Other Bacteria Flashcards

(48 cards)

1
Q

What is the life cycle of Chlamydia?

A

1) Elementary Body - metabolically inert, infectious particle; EB inhibits phagosome-lysosome fusion
2) Reticulate body - synthesizes its own DNA, but requires ATP from host

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2
Q

What are the clinical features of Chlamydia infection?

A

1) Conjunctivitis
2) Cervicitis
3) Atypical Pneumonia (Caused by C. psittaci and C. pneumoniae)

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3
Q

What does Chlamydia trachomatis infect?

A

1) Eyes ( can cause blindness) - A-C

2) Genitals - D-K

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4
Q

How does Chlamydia trachomatis cause blindness?

A

1) Passed from hand to hand
2) Conjunctiva scars and pulls inward
3) Eyelashes rub cornea and cause scaring

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5
Q

Chlamydia trachomatis may also be passed to babies delivered through infected birth canal. These babies develop ________.

A

1) Inclusion conjunctivits

2) Treated with erythromycin drops

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6
Q

Carried by birds, spread by feces through air, microorganism enters UR and invades blood via alveoli

A

Chlamydia psittaci

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7
Q

What are the two responses to mycobacterium leprae?

A

1) tuberculoid leprosy (strong immune response) - Granuloma formation limits spread, localized damage to superficial nerves
2) lepromatous leprosy ( weak immune response) - host defense is unable to prevent spread, inflammatory damage at cooler skin, causes sensory loss

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8
Q

Acid fast, thin rods, non-motile, obligate aerobe, grows at low temperatures

A

Mycobacterium leprae

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9
Q

What causes cells to be acid fast?

A

1) Presence of mycolic acid in the cell wall

2) renders cell resistance to phagocytosis

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10
Q

Bacteria that cause the formation of caseous granulomas within the lungs

A

Myobacterium tuberculosis

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11
Q

Findings of a Primary TB infection

A

1) Ghon complex (granuloma + hilar lymph nodes)

2) Fibrotic calcified scars

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12
Q

Findings of a Secondary TB infection

A

1) Cavitations in lungs due to large granulomas

2) May disseminate (miliary TB)

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13
Q

How do you treat a M. tuberculosis infection?

A

RIPES

1) Rifampin
2) Isoniazid (INH)
3) Pyrazinamide
4) Ethambutol
5) Streptomycin

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14
Q

Microorganism carried in cattle that survives as a spore; causes Q fever, atypical pneumonia; does not cause rash

A

Coxiella burnetii

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15
Q

Obligate intracellular parasite that replicates freely in the cytoplasm; transmitted by louse; organism infects endothelial cells; + Weil-Felix test; causes rash on trunk and spreads outward; common in trench warfare

A

Rickettsia prowazekii

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16
Q

Cause of Brill-Zinsser Disease. What are the symptoms?

A

1) Rickettsia prowazekii
2) Typhus
3) Reinfection of latent organism

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17
Q

Maculopapular rash on palms and soles that spreds to the trunk; wide spread vasculitis causing fever and headache

A

1) Rocky mountain spotted fever

2) Caused by Ricketssia rickettsii

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18
Q

Test that uses Proteus vulgaris antigens to diagnose Rickettsia

A

Weil-Felix Test

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19
Q

What is the cause of Lyme’s disease

A

Borrelia burgdorferi

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20
Q

What are complications of infection from Borrelia burgdorferi?

A

think: FAKE a key lyme pie
1) Erythema (annular red rash with clear center)
2) CNS: Bell’s palsy, aseptic meningitis, peripheral neuropathy
3) CV: carditis, AV nodal block
4) Joints: migratory myalgias

21
Q

Cause of relapsing fever

A

Borrelia recurrentis

22
Q

Why does Borrelia recurrentis cause relapsing fever?

A

1) It is due to its antigenic variation in its outer membrane

23
Q

What are the clinical stages of Treponema pallidum (syphilis)

A

1) Primary syphilis = painless chancre
2) Secondary syphilis = condyloma lata, maculopapular rash on palms and soles; meningitis
3) Tertiary syphilis = gummas (granulomas of the soft tissue and bone)
4) Can also cause Ascending aortic aneurysm (tree bark appearance)

24
Q

What is used to diagnose Treponema pallidum

A

1) VDRL (veneral disease researhc lab test) (nonspecific)
2) FTA-ABS (Fluoresence Trepenoma antibody) (specific)
3) RPR (Rapid plasma reagin test) (nonspecific)

25
Motile spirochete with 2 periplasmic flagella with hooked ends that appear as ice tongs
Leptospira interrogans
26
Bacteria with no cell wall that causes walking pneumonia; fried- egg appearance on serology; beta lactam resistant
Mycoplasma pneumoniae
27
How does Mycoplasma pneumoniae cause atypical pneumonia?
It inhibits the motion of cilia causing inflammation
28
What is a finding used for diagnosis related to Mycoplasma pneumoniae?
Cold aggluttin test- B cells produce antibodies that may autoreact with erythrocytes
29
Treatment for Chlamydia?
Azithromycin
30
Treatment for Rickettsia rickettsii
1) Doxycycline (do not give to younger than 18) | 2) Chloramphenicol (alternative for doxycycline)
31
Homeless man enters with wasting and fever. Chronic cough, bloody sputum and night sweats. Positive acid fast staining
Myobacterium tuberculosis
32
Treatment for Trepenoma pallidum (syphilis)?
Penicilin G
33
Treatment for Mycoplasma pneumoniae
1) Erythromycin (macrolide) | 2) Tetracycline
34
What is an RPR test? What is it testing for?
1) Addition of cardiolipin, lecithin, and cholesterol to serum; positive if floculation (aggregation) occurs 2) Tests for trepenoma
35
What is the MOA of Rifampicin?
Inhibits bacterial DNA dependent RNA polymerase
36
What is the MOA of Ethambutol
Inhibits arabinosyl transferase resulting in the inhibition of carbohydrate polymerization
37
What is the MOA of Isoniazid
Inhibits mycolic acid synthesis
38
What is the MOA of streptomycin
Inhibition of 30s ribosome (aminoglyside)
39
Adverse effects of ethambutol
Optic neuritis
40
Adverse effects of isoniazid
1) Liver toxicity | 2) Peripheral neuropathy
41
Prophylaxis against myobacterium avium complex?
Azithromycin
42
When is Myobacterium avium complex most commonly cause infx?
In HIV with CD4 counts less than 50
45
What must Myobacterium have in order to cause disease?
1) Cord factor
46
MOA of Pyrazinamide
1) Works best at an acidic pH | 2) Works well against engulfed TB
47
Acid fast bacilli that grows at 41 C and when CD4 count <50
Myobacterium avium complex
48
What do the presence of Myobacterium growing in serpentine cords indicate?
1) Presence of Mycoside (cord factor) | 2) Indicates virulence
49
What is the only bacteria that requires cholesterol to grow on media?
Mycoplasma
50
Pt. complains of chronic dry nagging cough, low grade fever, and malaise; X-ray looks much worse than the pt. appears clinically
Mycoplasma pneumoniae