Exam 2 Part A Flashcards
Mucous membranes entry (types)
Pathogen that enters
Respiratory
Digestive
Urogential
Pathogen: bacteria, virus, helminths, protozoa
Can all enter via mucous membrane.
Thin, moist living cells, provide a hospitable entry route
Chicken pox
Belong to what family?
Uniqueness
Herpes family (NOT pox family)
Aka varicella/zoster virus
Uniqueness:
1: only herpes family member that is transmitted as Aeresole transmiyyrd contagious virus
- Only virus that cause 2 diff diseasr in the same individual at two different time.
Chicken pox(varicella) at early life
And
Singles/zoster at late life.
Shingles and varicella
Chicken pox/ Varicella
Early in life
Shingles/zoster later in life.
Thus called varicella zoster virus
Measle and covid 19 entry port
Respiratory tract/system
Mucous membrane entey portal, Respiratory tract
Do enveloped virus enter via the complete digestive system?
No, enveloped virus is fragile. Will be destroyed or inactivated due to acidic enviromment. Stomach enzymes as well as bile salt will make virus
Lose its infectivity.
Thus envelope virus avoid gastrointestinal route.
Enter oral mucous membrane or distal end of digestive system instead.
Envelope virus:
HiV, herpes virus, SARS corona virus
Non envelope virus and its entry portal route
Environmentally stable.
Can withstand oral fecal route fully. (Stomach PH, osmosis instability)
Rota virus (waterry disrrhea in kids)
Heptatis A (not b or c)
Polio
Norovirus (stomach flu)
All enter via oral fecal route.
Enveloped virus
Name examples, and do they enter complete digestive system?
HIV
Herpes
SARS corona
Do not enter complete digestive system.
(Avoid complete digestive system, gastrointestinal.
Instead it enters proximal and distal end. Oral, Respiratory, and dist end of digestive).
Role of bile salt in inactivation of enveloped virus
Most pathogen are destroyed and inactivTed due to acidic enviromment of stomach, stomach enzyme, as well as bile salt.
Bile salt has sodium deoxycholate (emulsify fat).
Once envelopee virus lipid envelopenis destroyed, it loses its infectivity.
Why is eye appealing portal of entry for most pathogen?
- Short distance to cns/brain which has few defense cell
- Moist non keratinized with few defense cell.
(This is why corneal graft has high success) - Retinal blood vessel are superficial and open/named with no overlying connective tissue.
Advantage: serve as on ramp for pathogen to enter circulatory system and get globally distributed.
How common cold virus is able to enter through eyes?
Cold virus enter eye then go to nose and upper Respiratory tract.
Many people feel at the eye before cold starts.
Chemical barrier of the eye
Chemicam barrier of the defense system.
Constant flow of tear inactivate and wash away many pathogen ( due to lysozyme in tears) part of chemical barrier of defense system .
The lysozyme targets bacterial cell wall, peptidoglycan and lyse cells.
Pathogen that can cross the placental barrier
And consequences of them.
CMV (cytomegalovirus) : deafness
Rubella virus: arm missing at birth, die after first few day.
Toxoplasma gonidii: (natural habitat at cat litter)
Abortion, mental retardation, premature births, birth defects.
Syphylis: congenital syphylis (usually death within 1 year)
Zika virus: birth defects (microcephaly, small brain)
Parenteral route of entry
Directly deposited into tissue beneath skin or mucous membrane.
Puncture, injection (IV drug users), bites, dryness, and cracked skin due to malnutrition.
Not a true entry portal, rather a circumvention of entry route.
Ex; tetanus, gangrene,
Amongst IV drug users:
HIV, hepatitis C and B virus, HPV
Transmitted via sharing needles
What is very common for newborns that have CMV (cytomegalovirus)?
Deafness. Very common.
Identify some bacteria transmitted via the respiratory system
Bacteria: pnemonia, tuberculosis, pertusis (whooping cough), diptheria
Virus: influenza, measles, sars cov 2, chicken pox (the only aeresol member of the herpes family)
Different bacteria and virus that enters different part of the mucous membrane port of entry
Respiratory
Urogenital
Gastrointestinal
Respiratory:
Bacteria: pnemonia, tuberculosis, pertusis, diptheria
Virus: influenza, measle, sar cov2, chicken pox
Urogential:
Virus: herpes simplex virus I, II.
