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The Metric System
Microbial size is measured using micrometers ($\mu m$) and nanometers ($nm$).
Limit of Resolution
This is defined as the minimum distance two points can be apart and still be distinguished as separate entities.
Light Microscopy
Utilizes visible light and glass lenses to magnify specimens.
SEM (Scanning Electron Microscopy)
Optimized for viewing 3D surface details of a specimen.
TEM (Transmission Electron Microscopy)
Optimized for viewing internal ultrastructures, such as organelles or viral cores.
Robert Hooke
Established early cell theory after observing cork 'cells'.
Antonie van Leeuwenhoek
The first to describe living microbes, which he called 'animalcules'.
Louis Pasteur
Disproved spontaneous generation via biogenesis using swan-neck flasks, pioneered fermentation research, and identified microbes as the cause of food spoilage.
General Features of Prokaryotes
These organisms lack a nucleus and membrane-bound organelles.
Prokaryotic Genetics
They contain circular DNA and extrachromosomal plasmids.
Ribosomes in Prokaryotes
They possess a 70S structure, which is a common target for antibiotics.
Prokaryotic Reproduction
Occurs through binary fission.
Gram-Positive Bacteria
Features a thick peptidoglycan layer and teichoic acids.
Gram-Negative Bacteria
Features a thin peptidoglycan layer and an outer membrane containing LPS (Lipopolysaccharide/Endotoxin).
Acid-Fast Bacteria
Contains waxy mycolic acids that require a specialized acid-fast stain for identification, such as in Mycobacterium tuberculosis.
Flagella
Used for motility.
Fimbriae
Used for attachment to host surfaces.
Pili
Specifically the sex pilus used for conjugation, which is the transfer of DNA/plasmids between cells.
Capsule/Slime Layer
Glycocalyx used for adherence and protection from host phagocytosis.
Endospores
Dormant, highly resistant structures produced by Bacillus and Clostridium to survive extreme environmental stress.
Common Shapes of Prokaryotes
Common shapes include Bacillus (rod), Coccus (sphere), and Spirochete (spiral); arrangements include Strepto- (chains) and Staphylo- (clusters).
Endosymbiosis
Explains how mitochondria and chloroplasts originated from engulfed prokaryotic cells.
Eukaryotic Organelles
Include the nucleus, RER/SER, Golgi, lysosomes, mitochondria, and chloroplasts.
Ribosomes in Eukaryotes
They possess an 80S structure.
Fungi
Includes yeasts (which reproduce via budding) and molds (which consist of filamentous hyphae and spores).
Protists
Includes protozoa (which move via pseudopods, flagella, or cilia and often form cysts for survival) and Algae (which can cause HABs/Harmful Algal Blooms).
Helminths
These are parasitic worms and are classified as animals.
Acellular Nature of Viruses
Viruses are obligate intracellular parasites that lack cellular structure.
Structure of Viruses
Consist of a capsid and nucleic acid; some are Enveloped (lipid bilayer) while others are Naked.
Spikes in Viruses
Surface proteins used for host cell tropism and attachment.
Nucleic Acids in Viruses
Can be composed of either DNA or RNA.
Bacteriophage
Viruses that specifically infect bacteria.
Retrovirus
Uses reverse transcriptase to convert viral RNA into DNA.
Oncovirus
Viruses capable of causing cancer.
Viral Replication Cycle
Adsorption $
ightarrow$ Penetration (Endocytosis or Fusion) $
ightarrow$ Uncoating $
ightarrow$ Synthesis $
ightarrow$ Assembly $
ightarrow$ Release (Lysis for naked viruses, Budding for enveloped viruses).
Crucial Viral Enzymes
Include reverse transcriptase, integrase, and protease.
Prions
Acellular proteinaceous infectious agents that cause conversion of normal host proteins into misfolded prions, leading to spongiform encephalopathy.
Sterilization
Destroys all viable life forms, including highly resistant endospores.
Disinfection
Reduces pathogen levels on inanimate surfaces.
Antisepsis
Chemicals applied directly to living tissue to reduce microbes.
Sanitization
Mechanical removal of microbes to reach safe public health levels.
Degermation
Manual reduction of microbes on a specific area of the skin, such as a surgical scrub.
Cidal vs. Static
Cidal agents kill microbes, while static agents inhibit their growth.
Narrow vs. Broad Spectrum Antibiotics
Refers to the range of different microbial species a drug can target.
Superinfection
Occurs when broad-spectrum antibiotics destroy protective normal flora, allowing an opportunist to overgrow.
Peptidoglycan Target
Inhibited by Beta-lactams (like Penicillins) which target the transpeptidase enzyme.
Mycolic Acid Target
Synthesis is inhibited by INH (Isoniazid).
Ergosterol Target
Fungal membranes are targeted by Azole antifungals.
Beta-lactamase
An enzyme produced by bacteria to destroy the beta-lactam ring of certain antibiotics.
