Class 22 Cardiovascular System and Infections

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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?

  • 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?

  • 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?

<p>Feeding stages of infected ticks. (B)</p> Signup and view all the answers

Which of the following is a characteristic symptom of the disease caused by Borrelia burgdorferi?

<p>Bull's eye rash. (A)</p> Signup and view all the answers

What is the primary recommended treatment for infections caused by Yersinia pestis?

<p>Antibiotics administered promptly. (A)</p> Signup and view all the answers

Where is Yersinia pestis endemic?

<p>Africa, Asia, South America, and parts of the United States. (C)</p> Signup and view all the answers

What is a potential complication in untreated pneumonic plague cases?

<p>Coughing up blood. (B)</p> Signup and view all the answers

What is the first location that a sporozoite travels to after being injected into the human bloodstream by a mosquito?

<p>Liver (D)</p> Signup and view all the answers

How long does a sporozoite remain in the bloodstream before it disappears?

<p>30 minutes (A)</p> Signup and view all the answers

What does a sporozoite transform into after entering liver cells?

<p>Trophozoite (C)</p> Signup and view all the answers

What is the primary role of infected dendritic cells during a viral infection?

<p>To take antigens to lymph nodes (A)</p> Signup and view all the answers

What immediate action occurs when infected red blood cells rupture?

<p>Release of merozoites (C)</p> Signup and view all the answers

What condition can result from a severe response of the immune system to a second infection with a different strain of dengue?

<p>Bone break fever (B)</p> Signup and view all the answers

What triggers the body's systemic inflammation during an infection?

<p>Lysed red cells and parasite debris (C)</p> Signup and view all the answers

Which statement correctly describes the effect of antibodies in the case of a secondary dengue infection?

<p>Antibodies can bind but not inactivate the virus. (D)</p> Signup and view all the answers

How quickly do merozoites invade new red blood cells after escaping from the ruptured cells?

<p>10 minutes (D)</p> Signup and view all the answers

What is one of the historical impacts of yellow fever in the United States?

<p>Impeded the building of the Panama Canal (C)</p> Signup and view all the answers

What is a significant characteristic of red blood cells regarding their nutritional content for parasites?

<p>Limited diet of hemoglobin (A)</p> Signup and view all the answers

What is a characteristic symptom of yellow fever related to liver function?

<p>Decreased liver function leading to jaundice (B)</p> Signup and view all the answers

Why is vaccination against dengue only recommended for individuals who have been previously infected?

<p>Vaccination may worsen the infection in naive individuals. (B)</p> Signup and view all the answers

What happens to the liver cells infected by sporozoites during the lifecycle?

<p>They rupture to release merozoites (C)</p> Signup and view all the answers

What is a main method of transmission for both Dengue and Yellow Fever viruses?

<p>Mosquito bites (B)</p> Signup and view all the answers

What complication can arise from the immune system's cytokine storm during severe dengue infection?

<p>Severe pain in joints and muscles (A), Low blood pressure leading to shock (B)</p> Signup and view all the answers

Why did slaves from Africa not suffer from yellow fever and malaria as much as indentured servants?

<p>They had previous exposure and developed immunity. (B)</p> Signup and view all the answers

What is the primary infectious agent responsible for malaria?

<p>Plasmodium sp. (B)</p> Signup and view all the answers

What are the two most common species of Plasmodium that cause malaria in humans?

<p>Plasmodium vivax and Plasmodium falciparum (D)</p> Signup and view all the answers

What characteristic of malaria symptoms is described in the content?

<p>Fever that alternates with chills and sweating (B)</p> Signup and view all the answers

Which type of mosquito is exclusively required for human malarias?

<p>Anopheles mosquitoes (D)</p> Signup and view all the answers

How can malaria occur outside of tropical regions?

<p>Through a special strain that remains dormant. (A)</p> Signup and view all the answers

How was malaria eliminated in areas where it was once endemic?

<p>By controlling and eliminating the mosquito vector. (C)</p> Signup and view all the answers

What is indicated by the term 'Ague' in relation to malaria symptoms?

<p>A period of extreme shivering and cold. (A)</p> Signup and view all the answers

What must occur after a human is bitten by an infected anopheles mosquito for the malaria cycle to continue?

<p>The mosquito must survive for at least two weeks. (D)</p> Signup and view all the answers

Which mutation is highlighted as a notable genetic adaptation against malaria?

<p>Sickle Cell (A)</p> Signup and view all the answers

What happens to hemoglobin in red blood cells of individuals with homozygous sickle cell trait at low oxygen levels?

<p>It crystallizes and distorts the red blood cells. (D)</p> Signup and view all the answers

What is the outcome for children who are homozygous for sickle Hb without medical intervention?

<p>They will die. (C)</p> Signup and view all the answers

How does being heterozygous for sickle cell trait affect an individual's health in relation to malaria?

