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Microbio
UTSA Dr Saville test 4
117
Biology
Undergraduate 3
11/15/2013

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Term
Natural barrier properties of skin
Definition
too dry for microbial growth
salt inhibits microbes
lysozyme hydrolyzes peptidglycan
fatty acids inhibit some pathogens
defensins (antimicrobial peptides) are produced
Term
Mucous membranes
Definition
line body cavities
epithelial cells attached to extra-cellular matrix
cells secrete mucous
some have cilia (especially in respiratory tract)
Term
Normal microbiota on Skin
Definition
G+, salt tolerant bacteria
staphylococci and micrococci
diptheroids= pro. acnes
Term
Staphylococcal Skin infections
Definition
S. epidermidis
S. aureus
Term
Streptococcal skin infections
Definition
Strep. pyogenes
streptokinases
Term
Infections by Pseudomonads (bacteria)
Definition
Pseudo aeruginosa
Pseudo dermatits
Term
Staphylococcus epidermidis
Definition
G+, very common, coagulase - , harmless unless skin is broken/surgically pierced
Term
Staphylococcus aureus
Definition
G+, coagulase +, most pathogenic, resistant to antibiotics, cause or MRSA
Term
Staph skin infections can cause
Definition
folliculitis (infections of hair follicles), stye (folliculitis of an eyelash), carbuncle (inflammation of tissue under the skin)
Term
If staph enters bloodstream
Definition
scalded skin syndrome
TSS (a superantigen)
Term
Staph skin infections
Definition
surface
impetigo (Toxin A) usually in babies
remains localized
scalded skin syndrome (Toxin B disseminates)
Term
Strep skin infections
Definition
Group A beta-hemolytic streptococci most comon
make hemolysin (lyse RBC's)
Term
Strep. pyogenes
Definition
M proteins, capsule that protects from host defenses
Term
Invasive group A strepto. infections
Definition
"Flesh eating bacteria" tissues digesting streptokinases

