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Step 1 - Micro - Toxins
First Aid 2012 Pg. 152-153
23
Microbiology
Professional
05/29/2012

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Cards

Term
Diphtheria Toxin
bug
mechanism
clinical manifestation
Definition
C. Dipthheria
AB toxin that inactivates elongation-factor 2 thus inhibiting protein synthesis
Pharyngitis and pseudomembrane in throat
Term
Exotoxin Ab
bug
mechanism
clinical manifestation
Definition
Pseudomonas
AB toxin that Inactivates elongation-factor 2 thus inhibiting protein synthesis
Host cell death
Term
Shiga Toxin
bug
mechanism
clinical manifestation
Definition
Shigella
Inactivates 60S ribosome by cleaving rRNA
GI mucosal damage and invasion causing bloody diarrhea, Hemolytic Uremic Syndrome
Term
Shiga-Like Toxin
bug
mechanism
clinical manifestation
Definition
EHEC
Inactivates 60s ribosome by cleaving rRNA
Bloody diarrhea without invasion, Hemolytic uremic syndrome
Term
Heat Labile Toxin
bug
mechanism
clinical manifestation
Definition
ETEC
AB toxin that over-activates adenylate cyclase (increased cAMP) leading to increased chloride secretion and water efflux in gut
Watery Diarrhea
Term
Heat Stable toxin
bug
mechanism
clinical manifestation
Definition
ETEC or Yersinia
Over-activates guanlyate cyclase (increased cGMP) causing decreased reabsorption of NaCl and water in the gut
ETEC causes watery diarrhea
Yersinia causes bloody diarrhea
Term
Edema Factor
bug
mechanism
clinical manifestation
Definition
Bacillus Anthracis
Mimics adenylate cyclase (increased cAMP)
Black eschar with edematous borders
Term
Cholera toxin
bug
mechanism
clinical manifestation
Definition
Vibrio Cholera
AB toxin that activates Gs leading to increased adenylate cyclase and cAMP causing more Cl- secretion and water efflux in gut
Voluminous rice-water diarrhea
Term
Pertussis Toxin
bug
mechanism
clinical manifestation
Definition
Bordetella Pertussis
AB toxin that disables Gi leading to increased adenylate cyclase and cAMP impairing phagocytosis
Whooping cough
Term
Tetanospasmin
bug
mechanism
clinical manifestation
Definition
Clostridium Tetani
Cleaves SNAREs preventing GABA/glycine release in spinal cord
Muscle rigidity and lock jaw
Term
Botulinum Toxin
bug
mechanism
clinical manifestation
Definition
Clostridium Botulinum
Cleaves SNARE proteins preventing ACh release at NMJ
Flaccid paralysis
Term
Alpha Toxin
bug
mechanism
clinical manifestation
Definition
Clostridium Perfringens
Phospholipase that rips apart cell membranes
Myonecrosis causing gas gangrene and hemolysis (watery diarrhea if eaten)
Term
Streptolysin O
bug
mechanism
clinical manifestation
Definition
Strep Pyogenes
Degrades cell membrane
Lyse RBCs, contains epitopes linked to rheumatic fever
Term
Exotoxin A
bug
mechanism
clinical manifestation
Definition
Strep Pyogenes
Links MHC 2 and TCR causing huge release of IFN-g and IL-12
Toxic shock syndrome (fever, rash, shock)
Term
TSST-1
bug
mechanism
clinical manifestation
Definition
Staph Aureus
Links MHC 2 and TCR causing huge release of IFN-g and IL-12
Toxic shock syndrome (fever, rash, shock)
Term
Exfoliative toxin
bug
clinical manifestation
Definition
Staph Aureus
scalded skin syndrome
Term
Enterotoxin
bug
clinical manifestation
Definition
Staph Aureus
Food poisoning
Term
Endotoxin
bug
mechanism
clinical manifestation
Definition
Gram negatives
Activates Mphages, alternative complement, Hageman factor
Causes fever, shock, necrosis, acute inflammation DIC
Term
Toxins encoded on phages
Definition
ABCDE
shigA-like toxin
Botulinum toxin (some strains)
Cholera toxin
Diphtheria toxin
Erythrogenic toxin of S. Pyogenes
Term
Toxin A
bug
mechanism
clinical manifestation
Definition
C. Difficle
binds to the brush border of the gut
diarrhea
Term
Toxin B
bug
mechanism
clinical manifestations
Definition
C. Difficile
destroys cytoskeletal structure of enterocytes
Pseudomembranous colitis
Term
Phospholipase C
bug
Definition
Pseudomonas
Term
Aflatoxins
bug
clinical manifestation
Definition
Aspergillus
increased risk of hepatocellular carcinoma
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