micro q4 final

Hep C portal of entry

broken skin mucous membrane

Hep B

serum hepatitis

Hep B portal of entry

broken skin

Hep A

infectious hepatitis

Hep A portal of entry

GI tract

Arbovirus

arboviral encephalitis

arbovirus mode of transmission

arthropod (mosquito bite)

examples of arbovirus

west nile western equine

Poliovirus portal of entry

GI tract

polio mode of transmission

fecal-oral; contaminated food and water

2 polio vaccines

Salk: inactivated, injection Sabin: attenuated, oral

Rhabdovirus

Rabies

rhabdovirus portal of entry

broken skin

rhabdovirus mode of transmission

biological vector - animal bite

symptoms of rabies

brain degeneration hydrophobia inability to swallow death after respiratory paralysis

Hantavirus

Hantavirus pulmonary syndromeAKA Four Corners Diseases

Hantavirus portal of entry

respiratory tract

Hantavirus mode of transmission

airborne/inhalation rodent feces

hantavirus symptoms

hemorrhagelung infection kidney problems

Rhino/coronoviruses

common cold

Rhino/coronavirus portal of entry

respiratory tract

rhino/cornoavirus mode of transmission

droplet

Influenza

flu

Influenza portal of entry

respiratory tract

Influenza mode of transmission

airborne, droplet spread

Toxmoplasma gondii

toxoplasmosis found in cat feces risk to pregnant women

toxmoplasmosis mode of transmission

placenta/congenital

Plasmodium malariae

malaria

Malaria mode of transmission

biological vector- female anopheles mosquito

Entamoeba histolytica

amoebic dystentery

Entamoeba histolytica portal of entry

GI tract

Entamoeba histolytica mode of transmission

fecal-oral ingestion of cyst in feces

Aspergillus fumigatus

Aspergillosis -- granular lung tumors

Aspergillus fumigatus portal of entry

respiratory tract

Aspergillus fumigatus mode of transmission

inhalation

Aspergillus fumigatus -- where does it come from?

decaying vegetation manure compost

Pneumocystis jiroveci

Pneumocystis pneumonia (PCP)opportunist in AIDS patients in normal lung flora

Coccidioides immitis

CoccidioidomycosisAKA valley fever AKA Desert rheumatoid

Coccidioides immitis portal of entry

respiratory tract

Coccidioides immitis mode of transmission

inhalation

where to find Coccidioides immitis

soil fungus in arid regions

Histoplasma capsulatum

HistoplasmosisAKA Darling's Disease AKA Cave Sickness

Histoplasma capsulatum portal of entry

respiratory tract

Histoplasma capsulatum mode of transmission

inhalation

where to find Histoplasma capsulatum

soil fungus in Mississippi/Ohio River valley bird/rat feces

Crytptococcus neoformans

cryptococcosis

Crytptococcus neoformans portal of entry

respiratory

Crytptococcus neoformans mode of transmission

inhalation of spores

where to find Crytptococcus neoformans

bird fungus on feet + beaks spores in feces

Crytptococcus neoformans symptoms

mild respiratory illness cerebral/meningitis infections in immunocompromised

Candida albicans

CandidiasisAKA yeast infection AKA thrust AKA vaginitis

herpes simplex virus type 2

the genital form of herpes

Herpes type 2 modes of transmission

sexual contact placenta birth canal

Herpes simplex type 1

cold sores, fever blisters

herpes type 1 modes of transmission

direct - lesions, saliva, mucous membrane

Herpes zoster

shinglesreactivation of varicella

Varicella zoster

chicken pox

Varicella zoster mode of transmission

Airborne droplet spread and direct contact with skin lesion

Varicella zoster complication

Reye's Syndrome in children (brain swelling)

Rubella

German measles AKA 3 day measles

Rubella portal of entry

respiratory tract

Rubella modes of transmission

droplet congenital

Rubella characteristics

skin lesions/rashes MMR vaccine

Rubella complications

congenital rubella syndrome = neurological

Rubeola

Measles

Rubeola portal of entry

respiratory tract

Rubeola: Mode of Transmission

droplet

Koplik's spots

measles

Variola

smallpox eradicated

Variola portal of entry

respiratory

Variola mode of transmission

droplet

Variola lesions characteristics

scarring and pitting

Mumps

endemicparotitis

Mumps mode of transmission

droplet direct contact with salvia and respiratory fluids

mumps characteristics

enlarged jaw tissues arising from swollen salivary glands (parotids)

