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Ch.13_Disease Progression
Jeff Duerr's Exam
70
Biology
Undergraduate 3
11/16/2009

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Term
Infectious Dose (ID)
Definition
minimum # or organisms required to cause disease.
Term
Portals of Entry (6)
Definition
Skin, eyes (tear ducts), respiratory, digestive system, urogenital, surgical
Term
ID 50
Definition
# of organisms required to cause disease in at least 50% of host population.
Term
List course of Disease (6)
Definition
Incubation, Prodormal period, Acme period, period of Decline, Period of Convalescence
Term
What is the pathology of Bacterial Infection?
Definition
Attachment, Penetration of Host defenses, Damage to Host cell/tissues, Exit of Pathogen, Transmission
Term
Treponema pallidum
Definition
cause syphylis and attach directly to cell w/ hook
Term
Nesseria gonorrhea
Definition
Stimulates endocytocis by the host cell and becomes intracellular parastie.
Term
Streptococcus mutanes
Definition
-consumes glucose or sucrose
-glucose convert to polymer dextran
-attach to teeth via dextra
-biofilm formation
-acid production (fermentation)
-pH, [Ca2+] enamel goes down--> dental cavics (cavities)
Term
Capsule
Definition
reduce phagocytosis by macrophage
Term
M-Protein, cell wall component
Definition
increase adherence to tissue
decrease phagocytosis

*Streptococcus
Term
Leukocides
Definition
kill WBC
-neutrophils & macrophages

*stap./strep.
Term
Hemolysin
Definition
RBC (erythrocytes) and WBC (leukocytes) killed

*Staph/strep
Term
Coagulase
Definition
clot blood, pathogen walls itself off.

*staph/boil on skin
Term
Kinase
Definition
break down clots that the body uses to wall off pathogen
Term
Hyaluronidase
Definition
secreted to break down connective tissue (in sulovian fluid)
Term
Collagenase
Definition
secreted to break down connective tissue
Term
necrotizing factors
Definition
toxins, chemical release that cause tissue death
Term
lecithinase (phospholipaze)
Definition
lysis plasma membrane
Term
protease
Definition
proteins that break down proteins
Term
hypothermic factors
Definition
secreted to lower fevers
Term
siderophores
Definition
scavage iron from plasmid (need iron for replication)
Term
invasions
Definition
samonella and E.coli secrete them.
-reorganize actin cytoskeleton, promotes endocytosis and ferries bacteria around w/n in the cell.
Term
Exotoxins
Definition
Secreted by living cells (bacteria)
-tend to be G+
Term
cytotoxin
Definition
kills cells
Term
enterotoxin
Definition
kills cells in the GI (Gastrointestinal tract)
Term
neurotoxins
Definition
damage or kill nerves/neurons
Term
antitoxin
Definition
antibiotic that binds to and neutralixes a toxin
Term
toxoid
Definition
heat or chemically inactivated toxin and elicits antibody resonse
Term
AB toxins
Definition
dimers: A= toxin, B=binding protein

Ex: Cholera toxin, Diptheria toxin (inhibits riboomes)
Term
erthrogenic
Definition
damages capilaries
-scarlet fever redness of skin
-found on plasmid
*stre. pyogenes
Term
botulinum tosin
Definition
acts at the neuromuscilar junction and block acytl choline (Ach) release
-cause flaccid paralysis
-leads to asphyxation/diaphram
-1mg=kill 1,000 Gpigs
Term
tenanus toxin
Definition
acts at level of inhibitory moto neuron
-neurontransmitter release
Term
Endotoxin
Definition
LPS (lipoplysaccharide)
G- plasmid

*macrophage ingest Gram- cell, LPS causes macrophage to secrete interleukin 1
Term
LPS
Definition
1.pyrogen-aches/pains, nausea, miscarriage
2.Macrophage "eats" G- bacerium, LPS relased intracellulary, macrophage releases IL-1-->fever
3.LPS can lead to "septic shock"
Term
TNF (tumor necrosis factor)
Definition
LPS causes macrophages to release TNF-->septic shock
Term
Exits of Pathogen (5)
Definition
coughing&sneezing, open lesions/skin wounds, insect bites, Urin/feces, removal of blood
Term
Transmission
Definition
exposure to a source of pathogen
Term
Reservoirs
Definition
the location or organism where disease-causing agents exist and maintain their ability to infect

ex: reservoirs of flue are humans, pigs, birds
Term
Asymptomatic carrier
Definition
w/ obvious indications of infection or disease
-incubator
-convalescent(getting over it but still contagious)
Term
Passive carrier
Definition
ex: medical personnel touches patient w/ unwashed hands
Term
biological vector
Definition
part of the pathogen life cyle
Term
zoonosis
Definition
pathogen reaches dead end in human host
-70% of emerging infection diseases
Term
Mechanical vector
Definition
animal transmitting pathogen but not "infected"

Ex: fly on feces travels to your sandwitch
Term
non living carriers
Definition
soil: spores (clostridium, bacillus)
water: legionella, Cholera (vibrio)
Term
communicabe
Definition
infected host CAN communicate disease to another host
Term
non-communicable
Definition
infected host CAN'T communicate disease to anther hoste
Term
contagious
Definition
highly communicable
Term
vertical/horizontal transmition
Definition
vertical: parent-->offspring
horizontal: bog<-->mary
Term
fomite
Definition
inanimate objects with pathogen
Term
nosocomial
Definition
hospital acquired infection
Term
Acute
Definition
short duration (days/weeks)
*influenza
Term
chronic
Definition
longer duration (years)
*tuberculosis, leprosy
Term
subacute
Definition
something in between acute and chronic (a few months)
*sclerosis, paraencephalitis
Term
latent
Definition
infection, but symptoms and signs come later
*shingels, HIV
-dormant not really contagious
Term
Local infection
Definition
a bacterium or virus that does not spread
*boil, abcess, pimple, strept throat
Term
Systematic infection
Definition
spread throughout host body
Term
Focal infection
Definition
infectious agent spread from initial site to new site, now confined
*pharengitis (sore throat)-->otitis media (ear infection)
Term
Bacteremia
Definition
bacteria in blood
Term
Septicemia
Definition
bacteria reproducing in blood
Term
Toximia
Definition
toxins in the blood
Term
Viremia
Definition
viruses in the blood
Term
Primary infection
Definition
acute illness caused by original pathogen
Term
Secondary infection
Definition
occurs as a result of an opportunistic pathogen
-overcoming barriers, broken down by original pathogen
Ex: HIV~infects WBC
then get Klebsiella pneumonia~because immune system is broken down
Term
Subclinical infection
Definition
no symptoms, but still infected
*contagious
Ex: hepititus A, poliovirus
Term
Mortality
Definition
death rate due to some disease
Term
Morbidity
Definition
total # of infected people in a community
Term
Endemic
Definition
steady frequency of disease in a defined geographic area (cold flu)
Term
Epidemic
Definition
higher increased # of infection above expectations
-increased morbidity

ex: influenza H1N1
Term
Sporadic
Definition
occasional cases at irregular intervals (rabies)
Term
Pandemic
Definition
pathogen is epidemic on global scale
(H1N1)
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