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microbiology 1
Human diseases caused by viruses and prions
174
Biology
Undergraduate 1
05/11/2013

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Term
when human is source, airborne viruses are propelled from?
Definition
the respiratory tract by coughing, sneezing, or vocalizing.
Term
chickenpox
(varicella)
Definition
DNA virus, member of Herpesviridae
humans serve as reservoir and source
acquired by droplet inhalation into respirator system
Term
shingles
(herpes zoster)
Definition
virus resides in cranial and sensory neurons
reactivation - virus migrates down neuron
reactivated form of chickenpox.
Term
Influenza (flu)
Definition
respiratory system disease
Term
Influenza virus
Definition
RNA virus; segmented genome
four groups A,B,C, and Thorogoto
numerous animal reservoirs
acquired by inhalation or ingestion of respiratory secretions.
Term
hemagglutinin (HA)
neuraminidase (NA)
influenza subtypes
Definition
16 hemagglutinin and 9 neuraminidase
antigenic forms are known
Term
hemagglutinin (HA)
neuraminidase (NA)
function
Definition
viral attachment and virulence
Term
antigenic drift
Definition
mutations in a strain within a geographic area
Term
antigenic shift
Definition
assortment of genomes when two different strains of flu viruses (from humans, animals)
infect the same cell and are incorpaorated into a single new capsid
Term
Influenza
clinical manifestations
Definition
chills, fever, headache, malaise, and general
muscular aches and pains
Term
Influenza
treatment, prevention and control
Definition
rapid immunologic tests
symptomatic/supportive therapy
inactivated virus vaccine
Term
Measles
Definition
rash caused by measles virus (RNA virus)
enters body through respiratory tract
Term
subacute sclerosing panencephalitis
Definition
rare progressive degeneration of central nervous system caused by measles virus
Term
Measles
treatment, prevention and control
Definition
symptomatic/supportive therapy
attenuated measles vaccine
MMR vaccine (measles, mumps, rubella)
Term
Mumps
Definition
caused by paramyxovirus, RNA virus
Term
Mumps
clinical manifestations
Definition
16-18 days after infection
fever with swilling and tenderness of salivary glands
complications include meningitis and orchitis (inflammation of testis)
Term
Mumps
treatment, prevention and control
Definition
symptomatic/supportive therapy
live attenuated vaccine (MMR)
Term
Respiratory Syndromes and Viral Pneumonia
Definition
caused by viruses called acute respiratory viruses
Term
Respiratory Syndromes and Viral Pneumonia
clinical manifestations
Definition
rhinitis, tonsillitis, laryngitis, bronchitis
and pneumonia (vary in degree of severity)
Term
Respiratory Syndromes and Viral Pneumonia
treatment, prevention and control
Definition
in most cases,
symptomatic/supportive therapy
Term
Respiratory Syncytial Virus
Definition
Respiratory Syndytial Virus
negative strand RNA virus
causes formation of syncytia (fused cells)
Term
Respiratory Syncytial Virus
clinical manifestations
Definition
acute onset of fever, cough, rhinitis and nasal congestion.
often progresses quickly to severe bronchitis and viral pneumonia.
