Respiratory Bacteria Flashcards

(30 cards)

1
Q

Bordetella pertussis- Gram, o2, what deos it cause

A

Gram neg
Obligate aerobe

-causes pertussis (whooping cough)

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2
Q

what structures does B pertussis use to colonize lung epithelial cells (3)

A

Filmentous haemagglutinin adhesion
Fimbriae
Pertactin

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3
Q

Main pathogenesis of pertussis (4 toxins it produces)

A

Tetracheal cytotoxin- stops cilia beating (causes coughing fits

Pertussis toxin/ Adenylate cylase- increases cAMP which causes cellular signaling disfunction

LPS- local inflammation

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4
Q

What are the 2 stages of Pertussis

A

Catarral stage

Paroxysmal stage

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5
Q

What happens in the catarhal stage of pertussis + how long does it last

A

1-2 weeks

-Upper respiratory tract symptoms- rhinorrhea, conjunctivitis, cough, fever

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6
Q

What occurs in the paroxysmal stage of pertussis + how long does it last

A

2-8 w

  • Paroxysmas of coughing typically in single expiration with whoop sound after
  • Post tussive vomiting common
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7
Q

transmission of pertussis and who is commonly affected

A

Highly contagious spread thru respiratory droplets

-children under 1/ those with faded immunity

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8
Q

in what stage are antibiotics usefull in pertussis

A

Most useful if started during the catarrhal stage

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9
Q

Haemophilus influenza- gram, shape, what is their endotoxin

A

gram neg

Coccobacilli

Produce LOS (instead of LPS)

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10
Q

Howw is Haemophilus influenza transmitted and 2 types

A

Respiratory droplets

  1. Strains w no capsul (Nontypable)
  2. Encapsulated (Type B)
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11
Q

Nontypable haemophilus influenza- invasive?, Symptoms/causes

A

not typically invasive

  • associated w otis media
  • exacerbations of COPD disease
  • Sinus infections/conjunctivitis
  • pneumia
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12
Q

What does the capsul of type b H. Influenzae have that allows it to evade

A

Capsul made of polyribosylribitol phosphate which allows the organsim to evade phagocytosis

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13
Q

What does H influenzae cause/symptoms

A

Upper respiratory infections (sinitus/epiglottitis)

-bactermia (pneunomia, meningitis)

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14
Q

What is epiglottis and what is a medical emeregency it causes

A

Swelling of the epiglotis and aryepiglottic fods that may obstruct air flow (med emergency)

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15
Q

What type of vacine do we have for h. influenzae

A

Just for encapsulated strands

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16
Q

Legionella pneumophilia- gram, o2, intra/extracellular

A
Gram neg
obligate anerobe (most resp bac are)
Faculatative intracellular bac
17
Q

How does legionella pneumophilia transmit

A

Inhalation of water droplets from a contaminated source (stagnant water; accidental exposure)

18
Q

Pathogensis of legionella (how does it enter cell)

A

Bac infect alveolar macrophages in lungs

  • Entry via coilded phagocytosis (avoids immune system)
  • virulent strains impair function of phagosome
  • results in macrophage death (causing inflammation etc)
19
Q

mc symptoms of legionella

A

Almost all experience fever w/ productive cough (not many serious complications)

20
Q

What is the more mild form of legionnairs disease And symptoms

A
Pontiac fever (by legionella pneumophila)
symptoms- neusa, fever, cough headache, BUT NO PNEUMIA
21
Q

Pseduomonas spp- gram, shape, mc species

A

gram neg
Rod shapped
mc- Pseudomonas aeruginosa

22
Q

Pseudomonas aeruginosa- capsul, o2, what color does it turn in media

A

Encapsulated

  • Aerobic
  • characteristic blue-green color in media
23
Q

Where is Pseudomonas aeruginosa found and what special feature does it have to sense surroundings

A

Thrives on moist surfaces

Quorum sensing- Produce autoinducers which sense surroundings for high microbial density

24
Q

Why is Pseudomonas aeruginosa multidrug resistent

A

-Actively pump antimicrobial agents out of bacterial cell thru eflux pumps

25
What are the virulence factors of Pseudomonas aeruginosa (4)
LPS Exotoxin A- inhibits translation Flagella to embed themselves Biofilms- triggers potent inflammatory response to protect bacteria from antibiotics
26
Who are Pseudomonas aeruginosa mc in/ who is likely to get it
Primarily associated with nosocomial infections, primarily in those in ICU
27
Moraxella caterrhalis- gram, o2, shape, what does it produce
gram neg Aerobic diplococcs All strains produce B lactamases
28
What does moraxella caterrhalis produce on its surface that allow it to adere to tissues
Trimeric autotransporter adhesions
29
What symptoms can moraxella caterrhalis produce in children and and adults and immune compromised elderly
children- otis media Adults- bronchitis, sinitus and larygitis Elderly- pneumonia in elderly (+ those w copd)
30
Is pseudomonas spp vaccine preventable
no