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Upper Respiratory
Uppers
28
Biology
3rd Grade
03/05/2009

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Term
greater than 80% of upper respiratory tract infections are caused by_____
Definition
viruses
Term
Neisseria meningitides: characterization and virulence
Definition
not a respiratory pathogen; moves from colonization to systemic pathogen; virulence: endotoxin
Term
Oropharyngeal cultures used for which bacteria
Definition
streptococcus pyogenes, corynebacterim diptheria, arcanobacterium haemolyticum
Term
nasopharyngeal swab are used for which bacteria
Definition
B. pertussis and most viruses
Term
sinus specimen collection: used for which types of organisms?
Definition
aerobic bacteria and fungi only
Term
Haemophilus influenzae: virulence factors FOR ALLLLLAAA
Definition
virulence factors: polysaccharide capsule prevents phagocytosis (reason B is more virulent than A), IgA protease, adherens factors
Term
Haemophilus influenzae: culturing requirements
Definition
requires X factor = heman
V factor = NAD; grows around Staph aureus producing NAD (satelliting)
Term
Systemic influenzae by which type of H. influenzae has been virtually prevented by vaccine?
Definition
type b
Term
conjunctivitis/neonatal conjunctivitis is primarily caused by:
Definition
Haemophilus influenzae or H. aegyptiea; neonatal chlamydia trachomatis and gonorrhea
Term
Acute sinusitis is caused by:
Definition
H. influenzae, S. pneumonia, M. catarrhalis; live in oral pharynx but cause a problem when they travel up
Term
Otitis media is caused by:
Definition
H. influenzae, S. pneumonia, M. catarrhalis
Term
What shape is streptococcus pneumonia?
Definition
diplococci
Term
Strep pneumonia causes
Definition
pneumonia, meningitis, and bacteremia
Term
Major virulence factors of Strep pneumonia
Definition
polysaccharide capsule (vaccine is antibody against the capsule), autolysin--dissolves cell wall when nutrients become scarce allowing DNA to be leaked into the environment and available for transformation (causes pneumonia, meningitis, bacteremia)
Term
beta Streptococci: culturing conditions
Definition
5% sheep blood agar media leads to hemolysis; all red blood cell hemolysis and hemoglobin totally degraded (alpha: partial lysis, gamma: no lysis)
Term
Moraxella catarrhalis: lab findings
Definition
gram- diplococci; oxidase positive, catalase negative
Term
moraxella catarhalis: associated diseases
Definition
normal flora of oropharynx; causes: sinusitis, otits, conjunctivitis, keratitis, pneumonia secondary to influenza; in COPD--causes bronchitis and bronco-pneumonia; immunocompromised--upper respiratory tract infection
Term
moraxella catarrhalis: virulence factors
Definition
butyrate esterase and DNase
Term
moraxella catarrhalis: treatment
Definition
lipooligosaccharisde vaccine under development
Term
Streptococcus pyogenes: associated disease
Definition
pharyngitis (strep), toxic shock-like syndrome (superantigen mediated), puerperal infection: infection of the endometrium, rheumatic fever (1-5 wks after respiratory infection), acute glomerulonephtitis (follows skin or respiratory infection)
Term
Streptococcus pyogenes: virulence factors (6)
Definition
protein M: antiphagocytic, adherence to pharyngeal epithelium; protein F: binds fibronectin, adherence; protein G: binds Fc portion of abs; streptokinase: lysis fibrin clots; hyaluronidase: hydrolyzes ground substance of connective tissue; streptodornase: depolymerases DNA
Term
Streptococcus pyogenes: family
Definition
beta-hemolytic streptococci; gram positive
Term
Streptococcus pyogenes: causes 3 things
Definition
strep throat, URIs, pneumonia
Term
Streptococcus pyogenes: mechanism
Definition
exotoxin A: superantigen causing TSS-like syndrome; hemolysins: streptolysins S and O--pore-forming proteins that lyse host cells; pyrogenic exotoxins: superantigens that lead to scarlet fever (fever and rash)
Term
Streptococcus pyogenes: serotypes
Definition
greater than 70
Term
Streptococcus pyogenes: transmission
Definition
direct mucosa or large droplets
Term
Streptococcus pyogenes: diagnosis
Definition
gram stain, catalase - , beta-hemolytic, ASO, culture
Term
Streptococcus pyogenes: treatment
Definition
penicillin
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