrier rates of meningococcus between and during epidemics?
2-8% between
50-90% during
List the incidence peak rate of meningococcus. List predisposing factors.
late winter/early spring

crowded living conditions and poor general health
Treatment of meningococcus
polysaccharide capsular vaccines
List the two types of Bacillus. Are they gram positive or negative?
Bacillus anthracis
Bacillus cereus (food poisoning)

Gram positive
Bacillus anthracis
-cause of anthrax and model for koch's postulates
-primarily a zoonic disease (undergoes cycle of vegetative growth in soil and is returned in excrement where it can then sporalate)
List the 3 human infections of bacillus anthracis
-Cutaneous (black, necrotic eschar, spores entering through cuts and abrasions)

-Gastrointestinal (acquired through contaminated meat)

-Pulmonary (most lethal, aka 'wool sorter disease'. attach to macrophage and gain access through engulfment)
Bacillus cereus
-widely found in nature (dusts, aersols)
-food-borne disease (enterotoxin production in improperly stored foods. symptoms disappear in 24 hrs)
-reported in immunodepressed and drug addicts
Clostridum
-gram positive, spore forming rods
-obligate anaerobes and catalase negative (can not invade unless tissue is dead and/or severely damaged)
Clostridium contains potent exotoxins that contribute to disease. Name them.
tetanospasmin (tetanus toxin)
botulina toxin
Tetanus is also known by what name?
lock jaw
Where is clostridium tetani found? List its incubation period.
in soil and in the intestinal tract of animals.

3 days to 6 weeks
Defense mechanisms of Tetanospasmin toxin
-blocks inhibitory neurons in the CNS by binding to motor nerve endings and then traveling by axon to the spinal cord. There it binds to target sites that inhibit muscle contraction

-results in sustained muscle contraction (tetany) or "sardon sardonicus"
Name the preventative measure used for tetanus
tetanus toxoid (DTP)
3 therapeutic measures used in the treatment of tetanus
-tetanus antitoxin (TIG: tetanus immunoglobin which neutralizes toxin)
-antibiotics
-muscle relaxants
Botulism
associated with eating improperly canned or preserved foods
-symptoms within 24-71 hours
Explain the mechanism for the botulism toxin
prevents the release of Ach (acetycholine) from neuromuscular junction initiating the signal for muscle contraction eventually resulting in flaccid paralysis.
Signs of botulism
-thickness of speech
-weakness
-double vision
-respiratory difficulties
Infant botulism
-most common type of botulism ('floppy baby syndrome")
-infection following the ingestion of spores
-colonization of infant's gut leads to toxic production due to immature state of neonatal intestine and microbial flora
Wound botulism
results in infection, then toxin production (in vivo)
Clostridum perfringens
-food poisoning (diarrhea, enteritis)
-gangrene from wound infection
List treatment of clostridum perfringens
-wound debridement (surgical removal of dead/damaged tissue)
-hyperbaric oxygen therapu
Clostridium dificile
-superinfections in gut
-diarrhea symptoms that lead to dehydration
Group A (GAS)
Streptococcus pyogenes

*strept throat
Group B (GBS)
Streptococcus agalactiae

*neonatal sepsis
Group D (GDS)
Enterococcus Faecalis
List the arrangement patterns of mycobacterium
-slender, curved, non-spore forming rods
List the makeup of the mycobacterium cell wall. Why is this important?
cells walls contain mycolic acid (lipid)

-resists desiccation and chemicals
-prohibits gram staining (acid-fastness)
-acid fast bacilli (AFB)
List the virulence factor of mycobacterium.
cord factor

produces serpentine cords in sputum specimen which prevents mycobacterium from being destroyed by the lysozomes of the macrophages
List characteristics of mycobacterium tuberculosis
-respiratory infection initially, primary focal lesions appear in lungs
-macrophages ingest but do no kill and therefore is ingested intercellulary
-extrapulmonary dissemination may occur
-exposures cause positive skin test
In mycobacterium TB, focal lesions become...
tubercles (granuloma consisting of bacteria, neutrophils, and macrophage) that are walled off and healed (calcified)
Diagnosis of TB
-AFB (acid-fast bacilli) in sputum which may show serpentine cord
-culture
2 tests in TB: delayed hypersensitivity
- Purified protein derivative (PPD, solution taken from culture fluids of M.TB)

