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Basu unit 5
chapters 20, 22, 23, 24
80
Microbiology
Undergraduate 1
05/09/2013

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Term
Salmonella Diseases
Definition
Salmonella Gastroenteritis (Salonellosis)
Typhoid Fever
Term
Slamonella is...?
Definition
A gram negative bacterial rod.
Term
Slamonellosis (Gastroenteritis)- Transmission
Definition
Uncooked poultry (most likely)
Eggs
Cross-contaminated food
Term
Salmonella Gastroenteritis (Salmonellosis) - Pathogenesis
Definition
Incubation 12-48 hours
Ingestion -> bacteria multiplies in intestinal mucosa
Term
Who is Salmonellosis most dangerous to?
Definition
Infants and elderly
Self limiting in healthy people
Term
Typhoid fever - causal agent
Definition
Salmonella typhi (gram negative rod)
Term
Typhoid fever - pathogenesis
Definition
Incubation 1-3 weeks
Ingestion -> infects intestines -> bacteremia -> abdominal organs
Term
Typhoid fever - specialized symptoms
Definition
Enlarged liver/spleen, enlarged and tender abdominal cavity.
Can have healthy carriers - survivors carry for life in gall bladder
Term
Bacilliary dyssentary (Shigellosis)- causal agent
Definition
Gram negative bacterial rod Shigella sonnei
Term
Bacilliary dyssentary (Shigellosis) - pathogenesis
Definition
Ingestion -> infects intestines
Term
Bacilliary dyssentary (Shigellosis) - speciaized symptoms
Definition
SEVERE diarrhea (mucus/pus/blood)
Many healthy carriers
Term
Bacilliary dyssentary (shigellosis) - who is most susceptible?
Definition
Kids 1-4 therefore can be outbreaks in nurseries/daycare
Term
Cholera - causative agent
Definition
vibrio cholerae - gram negative curved rod
Term
Cholera - transmission
Definition
infected water or shrimps
Term
Cholera - pathogenesis
Definition
Unusual enterotoxin causes extreme excretion of liquids from small intestine
Term
Cholera - complications
Definition
10-20 liters of 'ricewater' stools explelled per day
stools can have tissue debris
leads to dehydration and shock
can cause low BP
Term
E. coli Gastro enteritis (traveller's diarrhea)-causal agent
Definition
enteroinvasive E. coli
sometimes Shigella, salmonella or campylobacter
Term
Travellers diarrhea (gastroenteritis) - transmission
Definition
unfamiliar tap water
Term
Travellers diarrhea (gastroenteritis) - pathogenesis
Definition
ingestion -> intestines
short illness 1-2 days of mild to severe diarrhea
Term
Ulcers - two kinds
Definition
gastric and duodenal
Term
Ulcers - causative agent
Definition
Helicobacter pylori bacterial gram negative
Term
Ulcers - specialized symptoms
Definition
Burning of stomach lining
produce urease
infects mucosa causing ulcerations
can be linked to stomach cancer
Term
Bacterioides (anaerobic infections) - causal agent
Definition
Bacterioides fragilis - gram negative obligate anaerobe from normal flora (upper respiratory, intestines, vaginal tract)
Term
bacterioides 3 types
Definition
Intra-abdominal (surgery/trauma)
Pelvic abcess (giving birth/abortion)
Cellulitis (necrosis and gangreen)
Term
Diannhea by Clostridium difficile - defining factors
Definition
Foul, striking odor
nosocomial diarrhea
so severe may perforate large intestine
Term
E. coli food infection
Definition
contaminated meat, milk, unpasturised fruit, juice, lettuce, water..
