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Microbiology Unit 4
final 12
64
Biology
Undergraduate 1
04/19/2009

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Term
What is an infection of the meninges called?
Definition
meningitis
Term
What is an infection of the brain called?
Definition
encephalitis
Term
What is the blood-brain barrier? What is it's purpose?
Definition
specialized capillaries and vesicles (less permeable); prevents passage of molecules into the meninges or brain
Term
What kind of immune response does the CNS have?
Definition
reduced because it cant inflame becaue inflammation causes tissue damage (this also hapens inthe uterus)
Term
What type of gram stain is Nersseria Meningitis?
Definition
gram negative diplococci
Term
Does neisseria meningitis have a capsule?
Definition
yes - serological groups A,B,C< and others
Term
What diseases can Nersseria Meningitis cause?
Definition
meningitis and meningococcemia
Term
What is meningococcemia?
Definition
septicepia with neisseria meningitis (septocemia, rash, rapidly fast)
Term
Where does Nersseria Meningitis colonize?
Definition
throat and nasopharynx (then can go into blood)
Term
How do you diagnose Nersseria Meningitis?
Definition
spinal tap to get CSF then 1. gram stain, 2. latex agglutination, 3. culture and type
Term
How do you treat bacterial meningitis?
Definition
antibiotics (also for family)
Term
How do you prevent bacterial meningitis?
Definition
vaccines for A and C, but type B is too close to a human antigen
Term
What is the gram stain of streptococcus pneumoniae?
Definition
gram positive cocci in pairs (diplococci) - THIS IS DIAGNOSTIC because there are no other gram + diplococci that cause meningitis
Term
What diseases does streptococcus pneumoniae cause?
Definition
pneumonia, otitis media, and meningitis
Term
Where does streptococcus pneumoniae colonize? what age?
Definition
throat, 1 mo. - 4 years
Term
What is the virulence factor for streptococcus pneumoniae?
Definition
HUGE capsule
Term
How do you diagnose streptococcus pneumoniae?
Definition
gram stain of CSF, latex aggluniation, culture and susceptibility
Term
how do you treat streptococcus pneumoniae?
Definition
antibiotics
Term
How do you prevent streptWhaococcus pneumoniae from infecting?
Definition
vaccine (polysaccahride or conjusgate for young)
Term
What type of gram stain is haemophilus influenzae?
Definition
gram negative short rod
Term
What is fastidious? which bacteria exemplifies this?
Definition
very particular as to where it will grow; haemophilus influenzae
Term
What diseases does haemophilus influenzae cause?
Definition
meningitis, sinusitis, otitis media, epiglottitis, pneumonia
Term
What type of haemophilus influenzae can be vaccinated?
Definition
b
Term
What is the reservoir of haemophilus influenzae>
Definition
healthy adult carriers (normal respiratory flora)
Term
How do you treat haemophilus influenzae?
Definition
antibiotics
Term
How do you prevent haemophilus influenzae from infecting?
Definition
conjugate capsule vaccine (Hib)
Term
What is the path that infections that cause meningitis take?
Definition
nasal, blood, CSF
Term
What is the gram stain of Listeria monocytogenes?
Definition
gram positive rod
Term
What is a facultative intracellular parasite? what bacteria exemplifies this?
Definition
survives and replicates outside of cells, but evades immune system by hiding in cells; Listeria monocytogenes
Term
How does Listeria monocytogenes move?
Definition
rocketing movement through host cells
Term
How does Listeria monocytogenes cause infection?
Definition
crossing of placenta during pregnancy to infect fetus, immunocompromised
Term
How is Listeria monocytogenes spread?
Definition
intestinal carriage, food-borne transmission (dairy products, grows in cold)
Term
What are the virulence factors of Listeria monocytogenes?
Definition
ability to replicate inside host cells, rocketing
Term
How do you treat Listeria monocytogenes?
Definition
prevention (public health surveillance)
Term
What is the number one cause of neonatal meningitis? what are the other causes?
Definition
streptococcus agalactiae; e. colo (k1 strain) and other enterics
Term
What is needed to identify infection of neonatal meningitis?
Definition
gram stain
Term
What type of infection in clostridium tetani?
Definition
bacterial with toxemias
Term
What kind of spore stain is clostridium tetani?
Definition
gram positive rod, spore former
Term
Does clostridium tetani like oxygen?
Definition
no it is an obligate anaerobe (oxygen kills it)
Term
Where does clostridium tetani come from?
Definition
soil
Term
What does clostridium tetani cause? how?
Definition
neonatal tetanus; through umbilical stump infection in fetus or dirty tools
Term
What is required for clostridium tetani to infect?
Definition
anaerobic tissue
Term
What is the path of the toxin during clostridium tetani infection?
Definition
eneters the bloodstream, then binds to peripheral nerve cells (
Term
what is so dangerous about an infection of clostridium tetani?
Definition
spastic contractions of muscles lead to respiratory failure
Term
What is the virulence factor for clostridium tetani?
Definition
tetanus toxin (tetanospasmin)
Term
How does tetanospasmin iinhibit muscle relaxation?
Definition
binds to placed where inhibitory transmitters should be released so the release of them is bloacked
Term
How do you diagnose clostridium tetani?
Definition
symptoms
Term
How do you treat clostridium tetani?
Definition
debridement, tetanus immune globulin antitoxin, vaccine
Term
What is tetanus toxoid?
Definition
vaccine to prevent tetanus against the toxin (not clostridium tetani)
Term
What are the main characteristics of clostridium botulinum?
Definition
gram positive spore former, obligate anaerobe
Term
What does clostridium botulinum cause?
Definition
botulism (flaccid paralysis/limpness) in babies or adults
Term
How does clostridium botulinum affect infants?
Definition
intestinal colonization (because their intestinal flora isnt built up yet) associated with honey
Term
How does clostridium botulinum affect adults?
Definition
food poisening or wound (toxin enters blood, binds to nerve signals in PNS)
Term
What can home canned or raw vegetables lead to?
Definition
botulism in adults
Term
What is the virulence factor for botulism?
Definition
toxin (high potency)
Term
What is the gram stain of mycobacterium leprae?
Definition
it wont gram stain because they have waxy lislipids that repel stain, so if you acid fast stain it you see it ROD shaped
Term
What does mycobacterium leprae infect?
Definition
peripheral nerves
Term
What kind of parasite is mycobacterium leprae?
Definition
facultative intracellular
Term
What diseases does mycobacterium leprae cause?
Definition
leprosy (lepromatous and tuberculoid)
Term
What is tuberculoid?
Definition
leprosy characterized by discolored patches of skin
Term
What is lepromatous?
Definition
leprosy that cuts off vasculature and interferes ith fluid flow
Term
How is mycobacterium leprae spread?
Definition
prolonged contact with infected person
Term
How do you diagnose mycobacterium leprae?
Definition
cannot culture - skin test (lepromin)
Term
How do you treat mycobacterium leprae?
Definition
antibiotics (dapsone)
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