HIV
HPV
Gastrointestinal:
Non envelope virus: rota virus, hepatitis A, polio, norovirus
Bacteria: cholera, salmonella, shigella spc, helicobacteria pylori.
Protozoan, giardia sps (most common)
Transmission mode of envelopes vs non envelopes virus
Enveloped virus;
Environmentally unstable. Enter proximal and distal end of digestive system (oral/respiratory, urogenital)
HIV, herpes, sars corona virus.
Non envelopea: stable environmentally
Can withstand oral fecal route, ph of full digestive routw.
Ex: norovirus, hep A, polio
Ex: once norovirus finish replication, induce diaarhea so it can shed out and seek next host.
HIV
Is it envelopes? Does it go through full digestive system?
enveloped.
Avoid comppete digestive system route.
Measles
Are they contagious?
Virus of bacteria?
Virus. Enter via respiratory tract (of mucous membrane portal of entry)
Yes, spreads very easily!
(Target t and b cell, making host extremely immunocompromised).
Bactetia and virus that enter via the urogenital system/ tract (one of the mucous membrane port of entry)
Bacteria: chlamydia
Virus: herpes simplez virus I, II.
HIV
HPV (human papilloma virus)
Define
Syndrome, sequelae, infection, disease
Provide examples
Syndrome: group of signs and symptoms associated with a common pathology
Ex: down stndrome (set includes: extra chromosome, heart and gut abnormality, cognitive provlem, facial and muscle change, absence of nasal bone)
Ex: guillian bare syndrome:
JJ vaccine compication.
Rare but serioua neurological condition.
Body defense system attack nerve cell. 2 week after vaccine.
Muscle action synchronized with nerve cells action. Musxle weaknesa and paralysis.
Sequelae: after effect of disease following following recovery.
Ex: post polio paralysis (after polio)
Ex: Subacute sclerosing panencephalitis (SSPE)
After measle infection, measle trap in brain. Rare.
Ex: sequela to S pyrogenes(strep throat)
A) rheumatic fever (body produce antistreptococcal antibody»cross rx with heart antigen) trigger rheumatic fever. Lead to heart valve weakening.
B) gloerulonephritis:
Sets in later follpwing elimination of bacteria.
Due to ag-ab complex that gets deposited in the glomerulum of nephrons (filtration unit of kidneys). Inflamaation if glomerulus at kidney)
Infection: invasion and colonization in body by pathogenic microbes.
Cause disease. Infectious.
Chess match.
May be present without detectable disease/symptom.
Disease: disturbance/ impairment in state of healtg. Body or its part to perform normal activity is restricted.
Ex:
Atherosclerosis, measles, cyatic fibrosis
Are all human disease
Subacute sclerosing panencephalitis (SSPE)
A sequelae of measle.
Rare. Measle gets trapped in brain.
progressive neurological disorder of children and young adults that affects the central nervous system (CNS). It is a slow, but persistent, viral infection caused bydefective measles virus.
Sequelae to strep throat infection.
sequela to S pyrogenes(strep throat)
A) rheumatic fever (body produce antistreptococcal antibody»cross rx with heart valve antigen) trigger rheumatic fever. Lead to heart valve weakening in the long run.
B) glomerulonephritis:
Sets in later follpwing elimination of bacteria.
Due to ag-ab complex that gets deposited in the glomerulum of nephrons (filtration unit of kidneys). Inflamaation if glomerulus at kidney)
Note:
Antigen is what is on us. Antibody is what it fights.
Ex, blood type A have
A Antigen AND B antibody.
Can individual bave infection without apparant diseadr?
Justify with example
Infection can be transient, immune system kill and eliminate the pathogen before noticeable. Often time go unnotice.
Ex:
Individual may have HIV infection but may be sympmtom less for aids
Hiv is virus, aid is the condition.
HIV is a virus that can lead to a condition called AIDS.