Chapter 9 Flashcards
Ebola (filovirus)
transmitted-blood path-necrosis in liver, gonads, kidneys, spleen, lymph nodes, microvasc. lesions liver-kuppfer cell hyperplasia, councilman bodies Clinical-headache, fever, hemorrhages **most widespread tissue destruction of all HF’s**
West Nile Virus (flavivirus)
transmitted-mosquitos and birds Clinical- meningoencephalitis (CSF with increased protein), rash, lymphadenopathy, convulsions, coma, hepatitis and pancreatitis **dangerous in elderly and immunocompromised**
Cytomegalovirus
transmitted- p2p with secretions infects- leukocytes **Most common congenital pathogens-widespread necrosis in fetus (brain eyes and liver)**
Coagulase - Staph
infection related with medical device/implant
M-protein in strep pyogenes
anti complement
Streptolysins S and O in strep pyogenes
hemolytic exotoxins
Skin infections from strep pyogenes
cellulitis, erysipelas, and impetigo
Scarlet Fever
red rash on skin, following the pharyngitis
Rheumatic fever
strep pyogenes induced auto-immune response against connective tissue
Strep Pneumoniae
lobar penumonia, otitis media, sinusitis, and meningitis polysaccharide capsule prevents C3b formation
Haemophilus Influenza
epiglottidis leading cause of meningitis in children under 5
Granuloma Inguinale (Klebsiella granulomatis)
beefy red ulcer, donovan bodies (rod organisms in cytoplasm of phagocytes) **can lead to genital elephantiasis**
Enterotoxigenic E. Coli
travelers diarrhea non invasive–>no leukocytes Watery Diarrhea Rise in cAMP and cGMP
Enteropathogenic E. Coli
invasive–>leukocytes deforms microvilli
Enterohemorrhagic E. Coli
shiga-like toxin inhibits 60S ribosome Dysentery-bloody diarrhea Hemolytic Uremic Syndrome- microthrombi, RBC’s destroyed forming schistocytes, decreased kidney perfusion
Enteroinvasive E. Coli
Bloody Diarrhea necrotizing colitis same as shigellosis
Salmonella
meat late onset diarrhea (12-24 hrs) systemic granulomas
Shigellosis
Shiga toxin-inhibits protein synthesis-watery diarrhea Bloody Diarrhea replicates in enterocytes
Cholera
Alpha subunit increases cAMP Diarrhea
Campylobacter Jejuni
In animal feces Invasive, causes immune response-Ulcerative
Yersinia
From infected meat watery/bloody diarrhea invades peyers patches–lymphadenopathy
Klebsiella
necrotizing lobar pneumonia currant jelly sputum- thick bloody mucoid sputum
Legionella
Legionnaires Disease–>Pontiac Fever Grpws in standing water (not P2P) unilateral patchy consolidation in lungs (permanent)
Pesudomonas Aeruginosa
**Cystic Fibrosis** Diffuse bronchopneumonia In skin-ecythema gangrenosum
Melioidosis (Burkholderria pseudomallei)
tracheobronchitis, cavitating lesions **Mimicks TB**
Clostridial Food Poisoning
C. Perfinges undercooked meat Spores can withstand temp–leaving cooked food uncovered
Gas Gangrene (Clostridial myonecrosis)
myonecrosis, gas production and sepsis Exotoxin: alpha toxin
Tetanus
ascending paralysis
Botulism
desceding paralysis
Brucellosis
arthralgias and myalgias unsterilized milk or meat from infected animals Multi-organ granulomas
Tularemia
Tick Bite necrotizing granulomas in draining lymph nodes
Anthrax (wool)
black necrotic skin lesions sudden massive pulmonary edema
Listeriosis
food borne disease meningoencephalitis and septicemia
Cat Scratch Disease (Bartonella henselae)
granulomatous and lymphadenopathy necrotizing granulomas in draining lymph nodes
Parinauds SIgn
Catch scracth disease granulomatous conjunctivitis with concurrent swelling of lymph node near ear
Glanders
granulomatous disease nodular lesions in lungs and ulceration of mucous membranes
Bartonellosis
sand flea hemolytic anemia
Actinomycosis
abscesses connected by sinuses
Nocardiosis
progressive pyogenic pneumonia