person to person
Causes heloyitic uremic syndrome in children
effects kidneys
Term
Campylobacter gastroenteritis
Definition
Gram negative spirochetes
poultry, meat, raw milk, water
1-3 days incubation
lasts for a week
self limiting
Term
Yersinosis
Definition
Yersinia entercolitica
Gram negative bacterial rod
normal flora
cytotroph- survives refridgerator
meat, milk, person to person
sometimes confused with apendicitis
Term
Vibrio paramythicus
Definition
infected seafood/shellfish
24hrs incubation
burning sensation/cramps
Term
Bacillus cereus
Definition
gram POSITIVE
raw dry food ( rice, legumes,lentil, soil)
1-2 hr incubation
survive cooking
Term
Staphylococcus aureus
Definition
food poisoning for 24 hrs
from food handlers (sandwiches salads etc)
Term
Botulism
Definition
Clostridium botulinum
food/wounds
gram POSITIVE
obligate anaerobe
potent neurotoxin - neuromuscular junction
canned foods
survivors have brain damage
causes double vision, gradual paralysis, respiratory arrest
Term
Botulism in babies
Definition
floppy baby syndrome
from honey
toxemia
weak sucking/swallowing
Term
Clostridium perfringes
Definition
gram positive
grows in left out food (thanksgiving)
mild 24-48 hrs
Term
Listeriosis
Definition
Lysteria monocytogenes
gram positive bacteria
monocytes increase
cytogenic (survive refrigerator)
mainly in immunosuppressed/cancer/pregnant
neonatal listerosis - miscarriage/stillbirth
septacemia, menengitis
60% mortality rate
Term
STD syphilis
Definition
Treponema pallidum - spirochete
motile, does not stimulate defenses
four stages:
primary - chancre (hard, painless)
secondary - hairloss, malaise, low fever, rash
latent - silent - asymptomatic
tertiary - incurable/terminal delayed hypersensitivity - GUMMAS
defects if infect fetus across placenta (congenital syphilis)
Term
Gonnohrea
Definition
most common
nisseria gonorrhoeae
males : urethritis/destroy reprodictive
female : many asymptomatic can lead to PID which leads to infertility
can be systemic
Term
opthamalia neonatum
Definition
gonnorhea eye infection in newborm
Term
Nongonnococcal urethritis
Definition
chlamydia trachomatis/ ureplasma urealticum
mirrors gonorrhea
Term
Genital herpes
Definition
Herpes simplex virus type 2 (sometimes type 1 but rare)
painful fluid filles legions - burst/scab over
latent/recurrent at same site
can be fatal/cns damage/blindness
Term
Genital warts
Definition
human papilloma virus
DNA virus
external or internal
males have dry infection (grey and hard)
irregularities on pap smear
connected to penial and cervical cances
Term
HIV/AIDS
Definition
retrovirus
body fluid transfer (not airborne or fomites)
can test positive after 6mo
A- lymphodenopathy/ malaise
B- Opportunistic infections
C- Clinical AIDS- tcell below 200 count- reactivation of latent disease
Kaposis sarcoma (spots)
Pneumocystis pneumoniae often cause of death
Term
Septecemia
Definition
gram neagative, occasionally gram positive
blood poisoning
lymphangitis - streaks from endotoxin
do not use antibiotics
Term
Lyme disease
Definition
most common tick disease
gram negative spirochetes
Borrelia burgdorferi
deer/mice
often disseminates
1 - bullseye rash
2 - doesnt always occus (myocarditis, muscle pain, neurological symptoms)
3 - late (mo-yrs later) arthritis, chronic
Term
Rocky mountain spotted fever
Definition
Rickettsia rickettsi - intracellular pathogen
ticks/tick eggs
rash -> heart -> kidneys -> organ failure
20% mortality rate
Term
Plague
Definition
Black death
zoonosis
killed 25% of population
Yersinia pestis - gram negative rod
Bubonic or Pneumonic
Term
Infectious mononeucleosis
Definition
Epstein barr virus - latent
1 yr contagious
lymph is 25% above mormal
enlarged spleen/liver
reactivate in immunosupressed
Term
Anthrax
