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Questions and Answers
What is the role of iron sequestration by pathogens within macrophages?
What is the role of iron sequestration by pathogens within macrophages?
- It promotes cytokine production.
- It prevents the growth of macrophages.
- It enhances cellular respiration.
- It is needed for the pathogens to grow. (correct)
What leads to the formation of buboes in the early stages of a disease caused by certain pathogens?
What leads to the formation of buboes in the early stages of a disease caused by certain pathogens?
- Improper immune response.
- Direct tissue damage from toxins.
- Inflammation of lymph nodes. (correct)
- Spread of toxins through the bloodstream.
What is a significant consequence of necrosis in lymph nodes for septicemic plague cases?
What is a significant consequence of necrosis in lymph nodes for septicemic plague cases?
- Enhanced local immune response.
- Entry of pathogens into the bloodstream. (correct)
- Death of surrounding epithelial cells.
- Increased cytokine production.
What is the main mode of transmission for Borrelia burgdorferi?
What is the main mode of transmission for Borrelia burgdorferi?
Which of the following is a characteristic symptom of the disease caused by Borrelia burgdorferi?
Which of the following is a characteristic symptom of the disease caused by Borrelia burgdorferi?
What is the primary recommended treatment for infections caused by Yersinia pestis?
What is the primary recommended treatment for infections caused by Yersinia pestis?
Where is Yersinia pestis endemic?
Where is Yersinia pestis endemic?
What is a potential complication in untreated pneumonic plague cases?
What is a potential complication in untreated pneumonic plague cases?
What is the first location that a sporozoite travels to after being injected into the human bloodstream by a mosquito?
What is the first location that a sporozoite travels to after being injected into the human bloodstream by a mosquito?
How long does a sporozoite remain in the bloodstream before it disappears?
How long does a sporozoite remain in the bloodstream before it disappears?
What does a sporozoite transform into after entering liver cells?
What does a sporozoite transform into after entering liver cells?
What is the primary role of infected dendritic cells during a viral infection?
What is the primary role of infected dendritic cells during a viral infection?
What immediate action occurs when infected red blood cells rupture?
What immediate action occurs when infected red blood cells rupture?
What condition can result from a severe response of the immune system to a second infection with a different strain of dengue?
What condition can result from a severe response of the immune system to a second infection with a different strain of dengue?
What triggers the body's systemic inflammation during an infection?
What triggers the body's systemic inflammation during an infection?
Which statement correctly describes the effect of antibodies in the case of a secondary dengue infection?
Which statement correctly describes the effect of antibodies in the case of a secondary dengue infection?
How quickly do merozoites invade new red blood cells after escaping from the ruptured cells?
How quickly do merozoites invade new red blood cells after escaping from the ruptured cells?
What is one of the historical impacts of yellow fever in the United States?
What is one of the historical impacts of yellow fever in the United States?
What is a significant characteristic of red blood cells regarding their nutritional content for parasites?
What is a significant characteristic of red blood cells regarding their nutritional content for parasites?
What is a characteristic symptom of yellow fever related to liver function?
What is a characteristic symptom of yellow fever related to liver function?
Why is vaccination against dengue only recommended for individuals who have been previously infected?
Why is vaccination against dengue only recommended for individuals who have been previously infected?
What happens to the liver cells infected by sporozoites during the lifecycle?
What happens to the liver cells infected by sporozoites during the lifecycle?
What is a main method of transmission for both Dengue and Yellow Fever viruses?
What is a main method of transmission for both Dengue and Yellow Fever viruses?
What complication can arise from the immune system's cytokine storm during severe dengue infection?
What complication can arise from the immune system's cytokine storm during severe dengue infection?
Why did slaves from Africa not suffer from yellow fever and malaria as much as indentured servants?
Why did slaves from Africa not suffer from yellow fever and malaria as much as indentured servants?
What is the primary infectious agent responsible for malaria?
What is the primary infectious agent responsible for malaria?
What are the two most common species of Plasmodium that cause malaria in humans?
What are the two most common species of Plasmodium that cause malaria in humans?
What characteristic of malaria symptoms is described in the content?
What characteristic of malaria symptoms is described in the content?
Which type of mosquito is exclusively required for human malarias?
Which type of mosquito is exclusively required for human malarias?
How can malaria occur outside of tropical regions?
How can malaria occur outside of tropical regions?
How was malaria eliminated in areas where it was once endemic?
How was malaria eliminated in areas where it was once endemic?
What is indicated by the term 'Ague' in relation to malaria symptoms?
What is indicated by the term 'Ague' in relation to malaria symptoms?
What must occur after a human is bitten by an infected anopheles mosquito for the malaria cycle to continue?
What must occur after a human is bitten by an infected anopheles mosquito for the malaria cycle to continue?
Which mutation is highlighted as a notable genetic adaptation against malaria?
Which mutation is highlighted as a notable genetic adaptation against malaria?
What happens to hemoglobin in red blood cells of individuals with homozygous sickle cell trait at low oxygen levels?
