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haemophilus, bordetella, and legionella
chapter 10
15
Microbiology
Graduate
12/31/2009

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Term
Virulence factor of Haemophilus influenzae
Definition
capsule b (a ~ f)
nontypeable (w/o capsule) species exacerbate COPD
Term
Infections caused by Haemophilus influenzae type b
Definition
* Meningitis
* Acute epiglottitis: fever, sore throat, stridor, dysphagia
* Septic arthritis: common cause in infants
* Sepsis
Term
Treatment of serious H. influenzae infection?
Definition
3rd generation cephalosporin (cefotaxime or ceftriaxone)
Term
Disease caused by Haemophilus ducreyi
Definition
Chancroid. A type of STD: painful genital ulcer, painful unilateral swollen inguinal node
Term
How does syphilis differ from H. ducreyi infection?
Definition
* painLESS genital ulcer
* painLESS, NONsuppurative, BIlateral inguinal adenopathy
Term
How is herpes different from chancroid?
Definition
Herpes lesions are also painful, but herpes leads to systemic symptoms such as fever and myalgias
Term
Slow growing bacteria that cause endocarditis (5)
Definition
Haemophilus
Actinobacillus
Cardiobacterium
Kingella
Eikenella
Term
Which bacteria causes vaginitis and presents with clue cells (vaginal epithelial cells with tiny pleomorphic bacilli w/n the cytoplasm)?
Definition
Gardnerella vaginalis. Treat with metronidazole.
Term
What causes whooping cough?
Definition
Bordetella pertussis, which attach to the ciliated epithelial cells of trachea and bronchi
Term
4 virulence factors of Bordetella pertussis
Definition
* Pertussis toxin: increase cAMP
* extra cytoplasmic adenylate cyclase
* filamentous hemagglutinin (FHA): binds to cell
* tracheal cytotoxin: responsible for violent cough
Term
characteristics of CBC differential of Bordetella pertussis infection?
Definition
Increase in lymphocytes, with just a modest increase in PMN (~ viral infection)
Term
prophylactic treatment during prodromal/catarrhal stage of whooping cough?
Definition
erythromycin
Term
Live in water environments, facultative intracellular parasite, in lower respiratory tract, survives in biofilm. Which bacteria?
Definition
Legionella pneumophilia
Term
Two diseases caused by Legionella pneumophilia?
Definition
* Pontiac fever: headache, myalgia, fatigue, fever, chills. Sudden onset, sudden cure
* Legionnaires' disease: high fever, severe pneumonia
Term
Treatment of Legionella pneumophilia infection
Definition
macrolides (erythromycin, azithromycin, clarithromycin)
tetracyclines (doxycycline)
quinolones (ciprofloxacin, levofloxacin, moxifloxacin)
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