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Pathology
The study of disease
Etiology
The study of the cause of a disease
Pathogensis
The development of a disease
Infection
The successful colonization of the body by pathogens
Disease
Any condition in which the normal structure or functions of the body are damaged or impaired
What is the sequence from exposure to disease?
Exposure > Colonization > Infection > Disease
Does exposure or colonization always lead to disease?
No
Transient microbiota
are present for days, weeks, or months
Normal microbiota
permanently colonize the host
Symbiosis
is the relationship between normal microbiota and the host - MUTUALISM, COMMENSALISM, PARASITISM
Normal microbiota protect the host by
occopying niches that pathogens might occupy, producing acids, producing bacteriocins
Symptom
a subjective change in a body function that is felt by a patient because of a disease
Sign
An objective and measurable change in body function as the result of a 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
Iatrogenic disease
contracted as the result of a medical procedure
Noncommunicable disease
a disease that is not transmitted from one host to another
True pathogens
capable of causing disease in healthy persons with normal immune defenses
Opportunistic pathogens
cause disease when the host's defenses are compromised
Virulence of a microbe is determined by
its ability to estaablish itself in a host and cause damage
Virulence factor
contributes to its ability to establish itself in the host and cause damage
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 an area in a short time
Pandemic disease
worldwide epidemic
Herd immunity
immunity in most of a population
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
Acute disease
symptoms develop rapidly
Chronic (persistent) disease
develops slowly
Subacute disease
symptoms between acute and chronic
Latent disease
disease with a period of no symptoms when the causative agent is inactive
Local infection
pathogens are limited to a small area of the body
Focal infection
a localized pathogen, or the toxins it produces, can spread to a secondary location
Systemic infection
an infection throughout the body
Sepsis
toxic inflammatory condition arising from the spread of microbes
Primary infection
acute infection that causes the initial illness
Secondary infection
opportunistic infection after a primary (predisposing) infection
Subclinical disease
no noticeable signs or symptoms (inapparent infection)
Bacteremia
bacteria in the blood
Sepsis
growth of bacteria in the blood
Toxemia
toxins in the blood
Viremia
viruses in the blood
Reservoir
a primary habitat in the natural world from which a pathogen originates
Examples of a reservoir
living: humans with active infections, human carriers, animals and anthropods/ non-living: soil, water, food, and air
Transmitter
an individual or object from which an infection is acquired
vehicle transmission
transmission by an inanimate reservoir (food, water,air)
DIRECT contact
requires a close association between the infected and susceptible host
INDIRECT contact
spread by fomites
DROPLET contact
transmission via airborne droplets
Vector
usually an anthropod,
Mechanical Vector
anthropod carries pathogen on feet
Biological Vector
pathogen reproduces in vector
ID50
infectious dose for 50% of the test population
LD50
lethal dose (of a toxin) for 50% of the test population
What are the three portals of entry?
Skin, Inhalation, Ingestion
Adhesins/Ligands
bind to the receptors on host cells
M protein
resists phagocytosis
Mycolic acid
(waxy lipid) resists digestion
Toxin
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
What are the major portals of exit of infectious diseases?
Coughing, sneezing, insect bite, removal of blood, feces, skin cells and open lesions, urine