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Bacterial Infections of the Digestive System
Chapter 22 Infections of the Digestive System
32
Microbiology
Undergraduate 2
04/12/2012

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Term
Salivary Glands
(defenses of the digestive system)
Definition
secrete buffered neutral pH
protects teeth
contains lysozyme
attacks bacterial peptidoglycan
Term
Kupffer Cells
(defenses of the digestive system)
Definition
kills bacteria entering portal vein from the bowel
liver
Term
Stomach
(defenses of the digestive system)
Definition
low acidity <4.0 kills many microorganisms
Term
Colon
(defenses of the digestive system)
Definition
10^11 microorganisms per gram of feces
normal flora
unfavorable for exogenous bacteria
Term
Streptococcus mutans
(defenses compromised)
Definition
heart disease
decreased saliva production=dental decay
Term
Clostridium difficile
(defenses compromised)
Definition
pseudomembrane colitis
antibiotics alter normal flora of colon
+antibiotic resistant bacteria
Term
Liver
(defense compromised)
Definition
bacteria in hepatic portal vein enter peritoneum
Term
Intoxication
(food poisoning)
Definition
ingestion of toxin produced by pathogen
shorter incubation time
may involve other organs besides GI tract
-Botulism affects CNS
Staphylococcus aureus, Bacillus cereus
Term
Infection
(food poisoning)
Definition
direct infection with pathogen
Salmonella, Shigella, Hepatitis A
Term
C. difficile
Definition
90% nosocomial GI infections
mild diarrhea, pseudomembranous colitis
colitis after or during antibiotic treatment
Term
E. coli 0157.H7
Definition
renal failure, hemorrhagic colitis, hemolytic uremic syndrome
food borne,contamination of agricultural products
contaminated hand to mouth
+flagella
Term
Enterobacteriaceae
Definition
gram-negative rods
E. coli, salmonella, shigella
lower GI tract - some part of normal flora minus salmonella and shigella
Term
Enterobacteriaceae
(antigenics)
Definition
Lipopolysaccharide - O antigen
Capsule- K antigen
Flagella of motile strains- H antigens
Term
Enterobacteriaceae
(virulence factors)
Definition
cytotoxins-kill cells
enterotoxins(inject electrolytes/water into host cell)
pathogenicity islands, plasmids
contact secretion system
Term
Enterotoxigenic E. coli
Definition
fimbriae-attachment
enterotoxin
traveler's diarrhea
Term
Enteropathogenic E. coli
Definition
rearrange cytoskeleton proteins
lesions=electrolyte imbalance
diarrhea, inflammation
Term
Enterohemorrhagic E. coli
Definition
Shiga toxin
diarrhea
kidney failure, hemorrhagic colitis
Term
Enteroinvasive E. coli
Definition
adhesin proteins enter intestinal cells
cell wall damage of intestine
dysentery
Term
Enterovirus
(+strand RNA)
Definition
resistant to acidity in stomach
2-10 days incubation
picornaviridae
Term
Most common source of GI infection in developed world is...
Definition
Salmonella
Term
Causative agent for 80% of ulcers
Definition
Helicobacter pylori
Term
infection limited to gum tissue marginal surface
Definition
gingivitis
Term
dental plaque is an example of...
Definition
biofilm
Term
Which is produced by E. coli?
Definition
pore-forming toxin
shiga toxin
heat-labile toxin
heat-stable toxin
Term
transmission of travelers diarrhea occurs via
Definition
contaminated food/water
Term
bacillary dysentery is caused by
Definition
shigella
Term
Serotypes of Salmonella can be identified by...
Definition
O antigens
Term
most important complication of typhoid fever is
Definition
perforation of colon wall
Term
cholera is characterized by
Definition
colonization of entire intestinal tract
Term
most of the normal microbial flora are found in the _____ of the digestive tract.
Definition
large intestine
Term
poultry products are a likely source of infection by
Definition
salmonella
Term
most GI infections are treated by
Definition
water and electrolytes
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