Cytomegalovirus

CMV inclusion disease

Cytomegalovirus mode of transmission

placenta body fluids

Cytomegalovirus characteristics

usually asymptomatic can cause neurological damage to fetus

Epstein-Barr virus

mononucleosisAKA kissing disease

Epstein-Barr virus mode of transmission

infected salvia

Burkitt's lymphoma

EBV infection in Africa

Nasopharyngeal carcinoma

EBV infection in Asia

Epstein-Barr virus

recovered = carriers

HIV 1

most common

HIV 2

prevalent in West Africa

how does HIV work?

inserts copy or RNA into DNA of host cell destroys T cells

HIV

retrovirus that causes AIDS

CJD

Creutzfeldt-Jakob diseasecaused by prion always fatal

Klebsiella pneumoniae

pneumonia *hospital acquired gastroenteritis UTIs

Klebsiella pneumoniae portal of entry

GI tract urinary tract can move to respiratory

Klebsiella pneumoniae virulence

capsule

Klebsiella pneumoniae modes of transmission

opportunistic (normal throat flora) inhalation

Klebsiella pneumoniae characteristics

non motile gram -

Proteus mirabilis

secondary burn infections gastroenteritis UTIs

Proteus vulgaris

obligate saprophyte - aids in decomp produces indole inhibits formaldehyde cross-linking

Proteus mirabilis characteristics

burned chocolate smell gram - risk to burn victims

Proteus mirabilis virulence

pili/fimbriae flagella enzymes

Proteus mirabilis modes of transmission

opportunist nosocomial direct indirect

E. Coli

gastroenteritisTraveller's Diarrhea Hemorraghic colitis bacillary dystentery MOST COMMON CAUSE OF UTIs

E. Coli portal of entry

GI urinary tract

E. Coli virulence

motile toxins

E. Coli mode of transmission

fecal oral-- ingestion

Vibrio cholerae

asiatic cholera

Vibrio cholerae portal of entry

GI tract

Vibrio cholerae virulence

cholera enterotoxin

Vibrio cholerae mode of transmission

ingestion, fecal/oral

Vibrio cholerae characteristics

toxin blocks absorption of bicarbonates and chlorides in intestines rice water stool shock, organ failure

Clostridium botulinum

Botulism

types of botulism

foodborne, infant, wound

Clostridium botulinum virulence

spore forming neutrotoxin -- cases flaccid paralysis

Clostridium botulinum characteristics

obligate anaerobe spore forming

Shigella dysenteriae

shigellosis (bacillary dysentary)

Shigella dysenteriae virulence

toxins

Shigella dysenteriae transmission

fecal-oralvenereal

S. Sonnei

most common shigella least virulent

S. flexneri

least common most virulent

Shigella dysenteriae characteristics

anaerobe gram - rod shaped

Salmonella typhi

Typhoid fever

S. typhi virulence

resists phagocytosis flagella endotoxin

S. typhi transmission

fecal/oral

S. typhi characteristics

gram - rod

Haemophilus influenzae

Hib meningitis bacterial influenzal meningitis

Haemophilus influenzae portal of entry

respiratory tract

Haemophilus influenzae virulence

capsule

Haemophilus influenzae transmission

droplet/inhalation

Haemophilus influenzae characteristics

blood loving rod shaped high risk in young kids

Neisseria gonorrhoeae

gonorrheaPID opthlamia neonatorum

Neisseria gonorrhoeae virulence

pilicapsule cell wall endotoxin enzyme

Neisseria gonorrhoeae transmission

sexual contact birth canal

Neisseria gonorrhoeae characteristics

aerobic gram - pyogenic

Streptococcus pyogenes

Strep throat scarlet fever rheumatic fever Puerpeal sepsis (childbirth fever) impetigo

S. pyogenes virulence

toxins enzymes capsule

S. pyogenes transmission

inhalation/droplet fomite insect bite (broken skin)

S. pyogenes characteristics

gram + saprophytes (accelerates decomp)

Streptococcus pneumoniae

lobar pneumoniaotitis media meningitis

S. pneumoniae virulence

capsule

S. pneumoniae transmission

droplet fomite contaminated H20

Pneumococcus

Streptococcus pneumoniae --> VERY virulent

Streptococcus agalactiae

sepsis (can be congenital)meningitis

S. agalactiae virulence

toxins enzyme

S. agalactiae portal of entry

GI tract

Leptospira interrogans

Leptospirosisinfectious jaundice Swineherder/Sewer man's flu

L. interrogans virulence

lipid in cell wall

L. interrogans transmission

direct: animal urine indirect: ingestion of contaminated water ZOONOSIS

Weil's disease

advanced case of Leptospira interrogans

Bacillus anthracis

Anthrax

3 types of anthrax

1. skin/cutaneous 2. pulmonary (Wool Sorter's)3. Typhoidal

B. anthracis virulence

spore forming capsule toxin

B. anthracis transmission

direct: animal (Zoonosis, cattle) indirect: inhalation , ingestion, wound infection

