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Microbiology Exam 5
Chapter 28- Blood Infections
43
Microbiology
7th Grade
04/21/2012

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Term
The lymphatic system is _______. Meaning what?
Definition
Systematic. Any pathogen that can break through into the circulatory system will be carried throughout the body.
Term
True or False. Pathology and secondary infection can occur far from the initial site of entry.
Definition
True
Term
Infections of the blood stream can be _____ or ______. Meaning what?
Definition
Primary (begins in circulatory system) or Secondary (begins locally and invades circulatory system)
Term
Heart Anatomy/Physiology
Definition
Pericardium, myocardium, valves, chambers
Term
Circulatory Anatomy/Physiology
Definition
Arteries, arterioles, capillaries, venules, veins
Term
Lymphatic System Anatomy/Physiology
Definition
Interstitial fluid is collected in lymphatic vessels, runs to lymph nodes, collected in the thoracic duct which empties into the subclavian vein
Term
Mononuclear phagocytic system
Definition
Part of the blood passes through the liver and spleen, filtered and cleaned by macrophages
Term
Bacteremia is what?
Definition
Presence of bacteria in the blood (also; fungemia, viremia, parasitemia)
Term
Septicemia is what?
Definition
Uncontrolled growth of bacteria in the blood with Systemic Inflammatory Response Syndrome (SIRS) SERIOUS.**
Term
Lymphangitis is what?
Definition
Inflammation of a lymph vessel
Term
How is Bacteremia usually caused?
Definition
Transient, from eating, brushing your teeth, host defenses stop bacteremia
Term
Etiology of Coagulase negative staphylococci?
Definition
Device-related.
Term
Etiology of S. aureus?
Definition
Wounds and pneumonia.
Term
Etiology of E.Coli?
Definition
UTI's
Term
Etiology of S. pneumoniae ?
Definition
Pneumonia
Term
Etiology of E. faecalis?
Definition
UTI's
Term
Etiology of K. pneumoniae ?
Definition
UTIs and pneumonia.
Term
Endocarditis is usually caused by what?
Definition
A Heart defect. IE: If there is a rough spot, hole, or raised area in valves a clot will form and bacteria will get caught.
Term
Endocartitis can be subacute or acute, each meaning what? What is the bacterium that cause each?
Definition
Gradual (oral streptococci) or Sudden (Staphylococcus aureus)
Term
Endocarditis diagnosis and treatment
Definition
Blood diagnosis. Treatment is aggressive bactericidal antibiotics for many weeks and/or surgery
Term
Intracvascular infections are caused by what?
Definition
Catheters. Short-term Caths can get infected bc not used long enough. Long-terms can become infected. Treatment; change it.
Term
Secondary bloodstream infections are caused by what?
Definition
Invasive pathogens from other infections
IE: UTI, pneumonia, wounds, abdominal abscesses
Term
Secondary Blood Stream infections causes what?
Definition
fever, leukocytosis, capillary damage, clotting (disseminated intravascular coagulation, DIC), hypotension, rapid death; the systemic inflammatory response syndrome.
Term
Zoonotic reticuloendothelial system infections
Definition
Intracellular gram (-).
Caused by insect bite
Epidemiology based on animal vector.
All are RES-based infections
All are currently listed as potential bioterrorism agents
Term
RES infection?
Definition
The organism goes to the lymph nodes and spleen, is not killed. The infection then goes systemic
Term
Tularemia is caused by what bacterium?
Definition
Francisella tularensis
Term
Tularemia is caused "rabbit fever". True or False.
Definition
True.
Term
Tularemia
Definition
Named for Tulare County, California
Carried by rabbits, muskrats, and their fleas and ticks
Humans contract the infection hunting and cleaning animals
Causes an ulcer on the skin before it spreads
Can be inhaled as an aerosol, causes pneumonia
Term
Brucellosis is carried by what?
Definition
Brucella species; B. abortus (cows), B. canis (dogs), B. melitensis (goats), B. suis (pigs)
Term
Brucellosis
Definition
Carried by livestock
Was endemic in cattle (“contagious abortion”), now all calves must be vaccinated by law
Still endemic outside the US, in goats, and in bison
The most common source in US is goat cheese from Mexico
Term
Plague is caused by what bacterium?
Definition
Yersinia pestis : Small gram negative bacteria in the enterobacteriaceae group
Term
Plague
Definition
Called “plague,” the “black death”
Killed 25% of the human population between 1346 and 1350
Carried by rats-fleas
Term
Plague process
Definition
The organisms spreads from the flea bite to the lymph notes, forms an infected necrotic bubo (bubonic plague)
Term
Diagnosis of bacteremia; the blood culture, how is it done?
Definition
Draw blood directly from patient to bottle. (one anaerobic bottle/one aerobic bottle.)
Term
Viral blood infections; infectious mononucleosis
Definition
Epstein-Barr virus (EBV), part of the herpesvirus group
Called mononucleosis because of increased lymphocytes in the blood
Term
Mononucleosis
Definition
Mild in children, worse in teenagers; fever, sore throat, fatigue, splenomegaly

Long incubation period; 30-60 days
Normally lasts 3-4 weeks

Spread through saliva
Associated with some malignancies
Burkitt’s lymphoma and nasopharyngeal carcinoma
Term
Infectious mononucleosis
Definition
EBV infects B lymphocytes, becomes persistent, acutely gives a rise in T helper cell count (mononucleosis)

Infected B lymphocytes make a unique antibody that is diagnostic
Term
Mononucleosis diagnosis and treatment
Definition
Diagnosed by symptoms, heterophile antibody, culture, blood smear

No treatment or vaccine
Term
Yellow Fever
Definition
Arthropod-borne

Mainly in equatorial South America and Africa

Prevented work on the Panama Canal

An RVA virus carried by Aedes mosquito

Ranges from mild fever and headache to bleeding and jaundice (liver damage)

Controlled by mosquito control and a vaccine (Walter Reed)
Term
Malaria Epidemiology
Definition
The “most common serious infectious disease”

Caused by Plasmodium spp. parasites, spread by Anopheles mosquitoes

4 species cause different symptoms and are separate geographically
Term
Malaria Pathogenesis
Definition
Parasites infect erythrocytes, fever, anemia, collapse of the reticulo-endothelial system, secondary infection
Term
Malaria is caused by what bacterium?
Definition
Plasmodium falciparum
Term
Malaria diagnosis and treatment?
Definition
By a blood smear with microscopic examination

Prophylactic and therapeutic
Nine different drugs, varies by patient and location of disease

Controlled by mosquito control (bed nets)
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