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what is virulence
the capacity of a microbe to cause disease
what is pathogenesis
refers to the development of disease
examples of opportunistic bacteria infections
streptococcus pneumoniae cause pneumococcal pneumonia
staph. epidermidis causes IV line infection
what does contracting a disease depend on
virulence of the microbe
inoculum
site of infection
host susceptibility & capacity to resist
what are the portals of entry for infection
ingestion
inhalation
penetration
sexual
what are fimbriae and pili
attach bacteria to the host cells
what are slime layers and capsules
help bacteria avoid the immune system
what is a biofilm
protective communities of bacteria
eg dental plaque
what are invasins
proteins that allow the bacteria to enter the cell by phagocytosis
what is the importance of iron in infection
iron is essential for bacterial growth
many bacteria are able to bind human transferrin, lactoferrin, ferritin and hemin and use these as their iron source
what is collagenase
bacterial enzymes that breaksdown collagen
spread of pathogen through tissue
eg C. perfringens
what is streptokinase
bacterial enzyme that dissolves fibrin clots
spread of pathogen through tissue
what is lecithinase
bacterial enzyme that breaksdown lecithin (cell membrane component)
what is hyaluronidase
bacterial enzyme that breaks down hyaluronic acid (cement between cells in tissue)
spread of pathogen through tissue
what are exotoxins
toxins produced by pathogens which diffuse from the cells
what are endotoxins
toxins which are actual components of the bacterial cell envelope
high concentration results in endotoxic or septic shock
results from excessive immune response
lipopolysaccharide or peptidoglycan
what are type I toxins/superantigens
exotoxin
results in excessive immune response
what are type II toxins
exotoxin
damage host cell membranes
what are type III toxins or A-B toxins
exotoxin
B-component brings toxin to host cell
A-component causes damage to cell
what are some bacteria that cause skin infection
staphylococcus aureus - stye, folliculitis, etc
streptococcus pyogenes - necrotizing fasciitis
pseudomonas aeruginosa
what are some bacteria that cause respiratory tract infections
ear, sinus - streptococcus pneumoniae
throat - streptococcus pyogenes
lungs - streptococcus pneumoniae, mycobacterium tuberculosis
what are some bacteria that cause tissue infections
brain - neisseria meningitidis
heart - oral streptococci and staphylococci
what is infective endocarditis
inflammation of endocardium
alpha-hemolytic streptococci from mouth (slow)
staphylococcus aureus (fast)
what is rheumatic fever
complication following pharyngitis
heart valve inflammation
caused by streptococcus pyogenes
what does clostridium tetani toxin cause
spores contaminate wound, germinate, release toxin on lysis
targets cells of spinal cord and brain stem
trismus (lockjaw) followed by general rigidity
death by interference with mechanisms of respiration
what is clostridium botulinum toxin
blocks transmission of nerve signals to muscles
antagonist of acetylcholine
treatment : antitoxin, ventilator
what is gangrene
death of soft tissue
clostridium perfringens grows in necrotic tissue
treatment - surgical removal
what are some bacteria that can cause upper GI tract infections
helicobacter pylori - stomach ulcer, cancer
what are some bacteria that can cause urinary tract infections
E. coli
staphylococcus saprophiticus
what are some sexually transmitted bacterial infections
chlamydia trachomatis
treponema pallidum
neisseria gonorrhoea