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Infectious Diseases of the Nervous System
Test 4
64
Microbiology
Undergraduate 3
04/28/2013

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Cards

Term
What are symptoms of bacterial meningitis?
Definition
headache, painful neck, fever, and usually increased number of WBC in CSF
Term
What are causative agents of bacterial meningitis?
Definition
Neisseria meningitides. Causes most serious form of acute bacterial meningitis.
Term
Why is N. Meningtides feared?
Definition
Causes shock and death within 24 hours after infection
Term
How is N. Meningitides transmitted?
Definition
Salivary droplets
Term
What happens within the nervous system when NM is detected?
Definition
Huge inflammatory response which obstructs normal flow of fluids causing infarcts. The bacteria and leukocytes metabolize the glucose normally found in CSF depriving brain of all nutrients. Also produces endotoxin caused drop in BP leading to shock.
Term
What is the most frequent cause of community-acquired bacterial meningitis?
Definition
Streptococcus pneumonia. Very severe
Term
What does Haemophilus influenza cause?
Definition
Severe meningitis.
Term
Where is listeria monocytogenes found?
Definition
Foodborne disease from mexican cheese, soft cheese, non-pasteurized milk, hot dogs, cole slaw.
Term
What does LM bacteria do?
Definition
penetrate the intestinal linings and enter the blood stream and then crosses over to CSF where it can then infect the meninges.
Term
What does LM cause in normal adults?
Definition
Mild infection, nonspecific symtoms.
Term
What does LM cause in old people?
Definition
Affects brain, meninges, and septicemia
Term
What is a causative agent of fungal meningitis?
Definition
Cryptococcus neoformans
Term
How is c. neoformans tranmissed?
Definition
Person inhales spores from pigeon droppings.
Term
Is fungal chronic or acute?
Definition
Chronic. Usually is not a problem unless you are immunosuppressed.
Term
What is the most common symptom of fungal meningitis?
Definition
Headache.
Term
Can fungal meningitis be shared between peopel?
Definition
no
Term
Why is viral meningitis called aeseptic meningitis?
Definition
no bacteria in csf
Term
What are 90% of viral meningtis cases caused by?
Definition
enteroviruses. but can also be caused by herpres viruses.
Term
How is viral meningitis transmitted between people?
Definition
Fecal-oral, respiratory secretions or saliva.
Term
What is neonatal meningitis a result of?
Definition
Infection transferred by mother in utero or during birth
Term
What are the three common causative agents of neonatal meningitis?
Definition
Strep agalactiae - GROUP B STREP
E. Coli
Listeria Monocytogenes
Term
What are acute cases of encephalitis always caused by?
Definition
viral infection/arboviruses
Term
How is acute encephalitis spread?
Definition
mosquitos
Term
what is the common symptoms of acute encephalitis?
Definition
Fever accompanied by a rash but can result in permanent disability or death
Term
What are the types of acute encephalitis?
Definition
Western Equine
Eastern Equine
California Encephalitis
St. Louis Encephalitis
West nile virus
Term
Can HSV virus cause encephalitis in newborns? What must be?
Definition
yes. HSV positive mother.
Term
What is the JC virus cause?
Definition
Progressive Multifocal Leukoencephalopathy which is uncommon but generally fatal in immunocompromised people
Term
What is the causative agent of Subacute encephalitis?
Definition
Toxoplasma gondii which is a flagellated parasite.
Term
Subacute encephalitis is fatal in infants and immunosupressed people. T of F
Definition
T
Term
What are cats asymptomatic carriers of?
Definition
Subacute encephalitis so preggy ladies cant be around cat poop.
Term
What is rabies characterized by>
Definition
Fatal meningoencephalitis.
Term
What causes rabies?
Definition
Rhabidovirus
Term
Is rabies a DNA or RNA infection?
Definition
RNA w/ distinctive bullet shape
Term
How is rabies spread to humans?
Definition
Bites, scratches, and inhalation of respiratory droplets
Term
The virus initially stays at the _____ __ ______ and multiplies before moving along ______ _______ to CNS
Definition
site of entry/sensory nerves
Term
Viral replication in the CNS is followed by what?
Definition
Migration to structures such as the eye, heart, skin and salviary glands which completes the cycle.
Term
What is the incubation stage?
Definition
20-90 days. Occurs at wound site. Pain, burning, itching,
Term
What is the prodromal stage?
Definition
2-10 days. Fever, anorexia, headache, fatigue.
Term
What is the neurological phase?
Definition
2-7 days. 2 forms.
Term
What is the furious form of rabies?
Definition
Agitation, disorientation, seizures, twitching. hydrophobia bc of pain associated with swallowing.
Term
What is the dumb form of rabies?
Definition
Patient is paralyzed and disoriented.
Term
When can a coma ensue from rabies?
Definition
0-14 days. Death follows.
Term
When does diagnosis of rabies usually occur>
Definition
Postmortem.
Term
Is there treatment for rabies?
Definition
Once symptoms develop,no.
Term
What are pre-symptom individuals given?
Definition
Immune globin immediately and a series of 5 vacciations over 28 days.
Term
What is polio?
Definition
Acute enteroviral infection of the spinal cord.
Term
What causes polio?
Definition
Poliovirus 1, 2, 3 all members of the picornavirus family
Term
How is polio picked up?
Definition
Fecal-oral
Term
What does polio infect?
Definition
Throat, intestinal tract, invades blood stream and then crosses blood brain barrier. Selectively destroys motor nerve cells of the brain and spinal cord leading to paralysis, shitty bone developemtn and death.
Term
what is non paralytic polio?
Definition
Invasion but not destruction of nervous tissue.
Term
What is paralytic polio
Definition
Various degrees of flaccid paralysis.
Term
What is post polio syndrome?
Definition
Occurs 15-50 years after acute poliomyelitis and affects 25-50% of patients. caused by death of nerve cells that took over for those initally killed. Fatigue, slowly progessive muscle weakness
Term
Is there a vaccine for polio?
Definition
Yes. Salk's inactivated injectable vaccine or Sabin's live oral vaccine in areas of epidemic diseases.
Term
What is the causative agent of tetanus?
Definition
Clostridium tetani
Term
How does tetanus effect the body?
Definition
Release of powerfule neurotoxin called tetanospasmin that binds to target sites on peripheral motor neurons, spinal cord and brain and in sympathetic nervous system.
Term
What does tetanospasmin do?
Definition
Blocks the inhibition of muscle contraction resulting in involuntary skeletal muscle contractions that are intermittent and very painful. Lockjaw is first.
Term
How does tetanus cause death?
Definition
Spasms of the respiratory muscles
Term
What is the treatement of tetanus?
Definition
Antibiotics for the infection and administration of tetanus immune globulin antitoxin
Term
What is a common type of food poisioning that leads to paralysis and can be fatal?
Definition
Botulism
Term
What is the causative agent of botulism?
Definition
Clostridium botulinum
Term
What is food-borne botulism?
Definition
Occurs in adults and kids. ingested of preformed toxin.
Term
What is infant botulism?
Definition
Ingestion of bacteria or spores is followed by an infection releasing botulism toxin into the blood stream. Linked to raw honey
Term
What is wound botulism?
Definition
Bacteria/spores colonize on a dirty wound especially those containing dead tissue and release botulinum toxin into the bloodstream
Term
Where do botulism symptoms come from?
Definition
Neurotoxins that black the release of neurotransmitters that causes blurry vision, difficulty swallowing, dizziness, descending muscular paralysis, respiratory compromise which can lead to death.
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