Infectious Diseases Overview

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Questions and Answers

What is a consequence of HIV infection in the thymus?

  • Failure to regenerate more T cells (correct)
  • Heightened T cell function
  • Increased T cell regeneration
  • Decreased production of B cells

Which organism is NOT a common secondary infection associated with a weakened immune system due to HIV?

  • Escherichia coli (correct)
  • Mycobacterium tuberculosis
  • Cryptococcus neoformans
  • Cytomegalovirus

What is one mechanism of pathogenicity that can lead to disease?

  • Producing antibodies
  • Facilitating T cell proliferation
  • Inhibiting microbial clearance
  • Direct invasion of host cells (correct)

Which step is NOT part of the infection process discussed?

<p>Initiating T cell activation (A)</p> Signup and view all the answers

How does chronic inflammatory response affect T cells?

<p>Reduces T cell function (D)</p> Signup and view all the answers

What is the primary route of transmission for rhinoviruses causing the common cold?

<p>Inhalation of airborne droplets (A)</p> Signup and view all the answers

What is a key characteristic of the Bacillus anthracis organism?

<p>It forms endospores. (C)</p> Signup and view all the answers

Which anthrax type has the highest fatality rate if untreated?

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

What is a common symptom of cutaneous anthrax?

<p>Typical black eschar (B)</p> Signup and view all the answers

What is the mode of infection for gastrointestinal anthrax?

<p>Ingestion of infected meat (B)</p> Signup and view all the answers

What factor contributes to the pathogenicity of Bacillus anthracis?

<p>Presence of a polysaccharide capsule (A)</p> Signup and view all the answers

What is the typical onset period for inhalation anthrax?

<p>1 week to 2 months (C)</p> Signup and view all the answers

What symptom is associated with injection contracted anthrax?

<p>Swelling at the injection site (A)</p> Signup and view all the answers

What prevents vegetative bacteria cells from being destroyed by the immune system?

<p>The capsule of the bacteria (C)</p> Signup and view all the answers

Which toxin is responsible for hyperinflammation via MAPKK?

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

What are some common signs of influenza syndrome?

<p>Fever and muscle aches (C)</p> Signup and view all the answers

Which microorganism is NOT associated with upper respiratory tract infections?

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

What characterizes infectious diseases?

<p>Signs, symptoms, and pathology (B)</p> Signup and view all the answers

What is the genetic material of the influenza virus?

<p>Segmented negative sense single-stranded RNA (D)</p> Signup and view all the answers

Which of these is a route of transmission for respiratory tract infections?

<p>Inhalation of air droplets (D)</p> Signup and view all the answers

What does the term 'influenza' derive from?

<p>The Italian word for influence (C)</p> Signup and view all the answers

Which type of inflammatory reaction is typically associated with mycobacterial infections such as leprosy?

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

Which stain is specifically used for identifying Histoplasma in tissue samples?

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

What type of antibody would be used to identify Treponema pallidum in gastric syphilis?

<p>Anti-Treponema antibody (C)</p> Signup and view all the answers

Which method is NOT typically used for identifying microorganisms in tissue samples?

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

What type of samples are typically analyzed using PCR for identifying microbial infections?

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

Which infectious disease has been associated with the development of resistance to antimicrobial drugs as an emerging disease?

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

Which type of tissue stain would you use for visually identifying Cryptococcus in a biopsy sample?

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

What is one limitation of immunohistochemistry in identifying microorganisms in tissue samples?

<p>Limited availability of specific antibodies (C)</p> Signup and view all the answers

What is the primary purpose of determining the cause of an infectious disease?

<p>Diagnosis, treatment, prognosis, and prevention (B)</p> Signup and view all the answers

Which of the following is NOT classified as a causative agent of infectious disease?

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

What type of transmission involves inhalation of air droplets containing microorganisms?

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

Which of these routes of transmission is associated with eating contaminated food?

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

Which infectious agent is specifically non-cellular?

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

What characteristic distinguishes fungi as a type of infectious agent?

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

Which of the following microbe types has not yet been identified as an infectious agent?

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

Which organism type is typically a vector for transmitting infectious agents?

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

What is the incubation period in the phases of infectious disease?