-Mantoux test (involved localized infections of PPD)
A positive test of Tb indicates history of exposure to Tb. What is the sign of a positive reaction in the body?
induration (redness)
Treatment of Tb
-prophylaxis: isoniazid (INH) for positive skin tests, as well as rifampin, streptomycin ethambutol

-therapy: combination treatment for disease
Epidemiology of Tb
-age, socioeconomic level, immune status

-antibiotic strains becoming common
Mycobacterium leprae is also known as....
Hansen's disease (leprosy)- chronic disease of the skin and nerves
How is leprosy transmitted? How long is its incubation period?
direct transmission

long incubation period, years
List some of other forms of leprosy
-tuberculoid: benign tubercles (contain bacilli and enlarged dermal nerves)

-lepromantous: malignant, usually in the immunosurpressed (lepromas on the facr causing disfigurement)
In Non-Tb Mycobacterium (NTM), where are strains usually found?
as free-living saprobes
2 examples of opportunistic infections of NTM
-Mycobacterium avium complex (MAC) in AIDS patients: cause of secondary infection

-Non-Tb lung disease and skin infections: mycobacterium kansaii, fortuitum, bovis
Corynebacterium diptheriae
bacteria: pseudomembrane in throat (greenish gray film in the white pharynx that gives rise to inflammation and causes asphyxiation)
What does the diphtheria toxin do?
inhibits protein synthesis, acquired from bacteriophage during transduction
Treatment for diphtheria
Toxoid that protects (DTaP vaccine or Td vaccine)
Listeriosis (Listeria monocytogenes)
-acquired from dairy products
-pregnant women and immune-compromised individuals at risk
-prevented by pasteurization
Mechanism of listeriosis
replicates within the cytoplasm after inducing phagocytosis directly from cell to cell avoiding the humoral response
O (______) antigen
somatic

all have this antigen, associated with endotoxic shock
H (______) antigen
flagellar
K (______) antigen aka _______
capsular

Vi for Salmonella
Antigenic variability ___________
provides the basis for serological types, measuring the degree of agglutination or precipitation
MacConkey Agar
lactose fermentation, contains bile salts and crystal violet that inhibit gram positive bacteria
Lac + microbes
E.coli
Klebsiella
Enterobacter
Lac - microbes
Proteus
Salmonella
Shigella
Triple Sugar Iron Agar (TSI)
Bright red, nonselective medium that indicates fermentation of sugars- glucose, lactose, and/or sucrose. As well as production of hydrogen sulfide
IMViC series
-indole production (I for indole)
-acid from glucose (M for methyl red)
-acetyl methyl carbinol (acetonin) production (V for voges-Proskauer)
-utilization of citrate as a carbon source (C for citrate)
Identification of enteric bacilli
-gram negative rods
-all contain endotoxin (LPS)
-lactose fermentation of MacConkey agar
-Triple Sugar Iron (TSI) agar
-IMViC Series
-Urease
-Motility
Normal flora (enteric bacilli)
-stimulates the immune system
-produce some of the B vitamins and vitamin K
-produce natural resistance to disease
Pathogens (enteric bacilli)
-normal flora out of normal habitat
-virulence factors (e.g toxins)
-primary pathogens (salmonella, shigella)
Extra-intestinal disease (e-coli)
-UTI: urethra is invaded by its own endogenus bacterial colonists
-nosocomial infections (septicemia, pneumoniea,etc)
An intestinal disease of e-coli is enterotoxigenic e.coli. List its alternate name
traveler's diarrhea
An intestinal disease of e-coli is enteroinvasive e.coli. List its alternate name
dysentary-like disease
Hemolytic Uremic Syndrome (HUS). Explain and list its responsible strain.
E.coli O157:H7

