click below
click below
Normal Size Small Size show me how
Concept Dis. Ch 6
Pathogenic Microorganisms
Question | Answer |
---|---|
Lyme disease is caused by a bacterium of what shape? | spiral |
is an example of an acid-fast organism | tuberculosis |
enzyme that antibiotic-resistant bacteria produce to inactivate penicillin | Penicillinase |
hypersensitivity to antibiotics can produce | fatal reaction in some patients |
Rickettsiae and Ehrlichieae are transferred to humans through | insects |
mycoplasmas cause | primary atypical pneumonia |
most fungal infections occur after | disruption of the natural bacterial flora of the body |
host a number of animal parasites capable of causing illness/disability | human body |
shape, Gram-stain reaction, biochemical/cultural characteristics & antigenic structure | four major factors used to classify bacteria |
coccus | spherical bacterium |
bacillus | rod shaped bacterium |
staphylococci | cocci bacterium growing in clusters |
diplococci | cocci bacterium growing in pairs |
streptococci | cocci bacterium growing in chains |
staining procedure where bacteria stained w/crystal violet, treated w/strong iodine solution, decolorized w/ethanol/ethanol-acetone, & counterstained w/contrasting dye | Gram-stain method |
gram-positive | those retaining the stain during Gram-stain method |
gram-negative | those losing the stain but staining with the counterstain |
aerobic organisms grow best in | presence of oxygen |
anaerobic organisms grow only in | absence of oxygen, or extremely low oxygen tension |
some bacteria grow well under | aerobic/anaerobic conditions |
flagellum | whip-like process that propels organism/sperm |
organisms that lake flagella are | non-motile |
spores | highly resistant spherical structure produced by some bacteria to assure survival under adverse conditions |
extremely resistant bacterial modification that forms under adverse conditions may be considered | dormant |
contains large #s of antigens associated w/cell body, capsule & flagella (if motile) | each type of bacterium |
defining system of antigens unique for each group of bacteria | antigenic structure |
found in gastrointestinal tract & capable of causing a typhoid-like febrile illness | Salmonella |
gram-positive cocci | staphylococci, streptococci, pneumococci |
gram-negative cocci | gonococci, meningococci |
gram-positive bacilli | corynebacteria, Listeria, bacilli, clostridia |
gram-negative bacilli | hemophilus, Gardnerella, Francisella, yersinia, brucella, legionella, salmonella, shigella, campylobacter, cholera bacillus, colon bacillus (Escherichia coli) |
gram-positive spiral organisms | treponema pallidum, Borrelia burgdorferi |
gram-positive acid-fact organisms | tubercle bacillus, leprosy bacillus |
normal inhabitants of skin & nasal cavity | staphylococci |
pathogenic/non-pathogenic staphylococci can be distinguished by | appearance of colonies on media containing blood |
produce zones of hemolysis around growing colonies | pathogenic staphylococci |
do not hemolyze red cells | non-pathogenic staphylococci |
pathogenic staphylococci are common causes of | boils, other skin infections & post-op wound infections |
pose serious problem in hospitals were organisms are widely distributed & patients susceptible to infection | staphylococci infections |
streptococci are classified on the basis of their | serological group & type of hemolysis produced when grown on solid medium containing blood |
Lancefield system | classification of hemolytic streptococci into groups on basis of serologic action |
20 major groups are based on differences in carbohydrate antigens present in cell walls | Lancefield system |
Lancefield system groups are designated | A through H & K through V |
streptococci groups of most medical importance | A, B & D |
Lancefield system classification is based on | alpha hemolysis, beta hemolysis or no hemolysis on blood agar platelets |
produce green discoloration of blood immediately around colony | alpha hemolytic/alpha streptococci |
alpha streptococci named because of its growth characteristic | Streptococcus viridans |
alpha streptococci are inhabitants of | throat & mouth |
alpha streptococci cannot be classified by Lancefield system because | lack carbohydrate antigen possessed by other streptococci |
produce narrow zone of complete hemolysis around growing colony | beta hemolytic/beta streptococci |
one of most important beta streptococci in Lancefield group | group A /group A beta streptococci |
group A beta streptococci are | extremely pathogenic, cause streptococcal sore throat, scarlet fever, serious skin infections & intrauterine infection after birth |
