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 |