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Microbiology
Study of microbes with clinical relevance
Prokaryotic cells
Microbial cells without a nucleus; bacteria & archaea
Eukaryotic cells
Microbial cells with a nucleus & organelles; fungi, protozoa, helminths
Viruses
Acellular infectious particles, not true cells
Structures common to all cells
Plasma membrane, cytoplasm, DNA, ribosomes
Prokaryotic ribosome
70S, smaller, antibiotic target (streptomycin)
Eukaryotic ribosome
80S, larger, not affected by streptomycin
Prokaryotic cell wall
Peptidoglycan, Gram + thick vs Gram - thin + LPS
Endospore
Dormant, resistant bacterial structure; germinates in good conditions
Gram positive
Thick peptidoglycan, stains purple
Gram negative
Thin peptidoglycan + outer membrane with LPS, stains pink
Lipid A
Toxic portion of LPS; causes fever, sepsis
Acid-fast bacteria
Waxy mycolic acid layer; Mycobacterium tuberculosis
Granuloma
Tissue wall trapping TB bacteria; necrosis possible
Adhesion structures
Help bacteria stick; fimbriae, pili, slime layers, capsules
Fimbriae
Hairlike proteins with adhesins
Pili
Larger, transfer DNA (conjugation pili), movement (type IV pili)
Biofilm
Community of bacteria in sticky EPS; resistant to antibiotics & immune system
Staphylococcus epidermidis
Normal skin bacteria; forms biofilms on medical devices
Fungi
Eukaryotes; molds (mycelium of hyphae) & yeasts (unicellular)
Dimorphic yeast
Switches mold ↔ yeast (Candida albicans)
Fungal spores
Reproductive cells; dormant, resistant
Mycoses
Fungal infections (superficial, subcutaneous, systemic)
Endemic
Disease regularly found in a region
Prevalence
% of population with disease at a given time
Definitive host
Host where parasite reproduces sexually
Intermediate host
Host where parasite is immature; no sexual reproduction
Giardia cyst
Infective, resistant stage; causes giardiasis ("backpacker's diarrhea")
Giardia symptoms
Diarrhea, nausea, abdominal pain
Toxoplasma definitive host
Cats
Toxoplasma transmission
Undercooked meat, contaminated food/water, cat litter
Latent infection
Dormant infection inside host (Toxoplasma tissue cysts)
Congenital toxoplasmosis
Fetal infection; blindness, miscarriage, deformities
Tapeworm anatomy
Scolex (attachment), neck (growth), proglottids (reproduction)
Beef tapeworm
Humans definitive, cows intermediate
Pork tapeworm
Humans definitive, pigs intermediate
Taeniasis
Intestinal tapeworm disease
Neurocysticercosis
Larval cysts in brain; seizures
Malaria
Caused by Plasmodium, transmitted by Anopheles mosquitoes
Plasmodium sporozoite
Infective stage from mosquito bite
Malaria liver stage
Parasites in liver; may form dormant hypnozoites
Malaria blood stage
Parasites in RBCs; cyclical fever/chills
Uncomplicated malaria
Cyclical fever, chills, sweating every 12-72 hrs
Severe malaria
Cerebral malaria, anemia, organ failure, hypoglycemia, sepsis
Malaria prevention
Nets, repellents, prophylaxis, vaccine (~70-80% effective)