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Microbio L16-17

QuestionAnswer
Sinusitis and rhinitis Runny, clogged nose
Pharyngitis Sore throat
Epiglottitis Breathing difficulty
Laryngitis Lost voice
Tracheitis and Bronchitis Wheezing
Common symptoms of the RT Many respiratory infections share some (if not all) of the same symptoms Dyspnea (shortness of breath) Sneezing Coughing Fatigue Sore throat Runny nose Stridor (wheezing) Fever (if infected)
Colds (acute respiratory infection) Most common Spread by droplets and fomites
Colds symtpoms Runny nose, sneezing, coughing, fatigue, loss of appetite, low fever Symptoms all similar, but severity differs
Cold symptoms and more stuff Self limiting Treatment = rest Mostly not severe, but economic impact No vaccine yet (too many types)
More severe colds Respiratory Syncytial Virus (RSV) Can cause severe pneumonia and high fevers in infants and elderly
Influenza Types: A is most common and severe, B can be difficult, C is rare Spread by droplets and fomites
Influenza symptoms Same as colds, but with pneumonia More debilitating, takes longer to recover
Influenza strains named after what named after HA and NA protein
Influenza Treatment Attenuated vaccine 4 different strains Depending on the year
SARS-CoV-1 Severe acute respiratory syndrome (SARS) Emerged from bats in SE asia- 2003 human to human spread Kills 10-20% of those infects
MERS- CoV Middle East Respiratory Syndrome (MERS) Emerged from camels in Saudi Arabia in 2012, human to human spread not common Kills 30-40% of those infects
SARS- CoV-2 Emerged from ??bats?? In China in 2019 Highlight contagious, easy human to human spread ARDS: acute respiratory distress syndrome Intubation Many vaccine options (in US: mRNA is common) Will likely circulate seasonally
SARS- CoV-2 symptoms Severe pneumonia, damage to lung tissue
Strep throat Spread by droplets from asymptomatic carriers Non-viral pharyngitis (with some sinusitis) Rarely: develop rash and scarlet fever Pus in throat, cough usually absent
Strep throat treatment Treated with antibiotics
Diphtheria Infects upper respiratory tract and skin Toxins that kill cells in RT
Diphtheria symtpoms Severe neck swelling, pseudomembranes block airways Weakness, dyspnea, eventually coma Death in 10% treated, 50% untreated
Diphtheria treatment Treated with antibiotics, serum to neutralize toxin Vaccine against diphtheria toxin in common use DTaP and Tdap
Pertussis (whooping cough) Symptoms caused by pertussis toxin
Pertussis (whooping cough) 3 stages 3 Stages (3-4 months total) Cold-like with no fever Severe coughing attacks (paroxysms) Cause rib fracture, eye bleeding, vomiting Convalescence
Pertussis treatment Vaccine (DTaP) Brief reemergence in teens Discovered a booster is necessary Tdap
Tuberculosis (TB) Acid fast Leading cause of infectious death (before Covid) Killed 1.4 million 2019 Rates decreasing by 2% a year
TB symptoms Fever, cough with blood, sweating, weight loss
TB Treatment Vaccine (BCG) used only in areas of active spread Tuberculin skin test for screening X-rays also used for screening Separates latent from active cases Antibiotics used (isoniazid), but resistance is emerging
2 Typical pneumonias 1. Pneumococcal 2. HIB
Pneumococcal Can spread to blood Vaccines exist (children and elderly)
HIB Severe in children, can spread to brain Vaccines work extremely well Down to 50 cases in US a year
1 human to human atypical pneumonia 1 animal to human atypical pneumonia 1. Mycoplasma pneumoniae 2. Coxiella burnettii
Mycoplasma pneumoniae • Walking pneumonia, more mild • No cell wall
Coxiella burnettii • Q fever • From livestock droppings
Fungal Respiratory infections Fungi are commonly opportunistic pathogens Few (if any) issues for healthy people Mostly spread via spores Depends on the environment Treated with antifungal drugs
Fungal Respiratory infections are Danger for immunocompromise people
Dimorphic different shapes in environment vs in host
2 Ubiquitous Respiratory fungal infections 1. Aspergillos 2. Pneuomocystis Pneumonia
Colds is caused by Rhinoviruses
Influenza is caused by Influenze viruses
Coronavirus is caused by Sars CoV 2
Strep throat is caused by S. pyogenes
Diphtheria is caused by C. diphtheriae
Pertussis is caused by B. Pertussis
Tuberculosis is caused by M. Tuberculosis
Pneumococcal is caused by S. Pneumoniae
HiB is caused by H. Influenzae
Asperigillosis is caused by Aspergillus
Pneumocystis Pneumonia is caused by P. jirovecii
3 Skin defenses Keratin: waterproofing, hard for microbes to break down Melanin: UV protection, some antibacterial properties Perspiration: acidic, high salt, wash away, lysosome
