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Definition
First line of defense Mechanical and Chemical defense Normal Flora -Protective, Gram +, Opportunist |
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2 minor skin infections (details) |
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Definition
Staph aureus Strep pyogenes
localized infections systemic |
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Definition
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Typical bacteria types (4) |
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Staphylococcus Streptococcus Pseudomonas Propionibacteria |
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clusters S. aureus-most pathogenic S. epidermis-opportunist (implants) S. saprophyticus- opportunist (uti)
most are penicillin G resistant MRSA-methicillin resistent staph. aureus resist ALL penicilln
catalase pos coagulase- S. Aureus-pos, Others- neg |
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Coagulase positive golden yellow colonies exotoxins- leukocidiins, exfoliative toxin, enterotoxin MRSA (problem!!)- nasal carriage common, resist all penicillin --vancomycin effective, but VRSA developing |
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Definition
Localized -Follicultis, Furnicle, Carbuncle -each deeper and more damage |
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Definition
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Scalded skin syndrome Toxic shock -fever vomiting, rash, shock (asso. with tampons.) |
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Definition
>30 species 5 important especially S. pyogenes, S. agalaciea, S. pneumonia chains |
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Definition
Alpha- partial digestion, green brown color on blood agar Beta-complete digestion, clearing of red color on blood agar Gamma- no effect on blood agar, just grows |
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Virulence factors for toxins |
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Definition
antiphagocytic: M protien, eyrthrogenic toxin, DNAse, NADase, streptokinase, hyaluronidase, leukocidins |
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Definition
High fever, bright red rash |
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Definition
crushed pustules around mouth, especially newborns |
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Definition
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red swollen tonsils, pharynx, purulent exudate on tonsils, high fever, swollen lymph nodes. Delayed reaction 1-3 days rhumatic fever heart damage glomerulonephritis- kidney damage diagnosed by swab test -rapid antigen detection test-quick not sensitive growth-throat swab overnight on blood agar |
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Definition
gram neg polar flagella aeroic blue green pigment- can secrete into media grape like sweet odor |
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Definition
mainly oppourunist -sick, immunocompromised, burn patients very tough -resists almost all antibiotics |
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Definition
feeds on sebum-hence problem at puberty causes inflammation, skin scarring |
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Definition
human papilloma virus benign skin tumors spread-direct contact treatment-freeze, burn, electrical, acid associated with cervical cancers vaccine |
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Definition
zoster part of herpes family one virus -two diseases- chicken pox, shingles |
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Definition
varicella highly contagious, childhood virus remains latent in nerve cells vaccine used to control old complication with asprin use -reyes syndrom- rare now |
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Definition
herpes zoster reactivation some trigger-trauma, immunosuppression, ? painful lesions rash along sensory nerve- trunk, head, eye Treatment- vaccine, acylovir-soon after outbreak, zoster immune globulin |
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genital sores clinically same as type 1 can swap sites |
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latent in nerve cells tirgger -trauma, UV, immunosuppression, ?? treatment-acyclovir |
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Definition
respiratory route characteristic kiplik spots in throat -red spots-bluish/white specks in center extremely infectious sotry-virus can linger2hrs after infected child leaves waiting room-cold still infect can be deadly kills many in refugee camps |
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Definition
cutaneous hair, nails, outer layer Tinea capitis-head Tinea pedis- foot ringworm release keratinase-raised inflamed ring, healing center loss hair, flaky skin, crumbly nails |
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Definition
cut in skin soil fungus -roses, sphagnum moss may spread via lymph system |
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Definition
candidiasis -yeast like fungus oral cavity-thrush -white coating groin-diaper rash -vaginitis |
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burrowing mites extreme itching |
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inflammation of conjunctiva -outer coating eyeball, inner eyelid Staph, strep, neiseseria |
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Definition
leading cause of preventable blindness Chlamidia trachomatis -infects epithelial cells of eye -causes hard pustules inner surface eyelid -scratches eye when blink |
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Definition
acanthamoeba -esp in contact lens wearers --improperly prepared saline sol'n --not heated enough |
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membranes -meningitis --headache, nausea, vomiting, stiff neck, convulsions,coma, death --necrosis, clogged bv, edema |
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cerebrospinal fluid Neisseria meningitis- 5-40 streptococcus pneumonia- >40 haemophilus influenzae type 2 mos-5yrs treat promptly -penicillin G, Ceftriaxone |
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Definition
listeria monocytogenes -pregnant women --sepsis, bacteremia -fetus/baby, elderly, immonosuppressed --still births, neurological problems- meningitis |
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Definition
Dairy products -milk, soft cheese Deli meats can grow at refrigerator temps |
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Clostridium tetani obligat anaerobe gram positive endospore forming soil bacteria deep puncture wounds -little bleeding, little oxygen -secretes toxins-neurotoxin --spastic paralysis --contracts not relax --cannot breathe, lock jaw |
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Definition
vaccination DPT passive immunity -tetanus immune glonulin active immunity -tetanus toxoid vaccine |
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similar to tetanus exotoxin -90% foodborne --ingest toxin --smoked fish --improper canned veggies ---especially non acid-pH>4.7 very potent colorless, odorless, tasteless heat sensitive-boiling kills neurotoxin -flaccid paralysis -never contracts respiratory failure-"iron lung" |
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Botulism in honey for infants |
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Definition
bacteria ingested in honey can survive/grow in intestine produce toxin |
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Definition
viral disease humans only known host infecting people for long time ingestion by fecal contaminated water |
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salk-fromalin inactivated -mainly used now sabin-live attenuated -not in use -problem-reversion --vaccinated will shed fully active virus Virus will soon be eliminated -enough people vaccinated -virus will have no where to live |
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Definition
rhabdo virus ss RNA virus bullet shaped, enveloped Bite from infected animal-saliva -travels vis peripheral nerves to CNS -fatal encephalitis takes time incubation weeks to years, allow time for vaccination once symptoms appear, 100% mortality-headach fever, nausea, coma, death causes hydrophobia |
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Definition
fear of water swallowing, thought of swallowing -trigger painful pharyngeal muscle spasms, foaming at mouth --not want to swallow |
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Definition
clean bite hyperimmune rabies serum around bite Vaccination -series of shots over time -virus grown in human diploid fibroblast cells. harvest and inactivate |
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Definition
fungal -yeast like inhale infected pigeon droppings -lungs asymptomatic, through blood to brain --meningoencephalitis ---headache, confusion, nausea, seizures, coma aids, immunosuppressed at risk. ampotericin B |
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african sleeping skckness -Trypanosoma --vector TseTse fly progressive disease blood>lymph nodes>CNS -sleep continually, coma, death organism keeps changing outer glycoprotein coat |
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naegleria spp meningo-encephalitis -thru nasal passages to brain -assoc with swimming in poor water -opportunist -95% die w/in week |
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protien animals, humans spongiform encephalopathy |
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