Term
Rubella (German Measles)
Definition
enveloped RNA virus
mild rash of three days acquired from respirator droplets
Term
Severe Acute Respiratory Syndrome (SARS)
Definition
highly contagious viral disease caused by the SARS-associate corona virus (SARS-CoV)
Term
Smallpox (Variola)
Definition
caused by variola virus
large, brick-shaped complex virus
(linear dsDNA) transmitted by aerosol or contact
humans are the only natural host
Term
Variola major
Definition
most common and more severe form of disease
extensive rash and higher fever
33% fatality rate
Term
Variola minor
Definition
less common form and less severe
fatality rates of 1% or less
Term
Arthropod-Borne Diseases
(arboviruses)
Definition
viruses transmitted by bloodsucking arthropods from one vertebrate host to another
Term
Arthropod-Borne Diseases
Clinical Syndromes
Definition
undifferentiated fevers, with or without rash
Term
encephalitis
Definition
inflammation of the brain
fatality rate is usually high
e.g., West nile virus
Term
hemorrhagic fevers
Definition
frequently severe and fatal
e.g., Ebola virus and Marburg virus
Term
Direct Contact Diseases
Definition
touching, kissing, sexual contact, contact with body fluids, contact with open wounds
Term
Acquired Immune Deficiency Syndrome (AIDS)
Definition
caused by human immunodeficiency virus (HIV); RNA virus family
Term
HIV Transmission
Definition
when infected blood, semen, or vaginal secretions come in contact with uninfected person’s broken skin or mucous membranes
Not arthropod borne
Replicates within T cells
Term
acute HIV
Definition
2–8 weeks after infection
most experience brief illness called acute retroviral syndrome
rapid multiplication and dissemination of virus throughout body
stimulation of immune response
Term
asymptomatic (latent) HIV
Definition
may last from 6 months to 10 or more years
levels of detectable HIV in blood decrease, although viral replication continues
effects on immune functions may occur
Term
chronic symptomatic HIV
Definition
formerly called AIDS-related complex
can last for months to years
viral replication continues
numbers of CD4 + cells in blood significantly decrease
Term
AIDS
Definition
fourth and last stage
immune system no longer able to defend against virus
Term
definition of AIDS
Definition
all HIV-infected individuals who have fewer than 200 CD4+ T cells/microliter of blood or a CD4+ cell percentage of lymphocytes of less than 14
Term
screening tests for HIV
Definition
viral isolation and culture
assays for reverse transcriptase activity or viral antigens
most commonly done by detection of specific anti-HIV antibodies in the blood
routine screening tests use ELISA assays which have many false positive results which are retested using Western blot technique
most sensitive test uses polymerase chain reaction
Term
Treatment HIV
Definition
no cure for AIDS
treatment directed at reducing viral load, disease symptoms, and treating disease and malignancies
most successful treatment involves a combination of drugs
Term
Antivirals Used for HIV
Definition
nucleoside reverse transcriptase inhibitors, e.g., AZT
nonnucleoside reverse transcriptase inhibitors, e.g., delavirdine
protease inhibitors, e.g., indinavir
fusion inhibitors (FIs) – prevent entry of HIV into cells, e.g., enfuvirtide
Term
rhinoviruses (ssRNA viruses)
coronaviruses
parainfluenza viruses
Definition
excretion of virus in nasal secretion
airborne transmission by droplets
contaminated hands or fomites
Term
Cold Sores
Definition
fever blisters (herpes labialis)
caused by herpes simplex virus type 1 (HSV-1)
dsDNA
Active
Latent
Term
Genital Herpes
Definition
usually caused by herpes simplex type 2
linear dsDNA
enveloped virus
very common sexually transmitted disease and to infant during vaginal delivery (congenital or neonatal herpes)
active and latent disease
with reactivations
Term
Mononucleosis (Infectious)
Definition
Epstein-Barr virus (EBV)
herpes virus
dsDNA, icosahedral with envelope
infects B cells
also associated with Burkitt’s lymphoma and nasopharyngeal carcinoma
spread by mouth-to-mouth contact
Term
Mononucleosis…
clinical manifestations
Definition
enlarged lymph nodes and spleen, sore throat, headache, nausea, general weakness and tiredness, and mild fever
self-limited disease, lasting 1 to 6 weeks
Term
Mononucleosis…
treatment, prevention, and control
Definition
rapid diagnostic tests
symptomatic/supportive therapy
Term
Warts
Definition
horny projections on skin associated with human papillomaviruses
DNA virus, Papillomaviridae family
Term
Warts
