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Plague – type III secretion |
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Tuberculosis Immune evasion and resistance |
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Meningitis:
1) H. influenzae 2) N.meningitis 3) Listeria monocytogenes 4) Streptococcus pneumoniae |
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Broad-spectrum third generation cephalosporins 1st choice of antibiotics + Vancomycin Spinal tap Cerebrospinal fluid Latex agglutination
1) Haemophilus influenzae Meningitis g(-), aerobic bacteria Capsule (Important in pathogenicity)
normal throat microbiota Haemophilus (blood loving) Enters bloodstream Cause invasive diseases Children under age 4 Especially at 6 months Ab protection from mother weakens vaccination
2) Neisseria Meningitis (Meningococcal Meningitis) g(-), aerobic cocci, capsule (antiphagocytic) 10% of people are healthy nasopharyngeal carriers Most individuals in close contact with a case of meningococcal meningitis become carriers of the organism Begins as throat infection, rash Serotype B is most common in the United States Fever and altered mental status, headache is usually very severe, nausea, and vomiting Vaccination Recommended for College Students Meningococcal polysaccharide vaccine (MPSV4) Meningococcal conjugate vaccine (MCV4)
3) Listeriosis g(+), aerobic, rod
4) Streptococcus pneumoniae Meningitis (Pneumococcal Meningitis) g(+), encapsulated diplococci
Fever, headache, and stiff neck followed by nausea and vomiting May progress to convulsions and coma
70% of people are healthy nasopharyngeal carriers Most common in children (1 month to 4 years) Mortality: 30% in children, 80% in elderly
Vaccination |
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Retrovirus RNA virus
HIV-1 is the most common. It has 11 clades: 90% of U.S. infections caused by clade B Clade C predominates in sub-Saharan African Clades B, C, and E are in south and southeast Asia HIV-2 is seen in Western Africa
Virus feature It proliferates regardless of cellular and humoral responses Two-Receptor Mechanism Required to infect CD4 T cell Glycoprotein spike (gp120) attach gp120 receptor of CCR5 or CXCR4 gp120 can resists Ab binding
HIV antibodies detected by ELISA HIV antigens detected by Western blotting Plasma viral load determined by PCR or nucleic acid hybridization
Nucleotide reverse transcriptase inhibitors Non-nucleoside reverse transcriptase inhibitors Protease inhibitors Fusion inhibitors Highly Active Antiretroviral Therapy (HAART) Combinations of nucleoside reverse transcriptase inhibitors plus Non-nucleoside reverse transcriptase inhibitor Protease inhibitor |
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Neither bacteria or virus- Prions |
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Abnormally folded proteins Can induce in shape of normal protein
Sheep scrapie,Creutzfeldt-Jakob disease,Kuru,Bovine spongiform encephalopathy
Ingestion Transplant corneal Inherited
Chronic and fatal |
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Prions Infected animal scrapes itself against fence & walls Raw |
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Creutzfeldt-Jakob disease |
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Occurs via corneal transplants Accidental scalpel nicks autopsy |
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Bovine spongiform encephalopathy |
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Human Nervous System
a) meningitis b) encephalitis c) meningoencephalitis |
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no normal microbiota CNS+PNS DAP (out to in) Sub A=CSF BBB=altered with infection
a)Inflammation of the meninges b)Inflammation of the brain c)Inflammation of both |
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Pathology Etiology Pathogenesis Infection Disease |
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Definition
The study of disease The study of the cause of a disease The development of disease Colonization or invasion of the body by pathogens An abnormal state in which the body is not functioning normally |
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