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Hydrogen bond
A hydrogen bond is a weak, noncovalent attraction between a hydrogen atom bonded to a highly electronegative atom (such as oxygen, nitrogen, or fluorine) and another nearby electronegative atom.
a noncovalent electrostatic attraction between a partially positive hydrogen atom (covalently bonded to an electronegative atom like O or N) and another electronegative atom with a lone pair.
ionic bond
A type of chemical bond that involves the electrostatic attraction between oppositely charged ions, transfer of electron(s)
-Forms when electrons are transferred from one atom to another
-Electrostatic force of attraction between oppositely charged ions
-i.e. NaCl
-Easily dissolves in water, free ions are called electrolytes
covalent bond
A type of chemical bond involving the sharing of electron pairs between atoms,
competitive inhibitor
Inhibitor binds to the active site
Competes with the substrate
Can be overcome by ↑ substrate concentration
noncompetitive inhibitor
Inhibitor binds to site that’s not the active site
Does not compete with substrate binding
Cannot be overcome by ↑ substrate
4 steps of aerobic metabolism
Glycolysis
Intermediate step
Krebs cycle
Electron transport chain
glycolysis
Anaerobic process that occurs in cytoplasm. Glucose is split into two 3-carbon molecules called pyruvate.
End products:
-Pyruvate - converted to acetyl CoA (intermeidtae step)
-ATP - used up in metabolic reactions
-NADH - transferred to the ETC
Intermediate step
Pyruvate taken from glycolysis and converted to acetyl CoA
End products:
- Acetyl CoA - enters Krebs cycle
- NADH - goes to ETC
- CO2 - given off (decarboxylation)
Krebs cycle
Takes acetyl CoA and incorporates it with oxaloacetate to form citrate.
End products:
NADH - goes to ETC
FADH2 - goes to ETC
ATP - used in metabolic reactions
CO2 - given off as gas
Electron transport chain
Uses NADH and FADH₂ to transfer electrons through membrane proteins, creating a proton gradient that drives ATP production.
End products:
ATP – used in metabolic reactions
H₂O – formed when oxygen accepts electrons
NAD⁺ and FAD – recycled back to earlier steps
aerobic vs anaerobic respiration
???
Growth phases of bacterial cell
Lag, log*, stationary, death
Impetigo
Cause: Staphylococcus aureus or Streptococcus pyogenes
Superficial pus-filled vesicles
Itchy vesicles can rupture and ooze
Highly contagious
Secondary infections possible
Transmission: direct contact, fomites
Treatment: topical antibiotics
Prevention: good hygiene
MRSA
Cause: Antibiotic-resistant strain of Staphylococcus aureus
What it is (Symptoms):
Painful red bumps (look like pimples/spider bites)
Swelling, pus, warmth
Can become serious if it spreads (blood, lungs)
Treatment:
Drainage of abscess
Specific antibiotics (not methicillin-type)
Hygiene + wound care
Methicillin-resistant Staphylococcus aureus, a strain of Staph that is resistant to commonly used antibiotics,
Staphylococcal Scalded Skin Syndrome (SSSS)
Cause: Toxins from Staphylococcus aureus
Staphylococcal Scalded Skin Syndrome
Affects mostly newborns and babies
Blistering and sloughing of the skin
Transmission: toxins may be carried by the bloodstream to the other areas from primary site infection
Highly contagious
Treatment: antibiotics
Virulence: exfoliative toxins
Gas gangrene
Cause: Clostridium bacteria (often C. perfringens)
Symptoms:
Severe pain, swelling
Gas bubbles under skin (crackling sound)
Tissue death (necrosis)
Treatment:
Emergency surgery (remove dead tissue)
IV antibiotics
Sometimes amputation
Usually caused by Clostridium perfringens (gram positive bacilli, anaerobic)
Pain, edema, bloody exudate, blackened necrotic tissue filled with gas bubbles
Transmission: introduction of endospores into wounds, surgical incisions, compound fractures
Virulence: endospores, collagenase, hyaluronidase, DNAse
Treatment: debridement, antibiotics, hybaric oxygen therapy, amputation
Cutaneous anthrax
Cause: Bacillus anthracis
Symptoms:
Painless ulcer with black center (eschar)
Swelling around lesion
Treatment:
Antibiotics (ciprofloxacin, doxycycline)