four major types
Definition
plantar warts
verrucae vulgaris
flat or plane warts
anogenital condylomata (genital warts)
Term
treatment of Warts
Definition
physical destruction, topical application of drug podophyllum, or injection of IFN-α
Term
acute viral gastroenteritis
Definition
inflammation of stomach or intestines
important disease of infants and children
leading cause of childhood death in developing countries
probably spread by fecal-oral route
Term
four major groups of
Gastroenteritis (Viral)
Definition
Rotavirus, adenovirus, and astrovirus
~5–10 million deaths/year worldwide

Norovirus
~23 million cases of acute gastroenteritis/yr
usually self-limited disease
Term
Zoonotic Diseases
Definition
Ebola and Marburg viruses
hantaviruses
Lassa fever virus
Nipah virus
Term
Prion Diseases
Definition
Kuru, Creutzfeldt-Jacob (CJD) disease, and variant CJD, bovine spongiform encephalopathy (BSE)
Term
transmission
Prion Diseases
Definition
medical procedures, genetic, food-borne
Term
symptom of
Prion Diseases
Definition
dementia is primary symptom
usually accompanied by motor dysfunction
symptoms appear after prolonged incubation and last from months to years prior to death
produce characteristic spongiform degeneration of brain and deposition of amyloid plaques
share many characteristics with Alzheimer’s disease
Term
Corynebacterium diphtheriae
Definition
gram-positive
lysogenized strains = exotoxin that inhibits protein synthesis
resistant to drying
airborne transmission by nasopharyngeal secretions
Term
Diphtheria…
Definition
usually observed in individuals >30 years old with weakened immunity and living in tropical areas
Term
cutaneous diphtheria
Definition
infection at a wound or skin lesion
slow-healing ulceration
Term
diagnosis Diphtheria
Definition
observation of pseudomembrane in throat
bacterial culture
Term
treatment, prevention, and control Diphtheria…
Definition
antitoxin given to neutralized unabsorbed exotoxin in patient’s tissues
antibiotic therapy
active immunization with DPT or acellular DTap vaccine
Term
Meningitis
Definition
inflammation the brain or spinal cord meninges
Term
causes of Meningitis
Definition
Streptococcus pneumoniae, Neisseria meningitidis (serotypes), and Hemophilus influenza (serotype b)
may be endogenous infection (normal biota)
N. meningitidis (meningococcus) causes epidemic meningitis
Term
Meningitis diagnosed
Definition
by Gram stain of cerebrospinal fluid (CSF)
Term
Aseptic Meningitis Syndrome
Definition
clinical manifestations similar to bacterial meningitis but show no microbial agent in gram-stained specimen and in culture
Term
Aseptic Meningitis Syndrome
treatment, prevention, and control
Definition
must rule out bacterial diagnosis
treatment difficult
Term
Meningitis… clinical manifestations
Definition
initial respiratory illness or sore throat interrupted by one of following:
vomiting, headache, lethargy, confusion, and stiffness in neck and back
may be fatal
Term
N. meningitidis
Treatment, prevention, and control
Definition
antibiotics (also prophylactic), vaccine
recommended for college students, others
Term
H. influenzae
Treatment, prevention, and control
Definition
pneumonia and meningitis kill 3 million worldwide/year
vaccine (Hib) reduced cases to 1/100,000
Term
S. pneumoniae
Treatment, prevention, and control
Definition
vaccine and antibiotics
Term
causes Mycobacterium tuberculosis
Definition
(Mtb), M. bovis, M. africanum
Term
transmission of
Tuberculosis (TB)
Definition
majority is person to person spread of droplet nuclei in respiratory tract
also transmitted from infected animals and their products
reactivation of old, dormant infections
disease develops slowly
Term
diagnosis of
Tuberculosis (TB)
Definition
observation of acid-fast bacteria,
chest X-ray, Mantoux, or tuberculin skin test
DNA-based tests
Term
antimicrobial therapy of
Tuberculosis (TB)
Definition
multi-drug-resistant strains (MDR-TB)
extensively drug resistant strains (XDR-TB)
resistance develops due to naturally occurring chromosomal mutations and natural selection of resistant Mtb due to lack of adherence to treatment protocol
Term
caused by Mycoplasma pneumoniae
Definition
causes atypical pneumonia as opposed to the consistent signs and symptoms of typical pneumonia
Term
transmission of
Mycoplasmal Pneumonia
Definition
close contact and airborne droplets
Term
diagnosis of
Mycoplasmal Pneumonia…
Definition
rapid immunological tests
isolation from respiratory secretions  “fried egg” appearance of organisms on agar
Term
Mycoplasmal Pneumonia…
treatment, prevention, and control
