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Bacteria II
TB packet
76
Pathology
Kindergarten
07/19/2012

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Term
also known as Bacillus of Koch, acid fast, ziehl nielson staining
Definition
Mycobacterium tuberculosis
Term
Predisposing factors which risk TB contamination
Definition
physicians, hospital workers, AIDS patients, chronic lung disease
Term
Transmission with TB
Definition
inhalation, ingestion of food or milk, skin inoculation
Term
TB hypersensitivity
Definition
Type IV delayed, cell mediated
Term
The test to determine tuberculo sensitivity
Definition
mantoux reaction using PPD test
Term
The basic pathologic lesion of TB is
Definition
tubercle, which is an infective granuloma
Term
Centrer of TB tubercle
Definition
caseous necrosis and acid fast bacilli
Term
Pericentral of TB tubercle
Definition
pale epithelioid cells (giant langhans cells)
Term
Peripheral of TB tubercle
Definition
fibroblasts
Term
Does a granuloma form in immunocompromised patients
Definition
no, tissue appear numerous histiocytes packed with bacillus of Koch
Term
Primary TB affects what
Definition
Lungs, but can affect other organs
Major cause of morbility and mortality in children and adults
Term
Lesion found subpleural in middle zone of the lung in TB
Definition
Ghon focus
Term
Enlarged and caseous lymph nodes in TB
Definition
Hilar lymph nodes
Term
Hilar lymph nodes + Ghon focus =
Definition
Ghon primary complex
Term
Shows patchy infiltrate, hilar adenopathy during TB
Definition
Chest X-Ray
Term
Clinical course of primary TB
Definition
may be asymptomatic, usually heals with fibrosis and calcification rarely progressive TB may occur
Term
Infection in previously sensitized individuals which can be reactivated or reinfected with TB
Definition
Secondary TB
Term
Spherical dense nodules or excavated cavitary lesions seen in chest x-ray during secondary TB
Definition
Simon foci
Term
sputum streaked with blood (secondary TB)
Definition
hemoptysis
Term
Second TB can lead to two variable endings
Definition
Healing without cavitation- fibrous encapsulation with scar
Progressive and spreading to other areas
Term
Spread of secondary TB
Definition
Pleurisy, bronchial lumen and trachea to other parts of the lung, lymphatics to other area of lung or other organs, blood stream (miliary TB)
Term
tuberculosis bronchopneumonia, diffuse spread rapidly throughout the lung
Definition
Galloping Phthisis
Term
Localized miliary TB in the lung by what route
Definition
pulmonary artery
Term
disseminated miliary TB via what route
Definition
pulmonary vein
Term
Pathology of miliary TB
Definition
yellow white consolidated foci, showing microscopically typical structure of the tubercle
Term
Complications of secondary TB
Definition
interstitial lung fibrosis and pachipleuritis
Term
Cervical lymphadenitis of TB
Definition
Scrofula
Term
Chronic evolution of TB may induce
Definition
amyloidosis
Term
Diagnosis of Tuberculosis
Definition
ACID Fast, Biopsy of affected tissues, Tuberculin skin test
Term
Infection s with atypical Mycobacteria give what results on a tuberculin reaction
Definition
false-positive
Term
Low virulence bacteria, infection acquired after prolonged intimate contact, specific to humans and armadillos
Definition
M. leprae
Term
persons who fail to develop CMI (leprae), multiple tumor like nodules
Definition
Lepromatous Leprosy
Term
persons who manifest an effective immune cell response, granulomas formed in tissue (leprae). hypo-pigmented skin rash, large nerves become thickened cords.