<p>The time between infection and the appearance of signs and symptoms (B)</p> Signup and view all the answers

Which characteristic describes chronic diseases?

<p>They are usually asymptomatic for long periods (A)</p> Signup and view all the answers

How does a systemic disease differ from a local disease?

<p>Systemic diseases affect multiple body sites (A)</p> Signup and view all the answers

What typically characterizes the decline phase of an infectious disease?

<p>Subside of symptoms as recovery begins (D)</p> Signup and view all the answers

What type of disease is characterized by no symptoms between outbreaks and illness?

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

Which is true of a primary infection?

<p>It is the initial infection in a previously healthy person (C)</p> Signup and view all the answers

When does the recovery phase of an infectious disease occur?

<p>When symptoms have disappeared and the body regains strength (D)</p> Signup and view all the answers

What is an example of an acute disease?

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

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Flashcards

Infectious Disease

A disease caused by a contagious agent that transmits and causes an infection. It affects tissues and cells, leading to pathological effects.

Infectious Disease Etiology

The scientific study of infectious disease, including its causes, transmission, prevention, and treatment.

Microorganisms or Microbes

Tiny organisms that can cause infectious diseases, such as bacteria, viruses, fungi, and protozoa.

Transmission of Infectious Agents

The process by which an infectious agent moves from one host to another.

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Aerosol Transmission

The inhalation of air droplets containing microorganisms, which can cause respiratory infections.

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Oral Transmission

The ingestion of contaminated food or water, which can cause food poisoning or other intestinal infections.

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Direct Contact Transmission

Direct contact with an infected individual's tissues or bodily fluids, which can cause skin infections, STIs, or other diseases.

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Fomite Transmission

Transmission through contaminated inanimate objects, such as doorknobs, medical equipment, or shared toys.

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Bacterial Capsule: Defense Mechanism

A bacterial capsule is a protective layer around the cell that prevents phagocytosis by the immune system.

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Edema Toxin

The toxin produced by Bacillus anthracis that increases intracellular cyclic AMP levels, leading to edema and potential cell death.

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Lethal Toxin

A toxin released by Bacillus anthracis that activates a signaling pathway leading to excessive inflammation.

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Septicemia

A serious bacterial infection characterized by the presence of a high number of bacteria in the bloodstream.

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Signs of Infectious Disease

Observable signs of an infectious disease, such as fever, coughing, or vomiting.

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Symptoms of Infectious Disease

Symptoms are subjective experiences of an illness, such as pain, nausea, or fatigue.

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Anthrax

A bacterial infection caused by Bacillus anthracis, which can be spread through contact with infected animals, contaminated soil, or contaminated products. It can manifest in different forms: Cutaneous anthrax, Gastrointestinal anthrax, Inhalation anthrax and Injection anthrax.

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Cutaneous Anthrax

A form of anthrax that is caused by contamination of a wound with spores from the environment or contaminated animal products.

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Inhalation Anthrax

Anthrax acquired by inhaling spores from contaminated animal products. It is the most dangerous form, with a high fatality rate.

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Gastrointestinal Anthrax

Anthrax contracted through ingestion of spores from contaminated meat.

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Injection Anthrax

Anthrax that is acquired through contaminated needles or injections.

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Anthrax toxin

A toxin produced by Bacillus anthracis, contributing to the development of anthrax.

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Bacillus anthracis Spores

A protective outer shell formed by Bacillus anthracis, which allows it to survive in harsh environments.

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Bacillus anthracis Spore Germination

The process by which Bacillus anthracis spores germinate within the host's body, resulting in the bacteria multiplying and spreading.

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Incubation Period

The time period between an individual's exposure to an infectious agent and the onset of the first symptoms.

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Prodromal Phase

Characterized by mild, non-specific symptoms that signal the beginning of a disease. They appear just before the distinct, more severe symptoms of the clinical phase.

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Clinical Phase

A period when a person shows typical signs and symptoms of a specific disease. It's the most obvious phase of illness.

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Decline Phase

The phase where the severity of symptoms starts to decline, marking a shift toward recovery and symptom relief.

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Recovery Phase

Final phase of recovery where symptoms have completely disappeared. Injured tissues heal, and the body regains strength.