Definition
other bacteria and viruses cannot be detected and immunodiagnostic tests
antibiotic therapy
no preventive measures
Term
Pertussis
whooping cough caused by
Definition
gram-negative Bordetella pertussis
highly contagious disease that primarily affects children
Term
transmission of Pertussis
whooping cough
Definition
droplet inhalation
Term
pertussis toxin
Definition
stops protein synthesis
Term
tracheal cytotoxin, dermonecrotric toxin
Definition
destroy epithelial tissue
Term
Streptococcus pyogenes
virulence factors
Definition
extracellular enzymes that break down host molecules
streptokinases – dissolve clots
streptolysin O and S – kill host leukocytes
capsules and M protein for attachment
Term
Streptococcus pyogenes
transmission
Definition
respiratory droplets, direct or indirect contact
Term
Streptococcus pyogenes
diagnosis
Definition
based on clinical and laboratory findings
rapid diagnostic tests available
Term
Streptococcal Pharyngitis
called strep throat
Definition
infection in throat (pharyngitis) or on tonsils (tonsillitis)
Term
physical manifestations of
Streptococcal Pharyngitis
Definition
redness, edema, exudate in 50% and lymph node enlargement in throat
Term
transmission of
Yersinia pestis – gram negative
Definition
bite of infected flea, direct contact with infected animal or product, inhalation contaminated airborne droplets
Term
Yersinia pestis
virulence factor
Definition
survive and proliferate in phagocytic cells
multiply in blood and lymph nodes
Term
Yersinia pestis
virulence factor
Definition
proliferates in phagocytes, not killed
type III secretion systems deliver yersinal outer membrane proteins (YOPS) into cells which shut down defense mechanisms
Term
clinical manifestations of
Yersinia pestis
Definition
subcutaneous hemorrhages, fever, and buboes (hence name bubonic plague)
high mortality if untreated
pneumonic plague arises from:
primary exposure to infectious respiratory droplets of infected persons
or cats
secondary to hematogenous spread in a patient with bubonic plague
Term
agalactiae or Group B streptococcus (GBS)
Definition
common cause of neonatal and newborn diseases such as sepsis, meningitis, and pneumonia
Term
agalactiae or Group B streptococcus (GBS)
transmitted by
Definition
person-to-person
vagina may be source for newborns
Term
Clinical manifestations of
agalactiae or Group B streptococcus (GBS)
Definition
early onset disease
presents within first few hours after birth
may be severe meningitis or death
late onset disease - rare
Term
agalactiae or Group B streptococcus (GBS)
treatment, prevention, and control
Definition
detect pregnant carriers
antibiotics
Term
Clostridium tetani
Definition
anaerobic, gram-positive spore-former
endospores found in soil, dust, hospital environments, and mammalian feces
Term
Clostridium tetani
causes
Definition
prolonged muscle spasms
also produces tetanolysin, a hemolysin
Term
Clostridium tetani
portal of entry
Definition
skin wounds
Term
Mycobacterium leprae
Definition
invades peripheral nerve and skin cells, becoming obligate intracellular parasite
Term
Mycobacterium leprae
Hansen’s disease
humans are only significant reservoir
Definition
transmitted after prolonged exposure to infected individuals
probably spread in nasal secretions
Term
clinical manifestations of
Mycobacterium leprae
Definition
incubation usually 3 to 5 years
initial symptom is slightly pigmented skin eruption
development of disease thought to be related to strength of cell-mediated immune response to bacterium
Term
tuberculoid (neural) leprosy
Definition
mild, nonprogressive form
associated with delayed-type hypersensitivity
damaged nerves and regions of skin that have lost sensation and are surrounded by a border of nodules
Term
lepromatous (progressive) leprosy
Definition
individuals do not develop hypersensitivity
skin tissue killed, leading to progressive loss of facial features, fingers, toes, and other structures
disfiguring nodules form all over body
Term
Mycobacterium chelonae
Definition
emerging agent in tattoo-associated infection
skin lesions, papules, pustules, plaques
Term
Mycobacterium chelonae
diagnosis
Definition
culture, bacterial staining
long-term antibiotic treatment, steroids
Term
Neisseria gonorrhoeae
gram-negative, oxidase-positive diplococcus
Definition
disease of mucous membranes of the genitourinary tract, eye, rectum, and throat
Term
Neisseria gonorrhoeae
can also be transmitted from mother to child during birth, causing
Definition
ophthalmia neonatorum (conjunctivitis of the newborn)
