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Pathology Exam 4
Infectious Diseases through Environmental
112
Medical
Graduate
10/02/2009

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Cards

Term
Prion
Definition
Protein that has undergone a conformational change making it resistant to proteases
Term
Creutzfeld-Jakob disease, Mad cow disease, and Kuru
Definition
Three prion diseases
Term
Virus
Definition
Obligate intracellular organisms dependent on host cell metabolism for replication
Term
DNA or RNA, Double or Single stranded, Shape of capsid, and presence or absence of lipid envelope
Definition
Virus Classifications
Term
Viruses
Definition
Commonest cause of human infections
Term
Gram - bacteria
Definition
Has a cell wall with 2 phospholipid bilayers and a peptidoglycan layer sandwiched between
Term
Gram + bacteria
Definition
Has a cell wall with a single bilayer covered with peptidoglycan
Term
Shapes of bacteria
Definition
Cocci and Bacili
Term
Bacterial habitat
Definition
Need host for growth conditions
Term
Bacteria
Definition
Second most common type of human pathogen
Term
Chlamydiae, Rickettsiae, and Mycoplasmas
Definition
Subtypes of bacteria that are obligate intracellular organisms
Term
Chlamydiae, Rickettsiae, and Mycoplasmas
Definition
Lack certain structures or metabolic capabilities
Term
Chlamydia tracomatis
Definition
Most frequent infectious cause of female sterility that can also cause blindness
Term
Rickettsiae
Definition
Transmitted by insect vectors and replicates in endothelial cells causing hemorrhagic vasculitis and rash
Term
Mycoplasmas
Definition
Lack cell wall and includes pneumonia and ureaplasma
Term
Ureaplasm
Definition
Gonococcal urethritis
Term
Fungi
Definition
Thick cell walls
Term
Fungi
Definition
Show thermal dimorphism
Term
Hyphae
Definition
Form of fungi at room temperature
Term
Yeast
Definition
Form of fungi at body temperature
Term
Spores
Definition
Produced by fungi and are extremely resistant to environmental degradation
Term
Dermatophytes
Definition
Fungi that affect skin, nails, and hair shafts
Term
Fungi
Definition
May be devastating in immunocompromised and can be confined to certain geographic areas.
Term
Protozoa
Definition
Single-cell organisms with motility and complex organelles
Term
Protozoa
Definition
Major cause of morbidity and mortality in developing countries
Term
Helminths
Definition
Have complex life cycles, usually having sexual reproduction in definitive host and asexual proliferation in vector
Term
Definitive host
Definition
Helminths have sexual reproduction here
Term
Vector
Definition
Helminths have asexual proliferation here
Term
Humans
Definition
Adult worms do not multiply here but generate eggs for the next cycle
Term
Strogyloides
Definition
Autoinfections with this organism can be overwhelming in the immunosuppressed
Term
Helminths
Definition
Disease caused by these can be caused by inflammatory reaction to eggs or larvae
Term
Helminths
Definition
Disease caused by these is proportaionate to the number of organisms
Term
Ectoparasites
Definition
Include arthropods such as lice, ticks, fleas, and bedbugs
Term
Ectoparasites
Definition
Attach to and live on skin
Term
Serologic testing
Definition
Especially used to test IgM for acute infections
Term
Molecular diagnostics
Definition
Used for HIV and hepatitis C quantitation
Term
PCR/Nucleic acid amplification tests
Definition
Now routine test for chlamydia, gonorrhea, and herpes in CSF
Term
H pylori and Legionella
Definition
Some organisms that are hard to culture
Term
HIV, Borrelia, and SARS virus
Definition
Some "new" organisms
Term
CMV, Pneumocystis, and Toxoplasmosis
Definition
Some organisms that cause little or no disease in immunocompetent people that can cause disease in the immunosuppressed
Term
TB and MRSA
Definition
Two examples of diseases that are growing resistant to drugs
Term
West Nile Virus
Definition
Arrived in the US in 1999
Term
A
Definition
Highest ranking classification of a disease that can be used for bioterrorism
Term
Efficiency of transmission, difficulty of producing and distributing bug, how well can be defended against, and how likely to produce a panic
Definition
The characteristics used to determine a disease's bioterrorism classification
Term
Keratin layer, low pH, and fatty acids that inhibit growth of bugs
Definition
Chemical characteristics of skin helping to keep out infection
Term
Dermatophytes
Definition
Resistant to skin defense against infection
Term
Schistosoma larvae
Definition
Can penetrate skin to cause infection
Term
Insect or animal bites, catheters, and needle sticks
Definition
Three common mechanisms for disease to bypass defenses of the skin
Term
Mucociliary effect of upper air passages
Definition
Clear larger organisms from the respiratory tract
Term
Cilia and coughing or swallowing
Definition
Clear organisms that have reached the trachea
Term
Cilia and coughing or swallowing
Definition
Clear organisms that have reached the trachea
Term
Alveolar macrophages and neutrophils attracted by cytokines
Definition
Clear organisms 5 micrometers or less that reach the alveoli
Term
5 micrometers or less
Definition
Size of organisms able to reach the alveoli
Term
Smoking, abnormal mucus, and intubation
Definition
Three means of bypassing the mucociliary defenses of the immune system
Term
Hemagglutinins
Definition
In viruses, these allow for attachment to epithelium and prevent mucociliary clearance
Term
Neuraminidases
Definition
These allow for release of virus from the host cell, and they also lower the viscosity of mucus
Term
Paralysis of cilia
Definition
Infectious toxins can use this mechanism to prevent clearance of organisms from the trachea
Term