Cellulitis: digesting solid tissue
necrotizing fasciitis (digesting muscle tissue
Term
Pseudo aeruginosa
Definition
G-, pyocyanin produces blue-green pus
Term
Pseudo dermatitis
Definition
otitis externa (swimmers ear)
post burn infections
Term
Comedonal Acne
Definition
sebum channels are blocked with shed cells
Term
Inflammatory acne
Definition
Propionibacterium acnes, G+
Term
Viral diseases of skin
Definition
warts,small pox, monkey pox, chikenpox, shingles & more herpesviruses, measles, Rubella (German measles),
Term
Papillomaviruses
Definition
warts
treatment: removal, Imiquimod (interferon production), interferon
Term
Small pox
Definition
poxvirus, variola major 20% mortality,
variola minor has <15 mortality
Term
Monkey pox
Definition
poxvirus, prevention by small pox vaccine
Term
Chicken pox
Definition
herpesvirus, transmitted by respiratory route
pus filled vesicles
virus may remain latent in dorsal root ganglia
Term
Singles
Definition
herpesvirus
latent HHV-3 (cpox) move along peripheral nerves to skin
Term
Cold sores & fever blisters
Definition
herpes 1&2
2 has 70% fatality rate
Acyclovir
Term
Measles
Definition
Rubella
symptoms: macular rash and Kopliks spots
vaccination MMR
Term
German measles
Definition
Rubella
macular rash and fever
vaccine MMR
causes severe fetal damage
Term
Fungal diseases of skin
Definition
Dermatomycoses, dandruff, candiasis,
Term
Tineas or ringworm
Definition
dermatomycoses
trichophyton: infects hair, skin &nails
epidermphyton: skin and nails
microsporum: infects hair and skin
metabolizes keratin
treatment: oral griseofulvin & topical miconazole
Term
Dandruff
Definition
malasezzia species
treatment zinc
Term
Dermatomycoses diseases
Definition
ringworm and athlete's foot
Term
candidiasis
Definition
candida albicans, mucous membranes or gentiourinary tract and mouth
Term
OPC
Definition
Oropharyngeal candidiasis "thursh"
treatment: azole, flucanzole
Term
VVC
Definition
Vulvo vaginal candidiasis "yeast infection"
tratment: miconzole, clotrimazole nystatin
Term
Parasitic infections of the skin
Definition
Scabies, pediculosis ( head louse and body louse)
Term
Scabies
Definition
Sarcoptes scabiei
burrow to lay eggs
treatment: topical insecticides
Term
Pediculus humanus capitis
Definition
pediculosis
head louse
Term
P. h. corporis
Definition
pediculosis
body louse
Term
Bacterial diseases of eye
Definition
conjunctivitis, neonatal gonorrheal opthalmia, trachoma,
Term
Conjuctivitis
Definition
pink eye
various microbs
unsanitary contacts
Term
Neonatal gonorrheal ophhalmia
Definition
Nisseria gonnorrhoeae
trasmitted through birth canal, prevented by antibiotics
Term
Inclusion conjunctivitis
Definition
chlamydia thrachomatis
to newborns eyes through birth canal
or swiming pool water
treated w. tetracycline
Term
Trachoma
Definition
leading cause of blindness worldwide
infection causes permanent scarring to cornea leading to blindness
Term
Viral diseases of the eye
Definition
conjunctivitis(adenoviruses), herpetic kertitis (herpes 1, infects cornea causes blindness, treated w/ trifluridine
Term
Protozoan Disease of eye
Definition
Ancanthamoeba keratitis
transmitted from water
unsanitary contact lens
Term
How do microbes enter the nervous system
Definition
skull or backbone fractures
medical procedures
along peripheral nerves
through blood or lymph
Term
Microbial Diseases of the Nervous system
Definition
meningitits, encephalitis, listeriosis, tetnas, botulism, leprosy,
Term
Meningitis
Definition
inflammation of meninges
Term
encephalitis
Definition
inflammation of brain
Term
Bacterial meningitits
Definition
fever headache stiff neck nausea & vomit
diagnosis through gram stain and coma
treated with cephalosporins (lipid soluble)
Term
Most common causative agents of bacterial meningitis
Definition
1985: h influ., strep pneu, niss menggiti
1995: strep pneu, niss meng, haem influ
Term
Haemophilus influenzae induced meningitis
Definition
mostly in children 6mo to 4 y
G- aerobic, noraml throat microbiota
prevented by Hib vaccine
Term
Neisseria induced meningitis
Definition
often called meningococcal meningitis
G- aerobic
glass test
vaccination for college students
10% are carriers
Term
Streptococcus pneumoniae induced meningitis
Definition
pnemococcal meningitis
G+
70% are carries
most common in children 1mo - 4 years
mortality 30% in kids, 80% in elderly
vaccine
Term
Listeriosis
Definition
Listeria monoytogenes
G- aerobic
foodborne, to baby as well
reproduces inside phagocytes
Term
Tetanus
Definition
Clostridium tetani
G+, obligate anerobe. endospore
enters through p nerves of blood
vaccine and booster
treatment: immune globulin
Term
Botulism
Definition
Clostridium botulinum
G+ endospores obligate anaerobe
causes flaccid paralysis
prevention: proper food canning, nitrates prevent
treatment" antitoxin and supportive care
Term
Type A & B botulism
Definition
A: 60-70% fatality, in parts of US
B: 25% fatality, europe and e US
Term
Tetanospasmin
Definition
: blocks relaxation pathway in muscles
Term
Leprosy
Definition
Mycobacterium leprae
requires prolonged contact
2 forms: neural and progressive
Term
Tuberculoid
Definition
neural form of leprosy
loss of sensation; positive lepromin test
Term
Lepromatous
Definition
progressive form of leprosy
disfiguring nodules over body; negative lepromin test
Term
Viral diseases of nervous system
Definition
Poliomyelitis, rabies, arboviral encephalitis,
Term
Poliomyelitis
Definition
Poliovirus
transmitted by food
sore throat and nausea
viremia may occur, paralyis <1%
vaccine: sabin only used during outbreaks
Term
Rabies virus
Definition
Rhabdovirus
causes encephalitis
initial symptoms spasms of mouth and pharynx and hydrophobia
2 types, furious and paralytic
mostly in raccoons, bats, skunks, foxes
Term
Furious rabies
Definition
animals are restless then highly excitable
Term
Paralytic rabies
Definition
Animals seem unaware of surroundings
Term
Post exposure treatment of rabies
Definition
vaccine plus immunoglobulin,before symptoms occur
Term
Arboviral encephalitis
Definition
means arthropod borne
seasonal outbreaks
by mosquitos
Term
Fungal diseases of nervous system
Definition
Crytococcosis, Meningitis cryptococcua nneroformans, soil fungus, produces spores transmitted by respiratory route, mortality up to 30%
treatment: Amphotericin B & flucytosine
Term
Protozoan diseases of nervous system
Definition
African trypanosomiasis, transmissible spongiform encephalopathies,
Term
African trypanosomiasis
Definition
trypansoma brucei gambiense
chronic 2 to 4 yr
T.b. rhodesiense more acute
tsetse fly
prevention: eliminate vector
treatment: eflornithine
Term
Transmissible spongiform encepalopathies
Definition
caused by prions
sheep scrapie
CJ
Kuru
Bovine spongiform encephalopathy
transmitted: ingestion, chronic and fatal
not treatment
Term
Septicemia
Definition
persistence of pathogens in the blood
Term
Sepsis
Definition
systemic inflammatory response
Term
severe sepsis
Definition
sepsis w/ decreased blood pressure
Term
septic shock
Definition
sepsis w/ an uncontrollable drop in blood pressure
Term
G- sepsis
Definition
endotoxins cause blood pressure to decrease