Term
Neisseria gonorrhoeae
diagnosis
Definition
culture of bacterium followed by gram stain, oxidase test, and determination of cell and colony morphology; DNA probe test
Term
clinical manifestations of
Neisseria gonorrhoeae
Definition
symptoms in males
urethral discharge of yellow, creamy pus, and painful, burning urination
symptoms in females
vaginal discharge beginning 7 to 21 days after infection
Term
Neisseria gonorrhoeae
treatment, prevention, and control
Definition
antibiotic therapy
penicillin resistance common
public education, diagnosis and treatment of asymptomatic individuals, condom use, and quick diagnosis and treatment of infected individuals
Term
gastroenteritis
Definition
inflammation of stomach and intestinal lining
Term
food-borne infection
Definition
pathogen must colonize host
Term
food intoxication
Definition
ingestion of toxin
enterotoxins – disrupt functioning of intestinal mucosa causing nausea, vomiting, and/or diarrhea
Term
Clostridium botulinum, an obligately anaerobic, endospore-forming, gram-positive rod
Definition
most common source of infection is insufficiently heated home-canned food
Term
Botulism
Definition
endospores not killed, then germinate and produce toxin
if food inadequately cooked, toxin remains and causes disease
Term
botulinum toxin
Definition
neurotoxin that binds to synapses of motor neurons
Term
diagnosis of
Botulism…
Definition
restricted to reference laboratories
demonstration of toxin in patient’s serum, stools, or vomitus or C. botulinum in stool cultures
Term
Escherichia coli Gastroenteritis
traveler’s diarrhea
Definition
caused by certain viruses, bacteria, or protozoa normally absent from traveler’s environment
E. coli is one of major causative agent
Term
enterotoxigenic E. coli (ETEC)
Definition
produces one or both enterotoxins responsible for diarrhea
distinguished by their heat stability
Term
enteroinvasive E. coli (EIEC)
Definition
multiplies within intestinal epithelial cells
may produce a cytotoxin and an enterotoxin
Term
enteropathogenic E. coli (EPEC)
Definition
causes effacing lesions
caused by destruction of brush border microvilli on intestinal epithelial cells
Term
enterohemorrhagic E. coli (EHEC)
Definition
produces effacing lesions, leading to hemorrhagic colitis
releases shiga-like toxins
implicated in hemolytic uremic syndrome and thrombotic thrombocytopenic purpura
Term
diagnosis of
Traveler’s Disease…
Definition
past travel history and symptoms, isolation and identification of causative agents using DNA probes, tests for virulence factors, and PCR
Term
Traveler’s Disease…
treatment, prevention, and control
Definition
symptomatic/supportive therapy and antibiotic therapy
avoiding contaminated food and water
Term
Salmonellosis
gram-negative non-spore forming rods
Definition
results from food-borne infection
bacteria in intestinal mucosa produce enterotoxin and cytotoxin
Term
Salmonellosis
Definition
Term
symptoms of
Salmonellosis
Definition
abdominal, pain, cramps, diarrhea, nausea, vomiting, and fever
Term
Salmonellosis
diagnosis
Definition
isolation of organism from food or patients’ stools
Term
Salmonellosis
treatment, control, and prevention
Definition
fluid and electrolyte replacement
good food handling practices, proper refrigeration, adequate cooking
Term
Opportunistic Diseases
Definition
Microbes that are otherwise members of the normal microbiota but become pathogens
Term
Dental Disease
Definition
creates environment for pathogens that produce acids and other virulence factors
Term
Periodontal Disease
Definition
initiated by formation of subgingival plaque
main species involved is Porphyromonas gingivalis
Term
Pathogenic Fungi
50 produce mycoses in humans
five groups depending on route of infection
Definition
superficial, cutaneous, subcutaneous are all direct contact
systemic infections have disseminated to visceral tissues
opportunistic mycoses
Term
superficial mycoses
Definition
piedras
infections of hair shaft
tineas
infections involving outer layers of skin, nails, and hair
Term
superficial mycoses
treatment, prevention, and control
Definition
removal of skin scales and infected hairs
good personal hygiene
Term
cutaneous mycoses
Definition
dermatomycoses, ringworms, or tineas
Term
cutaneous mycoses
diagnosis
Definition
microscopic examination of skin biopsies and culture on Sabouraud’s glucose agar
Term
cutaneous mycoses
treatment, prevention, and control
Definition
topical ointments and antifungal agents
Term
cutaneous mycoses
Tinea capitis
Definition
infection of scalp hair
Term
