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Chapter 22
Disease of the Nervous System
43
Microbiology
Undergraduate 1
04/24/2011

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Term
symptoms of bacterial meningitis
Definition
fever, headache, stiff neck often followed by nausea and vomittig; convulsions and coma
Term
why laura is awesome
Definition
trick question.
Term
three major causes of bacterial meningitis
Definition
haemophilus influenze, s. pneumoniae and N. menigitides. all are encapsulated (avoiding phagocytosis) can grow in blood stream and reach CSF
Term
Haemophilus influenzae bacteria characteristics
Definition
gram negative rod. part of normal throat microbiota. occasionally enters blood stream.
Term
antigenic type B
Definition
most common in children where risk is high. by 5, children are typically immune due to cross immunity to other agents.
Term
neisseria meningitis
Definition
cause of meningococcal meningitis. found in throats of healthy carriers. aerobic gram negative cocci
Term
symptoms of neisseria meningitis
Definition
begins with throat infection leading to bacteremia and eventually meningitis. can cause death in a few house after symptoms. highly contagious.
Term
neisseria facts
Definition
most comon in children under 2; sporadic adult cases usually associated with crowded stressful environments
Term
diagnosis and treatment of meningitis
Definition
diagnosis= spinal tap. treatment with intravenous administrations of antibiotics.
Term
S. pnumoniae meningitis bacteria characteristics
Definition
commonly found in nasopharynx. gram positive encapsulated diplococci.
Term
s pneumoniae facts
Definition
leading cause of bacterial meningitis now that haemophilus is on the decline. responsible for ~3000 cases. 30% mortality in cildren, 80% in elderly.
Term
tetanus bacteria chacteristics
Definition
caused by C. tetani. gram positive, spore-forming obligate anaerobic rod. common in soil
Term
symptoms of tetanus
Definition
spasms, contraction of muscles controlling the jaw and death resulting from spasm of respiratory muscles.
Term
immunity of tetanus
Definition
required DTaP immunization. 96% of children have good immunity but only 30% of adults because of boosters.
Term
human tetanus immunoglobulin
Definition
for an unimmunized person made from serum of humans so usually doesn't cause a problem.
Term
botulism
Definition
caused by an neurotoxin produced by C. botulinum.
Term
C. botulinum bacteria characteristics
Definition
obligate anaerobic gram-positive, spore-forming rod-shaped bacterium growing in foods.
Term
type A neurotoxin
Definition
deadly; causes flaccid paralysis (body goes limp); death by respiratory failure
Term
symptoms of botulism
Definition
slurred speech, blurred vision and paralysis.
Term
poliomyelitis
Definition
few than 1% of cases get paralysis, but is best known for paralysis.
Term
polio transmission
Definition
transmitted by ingestion of water contaminated with feces. summertime outbreaks for decades. death resulted in respiratory failure
Term
symptoms of polio
Definition
virus infects the motor nerve cells of CNS, cells die and paralysis results; invasion of the tonsils and small intestine leads to involvement of lymphatic system and blood stream.
Term
salk vaccine
Definition
inactivated polio vaccine; involves injection of inactivated virus then boosters; only 90% effective
Term
Sabin vaccine
Definition
oral polio vaccine (OPV); contains three live, attenuated strains of poliovirus and is administered orally.
Term
lyssavirus characteristics
Definition
rabies. single-stranded RNA virus wit no proofreading capability; thus mutant strains develop quickly.
Term
rabies transmission
Definition
contracted through bite of a rabid animal (especially dogs) most common from the bat.
Term
symptoms of rabies
Definition
spasm of mouth and throat muscles, especially when swallowing liquids (hydrophobia) followed by extensive brain and spinal cord damage and death. with CNS involvement patients express aggitation mixed with intervals of calm.
Term
reservoirs for rabies
Definition
skunks, bats foxes, coyote, bobcat and raccoons.
Term
postexposure treatment
Definition
multiple intramuscular injections of vaccine. called PEP (post exposure prophylaxis)
Term
preexposure treatment
Definition
vaccination; vets and animal control.
Term
trypanosomiasis brucei gambiense characteristics
Definition
human reservoir, infects animals; associated with steam vegetation of west and central africa.
Term
trypanosoma brucei rhodesiense characteristics
Definition
domestick livestock reservoir, infects humans; associated with savannahs.
Term
african sleeping sickness transmission
Definition
tsetse fly
Term
african sleeping sickness treatment
Definition
suramin and pentamidin; ineffective once CNS is involved. Melarsoprol=effective after CNS involvment but severly toxis. Eflornithine- crosses blood brain barrier and extremely effective against gambiense
Term
why no vaccine for ASS?
Definition
changes its surface proteins.. duh
Term
prions
Definition
infectious misfolded glycolipoproteins associated with mammalian brain. spontaneous or infectious introductionr results in a misfolding cascade, producing insoluble protein fibrils in the brain resulting in death.
Term
diseases of rions in humans
Definition
kuru and creutzfeldt-Jacob disease.
Term
nonhuman diseases of prions
Definition
scrapies=sheep; bovine spongiform encephalophay=boviene; chronic wasting disease=deer/antelope;
Term
creutzfeld-Jacob disease
Definition
~200 cases/year in US often in families suggesting a genetic predisposition. transmission from corneal tranplants observes thus "infectious" transmission is certain
Term
symptoms of creutzfeld-Jacob disease
Definition
memory problems, behavioural changes, personality changes, failing vision and problems ith thinking and judgment. later, involuntary jerking. blindness, loss of speech and death
Term
kuru
Definition
appeared in tribes native to New Guinea; transmission associated with practice of cannibalism.
Term
trypanosomiasis brucei gambiense symptoms
Definition
onset in weeks to months leads to chronic form of illness with fever, headache, CNS involvement and relate symptoms coma and death without effective treatment
Term
trypanosoma brucei rhodesiense symptoms
Definition
onset within a few days of infection, fever headache,death occurs within weeks or a few months
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