What happens to hemoglobin in red blood cells of individuals with homozygous sickle cell trait at low oxygen levels?
What is the outcome for children who are homozygous for sickle Hb without medical intervention?
What is the outcome for children who are homozygous for sickle Hb without medical intervention?
How does being heterozygous for sickle cell trait affect an individual's health in relation to malaria?
How does being heterozygous for sickle cell trait affect an individual's health in relation to malaria?
Why might the prevalence of sickle cell trait persist in malaria-prone regions?
Why might the prevalence of sickle cell trait persist in malaria-prone regions?
In the genetic cross of two parents with sickle cell traits, what percentage of children will likely die if both parents are carriers?
In the genetic cross of two parents with sickle cell traits, what percentage of children will likely die if both parents are carriers?
What is the significance of the mutation in hemoglobin related to its hydrophobicity?
What is the significance of the mutation in hemoglobin related to its hydrophobicity?
What is the consequence of red blood cells rupturing simultaneously in infected individuals?
What is the consequence of red blood cells rupturing simultaneously in infected individuals?
What is a unique characteristic of P.vivax that affects its life cycle?
What is a unique characteristic of P.vivax that affects its life cycle?
How does P.falciparum infect the body during its lifecycle in red blood cells?
How does P.falciparum infect the body during its lifecycle in red blood cells?
What is one serious complication associated with P.falciparum infection?
What is one serious complication associated with P.falciparum infection?
What process occurs in the Anopheles mosquito after infected red blood cells undergo fertilization?
What process occurs in the Anopheles mosquito after infected red blood cells undergo fertilization?
What signals the gametes to emerge from infected red blood cells in the mosquito?
What signals the gametes to emerge from infected red blood cells in the mosquito?
Where do sporozoites travel after being released in the mosquito's stomach?
Where do sporozoites travel after being released in the mosquito's stomach?
What are the primary targets of P.falciparum in the human body?
What are the primary targets of P.falciparum in the human body?
Flashcards
Plague Infection
Plague Infection
A disease caused by bacteria multiplying within macrophages, leading to lymph node necrosis and potential septicemia or pneumonia.
Bubonic Plague
Bubonic Plague
A form of plague characterized by swollen and painful lymph nodes (buboes) caused by bacterial infection.
Septicemic Plague
Septicemic Plague
A severe form of plague, in which the bacteria spread systemically, leading to high fever and potentially fatal complications.
Pneumonic Plague
Pneumonic Plague
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Lymph Node Necrosis
Lymph Node Necrosis
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Treatment for Plague
Treatment for Plague
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Lyme Disease
Lyme Disease
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Erythema Migrans
Erythema Migrans
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Dengue Virus Infection
Dengue Virus Infection
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Secondary Dengue Infection
Secondary Dengue Infection
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Antibody Enhancement
Antibody Enhancement
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Macrophages and Dendritic Cells (DCs)
Macrophages and Dendritic Cells (DCs)
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Cytokine Storm
Cytokine Storm
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Arbovirus
Arbovirus
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Yellow Fever
Yellow Fever
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Panama Canal Construction
Panama Canal Construction
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Indentured servants' vulnerability
Indentured servants' vulnerability
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Slave immunity to yellow fever
Slave immunity to yellow fever
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Yellow Fever Vaccine
Yellow Fever Vaccine
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Malaria symptoms
Malaria symptoms
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Malaria infectious agent
Malaria infectious agent
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Malaria mosquito vector
Malaria mosquito vector
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Malaria geographical range
Malaria geographical range
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Malaria elimination
Malaria elimination
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Sporozoite infection
Sporozoite infection
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Liver trophozoite
Liver trophozoite
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Merozoite invasion
Merozoite invasion
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Red blood cell infection
Red blood cell infection
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Massive rupture
Massive rupture
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Immune Response
Immune Response
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Red blood cell re-invasion
Red blood cell re-invasion
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Periodic fever
Periodic fever
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Relapsing Malaria
Relapsing Malaria
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P. vivax Hibernation
P. vivax Hibernation
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P. falciparum Sticky Knobs
P. falciparum Sticky Knobs
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P. falciparum Ring Stages
P. falciparum Ring Stages
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Cerebral Malaria
Cerebral Malaria
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Placental Malaria
Placental Malaria
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Malaria Gametes
Malaria Gametes
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Mosquito Sporozoites
Mosquito Sporozoites
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Malaria Transmission Cycle
Malaria Transmission Cycle
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Sickle Cell Trait
Sickle Cell Trait
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Sickle Cell Anemia
Sickle Cell Anemia
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Hemoglobin Mutation
Hemoglobin Mutation
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Why Sickle Cell Trait Is Protective
Why Sickle Cell Trait Is Protective
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Malaria Impact
Malaria Impact
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Evolutionary Trade-off
Evolutionary Trade-off
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How Evolution Shapes Our Genes
How Evolution Shapes Our Genes
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Study Notes
Cardiovascular System
- Circulates blood and lymph fluids
- Normally sterile (free of microorganisms)
- Infections can become systemic
- Worst cases include cytokine storms, sepsis, and life-threatening tissue damage
- Blood and lymph are immune defense sites
Key Organs
- Lymph nodes: Concentrates immune cells to test for invaders
- Spleen: Removes debris from blood (using many macrophages) and acts as a lymph node for blood
- Liver: Detoxifies blood and acts as a lymph node for blood
How Infections Reach the Blood System
- Breaches of mucosal membranes (e.g., TB, UTI, STI, wounds)
- Medical device transmission (e.g., shared needles)
- Accidental infections
- Infections that require systemic spread through blood/lymph to complete their cycle
- Infections need regular access to blood/lymph and a plan to reach other hosts
- These are viral, bacterial, and parasitic infections
Special Group - Blood-Sucking Arthropods
- Injected into blood or lymph; built-in ways to re-infect
- Zoonotic infections (carried by animals transmitted to humans by bites)
- Others can survive in the host and transmit from person to person
- Have a close relationship with both the arthropod (vector) and human (host).
