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Streptococcus 3/23/10
BBD exam 1 - Dr. Craig Meyers
35
Medical
Professional
04/10/2010

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Term
gram stain and shape of Streptococcus?
Definition
gram+ cocci in chains
Term
what does capnophilic mean?
Definition
loves CO2
Term
which bug is called GAS?
Definition
Group A Streptococcus
Term
what is the major antigen associated with GAS?
Definition
M protein. if it isnt present, then its not pathogenic.
Term
Rule of thumb: "If it has a capsule, then..."
Definition
it's a virulence factor
Term
what is C3b?
Definition
presented on surface and aids in opsonization of the microbe by macrophages
Term
is C3b deposited on surface?
Definition
yes, but its masked by its hyaluronic acid capsule
Term
what do adhesins bind to (and for what purpose), and how do they affect the host cell's signaling pathways?
Definition
fibronectins, eventually allowing them inside the cells to hide from immune system and ABx. mess up signaling pathways.
Term
what is SPE?
Definition
streptococcal pyrogenic toxin (2 docs injected themselves with 3-5 micrograms and died).
Term
what are the characteristics of the cytolytic toxin, Streptolysin S?
Definition
oxygen stable (the "S" stands for "stable"), non-immunogenic
Term
what are the characteristics of the cytolytic toxin, Streptolysin O?
Definition
Oxygen labile, immunogenic
Term
Are anti-streptolysin O (ASO) antibodies useful in documenting GAS infections?
Definition
YES
Term
Do you get these antibodies in skin infections?
Definition
NO!!
Term
when you have a GAS infection, where can you find DNAase B antibodies?
Definition
they are in all infections. (ASO antibodies are not in skin infxns)
Term
what does streptokinase do?
Definition
breaks up clots (used by the bug and in clinic)
Term
can S. pyogenes mess with the complement pathway?
Definition
yes, it has C5a peptidase.
Term
what do lysogenic phages do the virulence of S. pyogenes?
Definition
increase it by introducing new "weapons"
Term
what is a fomite?
Definition
inanimate object
Term
how is the bug spread?
Definition
person-person contact
Term
T/F: GAS is a major cause of pharyngitis
Definition
True. (if a person comes with a sore throat, you HAVE to test for strep! otherwise its an automatic malpractice)
Term
what is a complication of pharyngitis?
Definition
Scarlet Fever (without ABx, can kill)
Term
what is the difference between Streptococcal Toxic Shock Syndrome (TSS)and TSST-1 (from staph)?
Definition
TSS has bacteremia and extensive soft tissue infection, afflicts older men&women
Term
what is Erysipelas?
Definition
acute skin infection.
Term
what happens as you go from Erysipelas to pyoderma to cellulitis to necrotizing fascitis?
Definition
works from superficial to deep infections.
Term
can you use ABx on necrotizing fascitis?
Definition
No
Term
once more, do you get ASO antibodies in skin infxns?
Definition
NO!!
Term
Can Rheumatic Fever and Acute Glomerulonephritis be caused by GAS?
Definition
Yes (look for PBL case on acute glomerulonephritis)
Term
what is the metabolism characteristic of GAS; anaerobe, obligate anaerobe, etc...?
Definition
anaerobic (NOT obligate anaerobe so it can grow in presence of oxygen)
Term
what do you use for treatment?
Definition
penicillin
Term
what is the hemolysis pattern of Group A Streptococcus?
Definition
Beta Hemolytic
Term
what is the hemolysis pattern of Group B Streptococcus?
Definition
Beta Hemolytic
Term
what is the Genus and species of Group B Strep (GBS)?
Definition
Streptococcus agalactiae
Term
in which human population do you find the most problems with GBS?
Definition
newborns (early & late onset neonatal diseases)
Term
what do capsules protect against?
Definition
phagocytosis
Term
streptococcus pneumoniae (activates/deactivates) the alternative complement pathway.
Definition
activates
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