<p>It offers some degree of protection against malaria. (D)</p> Signup and view all the answers

Why might the prevalence of sickle cell trait persist in malaria-prone regions?

<p>It provides reproductive advantages to carriers. (A)</p> Signup and view all the answers

In the genetic cross of two parents with sickle cell traits, what percentage of children will likely die if both parents are carriers?

<p>25% (A)</p> Signup and view all the answers

What is the significance of the mutation in hemoglobin related to its hydrophobicity?

<p>It increases the tendency for hemoglobin to crystallize. (D)</p> Signup and view all the answers

What is the consequence of red blood cells rupturing simultaneously in infected individuals?

<p>Activation of macrophages targeting debris (B)</p> Signup and view all the answers

What is a unique characteristic of P.vivax that affects its life cycle?

<p>It can lie dormant in the liver and cause relapsing malaria. (C)</p> Signup and view all the answers

How does P.falciparum infect the body during its lifecycle in red blood cells?

<p>By creating sticky knobs that bind to capillary walls (A)</p> Signup and view all the answers

What is one serious complication associated with P.falciparum infection?

<p>Localized inflammation and damage to the fetus (A)</p> Signup and view all the answers

What process occurs in the Anopheles mosquito after infected red blood cells undergo fertilization?

<p>Zygotes develop and move to the salivary glands (D)</p> Signup and view all the answers

What signals the gametes to emerge from infected red blood cells in the mosquito?

<p>A change in environmental temperature (A)</p> Signup and view all the answers

Where do sporozoites travel after being released in the mosquito's stomach?

<p>To the salivary glands for transmission (A)</p> Signup and view all the answers

What are the primary targets of P.falciparum in the human body?

<p>Brain capillaries and placenta (B)</p> Signup and view all the answers

Flashcards

Plague Infection

A disease caused by bacteria multiplying within macrophages, leading to lymph node necrosis and potential septicemia or pneumonia.

Bubonic Plague

A form of plague characterized by swollen and painful lymph nodes (buboes) caused by bacterial infection.

Septicemic Plague

A severe form of plague, in which the bacteria spread systemically, leading to high fever and potentially fatal complications.

Pneumonic Plague

A form of plague that primarily affects the lungs, potentially spreading through airborne transmission.

Signup and view all the flashcards

Lymph Node Necrosis

The death of cells within lymph nodes, often associated with the spread of infection and eventually leading to blood infection (septicemia).

Signup and view all the flashcards

Treatment for Plague

Prompt administration of antibiotics is crucial. Prevention measures like rodent control and flea treatment are important.

Signup and view all the flashcards

Lyme Disease

Inflammation and swelling from a bacteria transmitted by a tick bite. Leading to bullseye rash, flu like symptoms and potentially local lymph node swelling.

Signup and view all the flashcards

Erythema Migrans

A characteristic skin rash that appears as a bullseye on the affected area, resulting from the spreading inflammation from the bite site in Lyme Disease.

Signup and view all the flashcards

Dengue Virus Infection

Infection caused by the Dengue virus, a ssRNA virus spread by mosquitoes.

Signup and view all the flashcards

Secondary Dengue Infection

A subsequent infection with a different Dengue strain, more severe than the primary infection.

Signup and view all the flashcards

Antibody Enhancement

Antibodies bind to new Dengue strains but don't neutralize them; instead, they increase infection severity.

Signup and view all the flashcards

Macrophages and Dendritic Cells (DCs)

Cells of the immune system infected & recruited by Dengue virus, leading to body-wide spread.

Signup and view all the flashcards

Cytokine Storm

Harmful overreaction of the immune system, leading to severe symptoms.

Signup and view all the flashcards

Arbovirus

Virus transmitted by arthropods (like mosquitoes).

Signup and view all the flashcards

Yellow Fever

Arbovirus leading to liver damage and significant clotting issues, often fatal.

Signup and view all the flashcards

Panama Canal Construction

Yellow fever & malaria hampered construction of the Panama Canal.

Signup and view all the flashcards

Indentured servants' vulnerability

Indentured servants, a source of cheap labor, often died from diseases like yellow fever and malaria, due to their lack of immunity.

Signup and view all the flashcards

Slave immunity to yellow fever

Africans had developed immunity to diseases like yellow fever from exposure in Africa.

Signup and view all the flashcards

Yellow Fever Vaccine

A vaccine using an attenuated (weakened) strain of yellow fever (17D) provides lifelong immunity.

Signup and view all the flashcards

Malaria symptoms

Malaria causes cyclical fevers (high and low), shivering, and sweating as the body fights the infection.

Signup and view all the flashcards

Malaria infectious agent

Malaria is caused by Plasmodium species, parasites infecting various animal species (including humans).

Signup and view all the flashcards

Malaria mosquito vector

Different Plasmodium species require different mosquito species for transmission (e.g., Anopheles for human malaria).