infection with the group A type of hemolytic streptococci "fleshing eating bacteria" | necrotizing fasciitis |
may cause serious urinary tract & wound infections, & serious infections in newborns | group B beta streptococci |
closely related to group D streptococci, classified separately, inhabit intestinal tract | enterococci |
enterococci are | resistant to multiple antibiotics |
grow in pairs & short chains, common cause of bacterial pneumonia | Streptococcus pneumoniae - pneumococci |
most gram-negative cocci, which inhabit the upper respiratory path, are | nonpathogenic & members of genus Neisseria |
Neisseria meningitidis | cause of type of meningitis that occurs in epidemics |
Neisseria gonorrhoeae | causes STD gonorrhea |
Corynebacteria & Listeria two important groups of | gram positive bacilli, non-spore-forming aerobic bacteria |
member of aerobic spore-forming gram-positive organisms, which is highly pathogenic | Bacillus anthracis, causes anthrax |
inhalation of anthrax spores from contaminated wool, yarn, or animal products allows for | spores germinate within pulmonary alveoli, actively proliferate & produce lethal toxins causing tissue destruction |
anthrax spores are ingested by | macrophages & transported to regional lymph nodes continuing germination & toxin production |
antibiotics effective against germinated form of anthrax are not effective against | spore of organism |
prolonged course of antibiotics are needed for exposure to inhaled anthrax because | spores transported to lymph nodes may continue to germinate up to 2 months |
anaerobic spore-forming bacilli are called | Clostridia |
Clostridia inhabit | intestinal tract of humans/animals & found in soil |
Clostridia in known to cause | gas gangrene, tetanus & botulism |
caused by Clostridia perfringens & related organisms, developing in dirty, spore-contaminated wounds | gas gangrene |
Clostridia produce large amounts of gas by | fermenting in necrotic tissue |
Clostridia also release | powerful toxins that destroy tissues & cause widespread systemic effects |
Clostridia tetani, tetanus, produces | potent toxin causing spasm of voluntary muscles |
"lockjaw" comes from marked rigidity of jaw muscles that is common feature of | tetanus |
botulism is "food poisoning" caused by ingestion of neurotoxin produced by | anaerobic spore forming bacillus Clostridium botulinum growing improperly in canned/preserved food |
antibiotic-associated colitis | intestinal infection caused by Clostridium difficile |
meningitis in infants/young children & respiratory infections in patients with chronic lung disease | Hemophilus influenzae |
one member of Yersinia is responsible for | bubonic plague |
Legionella causes serious respiratory illness | Legionnaires disease |
gram-negative bacteria that cause febrile illness & gastroenteritis | Salmonella, Shigella, Campylobacter, & cholera bacillus |
Helicobacter causes | chronic inflammation of stomach lining & stomach ulcers |
best know enteric bacterium | colon bacillus Escherichia coli |
Treponema pallidum is spiral organism causing | syphilis |
Borrelia burgdorferi is spiral organism causing | Lyme disease |
tick-borne systemic infection characterized by neurologic, joint, & cardiac manifestations | Lyme Disease |
waxy capsule stained by difficult means of certain red dyes | acid-fast bacteria |
substance that destroy bacteria or inhibit growth | antibiotic |
antibiotics are useful clinically because of ability to injure bacterial cells without | significant injury to patient |
bacterial genetic material is arranged as | circular DNA molecule attached to cell membrane |
some bacteria contain plasmids which have gene coding useful to bacteria & harmful to people because | resistance to antibiotics, toxin production, formation soluble factors to inhibit normal bacterial floral |
deficient in certain enzymes & can live only as parasites inside of cells of infected individual | nonmotile bacteria |
spherical, densely staining structures; masses of virus/products of virus multiplication | inclusion bodies |
inclusion bodies | spherical structures in nucleus/cytoplasm of virus-infected cells |
small, gram-negative, nonmotile bacteria; inhibited by sulfonamide drugs | chlamydiae |
small intracellular bacteria that can only multiply within cells of infected person | Rickettsiae |
Rickettsiae is transmitted to human by | insect bites |
Rickettsiae multiply in endothelial cells of | small blood vessels |
Rickettsiae can lead to | thrombosis, rupture & necrosis |
rickettsial infections usually causes a | febrile illness, associate w/skin rash |
Typhus & Rocky Mt Spotted Fever are the most common | rickettsial infections |
