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Salmonella and Shigella
Salmonella/Shigella Micro-IDIT-DO2013
23
Medical
Professional
02/12/2010

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Cards

Term
Salmonella
Gram Neg or Pos?
Definition
Enterobacteriaceae
Gram Neg. Also, Oxidase Negative.
Term
Salmonella
Ferment what
Definition
Salmonella ferment glucose not lactose
Term
Three species of Salmonella
Definition
S. Typhi, choleraesuis, and enteritidis (>2k serotypes)
Term
Name all of Salmonella's Exotoxins
Definition
Trick question bitch! Salmonella has no exotoxins!
Term
Salmonella's two Pathogenicity islands (SPIs)
Definition
SPI1->invasiveness,
SPI2->survival in macrophages
Type III secretion
Term
Salmonella uptake mechanism
Definition
Salmonella proteins ruffle cell margins by messing w/ actin, >pinocytosis of salmonella into enterocytes
Term
Salmonella Virulence Factors
Definition
1. Invasive to epithelium
2. Survive in macrophage
3.Serum resistance proteins
4. LPS
5. Capsule >Vi antigen. (antiphagocytic and serum resistance)
Term
Four presentations of Salmonella
Definition
1. Enteric Fever
2. Septicemia
3. Gastroenteritis
4. Asymptomatic
Term
Enteric Fever
Definition
1. Fever (duh)
2. Constipation >maybe diarrhea
3. Low titer. Rare, but lethal
4. Caused by S. Typhi, Paratyphoid caused by enteritidis strains.
Term
Septicemia
Definition
Caused by choleraesuis and dublin. Usually w/o GI infection. Suppurative inf. in 10%
Term
Gastroenteritis (enterocolitis
Definition
1. Most common Salmonella inf.
2. 6-48 hrs after exposure.
3 NVD, no mucus, blood uncommon. Fever+ Abd cramp+
4. 2days-1week
5. S. enteriditis > frequently infects mesenteric lymph nodes
Term
Salmonella Gastroenteritis Tx
Definition
Abx increase secondary cases. Hydration and electrolyte therapy.
Term
Salmonella carrier state
Definition
secretion of salmonella 1 yr after infection. GB is reservoir.
Term
Shigella causes what major disease
Definition
Dysentary
Term
Shigella Gen. Features
Definition
Highly virulent
Non-motile
Not lactose fermenting.
Non gas producing
Term
4 species of Shigella
Definition
Grp A: dysenteriae
Grp B: flexneri
Grp C: boydii
Grp D: sonnei
Shigella Types: Dys Fukkin Bull Son
Term
S. dysenteriae
Definition
Only Shigella not fermenting manitol.
Term
S. Sonnei special feature
Definition
Only enteric pathogen that ferments lactose. Causes majority of Shigellosis, all others by flexneri. ShigellA>S. dys
Term
Dysentery epidemiology
Definition
peds or soldiers
Term
primary virulence factor of shigella
Definition
1. Invasiveness >actin comet
>ulceration of mucosa
2. Toxin
-Shiga toxinenterotoxic, cytotoxic, neurotoxic.
Term
Virulence of shigella on SPI or plasmid?
Definition
plasmid
Term
Shigellosis progression
Definition
watery diarrhea> fever and diarrhea w/ scant blood, very mucusy and pussy. Shigella does not go past basolateral border of epithelium >> no bacteremia or mesenteric lymph infection.
Term
Shigella Tx
Definition
Abx shorten duration to less than 1 week. Chronic uncommon
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