Mucociliary problems, aspiration, viral virulence factors (hemagglut. and neuramin.), toxins paralysing cilia, resistance to being killed, temp variation, and immunosuppression
Definition
Impairment of host defenses in the respiratory tract can be achieved by these means
Term
Food or drink contamination with feces
Definition
Most pathogens are transmitted by this meathod
Term
Clean drinking water, sanitation systems, hand and food washing, and proper cooking
Definition
Ways to prevent infection via GI
Term
Gastric acid, mucous, pancreatic secretions, defensins, IgA, normal gut flora, and defacation
Definition
Ways the body defends against infections via GI
Term
MALT (Mucosa-Associated Lymphoid Tissue)
Definition
Covered by a single layer of specialized epithelial cells, this area in the GI contains IgA is secreted by B cells
Term
M cells
Definition
This layer of specialized epithelial cells cover the mucosa-associated lymphoid tissue
Term
M cells
Definition
Transport antigens to MALT and bind numerous pathogens
Term
Normal gut flora
Definition
Compete with pathogens for nutrients
Term
Loss of gastric acidity, Abx unbalancing GI flora, and GI obstruction/lack of peristalsis
Definition
Ways that defences are weakened in the GI
Term
Nonenveloped virus
Definition
This type of virus may not be killed by digestive juices
Term
Rotaviruses
Definition
These viruses directly damage intestinal epithelium they infect
Term
Reoviruses
Definition
These pass through M cells into the blood without local injury
Term
Preformed enterotoxins
Definition
These bacterial agents cause food poisoning without bacterial proliferation in the GI tract
Term
Bacterial exotoxins
Definition
These cause excessive secretions by epithelial cells with resultant watery diarrhea
Term
Invasion and damage of epithelium/lamina propria by bacteria
Definition
This causes ulceration and hemorrhage leading to dysentery
Term
Passage into nodes and blood
Definition
The next step to systemic bacterial infection after damaging epithelium
Term
Immunocompromised
Definition
Fungal infections most often infect this population
Term
Candida
Definition
Usually affects squamous epithelium
Term
Oral thrush, esophagitis, and occasionally [stomach, colon, and disseminated infection]
Definition
Results of candida infection
Term
Cyst
Definition
This form of protozoa is resistant gastric acid
Term
Converts to motile trophozoite which attach to GI epithelium
Definition
In the intestine, the protozoan cyst does this
Term
Helminths
Definition
Usually cause disease when present in large numbers or if present in ectopic sites, causing obstruction
Term
Helminths
Definition
Can compete for nutrients when infection occurs
Term
Flushing of urinary tract with sterile urine
Definition
Normal process that prevents UTI's
Term
Exterior via urethra
Definition
Urinary tract infections almost always start from here
Term
Obstruction or reflux
Definition
Compromise normal defences in the urinary tract
Term
Lactobacilli
Definition
Cause low pH in the vagina during reproductive years
Term
Motility or ability to secrete lytic enzymes
Definition
Invasive organisms are often pathogenic via these mechanisms
Term
Along anatomic planes or surfaces
Definition
Spread of microbes usually occurs in this fashion
Term
Lymphovascular system
Definition
Allows for multi-organ disease or disease distant from site of organ
Term
Red blood cells (erythrocytes) or migratory macrophages
Definition
The "public transportation" for some microbes to infect distant organs
Term
Placental-fetal
Definition
Cervix or bloodstream can be a source of infection for this mode of transmission
Term
Stillbirth or prematurity
Definition
Two consequences of placental-fetal transmission of infection
Term
Late
Definition
Infection of fetuses at this point in the pregnancy usually has the best outcome
Term
Spit, sex, skin break, breathing, blood, fecal, water, animals
Definition
Methods of microbe transmission
Term
skin, snot, sneeze, stool, 'squitos
Definition
Methods of release of pathogens
Term
Urethra, vagina, cervix, rectum, oropharynx
Definition
Initial sites of STD's
Term
Chlamydia and Gonorrhea
Definition
Infection with one of these leads to treatment for both
Term
Neonatal herpes
Definition
More likely to cause neonatoal visceral or CNS disease
Term
Syphilis
Definition
Neonatal infection that can cause congenital disease or cause miscarriage
Term
2 million
Definition
Number of nosocomial infections each year
Term
Contact or entry -> cell death; endotoxins, exotoxins, or enzymes; host response
Definition
3 mechanisms by which infections cause disease
Term
Specific binding, specific protease needs of virus, replicative ability in cell, physical environment
Definition
4 reasons viruses infect specific cells
Term
Rhinovirus
Definition
Binds the same site on ICAM-1 as LFA-1 of lymphocytes for lymphocyte activation and migration
Term
Enterovirus
Definition
Resists inactivation by gut "juices"
Term
Inhibit DNA on, damage membrane, lyse, apoptosis, CTL's, 2nd infection, one cell to another death, induce cell change
Definition
8 ways a virus can kill host cells
Term
Adherability, invadability, and toxinability
Definition
3 items that determine bacterial virulence
Term
Quorum sensing
Definition
Induced expression of virulence factors as a bacteria's concentration in tissue increases
Term
S. aureus
Definition
Secretes autoinducer peptides
Term
Increased levels of autoinducer peptide
Definition
Stimulate toxin production by S. aureus
Term
Reovirus
Definition
Can pass through M cell to cause disease
Term
Fibrillae
Definition
Bacterial adhesins on surface of gm+ cocci and bind fibronectin to cell surface
Term
Fibrillae
Definition
Made up of teichoic acids and F protein
Term
Fimbriae
Definition
Bacterial adhesins on surface of gram-rods or cocci
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