organisms transmitted by ticks, which infect WBC are called | Ehrlichieae |
when Ehrlichieae infects WBCs they contain compact clusters of organisms called | morulae |
morulae are able to be identified with | blood smear tests |
febrile illness, similar to rickettsiae, & may be associated w/skin rash | ehrlichiosis |
rickettsial infections respond to | tetracyclines & chloramphenicol antibiotics |
ehrlichiosis infections respond to | tetracycline antibiotic |
very small & fragile bacteria, lacking a cell wall | mycoplasmas |
mycoplasmas respond to the antibiotics | tetracycline & erythromycin |
small infectious agents are | viruses |
protein covering central nucleic acid core of a virus | capsid |
one of the subunits that make up the capsid of a virus | capsomere |
capsomeres are arranged are the genome in | precise geometric fashion |
nucleic acid of virus genome can be arrange in | single/double strand |
viruses have few metabolic enzymes so they must | rely on cells of infected person to carry out their activities |
classification based on portion of body/organ system in which viral infection produced most prominent clinical manifestations | older classification of viruses |
classification based on nucleic structure, size, structural configuration & biological characteristics | modern classification of viruses |
condition in which virus infects cell w/out causing evidence of cell injury | latent viral infection |
more virulent viruses which regularly cause cell injury, manifested by necrosis & degeneration of infected cell | cytopathogenic effect |
some viruses with a cytopathogenic effect induce cell hyperplasia & proliferation rather than | cell necrosis |
under certain circumstances, latent symptomatic viral infections may become activated leading to | actual disease |
member of herpes group, which causes chicken-pox & shingles | varicella-zoster virus |
after the initial infection w/varicella-zoster virus, it remains dormant in the | sensory nerve ganglia |
characteristic band-like vesicular skin rash in segment of upper skin supplied by sensory nerve, along the course of a spinal nerve | shingles |
inclusion bodies aide in diagnosis by | recognizing viral infection/type of viral disease present |
group carbohydrate-containing proteins produced by cells in response to viral infection & able to interfere w/viral multiplication | interferon |
immunity associated w/formation of antibodies produced by plasma cells | humoral immunity |
defense against foreign antigens provided by population of T lymphocytes that can attach/destroy foreign antigens | cell-mediated immunity |
primary sources of interferon | monocytes & lymphocytes |
filamentous branching structures formed by fungi | hyphae |
matted mass of hyphae forming fluffy colony characteristic of fungi | mycelium |
plantlike organisms w/out chlorophyll | fungi |
two subdivisions of fungi | yeasts & molds |
small ovoid/spherical cells that reproduce by budding | yeasts |
form large colonies composed of hyphae | molds |
disturbance in normal bacterial flora & impaired immunological functions predispose person's to | systemic fungal infection |
cancer patients treated w/cytotoxic drugs may develop | systemic fungal infections |
group of fungi that cause superficial infections of skin; symptoms include itchy, scaling skin lesions on scalp & other body parts | dermatophytes |
superficial fungal infection of mucous membranes caused by yeast-like fungus | Candida infection |
fungi can be identified by | biopsy or culture of infected tissue |
fungal infection causing acute, self-limited respiratory infection due to inhalation of spores | histoplasmosis |
fungal infection usually manifests as an acute pulmonary infection due to inhalation of spores; can lead to chronic/severe progressive systemic disease | coccidiomycosis |
less common fungal infection due to inhalation of spores from Cryptococcus neoformans, which causes cryptococcosis | blastomycosis |
yeast-like organism w/large mucoid capsule; initially pulmonary infection but if transported to blood stream & meninges of brain causing chronic meningitis | Cryptococcus neoformans |
Cryptococcus neoformans can be identified in | smears/cultures of spinal fluid |
chronic/progressive systemic fungal infections are treated with | various antifungal antibiotics |
can follow the use of broad-spectrum antibiotics | anti-biotic associated colitis |
Impaired immunity, antibiotic-related change of normal bacterial flora, drugs that impair functions of the immune system, & chronic diseases in which immunity is impaired | factors rendering patient susceptible to infection by fungus of low pathogenicity |