L16 - Bacterial Pathogenicity Flashcards

(32 cards)

1
Q

Pathogenicity / virulence

A

the capacity to cause disease

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2
Q

Commensals

A

normal microbial flora - healthy host (never cause disease)

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3
Q

Mutalists

A

both host and microbes gain an advantage (gut microbia)

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4
Q

opportunistic pathogens

A

do not normally cause disease - normally commensal

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5
Q

what are the four types of bacteria ?

A

commensals, mutalists, opportunistic pathogens, highly virulent pathogens

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6
Q

Pseudomonas aeruginosa Gram

A

plants and soil - infects severe burns patients - colonizes lungs of cystic fibrosis patients - muco ciliary escalator in lung is compromised

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7
Q

S. epidermidis

A

infects catheters

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8
Q

How does S. epidermidis infect catheters?

A
  1. s. epidermidis cells attach to catheter
  2. blood plasma proteins coat the catheter (forming a conditioning film)
  3. S. epidermidis multiplies on the plasma proteins and forms a community (biofilm) on the catheter and this is antibiotic resistant
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9
Q

what does s. epidermidis grow as on the catheter?

A

a biofilm

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10
Q

Neisseria meningitidis causes what?

A

opportunistic infections

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11
Q

How is Neisseria meningitidis transmitted?

A

through respiratory droplets by close or pronlonged contact

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12
Q

What is the average incubation period of Neisseria meningitidis

A

4 days

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13
Q

What does it mean when something is a systemic infection?

A

It is not confined to one part of your body

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14
Q

Myocobacterium tuberculosis (TB) is an example of what kind of pathogen?

A

highly virulent pathogen

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15
Q

What does the body form as a way to rectify TB?

A

Ghon complexes

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16
Q

what are the stages of TB?

A
  1. primary lesion - chancre at site of infection in 2 wks
  2. secondary stage (after 10 wks) - bacteria spreads to eyes, joints, bones and skin
  3. latent phase (years) - 40% develop tertiary syphilis - insanity and death
17
Q

What is Kochs postulates?

A

Koch’s postulates were formulated in the late nineteenth century as guidelines for establishing that microbes cause specific diseases.

18
Q

What did Dr Barry Marshall do?

A

Swallowed a culture and developed gastritis - proved for helicobacter pylori

19
Q

What are the problems encountered in carrying out Koch’s postulates?

A
  1. cannot grow cultures on laboratory media - only human hosts for certain things
  2. ethical problems make the tests impossible - AIDS, Ebola, etc..
  3. no suitable animal model
20
Q

What is virulence?

A

degree of pathogenicity

21
Q

How do you measure virulence?

A

Minimum infectious dose
by LD50 (lethal dose) : dose to kill 50% of animals (or cells) in a given time

22
Q

LD50 is also used for what?

A

To quantify relative toxicity of toxins

23
Q

What are the two virulence factors that determine virulence?

A
  1. capsule - of poly-D-glutamid acid (inhibits phagocytosis) - mucoid colonies when capsulate
  2. toxins - supresses immune cell responses early in infection later in infection lethal levels induce toxic shock and death (not all bacteria has this)
24
Q

What happens if capsule OR toxins are lost in strains?

A

they become attenuated

25
What do bacterial capsules do?
they protect the cells ffrom phagocytosis by the host
26
What is the first stage in the bacterial disease process?
1. bacteria enter the hose and adhere by specific mechanisms
27
All commensals living on the epithelia ______ to the host
adhere
28
How does adhesion work in commensals
composed of protein subunits - carrying a tip adhesin (protein H) specifically attaching the mannose receptors on the surface of epithelial cells
29
How does adhesion work for pathogens
they adhere selectively to epithelial surfaces fimbriae carry adhesions
30
Pathogenic E.coli use wht to attach to the duodenal mucosa?
CFA fimbriae (colonization factor antigen)
31
how else can pathogens adhere to the host?
non-fimbrial adhesins - strep sore throat, impetigo
32
How does adhesion without fimbriae work?
streptococcus pyogenes M protein (non-fimbrial adhesin) covers the bacterial surface and mediates attachment to an epithelial cell