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What is pathogenicity?
the ability of a microorganism to cause disease
What is virulence?
the degree or intensity of pathogenicity
What is a reservoir in infectious disease?
the natural source of a pathogen (animate or inanimate)
What are zoonoses?
diseases transmitted to humans from animals
What is required for a pathogen to cause disease?
it must contact the host and survive within it
What is ID50?
the infectious dose that infects 50% of test organisms
What is LD50?
the lethal dose that kills 50% of test organisms
What influences a host’s susceptibility to infection?
host immune status
pathogen virulence
exposure level
What are extracellular pathogens?
pathogens that grow outside host cells
What are obligate intracellular pathogens?
pathogens that must grow inside host cells to survive
What is adherence in infection?
the ability of a pathogen to attach to host tissues
What structures mediate pathogen adherence?
fimbriae
pili
capsules
spike proteins
Name four major portals of entry.
skin
respiratory tract
GI tract
urogenital tract
What is invasion?
the ability of pathogens to spread into host tissues
Is Clostridium tetani invasive?
no, it is non-invasive but highly virulent
Is Bacillus anthracis invasive?
yes
What is hyaluronidase?
an exoenzyme that breaks down hyaluronic acid, aiding spread
What organisms commonly produce hyaluronidase?
staphylococcus
streptococcus
clostridium species
What does coagulase do?
converts fibrinogen to fibrin; produced by S. aureus
What does fibrinolysin (streptokinase) do?
breaks down fibrin clots
What does collagenase do?
breaks down collagen to aid tissue invasion
What are leukocidins?
toxins that lyse leukocytes
What are hemolysins?
toxins that lyse red blood cells
What organism produces many virulence factors including coagulase and protein A?
Staph aureus
What are exotoxins?
soluble, heat-labile proteins released by bacteria
Are most exotoxin producers Gram-positive or Gram-negative?
gram positive
What are antitoxins?
antibodies produced to neutralize exotoxins
What are toxoids?
inactivated toxins used as vaccines
What is an AB toxin?
a two-part exotoxin with an active (A) and binding (B) component
What does diphtheria toxin do?
inhibits protein synthesis by ADP-ribosylating EF-2
What is the capsule’s role in B. anthracis virulence?
it helps the bacterium evade the immune system
What do enterotoxins affect?
intestinal permeability, causing diarrhea or vomiting
What does cholera toxin do?
activates adenylate cyclase → increased cAMP → massive ion and water loss
What is a major virulence mechanism of EHEC (STEC)?
production of Shiga-like toxins
What is a T3SS (Type III secretion system)?
an injectisome used by bacteria to deliver effector proteins
What is a superantigen?
a toxin that overstimulates T cells, causing cytokine storm
What is endotoxin?
lipid A component of LPS in Gram-negative bacteria
What causes septic shock?
massive immune activation leading to severe hypotension and organ failure
What are mycotoxins?
toxic secondary metabolites produced by fungi
What fungus produces aflatoxin?
Aspergillus flavus or A. parasiticus
How do capsules help pathogens resist host defenses?
prevent phagocytosis
What are antigenic variations?
mutations that change surface antigens to evade immunity
How do biofilms aid pathogens?
they protect bacteria from immune cells and antibiotics
What is the main lesson from the chain of infection concept?
breaking any step in the chain can prevent disease
What is the chain of infection?
the series of events needed for an infection to occur
What are the five key factors in the chain of infection?
agent identity
virulence
means of exposure
dose
host susceptibility
What is a reservoir?
the natural habitat of a pathogen
What are animate reservoirs?
living reservoirs such as humans or animals
What are inanimate reservoirs?
non-living sources like soil, water, or food