cutaneous mycoses
Tinea pedis
Definition
athlete’s foot
Term
cutaneous mycoses
Tinea unguium
Definition
infection of the nailbed
Term
cutaneous mycoses
Tinea cruris
Definition
jock itch
Term
Subcutaneous Mycoses
Definition
caused by inhabitants of soil
introduced in soil-contaminated puncture wounds
Term
clinical manifestations of
Subcutaneous Mycoses
Definition
develops slowly over a period of years
nodules form and ulcerate
organisms spread along lymphatic channels, producing more nodules
Term
Subcutaneous Mycoses
diagnosis
Definition
culture and examination of fungus from infected tissue
Term
Subcutaneous Mycoses
treatment, prevention, and control
Definition
antifungal agents and surgical excision
Term
Subcutaneous Mycoses
chromoblastomycosis
Definition
dark brown pigmented nodules
Term
Subcutaneous Mycoses
maduromycosis
Definition
destroys subcutaneous tissue and produces serious deformities
often called a eumycotic mycetoma (fungal tumor)
Term
Subcutaneous Mycoses
Sporotrichosis
Definition
most common in US
when spread throughout body, referred to as extracutaneous sporotrichosis
Term
Airborne Diseases…
cryptococcosis neoformans
Definition
caused by yeast
source is dried pigeon droppings
inhalation
Term
Airborne Diseases…
Histoplasmosis capsulatum (dimorphic)
Definition
common lung disease
Term
Pathogenic Protists…
protozoa
Definition
single-celled eukaryotic chemoorganotrophs
Term
transmission of
protozoa
Definition
arthropod vectors
food and water vehicles
direct contact
Term
malaria
Definition
caused by four species of Plasmodium
Term
malaria
life cycle of plasmodial protists
Definition
sporozoite injected with mosquito bite
replicates as merozoite in hepatic cells
released, enters erythrocytes and replicates
lyses erythrocytes – correlates with fever
Term
clinical manifestations of
Malaria…
Definition
periodic attacks of chills and fever
anemia can result and the spleen and liver often hypertrophy
can cause cerebral malaria in children and nonimmune individuals
Term
Malaria…
diagnosis
Definition
demonstration of parasites within Wright- or Giemsa-stained red blood cells and serological tests
Term
Malaria…
treatment, prevention, and control
Definition
antimalarial drugs
resistance has been observed
chemoprophylaxis for individuals traveling to endemic areas
prevention by use of bed netting and insecticides to control mosquitoes
new vaccine shows promise
Term
Leishmania donovani
Definition
transmitted by sandflies when they take a blood meal
Term
Leishmania donovani,
three forms of infection
Definition
mucocutaneous, cutaneous, and visceral
Term
Cutaneous Leishmaniasis
Definition
lesions of mouth, nose, throat, and skin that cause extensive scarring and disfigurement
papules that develop into crustated ulcers
healing occurs with scarring and permanent immunity
Term
Visceral Leishmaniasis
Definition
involves monocyte-macrophage system
Term
clinical manifestations of
Visceral Leishmaniasis
Definition
Term
Leishmaniasis…
diagnosis
Definition
observation of parasites within infected macrophages, cultural and serological tests
Term
Leishmaniasis…
treatment, prevention, and control
Definition
antiparasite therapy
vector and reservoir control, and epidemiological surveillance
Term
Toxoplasmosis
Toxoplasma gondii
Definition
apicomplexan (nonmotile) protist
most are asymptomatic
reservoir wild rodents, birds, small mammals
Term
transmission of
Toxoplasma gondii
Definition
fecal-oral infected animals
also by ingestion of undercooked meat, congenital transfer, blood transfusion, or tissue transplant
Term
clinical manifestations of
Toxoplasma gondii
Definition
usually asymptomatic or resembles mononucleosis
encephalitis can be fatal in immunocompromised hosts
tachyzoites cross the placenta and infect fetus, causing serious congenital defects or death
Term
Toxoplasma gondii
diagnosis
Definition
serological tests
Term
Toxoplasma gondii
treatment, prevention, and control
Definition
antiparasite therapy
minimizing exposure by: avoidance of raw meat and eggs, washing hands after working in soil, and cat-handling practices
Term
Amebiasis (Amebic Dysentery)
Entamoeba histolytica
Definition
infection by ingestion of mature cysts from fecally contaminated water, food or hands, or from fecal exposure during sexual contact
Term
Amebiasis…
clinical manifestations of
Entamoeba histolytica
Definition
asymptomatic to fulminating dysentery, exhaustive diarrhea, appendicitis, and abscesses of liver, lungs, and brain
Term
Amebiasis…
Definition
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