Caused by the toxic effect of the bacteria on the blood and kidney, leading to hemolysis and kidney damage and failure
Klebsiella sp
chronic lung function promoted by LPS capsule which prevents phagocytosis
Characteristics of Klebsiella sp
-capsular antigen produces mucoid texture
-UTI (some strains urease positive)
-bacterial pneumonia in 10% of the cases
Characteristics of Proteus
-hydrogen sulfide positive
-UTI (urease positive)
-wound infections
List the characteristics of salmonella
-acute gastroenteritis
-septicemia: phagocytes spread infection
-enteric fever
Acute gastroenteritis
ingestion followed by multiplication and invasion of epithelial cells in 12-24 hours, diarrheal symptoms
Enteric fever
colonization of lymph nodes
chronic carrier state i.e typhoid mary
Epidemiology of salmonella
-human to human transmission through fecal/oral route
-raw food and poultry products common in gastroentritis
Salmonella enteritidis are frequently components of the ________ of poultry
normal flora
Prevention and control of salmonella
-sanitation (food prep, pasterurization)
-identify carriers
-eliminate routes of spread
-vaccinate travelers and military personnel
Is shigella more/less ineffective than salmonella? List its disease
-more ineffective than salmonella

-disease: shigellosis or bacterial dysentery (disease of the large intestine)
Shigellosis/Bacterial Dysentery
-incubation period of 1-7 days
-diarrheal symptoms early
-ulceration of large intestine leads to dysentery with blood and mucus in stools
Botulism is associated with the _____ nervous system, while Tetanus is associated with the ________ nervous system
peripheral

central
Prevention and control of shigella
proper sanitation and identify carriers
List the two pathogens of genus yersinia
-yersinia entrocolitica
-yersinia pestis
Yesernia enterocolitica
gastroentirits that is spread to humans by animals, ingestion of undercooked food and contaminated water
Yersinia pestis gives rise to what disorders?
bubonic and pneumonic plague
List the reservoir and the vector for the bubonic/pneumonic plagues
reservoir- rat
vector- flea
Bubonic plague
swollen lymph nodes called buboes-usually in the groin
Mortality rate of septiciemia
90-95%
Explain what happens in pneumonic plague and lists it mortality rate
black death that is contagious through sputum and aerosols.

100%
Epidemiology of the plague
"Sylvatic plague" occurs in wild animals

"Demic plague" person to person spread
List the virulence factor of Hemophilus influenzae
capsule serves as a virulence factor (type b capsule is most virulent)
Hemophilus influenzae
-serves as either a primary or secondary infection
-formerly the most sig. cause of meningitis in children (Hib vaccine protects)
Hemophilus aegyptius
conjunctivitis aka pink eye
Hemophilus ducreyi
STD aka soft chancre
4 characteristics of Pseudomonas aeruginosa
-obligate aerobe, non fermenter
-blue green pigment and grape like odor
-ubiquitous in nature, soil, water and plants
-highly resistant to antibiotics
Human infections of pseudomonas aeruginosa
-pneumonia in cystic fibrosis patiets
-oppurtunist in wounds and burn patients
Bordetella pertussis is also called ______
whopping cough
Virulence factors of Bordetella pertusis
pertussis toxin paralyzes cilia

receptors specifically recognize and bind to the ciliated epithelium, then toxins destroy and dislodge them
Stages of illness in Bordetella pertussis
catarrhal: sneezing, coughing 1-2 weeks

paroxysmal- uncontrolled cough followed by whoop for up to 2 weeks

convalescent- recovery period
Treatment for bordetella pertussis
DTaP vaccine protects (aP= acellular pertussis vaccine)

administered in 5 dose series between 2 months and 6 years
Brucellosis is a zoonotic disease acquired from what specific animals?
cattle (B. abortis)
pigs (B suis)
or goats (B. melitensis)
Brucellosis
-usually a subclinical disease
-acute illness may occur via phagocytes
-may produce chronic infections with relapses up to 20 years
Synonyms of Brucellosis
Bang's disease
undulant fever
contagious abortion (in cattle)
Transmission of Brucellosis
-common among abattoir workers
-dairy products from infected animals
-crossbreeding spreads among animals
Francisella tularensis is also known by what name? What is it?
rabbit fever (tularemia)

infection occurring via the skin or the eye through contact w/infected animal or animal products
Disease patterns of Francisella tularensis
-ulceroglandular disease (wounds)
-typhoid like disease (ingestion)
-pulmonary disease (inhalation)
Transmission of francisella tularensis
direct from host or via vectors (ticks)
Legionella pneumophila (lung-loving)
-inhalation of aerosols initiates infection
-disease is more common in immune-compromised individuals
Symptoms of legionella pneumophila
pneumonia and inflammation of the alveoli and bronchioles
Disorders of legionella penumophila
legionnaire's disease (1976) leading to impaired respiration and organ function