Infections of the Stomach

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Questions and Answers

What type of bacteria is Helicobacter pylori?

  • Gram-positive cocci
  • Rod-shaped, gram-stain-variable
  • Straight, filamentous, gram-negative
  • Curved, spiral-shaped, gram-negative bacilli (correct)

How is Helicobacter pylori primarily transmitted?

  • Blood transfusion
  • Oral-oral or fecal-oral routes (correct)
  • Airborne droplets
  • Direct skin contact

What is the role of urease secreted by Helicobacter pylori?

  • To cause inflammation of the stomach lining
  • To neutralize stomach acid with alkaline ammonia (correct)
  • To enhance adhesion to the stomach lining
  • To degrade peptic ulcers directly

Which blood type has a higher incidence of ulcers caused by Helicobacter pylori?

<p>O blood type (D)</p> Signup and view all the answers

What percentage of stomach and duodenal ulcers is Helicobacter pylori implicated in?

<p>90% (D)</p> Signup and view all the answers

What was the prevailing belief about the causes of ulcers before the discovery of Helicobacter pylori?

<p>Spicy foods and stress (D)</p> Signup and view all the answers

Which researcher famously tested the hypothesis that Helicobacter pylori causes gastritis?

<p>Barry Marshall (A)</p> Signup and view all the answers

What is the significance of Barry Marshall and Robin Warren's work?

<p>They won the Nobel Prize for discovering Helicobacter pylori's role in ulcers. (A)</p> Signup and view all the answers

What happens to the stomach epithelium as a result of the immune response to Helicobacter pylori?

<p>It experiences inflammation and erosion. (A)</p> Signup and view all the answers

What characteristic feature helps Helicobacter pylori to thrive in the acidic environment of the stomach?

<p>Secretion of alkaline substances (D)</p> Signup and view all the answers

Helicobacter pylori can thrive in the stomach due to its ability to secrete amylase, which neutralizes stomach acid.

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

Helicobacter pylori is exclusively transmitted through infected drinking water.

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

The presence of Helicobacter pylori is linked to a higher incidence of gastric ulcers in people with O blood type.

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

Approximately two-thirds of the world’s population is currently infected with Helicobacter pylori.

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

Barry Marshall drank a broth culture of Helicobacter pylori to demonstrate that it causes ulcers.

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

Before the discovery of Helicobacter pylori, it was believed that viruses were the primary causes of stomach ulcers.

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

Helicobacter pylori has a lophotrichous flagellar arrangement, which contributes to its motility.

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

Helicobacter pylori infections are predominantly observed in children under the age of ten.

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

Immune responses to Helicobacter pylori lead to decreased inflammation of the stomach lining.

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

Helicobacter pylori can survive in the acidic environment of the stomach without any protective mechanisms.

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

Flashcards

Helicobacter pylori

A curved, spiral-shaped bacterium that lives in the human stomach, often causing ulcers.

Stomach Ulcers

Open sores in the stomach lining, often linked to Helicobacter pylori infection.

Urease

An enzyme produced by H. pylori that neutralizes stomach acid.

Transmission of H. pylori

Not fully understood, but likely through oral-oral or fecal-oral routes.

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Gastritis

Inflammation of the stomach lining, often caused by an immune response to H. pylori.

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Stomach Acid

The acidic environment of the stomach that can kill many microbes.

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Oral-oral route

Transmission of a pathogen through direct contact between mouths of individuals or through contaminated utensils

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Fecal-oral route

Transmission of disease through contamination of food or water with fecal matter

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Barry Marshall

Australian physician who won the Nobel Prize for proving that Helicobacter pylori causes stomach ulcers by intentionally infecting himself and researching the effects of antibiotics

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Prevalence of H. pylori

High prevalence (approximately two-thirds of the world's population), increasing in older individuals.

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What habitat does H. pylori thrive in?

H. pylori resides in the harsh, acidic environment of the human stomach, where it can cause ulcers.

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What is H. pylori's shape?

H. pylori is a curved, spiral-shaped bacterium.

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How does H. pylori spread?

Though it isn't fully understood, H. pylori is thought to be transmitted through oral-oral or fecal-oral routes.

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H. pylori's secret weapon?

H. pylori secretes urease, an enzyme that breaks down urea into ammonia, neutralizing stomach acid.

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H. pylori's favorite target?

H. pylori binds to a specific receptor on stomach cells, same receptor used for blood type O.

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Who proved H. pylori causes ulcers?

Barry Marshall, a physician, drank a broth culture of H. pylori to demonstrate its effect and later cured himself.

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Why is H. pylori so prevalent?

Approximately two-thirds of the world's population is infected with H. pylori, especially in older adults.

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What is gastritis?

Gastritis is inflammation of the stomach lining caused by the immune response to H. pylori.

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Study Notes

Helicobacter pylori: A Stomach Pathogen

  • Description: A curved, spiral-shaped, gram-negative bacilli bacterium with a lophotrichous flagellar arrangement.

  • Habitat: Resides in the harsh acidic environment of the human stomach.

  • Reservoir: Humans are the only known reservoir.

  • Transmission: Spread through oral-oral or fecal-oral routes (mechanism still poorly understood).

  • Prevalence: Approximately two-thirds of the world's population is infected. Infections are more common in older adults (over 60 years old) than younger adults.

  • Pathogenesis:

    • Highly motile, rapidly bores into stomach epithelium.
    • Binds to specific receptors, including an O blood type RBC receptor.
    • Secretes urease to hydrolyze urea, producing neutralizing ammonia cloud, protecting from stomach acid.
  • Role in Stomach Ulcers: Implicated in 90% of stomach and duodenal ulcers. Spicy food and stress worsen but don't cause ulcers.

  • Historical Significance:

    • Barry Marshall famously drank a culture to demonstrate its role in causing ulcers.
    • This discovery was initially highly contested but ultimately won a Nobel Prize for Marshall and Robin Warren.
  • Inflammation and Cancer: Triggering gastritis (inflammation) and subsequent white blood cell infiltration can cause deeper ulceration and potentially contribute to stomach cancer.

  • Treatment:

    • Antibiotics are the current best treatment.
    • Avoiding spicy foods or any food that aggravates the condition can help control symptoms.
    • Over-the-counter remedies like Pepto-Bismol can relieve symptoms.

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