Definition
Tuberculoid leprosy
Term
foamy macrophages with numerous bacilli, appear like micro infubators
Definition
lepra cells
Term
Microscopy of Tuberculoid leprosy
Definition
epitheloid cells and Langhans giant cells
Term
Transmission of Syphilis
Definition
sex, blood infection
Term
Primary Stage syphilis clinical signs
Definition
chancre, painless lymphadenopathy
Term
Microscopy of primary syphilis
Definition
ulcer covered with silver stain, infiltrate with plasma cells and lymphocytes and proliferative obliterative endarteritis
Term
Secondary syphilis stage
Definition
1-3 months after chancre, skin rash on palms and soles, malaise, pyrexia, anorexia, condylomata (genital warts)
Term
Microscopy of secondary syphilis
Definition
plasma cell infiltration, proliferative obliterative endarteritis
Term
Tertiary Syphilis
Definition
3-25 years after primary
Cardiac lesions (Mesaortitis), Neurosyphilis (argyll Robertson sign), Tabes dorsalis, Paretic neurosyphilis, gummatous necrosis of liver
Term
Microscophy of gumma
Definition
coagulative necrosis and epitheloid histiocytes, peripheral macrophages, plasma cells, and fibroblasts
Term
Rhinitis, gummas of organse(saddle nose), saber shins, Hutchinson teeth, desquamative rash, pneumonia alba, keratitis, deafness through 8th cranial nerve
Definition
congenital syphilis
Term
Diagnosis of syphilis
Definition
Dark field examination (treponema visualization)
VDRL;RPR (NON-treponema visualization)
Immunohistochemistry
FTA-abs (MOST SPECIFIC)
Term
Intensive antibiotic treatment for spirochetes, with massive release of endotoxin, producing danerous abrupt rise in temperature, leucopenia, hypotension
Definition
Jarish-Herxheimer rxn
Term
Acute STD most common in tropics, and men using prostitute services. Outbreaks have been seen in USA but prevalent in lover socioeconomic areas
Definition
H. ducreyi
Term
H. ducreyi is common to cause.....in Africa and SE ASia
Definition
genital ulcers, cofactor in HIV-1
Term
Tender, erythematous papule after 4-7 day inoculation, PAINFUL ulcer, yellow-gray exudate, buboes enlarged lymph nodes
Definition
H. ducreyi
Term
Bacteria microscopy shows superficial zone (neutrophilic debris and fibrin) underlying granulation tissue, with areas of necrosis and thrombosed vessels.
Definition
H. ducreyi
Term
Diagnosis of H. ducryei
Definition
cultures of the ulcer exudate
Term
Sexually transmitted coccobacillus causing ulcerative diseaase
Definition
Calymmatobacterium donovani
Term
Papule on genitalia or pharynx; ulceration with protuberant, soft, painless mass
Definition
C. donovani
Term
Ulcer borders epithelial hyperplasia mimicking carcinoma. base is of inflammatory infiltrate
Definition
C. donovani
Term
Cells found with exudate giemsa stained smears (C. donovani)
Definition
Donavan bodies in marcophages
Term
Complications of C. donovani
Definition
extensive scarring,
lymphatic obstruction and lymphedema
external genitalia elephantiasis
Term
Diagnosis of C. donovani
Definition
Smears (giemsa) or biopsies of ulcers
Term
Normal flora in sites of the human body that have low oxygen levels.
Definition
Anaerobic Infections
Term
Anaerobic infections cause
Definition
abcesses and peritonitis in sterile sites.
Term
infection of the lateral pharynx and septic jugular vein thrombosis
Definition
Lemierre syndrome of Fusobacterium necrophorum.
Term
Causing ORAL and PHARYNGEAL head and neck abscesses
Definition
G - = Prevotella and Porphyromonas
G + = S. aureus and S. pyogenes
Term
Abdomonil abscesses
Definition
G - = Bacteroids fragilis, E coli
G + = Peptostreptococcus, Clostridium
Term
Genital tract Abscesses
Definition
G - = Prevotella, E coli, S. agalactiae
Term
G+ sporulating anaerobes, found in animal gut and soils. Produces powerful toxins and life threatening diseases
Definition
Clostridia
Term
Spore contamination of deep wounds, after surgery, abortion, IM injection
Definition
C. tetani
Term
Neurotoxin of C. tetani
Definition
Tetanospasmin
Term
Action of Tetanospasmin
Definition
Blocks gylcine transmitter in NM junction. The uninhibited motor response generate generalized muscle spasms
Term
Clinical signs of C. tetani
Definition
Trismus- lock jaw
Opisthotonus- back aching
Risus sardonicus- sardonic smile
Term
Diagnosis of C. tetani
Definition
Isolation
Term
Bacteria secrete a neurotoxin causing flaccid paralysis
Definition
C. botulinum
Term
Main route of contamination of C. botulinum
Definition
food contamination with spores or viable bacilli; also wound contamination
Term
In adults and young C. botulinum causes
Definition
descending paralysis from cranial nerves down
Term
Floppy baby syndrome from canned honey also SIDS
Definition
C. botulinum
Term
Diagnosis of C. botulinum
Definition
Botulinum toxin in feces, blood, or food.
Term
Septic Clostridial Infections
Definition
C. perfringens and C. septicum
Term
Found in compound bone fractures; bacteria produce myotoxin and induce spreading cellulitis, myonecrosis, bullous vesicles, marked edema, and gas bubbles in tissue
Definition
Clostridial Gas Gangrene
Term
Infectious Diarrhea who are receiving treatment with antibiotics. Watery and Bloody
Definition
C. difficile
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