antibiotics worsen condition
Term
G+ sepsis
Definition
Nosocomial infections

s aureus
s pyogenes
group B strepto
e faecium and e faecalis
Term
Puerperal sepsis
Definition
childbirth fever
strep. pyogenes
transmitted to mother during childbirth by attending physicians
Vienna hospital- first epidemiological studies
Term
Endocarditis
Definition
inflammation of the endocardium
Term
subacute bacterial endocarditis
Definition
alpha- hemolytic streptococci from mouth
(don't see it)
Term
acute bacterial endocarditis
Definition
staph. aureus from mouth
Term
Pericarditis
Definition
inflammation of pericardium, streptococci
Term
Bacterial infections of the heart
Definition
endocarditis, pericarditis, rheumatic fever, tularemia,brucellosis, anthrax, gangrene, cat scratch disease,plague, relapsing fever,lyme disease,typhus, Rocky mountain spotted fever.
Term
Rheumatic fever
Definition
inflammation of heart valves
strep, pyogenes
nodule
Term
Tularemia
Definition
rabbit fever
Fran. tularensis
transmitted by deer flies on deer and rabbits
bacteria reproduce in phagocytes
Term
Brucellosis (undulant fever)
Definition
G- grow in phagocytes
fever spikes to 40C each evening
transmitted via milk form infected animals
Term
Anthrax
Definition
Bacillus anthracis
G+
found in soil
cattle vaccinated
treated w/ ciprofloxain
Term
Cutaneous anthrax
Definition
endospores enter through minor cut
20% fatality
Term
Gastrointestinal anthrax
Definition
uncooked food
50% mortality
Term
inhalation anthrax
Definition
inhalation of endospores
in soil
100% fatality
weapon?
Term
Gangrene
Definition
death of soft tissue
Term
Necrosis
Definition
death of tissue
Term
Ischemia
Definition
loss of blood supply to tissue
Term
Gas gangrene
Definition
Clostridium perfingens
G+
grows in necrotic tissue
treatment: surgical removal of necrotic tissue &/or use of hyperbaric chamber (more O2)
Term
Cat scratch disease
Definition
Bartonella hensellae
Term
Plague (black death)
Definition
Yersinia pestis G-
reservoir: rats, ground squirrels & prairie dogs
vector flea
3 type septicemia and pneumonic and bubonic
Term
Septicemia plague
Definition
septic shock
Term
Pneumonic plague
Definition
bacteria in the lungs
Term
bubonic pague
Definition
bacterial growth in blood and lymph
Term
relapsing fever
Definition
Borrelia, spirochete
reservoir rodents
vector ticks
successive relapses are less severe
more common in europe
Term
Lyme disease
Definition
Borrelia burgdorferi
more common in US
bulls eye rash than irregular heartbeat encephalitis, then arthritis
Term
Typhus
Definition
Rickettia
two types: epidemic and epidemic murine
Term
Epidemic typhus
Definition
Rickettsia prowazekii
reservoir: rodents
vector: oediculus humanus corporis (body louse)
transmitted: when louse feces into bite wound
Term
Epidemic murine typhus
Definition
ricekttsia typhi
reservoir rodents
vector fea
Term
Rocky mountain spotted fever
Definition
Rickettsia rickettsii
measles like rash on palms and soles too
Term
Viral disease of cardiovascular
Definition
Human Herpes virus 4, cytomegalovirus human herpes 5, ebola
Term
Human Herpes Virus 4
Definition
Epstein Barr Virus & infectious mononucleosis

children asymptomatic
transmitted via saliva
characterized by proliferation of monocytes
Term
Cytomegalovirus
Definition
human herpesvirus 5
infected cells sweel
latent in wbc
asymptomatic or mild
causes mental retardation when crosses placenta
transmitted sexually or blood or tissue
Term
Ebola
Definition
fliovirus, viral hemorrhagic fever

no treatment
Term
Protozoan & Helminthic disease of cardiovascualr system
Definition
protozoan: Chagas disease
toxoplasmosis
malaria
leishmaniasis
helminthic: schistosomiasis
Term
Chagas disease
Definition
american trypanosomiasis
Trypanosoma cruzi
reservoir: rodents, opossums, armadillos

vector: reduviid "kissing" bug
Term
toxoplasmosis
Definition
1. immature oocyst in cat feces
2. mature oocysts develop
3. if pregnant woman ingests oocysts from cat litter prenatal infection of fetus may occur
Term
Malaria
Definition
Plasmodium vivax, P. ovale, P. malariae, P falciparum

anopheles mosquito = vector
Term
Leishmaniasis
Definition
vector sandflies
reservoir sm animals

visceral. fatal
cutaneous. papule that ulcers & scars
mucocytaneous disfiguring
Term
Schistosomiasis
Definition
tissue damage in response to eggs lodging in tissue

swimmer's itch: cutaneous reaction in US
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