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Acute Disease

A disease that develops rapidly and progresses quickly. Symptoms appear suddenly and intensely.

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Chronic Disease

A disease that develops slowly and may not be severe but lasts for a long time.

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Latent Disease

A disease that is characterized by periods of no symptoms between outbreaks of illness. The infectious agent remains inactive in the body.

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Purulent Inflammation

A type of inflammation characterized by the presence of pus, which is a thick, yellowish fluid containing dead white blood cells and bacteria.

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Granulomatous Inflammation

A type of inflammation characterized by the formation of granulomas, which are small, round collections of immune cells that wall off the infection.

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Fibrinous Inflammation

A type of inflammation characterized by the presence of fibrin, a protein that helps to form blood clots.

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Lymphocytic Inflammation

A type of inflammation characterized by the presence of lymphocytes, a type of white blood cell that helps to fight infection.

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Immunohistochemistry

A diagnostic technique that uses antibodies to detect specific microorganisms in tissue samples.

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In Situ Hybridization (ISH)

A diagnostic technique that uses nucleic acid probes to detect specific microorganisms in tissue samples.

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Electron Microscopy (EM)

A diagnostic technique that uses high-powered microscopy to visualize the ultrastructure of microorganisms and infected tissues.

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Molecular Biology (PCR)

A diagnostic technique that uses polymerase chain reaction (PCR) to amplify and detect specific microbial DNA in tissue samples.

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How HIV Impacts the Immune System

HIV infection affects the body's immune system by directly targeting and destroying CD4+ T cells, primarily in the gut mucosa, thymus, and secondary lymph nodes. This depletion of T cells weakens the immune response, making the body susceptible to opportunistic infections.

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Opportunistic Infections

Opportunistic infections are caused by microbes that normally wouldn't cause harm in a healthy individual but can thrive in a person with a weakened immune system. Common examples include Mycobacterium tuberculosis, Toxoplasma gondii, and Cryptococcus neoformans.

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Pathogenesis of Infectious Diseases

The pathogenesis of infectious diseases encompasses how infectious agents cause disease. This involves mechanisms of pathogenicity, such as toxin production (e.g., by bacteria), direct cell destruction (e.g., by viruses), or triggering immune responses that lead to disease signs and symptoms.

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Steps of Infection

Infectious agents follow a series of steps to cause disease: entry and attachment to the body, colonization, local or general spread, invasion of tissues and cells, replication, evasion of the immune response, and exit to transmit to new hosts.

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Immune Response in Infection

The body's immune response can play a complex role in infectious disease. While it can be crucial for fighting off pathogens, sometimes the immune response itself can contribute to tissue damage and disease symptoms, such as fever, sneezing, and inflammation.

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Study Notes

Infectious Diseases

  • Infectious diseases are caused by contagious agents that can transmit infection and cause pathological effects in tissues and cells.
  • Determining the cause is crucial for diagnosis, treatment, prognosis, and prevention.
  • Infectious diseases are often easily transmitted, especially through air and water.
  • Causative agents are microscopic organisms (microbes).
  • Transmission routes include aerosol, oral, direct contact, fomite, vector-borne, and zoonotic.

Etiological Agents

  • Bacteria (prokaryotes)
  • Viruses (non-cellular)
  • Fungi (eukaryotes)
  • Protozoa (eukaryotes)
  • Prions (proteins, non-cellular)
  • Helminths (non-microbial, eukaryotes)
  • Arthropods (non-microbial, eukaryotes)
  • Archaea (no known infectious agents, but possible role in periodontal disease)

Bacillus anthracis

  • Gram-positive bacilli forming endospores. Found in the environment.
  • Causes cutaneous, gastrointestinal, inhalation, and injection anthrax.
  • Cutaneous anthrax (most common, 95%): wound contamination from spores.
  • Gastrointestinal anthrax: ingestion of spores.
  • Inhalation anthrax: inhalation of spores.
  • Injection anthrax: needles contaminated with soil or material (swelling, nausea, vomiting).
  • Welders' anthrax: B. cereus group creating anthrax toxin (pneumonia-like symptoms).
  • Pathogenesis involves spore germination, phagocytosis, lymph spread, and prevention of phagocytosis by a capsule.
  • Toxins include edema toxin, lethal factors, and protective antigen.
  • May cause septicemia, brain, and meningeal infection or pulmonary blockage.

