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Mycobacteria
BBD Exam 1 - 3/25/10
19
Medical
Professional
04/10/2010

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Cards

Term
am i susceptible to mycobacterium tuberculosis?
Definition
everyone is!
Term
what does M. tuberculosis do to the lungs?
Definition
induces a vigorous cell-mediated immune response, causing severe tissue damage
Term
can you find viable M. tuberculosis in the lesions caused by TB?
Definition
yes, they remain indefinitely
Term
what kind of stain is used to diagnose TB?
Definition
acid-fast
Term
what is a primary infection?
Definition
a single lesion in the lungs
Term
what does post-primary (AKA secondary) TB indicate?
Definition
TB reactivated and started miliary (multiple) lesions
Term
what cells does Mycobacterium tuberculosis infect?
Definition
macrophages
Term
is M. tuberculosis motile? how does it infect other hosts?
Definition
non-motile. From coughs
Term
T/F: it is a facultative intracellular pathogen
Definition
true
Term
T/F: obligate anaerobe
Definition
False! its an obligate aerobe. there is a reason why it grows in the lungs most often!
Term
Does it have a capsule?
Definition
no. it WANTS to engulfed by macrophages
Term
is the cell wall immunogenic?
Definition
VERY immunogenic
Term
what is PPD?
Definition
tuberculin (purified protein derivative)
Term
what happens to the bug after its phagocytosed by macrophages?
Definition
it grows in the vacuole and inhibits fusion with lysosomes
Term
what happens if a tubercule (cavitation) ruptures?
Definition
bacteria are released
Term
what does it mean to have a PPD+ skin test?
Definition
you can have the bug, but you aren't necessarily symptomatic.
Term
can you count on a negative PPD skin test from a AIDs patient?
Definition
no, it requires a normal immune response.
Term
can other strains of mycobacterium tuberculosis infect AIDS patients?
Definition
yes!
Term
what are the reasons treatments for TB take a long time?
Definition
1) thick cell wall, 2) grows intracellularly, 3) may reside in tubercles, 4) grows slowly
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