MRSA
Resists methicillin by utilizing an alternative transpeptidase that the drug cannot bind to.
Commensal Microbes
Microbes that do no harm.
Opportunistic Microbes
Microbes that harm if the host is compromised.
Parasites
Microbes that harm the host.
Pathogenesis Factors
Requires an infectious dose, adherence (often via capsules), and evasion/damage mechanisms including coagulase, cytotoxins, neurotoxins, enterotoxins, and endotoxins.
Transmission Factors
Include reservoir, carrier, vector, fomite, and vertical transmission.
Epidemiology
John Snow's study of cholera founded this field; metrics include Incidence (new cases) and Prevalence (total existing cases).
First Line Barriers of Innate Immunity
Includes the skin, mucus flow, cilia (respiratory escalator), and stomach acid.
Hematopoiesis
The process of blood cell production in the bone marrow.
Neutrophils
The primary phagocytes.
Basophils/Mast Cells
Release histamine.
Macrophages and Dendritic Cells
Perform antigen presentation.
Pattern Recognition Receptors (PRRs)
Detect microbial PAMPs (Pathogen-Associated Molecular Patterns).
Inflammation
Triggered by histamine; characterized by vasodilation, edema, and fever induced by pyrogens.
Complement System
A system of blood proteins that can form a MAC (Membrane Attack Complex) to lyse target cells.
MHC Molecules
MHC I is found on all nucleated cells (presents endogenous antigens); MHC II is found on APCs (presents exogenous antigens).
Helper T (CD4)
Recognizes MHC II and coordinates the immune response via cytokines.
Cytotoxic T (CD8)
Recognizes MHC I and induces apoptosis in infected or abnormal cells.
B-Cells
Activate and differentiate into plasma cells to secrete specific antibodies.
IgG
The most abundant antibody; capable of crossing the placenta.
IgM
The first antibody produced during a primary immune response.
IgA
Secretory antibody found in tears, saliva, and breast milk.
Functions of antibodies
Include neutralization, opsonization (tagging for phagocytosis), and agglutination.
Immunity Types
Active (body makes its own antibodies via vaccine or infection) vs. Passive (transfer of pre-formed antibodies, e.g., breast milk).
S. aureus
Arrangements are in clusters; they are Catalase positive (produce bubbles with $H_2O_2$).
S. pyogenes
Arrangements are in chains; they are Catalase negative.
Impetigo
A superficial epidermis infection featuring honey-colored crusts, pustules, and skin peeling.
Cellulitis
An infection extending into the dermis and subcutaneous tissues.
Necrotizing Fasciitis
Rapid destruction of the fascia by S. pyogenes, known as 'flesh-eating' disease.
SSSS
Staphylococcal Scalded Skin Syndrome: A systemic condition in infants where skin peels due to staphylococcal toxins.
Measles
A viral infection causing a maculopapular rash and Koplik spots in the oral mucosa.
Chickenpox/Shingles
Caused by the Varicella-Zoster virus; can remain latent in nerves.
Conjunctivitis
Commonly called 'pink eye,' involving redness and discharge.
Neonatal Conjunctivitis
Vertical transmission of gonorrhea or chlamydia during birth; newborns receive erythromycin drops as prevention.
Trachoma
A bacterial infection by C. trachomatis; the leading cause of infectious blindness globally.
Keratitis
Typically viral; the leading cause of infectious blindness in the U.S.
Meningitis
Infection of the meninges; symptoms include stiff neck, fever, headache, and photophobia.
Neisseria meningitidis
The most serious form of meningitis; often causes petechiae (small purple spots).
Streptococcus pneumoniae
Common etiology of meningitis; 70% of the population are carriers.
Poliomyelitis
An acid-stable enterovirus transmitted via the fecal-oral route (contaminated water); 1% of cases result in paralytic disease.
Toxoplasmosis
Subacute encephalitis; poses a high risk for pregnant women due to vertical transmission.
Tetanus
Caused by C. tetani; produces spastic paralysis (lockjaw).
Botulism
Caused by C. botulinum; produces flaccid paralysis (often from foodborne toxins).
Endocarditis
Acute: Typically S. aureus; colonization of healthy heart valves via a parenteral route.
Plague
Caused by Yersinia pestis; transmitted by a flea vector; results in swollen necrotic lymph nodes called buboes.
Lyme Disease
Caused by Borrelia burgdorferi; transmitted by a tick vector; distinguished by a bulls-eye rash (erythema migrans).
HIV/AIDS
A viral infection that specifically depletes CD4 Helper T-cells.
Malaria
Caused by Plasmodium (protozoan); transmitted by an Anopheles mosquito vector.
Otitis Media
A middle ear infection causing ear pain and a bulging eardrum; common in children.
Strep Throat
Caused by S. pyogenes; potential complications include Scarlet Fever and Rheumatic Fever.
Tuberculosis
Caused by M. tuberculosis; an acid-fast bacterium that forms granulomas in the lungs; noncompliance with treatment is a major cause of drug resistance.