Signup and view all the flashcards

Malaria geographical range

Malaria can occur anywhere with appropriate mosquito vectors, even in unexpected locations like parts of Asia and formerly in the US and Europe.

Signup and view all the flashcards

Malaria elimination

Malaria can be eliminated by controlling mosquito vectors long enough to break the transmission cycle.

Signup and view all the flashcards

Sporozoite infection

Mosquito injects sporozoites into bloodstream; they travel to the liver, disappearing quickly, avoiding immune response.

Signup and view all the flashcards

Liver trophozoite

Sporozoites transform to trophozoites in liver cells; divide into merozoites within a schizont (a large structure).

Signup and view all the flashcards

Merozoite invasion

Infected liver cells rupture, releasing merozoites into bloodstream that invade red blood cells; disappear quickly, avoiding immune response.

Signup and view all the flashcards

Red blood cell infection

Merozoites invade red blood cells; convert to ring stage, trophozoite, & schizont, with limited merozoite reproduction; limited diet (mostly hemoglobin).

Signup and view all the flashcards

Massive rupture

Infected red blood cells simultaneously rupture, releasing merozoites into blood, triggering systemic inflammatory response (body reaction).

Signup and view all the flashcards

Immune Response

Body responds to massive invasion with systemic inflammation to deal with the debris from destroyed cells.

Signup and view all the flashcards

Red blood cell re-invasion

Merozoites reappear in the bloodstream and quickly invade new red blood cells, repeating the cycle.

Signup and view all the flashcards

Periodic fever

Cyclic fevers occurring due to synchronous parasite release and cell lysis.

Signup and view all the flashcards

Relapsing Malaria

A recurring malaria infection caused by P. vivax parasites entering a dormant stage in the liver, leading to multiple infections without mosquito bites.

Signup and view all the flashcards

P. vivax Hibernation

The ability of P. vivax parasites to remain dormant in the liver for extended periods, causing relapsing malaria.

Signup and view all the flashcards

P. falciparum Sticky Knobs

Projections on the surface of P. falciparum parasites that allow them to stick to the walls of blood vessels, preventing them from being removed by the spleen.

Signup and view all the flashcards

P. falciparum Ring Stages

The only stage of P. falciparum parasites visible in the blood, where they appear as small rings.

Signup and view all the flashcards

Cerebral Malaria

A severe complication of P. falciparum malaria where parasites clog brain capillaries, leading to inflammation, damage, and potentially fatal consequences.

Signup and view all the flashcards

Placental Malaria

An infection of the placenta caused by P. falciparum parasites that can lead to inflammation, damage, and complications for the fetus.

Signup and view all the flashcards

Malaria Gametes

Male and female reproductive forms of malaria parasites that develop within red blood cells, awaiting transmission to a mosquito.

Signup and view all the flashcards

Mosquito Sporozoites

Infective forms of malaria parasites that develop in the mosquito and are injected into a new host when the mosquito bites.

Signup and view all the flashcards

Malaria Transmission Cycle

The complex cycle of malaria infection involving an infected human, anopheles mosquito, and a susceptible human host. It requires a mosquito to bite an infected person, develop the parasite, and then bite another human.

Signup and view all the flashcards

Sickle Cell Trait

A genetic condition where an individual inherits one copy of the normal hemoglobin gene and one copy of the sickle cell gene, resulting in partial protection against malaria but without severe sickle cell disease.

Signup and view all the flashcards

Sickle Cell Anemia

A genetic disorder caused by inheriting two copies of the sickle cell gene, leading to abnormal hemoglobin, red blood cell distortion, and severe health complications.

Signup and view all the flashcards

Hemoglobin Mutation

A change in the amino acid sequence of hemoglobin, often leading to altered function or stability.

Signup and view all the flashcards

Why Sickle Cell Trait Is Protective

Individuals with sickle cell trait have some sickle-shaped red blood cells, which are less hospitable to the malaria parasite, reducing its ability to multiply and spread within the body.

Signup and view all the flashcards

Malaria Impact

The impact of malaria is immense, causing widespread disease, contributing to infant mortality, and impacting socioeconomic development.

Signup and view all the flashcards

Evolutionary Trade-off

The sickle cell trait is an example of an evolutionary trade-off, where a potentially harmful mutation (sickle cell anemia) provides a survival advantage in a malaria-prone environment.

Signup and view all the flashcards

How Evolution Shapes Our Genes

The prevalence of the sickle cell trait in malaria-prone regions is evidence of how natural selection shapes human genetics to adapt to environmental pressures.

Signup and view all the flashcards

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.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Vector-Borne Diseases PDF

More Like This

Cardiovascular System and Blood Types Quiz
60 questions
Human Biology Unit 2 Quiz
41 questions

Human Biology Unit 2 Quiz

UndamagedSynecdoche5800 avatar
UndamagedSynecdoche5800
Use Quizgecko on...
Browser
Browser