Clostridium prefringens

gas gangrene - antemortem tissue - postmortem food poisoning

Clostridium prefringens virulence

spore forming toxins enzymes

Clostridium tetani

tetanus (lockjaw)

Clostridium tetani virulence factor

spore forming toxin --> rigid paralysis

opisthotonos

rigid paralysis cased by tetanic spasm

Staphylococcus aureus

toxic shock syndromeimpetigo MRSA, VRSA pneumonia food poisoning skin abscess

S. aureus virulence

toxins enzymes capsule

3 enzymes with s. aureus

Coagulase hyalurondiase lipase

S. auerus transmission

direct - droplet, broken skin tampons surgery (nosocomial, fomite)

Francisella tularenis

Tularemia (rabbit and deerfly fever)

Francisella tularenis virulence

capsule

Francisella tularenis transmission

insect vector zoonosis

Francisella tularenis characteristics

pus forming caused by rubbing eyes after handling rabbits

Bordtella pertussis

Pertussis (whooping cough)

4 stages of pertussis

incubation, catarrhal, paroxysmal, convalescent

Bordtella pertussis virulence

capsule toxins

Bordtella pertussis characteristics

obligate aerobe gram - bacilli high amount of mucous risk for children

Campylobacter jejuni

Campylobacteriosisintestinal ulcers

Campylobacter jejuni virulence

flagella exotoxin

Campylobacter jejuni characteristics

foodborne gram - vibrio

pylorei

ulcers

Guillan Barre syndrome

complication of Campylobacter jejuni

Yersinia pestis

plague (Bubonic, pneumonic, septicemic)

bubonic plague portal of entry

broken skin

pneumonic plague portal of entry

respiratory tract

bubonic plague mode of transmission

rat fleas bites

Yersnisa pestis lesion

buboe

Yersnisa pestis characterisitcs

zoonoses arthropod borne rod shaped

Corynebacterium diphtheriae

diphtheria (cutaneous and respiratory)

Corynebacterium diphtheriae virulence

toxin

Corynebacterium diphtheriae common sites of infection

tonsils pharynx

Corynebacterium diphtheriae + the pharynx

tough gray pseudo-membrane on throat and tongue

Corynebacterium diphtheriae characteristics

abdominal rash gram + saprophytes

Mycobacterium tuberculosis

tuberculosis

Mycobacterium tuberculosis virulence

high lipid cell wall - resistant to staining and drying

Mycobacterium tuberculosis characteristics

tubercle forms macrophage dies cheeselike center forms --> then, cavitation

Mycobacterium avium

affects people with HIV costal areas

Legionella pneumophila

Legionnaire's disease

where to find Legonnaire's

Water in ACsWater faucetsShower headsHumidifiers

Listeria monocytogenes

Listeriosisfoodborne can lead to meningitis

Treponema pallidum

syphilis

Treponema pallidum AKAs

teflon pathogen Great imitator

three stages of syphilis

primary (chancre) secondary, tertiary (gumma)

Borrelia burgdorferi

Lyme disease

Mycoplasma pneumoniae

walking pneumonialooks like fried eggs smallest free living

Rickettsia rickettsii

Rocky Mountain Spotted Fever-rash -ticks

Rickettsia prowazekii

Epidemic typhus (louse borne)rash

Rickettsia typhi

endemic typhus (flea borne) NO RASH

Coxiella burnetti

Q fevertick bite no rash

Chlamydial Pneumonia

pneumonia otitis media asthma

Chlamydia trachomatis

most common STD in america can cause blindness, infertility,

Reiter's Syndrome

complication of chlamydia

Chlamydia pstitaci

parrot fever

monkeypox

transmitted to humans via squirrels and primates lesions

SARS

severe acute respiratory syndromefever greater than 100.4

Ebola

hemorrhagic fever

tines capitis

ringworm

tinea cruris

ringworm of the groin -- jock itch

tinea pedis

fungal infection of the foot; athlete's foot

African Sleeping Sickness

Trypanosomiasis spread by tsetse fly caused by Protozoa

Giardiasis

waterborne illness fecal-oral cysts in feces