Definition
Bacillus anthracis
gram Positive
cutaneous - contact w/ wool/leather - woolsorters disease
pulomary - inhalation, high mortality
Term
Filovirus
Definition
coiled ball
thread virus (single strand)
marbug - germany - green monkeys
Ebola - zaire and sudan - 1976 - 1995
Term
Ebola virus
Definition
RNA filovirus
clots shut off blood supply
liquifies collagen - causes rips
bleeding from all orifaces
Term
Mumps
Definition
Viral
paramyxo RNA
infects parotid gland under ear
orchitis/pancratitis/meningitis
Term
Viral gastroenteritis
Definition
Rota RNA virus
NVD
Rotavirus most responsible for enteritis in children
Term
Cytomegalo virus
Definition
Huge cells b/c inclusion bodies
herpes virus
latent in tcells/macrophages
severe to immuno supressed and children (pneumonia/blindness)
Term
Viral hepatitis - general symptoms
Definition
Anorexia
NVD
fever
headache
fatigue
abdominal pain
jaundice

- Virus varies in type and severity
Term
Hep A
Definition
fecal-oral
Naked RNA
Contagious
No liver disease
Term
Hep B
Definition
most severe
enveloped DNA
blood
dibilitating
oncogenic
Term
Hep C
Definition
Enveloped RNA
blood
chronic
decades for symptoms to develop
Term
Hep D
Definition
Needs Hep B to form envelope
Enveloped RNA
parenteral
relapses
Term
Hep E
Definition
fecal-oral
Naked RNA
complications in pregnancy - 25% mortality for mother
Term
Meningecoccal meningitis
Definition
nisseira minigedites
gram negativ diplococcus
nasopharynx
petichial rash
schwartzmann phenomenon (purple spots)
Term
Haemophilius meningitis HiB
Definition
Gram nevative encapsulated
common in infant
no schwartzmann
deafness/retardation
6% mortality
leading cause of retardation
Term
Pneumococcal meningitis
Definition
Strep pneumoniae
gram Positive
healthy carriers
no schwartzmann
26% mortality rate
primary infants/newborn, secondary toddlers
Term
Leprosy
Definition
hansens disease
tropical
likes warm temp
Mycobacterium leprae
acid fast
5-15 yr incubation
intracellular
Term
Tuberculoid leprosy
Definition
pale nodules, loos of sensation, non contagious
Term
Lepromatous leprosy
Definition
lepromas (nodules) all over
lion face
progressive
VERY contagious
no CMI develops
Term
Viral meningitis
Definition
aseptic
echo virus
less severe
self llimiting
Term
Polio
Definition
Naked RNA pico virus
fecal-oral
14 day incubation
lymph - viremia - CNS
post - 25-35 years after reactivated
Term
non paralytic poio
Definition
common
stops at lymph
self limiting
mild
Term
paralytic polio
Definition
anterior horns of spinal cord
destroys motor neurons
Term
Bulbar polio
Definition
medulla/respiratory center
Iron lung
paralysis
Term
Rabies
Definition
zoonosis
RNA rhabdo virus
animal bites/saliva
Term
Furious rabies
Definition
animals
unusual aggresion/behavior
foaming/cant swallow
paralysis
dogs
Term
Paralytic (dumb) rabies
Definition
cats
lethargic/non responsive
aggressive if provoked
gradual paralysis
Term
Human rabies
Definition
fatal encephalytis
hydrophobia
need anti globulin immediately
Term
Arthropod encephalitis
Definition
Epidemic
insects (mosquitos)
Arbovirus
Eastern equine most rare and severe
western, st louis, california
wide range of symptoms
Term
West nile Encephalitis
Definition
effects crows mostly
RNA flavi virus
Dangerous to elderly (neurological damage)
Term
Prions
Definition
protien
no nucleic acid
long incubation
damage CNS no fever or inflammation
spongy brain
Term
Creutzfeldt - jacob
Definition
prion
rare
transplants/injection of growth hormone
odd proteins
get from open wounds
Term
Kuru
Definition
prion
cannibals in new guinea
brain tissues ingested
Term
Mad Cow
Definition
CDJ
prion
cows eat sheep parts with scrapies
1st found in england
acquired from beef
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