2 Skin defenses Sebum: oil, commensals eat and make toxic byproducts Microbiome: takes up space and nutrients
Lesion and what its caused by any abnormality on the skin Caused by infections, cancers, various diseases, physical damage
Primary lesion caused by a specific disease/cause
Secondary lesion develops from a physical cause, or from a primary lesion
Vesicles small raised lesions fill with fluid
Macules lat discoloration (rash)
Papules raised and solid, not filled with liquid (wart)
Pustules raised lesions filled with white/green liquid (pus) (like a zit)
Cysts raised and fluid filled, but occur in deeper layers of the skin
Maculopapular rash- small slightly raised papule lesions that overlay or are interspersed with macules
Chicken Pox Spread via droplets, highly contagious Mild, potentially fatal for immune compromised Vaccine available
Chicken Pox Symptoms Fever, itchy red vesicular rash (mostly on trunk)
How does chicken pox turn into shingles Shingles VZV can go latent, hiding in nerve endings Once immune system is weakened, VZV reemerges Usually when elderly Shingles Use booster shots to keep immunity strong
Shingles symptoms Localized painful rash, no fever Post- neuralgia: chronic pain
Staph infections Caused by s. aureus. CATALASE POSITIVE Part of normal microbiota, but can become pathogenic when skin is damaged
Impetigo epidermal infection, common in children, pustules and vesicles on face, topical antibiotics
Cellulitis dermal and fat infection, common in adults, macular rash with ulcer infections, oral antibiotics
Antibiotic resistant S. aureus Lactums used to treat infections Some S. aureus is resistant (particularly to methicillin) MRSA So vancomycin used to treat MRSA Now some S. aureus is vancomycin resistant VRSA Very difficult to treat
Strep skin infection Streptococcus pyogenes (Gram+ sphere, CATALASE NEGATIVE) Can cause impetigo and cellulitis too
Necrotizing fasciitis (flesh-eating disease)
Strep skin infection symptoms Swelling, heat, red/black dying skin layers Treated with antibiotics and debridement 40% fatal
Streptococcal toxic shock syndrome When toxins released into blood, organ failure Improper tampon usage
Staph is catalase ______, while strep is catalase ______ Staph = Positive :D Strep = Negative D:
Smallpox Spray via droplets, highly contagious 30% mortality Eradicated, vaccine exists
Smallpox symptoms Vesicular and pustular rash on limbs (not trunk), high fever Permanent scarring
Measles Caused by measles virus Spread via droplets, highly contagious Even before symptoms arise Starts at face, then spreads Potential to induce blindness
Measles symptoms Fever, sore throat, Koplik spots, maculopapular rash
Measles treatment Vaccine exists (MMR) ¼ requires hospitalization, 1 in 500 die Kills immune cells, immune amnesia
Cutaneous Candidiasis Comes from damp, friction prone skin “Diaper rash" Common in diabetic patients Itchy, burning macular rash Avoid friction, dry your skin
Cutaneous Candidiasis treatment Topical antifungal creams
Tinea (ringworm) Dermatophytes: break down skin, hair, and nails Start from abrasions and moisture Macular rash with flakes, itchy
Tinea (ringworm) treatment Topical antifungals
Conjunctivitis (Pink Eye) Inflammation of conjunctiva Redness, swelling, itchy, some discharge Self limiting
Virus causative symptom clear discharge
Bacteria causative symptom yellow/green discharge
***Viral conjunctivitis typically causes watery discharge, intense itching, and often accompanies a cold, whereas bacterial conjunctivitis produces thick yellow/green discharge, leading to crusty eyelids, especially in the morning.
***Viral infections usually affect one eye before spreading to both, while bacterial infections are often associated with sticky eyelids
Chicken pox causative agent Varicella zoster virus (VZV)
Shingles causative agent VZV
Strep throat causative agent S. pyogenes
Staph causative agent S. aureus
Strep skin infections causative agent S. pyogenes
Measles causative agent measles virus
Impetigo causative agent From Staph so..... S. aureus
Necrotizing fasciitis causative agent From Strep skin infection so... S. pyogenes
Cutaneous candidiasis causative agent B. antracis
Tinea causative agent Trichophyton and Microsporum
Acne Main cause is gram+ Clogged pores become anaerobic, sebum is nutritional Topical treatments reduce clogs and bacteria Oral retinoids reduce sebum Some light and heat therapies Biofilm formation so difficult to fully remove
Acne causative agent P. acnes
Conjuctivitis causative agent virus adenoviruses, herpesviruses
Conjuctivitis causative agent bacteria mostly upper respiratory pathogens
Created by: liladdoyle
 

 



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