Vibrio and Others Flashcards

1
Q

Vibrio Spp. Basics

Type, requirements, where, trans, significance, 4 species

A

Type: pleomorphic, curved rods
Requirements: facultative anaerobes, halophilic salt
Where: aquatic, pathogens in shellfish, hot months
Transmission: ingestion, wound to contamination
Significance: cholera
Species: V. cholerae, V. parahemolyticus, V. vulnificus, V. alginolyticus

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2
Q

Vibrio Virulence Factors

5 total, 3 species

A

V. cholerae
- Cholera toxin from bacteriophage
- Toxin co-regulated pili for adherence

V. parahemolyticus
- Hemolysin watery diarrhea

V. vulnificus
- Polysaccharide capsule antiphagocytic
- Cytolysins for tissue destruction

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3
Q

Vibrio Cholerae Infection: Cholera

symptoms, characteristic, infectious dose

A

Symptoms: acute gastroenteritis, vomiting, diarrhea
Characteristic: rice water stool, shitsing like 10-30 times a day
Infectious dose: pathogen is sensitive to stomach acid you need a high dose to get infected (risks: antiacids and whatnot)

  • No electrolyte replacement, death in hours
  • Main damage is secretion of electrolytes and water
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4
Q

Vibrio Cholerae Major Outbreak Strains

2

A

O1 and O139

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5
Q

Vibrio Parahemolyticus: Gastroenteritis

symptoms, duration, acquisition

A

Symptoms: explosive diarrhea, fever, chills
Duration: quick incubation, 72 hour lasting
Get it by: seafood and oyster consumption, leading cause of seafood gastroenteritis

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6
Q

Vibrio Alginolyticus: Wound and Ear Infections

risks, significance, age groups

A

Risks: diabetics, heart disease, liver issues/alcoholism, beach activities causing wounds
Significance: second most common vibrio in the US
Age groups: >50yo more likely to have lower extremity infections, young children ear infections

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7
Q

Vibrio Vulnificus: Septicemia and Wound Infections

significance, transmission, risk,

A

Significance: more than 90% of vibrio deaths in US
Transmission: septicemia after eating contaminated raw oysters, wound infections after exposure to contaminated water
Risk: hepatic disease, renal failure, alcoholism, immunocompromised

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8
Q

Aeromonas Basics

type, requirement, where, trans

A

Type: straight rod
Requirements: facultative anaerobe
Where: aquatic, retail produce and animal meat
Transmission: ingestion of contaminated water or food, exposure of wound/mucosa to contaminated water, traumatic inoculation

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9
Q

Aeromonas Infections

3 kinds

A

Gastroenteritis
- Acute secretory diarrhea, vomiting
- Acute dysenteric diarrhea with blood/mucus
- Chronic diarrhea >10 days
- Traveler’s diarrhea

Wound infections
Opportunistic like sepsis and meningitis

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10
Q

Campylobacter Basics

Type, requirements, where, trans, clinical

A

Type: thin, comma shaped
Requirement: microaerophile
Where: GI tract of animals, poultry, cattle, sheep, pets, zoonotic
Transmission: consume contam. food/water/raw milk, poor poultry prep, fecal-oral is rare
Clinical: gastroenteritis, Guillain-Barre syndrome, bactermia

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11
Q

Campylobacter Species

three

A
  • C. jejuni (most common)
  • C. fetus
  • C. coli
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12
Q

Campylobacter Infection: Gastroenteritis

symptoms, species 2, age risks, dose

A

Symptoms: fever, headache, bloody and profuse diarrhea possible, cramping
Species: C. jejuni (most common), C. coli
Risk: children <1, adults 20-40
Dose: few as 500

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13
Q

Campylobacter Infections: Guillain-Barre Syndrome

other name, what is GBS, species, symptoms

A

Reactive arthritis
GBS: autoimmune disease, cross react between bacterial capsule and neural tissue
Species: C. jejuni
Symptoms: weakness possible paralysis over days, recover can be months

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14
Q

Campylobacter Infections: Systemic

species, risks

A

Bacteremia and Septicemia
Species: C. fetus
Risks: immunocompromised, elderly

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15
Q

Helicobacter Pylori Basics

type, requirements, where, trans

A

Type: curved rod
Requirements: microaerophilic
Where: human gastric mucosa
Transmission: early in life or fecal oral

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16
Q

Helicobacter Pylori Clinical Significance

3 infections, chemicals, prevalence

A

Infections: gastritis, peptic ulcer, gastric cancer
Chemicals: high urease production
Prevalence: most common cause of duodenal and gastric ulcers

17
Q

Helicobacter Pylori Diagnosis

invasive vs. noninvasive

A

Invasive: gastric biopsy
Noninvasive: urea breath test, stool antigen, antibody assay

18
Q

Vibrio Treatment

A

Fluid replacement for gastroenteritis
Antibiotics for wound or septicemia
3 cholera vaccines

19
Q

Campylobacter Treatment

A

Fluid replacement for gastroenteritis
Antibiotics only for severe in immunocompromised

20
Q

Helicobacter Treatment

A

H2 blocker/proton pump + antibiotics
Treat other family members
- Watch out for antibiotic resistance