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pathology
the study of disease
epidemiology
the study of where and when disease occur
etiology
the study of the cause of a disease
pathogenesis
the development of disease
infection
colonization of the body by pathogens
disease
an abnormal state in which the body is not functioning normally
transient microbiota
microbes that are present for days, weeks, or months
normal microbiota
microbes that permanently colonize the host
symbiosis
the relationship between normal microbiota and the host
commensalism
one organism benefits and the other is unaffected
mutualism
both organisms benefit
parasitism
one organism benefits at the expense of the other
opportunistic pathogens
normal microbiota can take any opportunity and turn against the host
microbial antagonism
competition between microbes
probiotics
live microbes applied to or ingested into the body, intended to exert a beneficial effect
symptom
a change in body function that is felt by a patient as a result of disease
sign
a change in body that can be measured or observed as a a result of disease
syndrome
a specific group of signs and symptoms that accompany a disease
communicable disease
a disease that is spread from one host to another
contagious disease
a disease that is easily spread from one host to another
noncommunicable disease
a disease that is not transmitted from one host to another
incidence
fraction of a population that contracts a disease during a specific time
prevalence
fraction of a population having a specific disease at a given time
endemic disease
disease constantly present in a population
sporadic disease
disease that occurs occasionally in a population
epidemic disease
disease acquired by many hosts in a given area in a short time
pandemic
worldwide epidemic
local infection
pathogens are limited to a small area of the body
systemic infection
an infection throughout the body
focal infection
systemic infection that began as a local infection
sepsis
toxic inflammatory condition arising from the spread of microbes, especially bacteria or their toxins, from a focus of infection
bacteremia
bacteria in the blood
septicemia
growth of bacteria in the blood
toxemia
toxins in the blood
viremia
viruses in the blood
primary infection
acute infection that causes the initial illness
secondary infection
opportunistic infection after a primary (predisposing) infection
incubation period
no signs/symptoms
prodromal period
mild signs/symptoms
illness period
most severe signs/symptoms, spike in number of microbes
decline period
signs/symptoms persist but number of microbes decreases
convalescence period
lingering signs/symptoms, still contagious but returning back to normal
zoonoses
any disease or infection that is transmissible from animals to humans
direct contact transmission
requires close association between infected and susceptible host
indirect contact transmission
spread by fomites (cups, bedding, towels)
droplet contact transmission
transmission via airborne droplets (sneeze, cough, talking)
vehicle transmission
transmission by an inanimate reservoir (food, water, air)
vector transmission
transmission of disease by arthropods
mechanical transmission
arthropod carries pathogen on feet
biological transmission
pathogen reproduces in vector
nosocomial infections
health-care associated infections
pathogenicity
the ability to cause disease
virulence
the extent (severity) of pathogenicity
ID50
infectious dose for 50% of the sample population
LD50
lethal dose (of a toxin) for 50% of the sample population
M protein
component of cell wall that helps resist phagocytosis
Opa protein
component of cell wall that inhibits T helper cells
mycolic acid
component (waxy lipid) of cell wall that resists digestion
coagulase
enzyme that coagulates fibrinogen
kinase
enzyme that digests fibrin clots
hyaluronidase
enzyme that hydrolyzes hyaluronic acid
collagenase
enzyme that hydrolyzes (breaks down) collagen
IgA protease
enzyme that destroys IgA antibodies
antigen
components on the outside of a microbe that stimulated the immune system to make antibodies or sensitized T cells
invasins
protein that rearranges actin filament and allows species to dig deeper into the cell
siderophore
protein that is secreted into medium to steal iron, using the host’s nutrients
toxin
poisonous substance that contributes to pathogenicity
toxigenicity
ability to produce a toxin
toxemia
presence of toxin in the host’s blood
toxoid
inactivated toxin used in a vaccine
antitoxin
antibodies against a specific toxin
exotoxin
proteins produced inside pathogenic bacteria, which are then released, found in both Gram-negative and Gram-positive bacteria
endotoxin
lipid portion of lipopolysaccharide (LPS), found in the cell walls of Gram-negative bacteria only, and released when bacteria die
leukocidins
toxins that will kill phagocytic leukocytes
hemolysins
toxins that destroy red blood cells
streptolysins
hemolysins produced by Streptococci
superantigens
cause an intense immune response due to release of cytokines from host cells
cytokines
proteins produced by leukocytes, used for communication; directly or indirectly may induce fever, pain, or T cell proliferation
endotoxic shock
a result of high concentration of cytokines made by cells of the immune system
pyrogenic response
the ability of a substance to produce a febrile (fever) response
susceptibility
lack of resistance to a disease
immunity
ability to ward off disease
innate immunity
defenses against any pathogen
adaptive immunity
induced resistance to a specific pathogen
basophil
releases histamines that cause inflammation
eosinophil
kills parasites with oxidative burst
mast cell
kills infected cells (often virus-infected) via cytolysis or apoptosis
neutrophil
phagocytizes bacteria and fungi
monocyte
precursor to macrophage
dendritic cell
phagocytizes bacteria and presents antigens to T cells
natural killer cell
kills cancer cells and virus-infected cells
plasma cell
recognizes antigens and produces antibodies
B cell
recognizes antigens and produces antibodies
T cells
secrete cytokines
first line of defense
intact skin
mucous membranes
normal microbiota
flushing mechanisms
second line of defense
phagocytes (neutrophils, eosinophils, macrophages, dendritic cells)
inflammation
fever
antimicrobial substance
third line of defense
specialized lymphocytes (T cells and B cells)
antibodies
microbial antagonism/competitive exclusion
normal microbiota compete with pathogens or alter the environment
commensal microbiota
one organism (microbe) benefits and the other (host) is unharmed
hematopoiesis
the production of blood cells and platelets