- Example: Fleas are ectoparasites, living on animals and regularly consuming blood. Different fleas have preferences (e.g., cat fleas, dog fleas, and others)
Rat Fleas and the Black Death
- Plague is a disease transmitted by the rat flea and Yersinia pestis
- Affects rodents and humans
- Plague spreads through rat populations and fleas
- Causes fleas to carry whatever they can get from dead rats to infect new hosts
Pathogenesis
- Proteases break down fibrin clots
- Multiplies within macrophages (need iron)
- Injects toxins into cells to disrupt cytoskeleton and prevent phagosome development
- Blocks cytokine production
- Necrosis in lymph nodes leads to septicemia and shock
Disease Progression
- Regurgitation and scratching from bite wound spreads to lymph nodes
- Enlarged and tender lymph nodes (called buboes)
- Infection spreads to blood stream
- Can cause systemic infection, high fever, and diffuse bleeding into skin.
- Can infect lungs and cause a potentially fatal form of pneumonic plague (spread through aerosols) – no longer requires fleas
Treatment
- Antibiotics immediately
- Prevention via rodent control and flea insecticides
- No widely effective vaccine, but research is underway
Endemic Areas
- Africa, Asia, South America, and some areas in the western United States (ground squirrel populations)
Ticks
- Borrelia burgdorferi (Gram-negative, microaerophilic spirochete)
- Tick-borne infections (commonly infect animals, but humans are incidental hosts)
- Transmission occurs through tick bites, with infection lasting the life of the tick
- Incubation periods are relatively long
- Symptoms start with a localized infection with inflammation that spreads outward as an erythema migrans rash (bull's-eye)
- May cause flu-like symptoms and local lymph node swelling
Disseminated Disease (Long-Term)
- Symptoms appearing with a delay up to 2-10 weeks of initial infection
- Symptoms include dizziness, fainting, facial paralysis, headache, stiff neck, difficulty concentrating, and cardiovascular complications
- Can last up to 6+ months, with joint pain and arthritis being common
- Treatable if caught early, but often goes unnoticed
Mosquitoes
- Primarily feed on nectar but need protein when reproducing
- Can transmit diseases like dengue and malaria
Dengue
- Enveloped, single-stranded RNA virus
- Transmitted by Aedes mosquitoes (like Aedes aegypti and A. albopictus)
- Infect humans and other mammals, but not all species
- Common in urban areas where recycled materials and water collecting can lead to breeding
- Virus multiplies in macrophages and dendritic cells, spreading through blood to infect more cells and tissues.
- Can result in fever, rash, joint and muscle pain, and, in severe cases, hemorrhaging and organ dysfunction.
- Can cause several complications
Reinfection
- Reinfection from a different strain can result in a more severe illness than initial infection
Yellow Fever
- Enveloped, single-stranded RNA virus
- Transmitted by Aedes mosquitoes
- Causes liver infection, resulting in jaundice
- Severe symptoms with high potential for fatality rates
Malaria
- Infect humans and other animals via mosquito bites
- Four varieties are common, including P. vivax and P. falciparum
- Humans are an incidental host, needing very specific types of mosquitoes.
Malaria Life Cycle
- Mosquito injects sporozoites into blood, traveling to liver
- Sporozoites transform into trophozoites and then schizonts. These develop into thousands of merozoites that invade red blood cells
- Host red blood cells rupture, unleashing merozoites that then attack further red blood cells, causing symptoms (every 48-72 hours)
- Other stages in mosquito
- Cycle repeats until controlled
Other Notes
- P. vivax can undergo a dormant phase in the liver
- P. falciparum produces sticky knobs that let them take root in blood vessels
- Malaria causes a cyclical pattern of fever, chills, sweats, weakness, and other symptoms as the red blood cells rupture.
- Treatment generally is antibiotics. There are vaccines for some of these diseases.
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