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Medical Microbiology Lecture
Host defenses, how microbes get past host defenses, infections, toxins, specific infections, and hypersensitivities
21
Biology
Undergraduate 4
10/16/2011

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Term
What are 5 primary defenses of the skin?
Definition
High sodium, oil and a pH of 5.5, dry, overlapping cells, and normal microbiota.
Term
What are 6 primary defenses of the respiratory tract?
Definition
Nasal hairs, mucus, sIgA, phagocytes, cilia, and swallowing.
Term
What are 9 primary defenses of the gastrointestinal tract?
Definition
Stomach acid, normal microbiota, peristalsis, mucus, sIgA, phagocytes, proteolytic enzymes, bile, GALT
Term
What are the general primary defenses of the urogentital system (males and females)?
Definition
Voiding urine (urethra), WBCs and sIgA (in the bladder)
Term
What are female specific defenses of the urogenital system?
Definition
Downward flow of mucus and lysozyme, ciliated epithelial cells, normal microbiota (lactobacilli, pH 5)
Term
What is a tactic used by Bordetella pertussis and Neisseria meningitis, specifically, to bypass the defenses of the resp tract?
Definition
Attaching tightly
Term
How do some microbes like Vibrio cholera and Salmonella combat the defenses of the gastrointestinal tract?
Definition
Motility
Term
What are three ways microbes can enter the body through the skin?
Definition
Break (wound, bite, burn), biting insect, hair follicles
Term
How do fimbriae play a role in virulence?
Definition
Attachment and avoiding engulfment
Term
HIV and hepatitis B block the action of what host defense?
Definition
Interferon
Term
What are 7 ways for a microbe to avoid destruction by phagocytes?
Definition
1. Toxins to inhibit chemotaxis, 2. prevent/delay contact w/ phagocytes, 3. escape from phagosome into cytoplasm, 4. prevent fusion of lysosomes, 5. resist killing in phagolysosome, 6. resist oxygen dependent killing, 7. kill the phagocyte!
Term
What keeps surface infections from going deeper?
Definition
Temp, and mechanism of exiting the infected cell
Term
What is a "short" incubation time?
Definition
<1 week
Term
Surface/local infections rely mostly on specific-OR-nonspecific defenses?
Definition
Non specific
Term
Systemic infections rely on specific-OR-nonspecific defenses?
Definition
Specific
Term
Do microbes replicate slowly or quickly in a local infection?
Definition
Quickly!
Term
What is the order an infection destined to the brain would take?
Definition
Entry into body, lymphatics, blood, internal tissues, brain, nerves.
Term
___toxins are secreted by GN and GP bacteria, usually extracellular.
Definition
EXO
Term
___toxins are released when a bacteria dies.
Definition
ENDO
Term
Lipopolysaccharides (LPS) are an ___toxin.
Definition
ENDO
Term
LPS triggers:
Definition
Mast cell degranulation secondary to IgE (C3a and C5a ^^^), clotting of blood, and release of cytokines
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