Transmission Routes and Airborne Pathogens

  • Many microorganisms can spread by inhaling airborne droplets.
  • Upper respiratory tract pathogens: Staphylococcus aureus, Neisseria meningitidis, Streptococcus pyogenes, Corynebacterium diphtheriae, Haemophilus influenzae, common cold virus.
  • Lower respiratory tract pathogens: Influenza virus, Mycobacterium tuberculosis, Coccidioides immitis, Bordetella pertussis, Streptococcus pneumoniae, pneumonia viruses, Coxiella burnetii, Chlamydophila pneumoniae.

Characteristics of Infectious Diseases

  • Signs: observable effects (fever, cough, vomiting).
  • Symptoms: subjective experiences (pain, nausea).
  • Influenza syndrome: caused by influenza virus.
  • Influenza virus genome: segmented negative-sense single-stranded RNA (ssRNA) with pleomorphic nucleocapsid.

Phases of Infectious Diseases

  • Incubation period: time between infection and symptoms.
  • Prodromal phase: mild, non-specific symptoms.
  • Clinical phase: typical signs and symptoms appear.
  • Decline phase: symptoms subside.
  • Recovery phase: symptoms disappear, tissues heal.

Types of Infectious Diseases by Duration, Location, and Timing

  • Acute diseases: develop and progress quickly (e.g., Ebola).
  • Chronic diseases: develop slowly and last longer (e.g., HPV).
  • Latent diseases: no symptoms between outbreaks and illness (e.g., HSV).
  • Local diseases: confined to a specific area (e.g., ringworm).
  • Systemic diseases: infect multiple body sites and tissues.
  • Primary infections: initial infection in a healthy person.
  • Secondary infections: infections resulting from a weakened immune system. (e.g., HIV)

Pathogenesis of Infectious Diseases

  • Mechanisms: production of toxins and enzymes, direct invasion, triggering immune responses.
  • Steps in infection: entry, attachment, colonization, spread, replication, evasion of immune response, exit.

Immune Response and Pathology

  • Immune responses can contribute to disease pathology by blocking, deactivating, and clearing the pathogen.
  • Some pathological effects result from more than one agent.
  • Common shared pathologies: respiratory infections, bloodstream infections, encephalitis, meningitis, endocarditis, gastrointestinal diseases, and skin & soft tissue infections.

Skin and Soft Tissue Infections

  • Localizations: epidermis (impetigo), dermis (erysipelas), hair follicles (folliculitis, boils, carbuncles), subcutaneous fat (cellulitis), fascia (necrotizing fasciitis), muscle (gangrene).
  • Causative agents: Streptococcus pyogenes, Staphylococcus aureus, anaerobes, Clostridium perfringens.
  • Viral examples: Papilloma, HSV, VZV.

Skin Manifestations by Systemic Infections and Diagnosis Methods

  • Skin signs can indicate systemic infections.
  • Diagnosis methods: microscopy (e.g., Ziehl-Neelson, Gomori Grocott), immunohistochemistry (antibodies for pathogens) and molecular biology techniques like PCR and ISH.

Emerging Infectious Diseases

  • Emerging diseases are those newly appearing or rapidly increasing in incidence.
  • Factors include antimicrobial resistance, spread to new hosts, ineffective preventative measures, and unknown agents.

Enteric Fever (caused by S. Typhi)

  • Gram-negative bacteria.
  • Human-specific.
  • Symptoms include high fever, headache, nausea, abdominal pain, constipation, and diarrhea.
  • S. Typhi uses Vi capsule for attachment employing N-acetylneuraminic acid (Neu5Ac) sialoglycans.

Infectious Disease Management

  • Treatment: antibiotics (bacteria), antiviral drugs (viruses), antifungal drugs (fungi).
  • Prevention: vaccines, good hygiene, vector control, isolation/quarantine.
  • Diagnosis: clinical presentation, laboratory tests.

Epidemiology

  • Epidemiology is the study of disease occurrence in populations.
  • Four branches: disease etiology, outbreak investigation, disease screening/surveillance, and clinical trials (treatments or effects).

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