Early treatment is very effective
Bacillus anthacis is a gram-positive endospore-forming bacteria
Black eschar formation and tissue necrosis
Transmission: zoonotic disease in which endospores enter through small cuts or abrasions from contact w animals or animal products
Treatment: Penicillin and ciprofloxacin
Trachoma
Cause: Chlamydia trachomatis
Symptoms:
Eye irritation, redness
Repeated infections → scarring → blindness
Treatment:
Antibiotics (azithromycin)
Improved hygiene
Infection of epithelial cells of the eye
Pebbled appearance to inner upper eyelide, scarring upper eyelide, lashes turn inwards/down
Major cause of blindness
Chlamydia trachomatis
Transmission: fingers, fomites, flies, hot/dry climate
Treatment: Azithromycin or doxycycline
Necrotizing fasciitis
Cause: Usually Streptococcus pyogenes (can be mixed bacteria)
Symptoms:
Rapidly spreading tissue destruction
Severe pain, fever
Skin discoloration, blisters
Treatment:
Emergency surgery
IV antibiotics
Intensive care
Flesh eating disease
Enters via damaged skin
S. pyogenes produces enzymes that degrade connective tissue
Treatment: IV antibiotics, debridement of skin
40% mortality rate
Chicken pox
Cause: HHV-3, Varicella-zoster virus
Symptoms:
Itchy vesicular rash → fluid-filled blisters
Fever, fatigue
Transmission:
Respiratory droplet and direct contact with lesions
Highly contagious
Treatment:
Usually self-limited
Antivirals (acyclovir) if severe
Vaccine prevents it
Virulence: may travel to peripheral nerves and become latent
Warts
Human papillomaviruses (HPV)
Benign, squamous epithelial growths
Common, plantar, genital, flat
Transmission: direct contact, autoinoculation, indirect contact, fomites
Harmless and resolve over time
Treatment: cauterization, chemicals, cryosurgery, laser
Measles
aka rubeola or measles virus
Virulence: disables aspects of the host immune response, hides from host immune defenses
Transmission: respiratory droplet, highly contagious, no reservoir other than humans
Signs: Kopliks spots, Maculopapular rash
Treatment: supportive therapy
Prevention: vaccine
Rubella
German measles
Transmission: respiratory droplets
Postnatal: rash starts on face and spreads. Fever, swollen lymph nodes, muscle and joint aches, runny and stuffy nose
Congenital rubella syndrome (CRS): 1st trimester: stillbirth or miscarriage. 2nd or 3rd trimester: blindness, deafness, heart defects, mental retard)
treatment: symptomatic therapy
Prevention: MMR vaccine
Herpes simplex
HSV-1
Oral herpes, cold sores or fever blisters
Virulence: latency
Transmission: respiratory droplets/saliva, fomites
Initial infection may include sore throat or flulike symptoms
Migrates to trigeminal nerve to become latent and flare up
reactivation caused by UV radiation, menstruation, hormonal changes, stress
No cure or vaccine
topical or oral antivirals reduce freq and severity
Tinea
Cause: Dermatophyte fungi
Symptoms:
Ring-shaped red rash
Itching, scaling
Treatment:
Topical antifungals (clotrimazole)
Oral antifungals if severe
Genera: Trichophyton, Microsporum, Epidermophyton
Mycoses causes dermatophytes that area confined to the non-living epidermal tissues, hair, and nails
Transmission: direct and indirect contact with infect animals/humans/soil
Virulence: keratinase, spores may remain for years on fomites
Treatment: topical antifungal (miconazole, itraconazole) or oral drugs (terbinafine or griseofulvin)
Cutaneous Sporotrichosis
Cause: Sporothrix schenckii (from soil/plants)
Symptoms:
Nodules under skin
Spread along lymph vessels
Treatment:
Oral antifungal (itraconazole)
Potassium iodide (older treatment)
Sporothrix schenckii (rose gardener’s disease)
Red, pink, or purple bump usually appears where the fungus has entered through a break in the skin
Transmission: contaminated plant matter
Treatment: Supersaturated potassium iodide (SSKI) or intraconazole
Prevention: gloves/long sleeves
Polar vs non-polar covalent bonds?
Polar: unequal sharing of electrons, causes ends of the molecule to have partial positive and negative charges.
Non polar: equal sharing of electrons, no charge separation in the molecule.