Infectious Diseases Overview
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Questions and Answers

What is the primary lesion associated with the Ghon focus in tuberculosis?

  • Consolidation in the subpleural area (correct)
  • Destruction of bronchi
  • Cavitation of lung tissue
  • Systemic dissemination of bacilli

Which of the following describes a sequelae of the Ghon complex?

  • Pulmonary miliary TB
  • Healing by fibrosis (correct)
  • Localized caseating lesions
  • Pleural effusion

What is the result of reactivation of latent TB due to immune compromise?

  • Miliary pulmonary TB
  • Simon focus formation
  • Progressive primary TB (correct)
  • Extrapulmonary TB

Which condition is associated with the Simon focus in secondary tuberculosis?

<p>Cavitative lesions in the apical pleura (B)</p> Signup and view all the answers

What complication occurs when progressive secondary TB spreads into adjacent lung tissue?

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

Extrapulmonary tuberculosis can commonly affect which organ or system?

<p>Central nervous system (C)</p> Signup and view all the answers

Which area of the gastrointestinal tract is most commonly affected by extrapulmonary TB?

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

What is the characteristic of miliary pulmonary TB?

<p>Scattered small foci throughout the lungs (D)</p> Signup and view all the answers

What type of infection does C.perfringens primarily cause?

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

Which organism is predominantly responsible for CNS infections in immunocompromised patients?

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

What morphological feature is associated with C.difficile during infection?

<p>Volcano-like mucopurulent exudate (B)</p> Signup and view all the answers

What is the significant entity formed by Candida albicans at 20°C?

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

What type of pneumonia is primarily associated with Pneumocystis jirovecii?

<p>Rapidly progressive bilateral pneumonia (B)</p> Signup and view all the answers

What toxin primarily causes gas gangrene in C.perfringens?

<p>α-toxin (lecithinase) (C)</p> Signup and view all the answers

Which organism is characterized by producing a gelatinous capsule?

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

Which of the following is a common manifestation of invasive Candida albicans infection?

<p>Heart and liver infection (A)</p> Signup and view all the answers

What is a key characteristic associated with the measles virus?

<p>Rash with Koplik spots (B)</p> Signup and view all the answers

What is the primary mechanism by which bacteria and viruses evade the immune system?

<p>Interfere with the formation of MHC (A)</p> Signup and view all the answers

Which of the following is a hallmark sign of mumps infection?

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

What type of inflammation is characterized by pus accumulation and tissue necrosis?

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

What distinguishes the rash of varicella zoster virus (VZV)?

<p>Dewdrops on a rose petal appearance (B)</p> Signup and view all the answers

Which of the following viral diseases is associated with severe respiratory symptoms in infected individuals?

<p>SARS-CoV-2 (C)</p> Signup and view all the answers

What is commonly observed in the tissues during a cytomegalovirus (CMV) infection?

<p>Owl eye inclusions (B)</p> Signup and view all the answers

Which of the following bacteria is known for causing skin infections like boils and impetigo?

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

Which organism is primarily responsible for necrotizing fasciitis?

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

In cases of herpes simplex virus infection, what type of cellular structure is typically seen in infected tissues?

<p>Multinucleated giant cells (C)</p> Signup and view all the answers

What aspect of dengue fever is mainly characterized by its effect on infection?

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

What pathological cell type is indicative of Epstein-Barr virus (EBV) infection?

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

What clinical signs are observed in orchitis due to mumps virus?

<p>Interstitial edema and hemorrhage (C)</p> Signup and view all the answers

Which type of fungi is associated with aflatoxin and an increased risk of liver cancer?

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

What is the main characteristic of the filament structure of Mucor?

<p>NON-SEPTATE filaments (B)</p> Signup and view all the answers

What condition is primarily associated with pulmonary involvement and requires immunocompromised status?

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

Which of the following organisms can cause rhinocerebral mucormycosis?

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

What type of malaria is characterized by high-level parasitemia and can result in cerebral malaria?

<p>P. falciparum (D)</p> Signup and view all the answers

Which form of Mucor is associated with angioinvasion and necrosis of cranial tissues?

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

What is the characteristic angle of branching in Aspergillus species?

<p>45° (D)</p> Signup and view all the answers

Which protozoan can infect all stages of red blood cells (RBCs)?

<p>P. falciparum (C)</p> Signup and view all the answers

What type of immunity is intact in tuberculoid leprosy?

<p>Cell-mediated immunity (A)</p> Signup and view all the answers

Which statement accurately describes the lesions in tertiary syphilis?

<p>Associated with gummas and aortitis (A)</p> Signup and view all the answers

How is the immune response in lepromatous leprosy categorized?

<p>Th2 dominant (C)</p> Signup and view all the answers

What is a common morphological characteristic of Chancre in primary syphilis?

<p>Erosion with indurated borders (B)</p> Signup and view all the answers

What is associated with congenital syphilis affecting the bones?

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

Which organism is responsible for causing leprosy?

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

Which type of leprosy displays many acid-fast bacilli upon histological examination?

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

What is the primary test used for screening syphilis?

<p>Rapid plasma reagin (A)</p> Signup and view all the answers

What is the primary immune response observed in tuberculoid leprosy?

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

In which stage of syphilis do condylomata lata typically appear?

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

Which immune response characteristic is typical in patients with lepromatous leprosy?

<p>Th2 dominant response (B)</p> Signup and view all the answers

How does the morphology of the lesions in secondary syphilis compare to those in primary syphilis?

<p>Fewer inflammatory cells in secondary syphilis (B)</p> Signup and view all the answers

What is the histological finding in Mycobacterium avium intracellulare infection?

<p>Acid-fast bacilli in macrophages (B)</p> Signup and view all the answers

What type of red blood cells does Plasmodium malariae primarily infect?

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

Which of the following is a characteristic of Strongyloides stercoralis?

<p>Filariform larvae can invade the colonic mucosa. (B)</p> Signup and view all the answers

Which tissue is primarily affected by Trichinella spiralis during its invasive phase?

<p>Skeletal muscles with rich blood supply (B)</p> Signup and view all the answers

What is a consequence of Lymphatic filariasis caused by Brugia malayi and Wuchereria bancrofti?

<p>Persistent lymphedema in various body parts (C)</p> Signup and view all the answers

Which of the following best describes the role of hypnozoites in the life cycle of ovale?

<p>They are responsible for relapses upon reactivation. (A)</p> Signup and view all the answers

What serious condition can result from schistosomiasis affecting the liver?

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

What is a characteristic complication associated with lymphatic filariasis?

<p>Hydroceles and thickening of tunica vaginalis (C)</p> Signup and view all the answers

What type of immune response is commonly associated with Trichinella spiralis infections?

<p>Cell-mediated response with eosinophilia (B)</p> Signup and view all the answers

Flashcards

Routes of Microbial Infection

The different ways microbes enter and spread within the body.

Normal Flora

The bacteria naturally residing in the body, often not causing illness.

Immune Evasion

Pathogens' ability to avoid the body's immune system.

Surface Protein Alteration

Pathogens changing their surface proteins to evade the immune system.

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Host Gene Interference

Pathogens interfering with human genetic processes.

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Mimicking the Immune System

Pathogens mimicking or blocking the immune response.

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Suppurative Inflammation

Inflammation with pus-forming neutrophils & debris.

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Granulomatous Inflammation

Inflammation with granuloma formation (e.g., TB).

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Measles Koplik Spots

Characteristic spots in measles patients.

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Warthin-Finkeldey Cells

Giant cells found in measles (pathognomonic).

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Herpes Simplex Inclusions

Pink/purple intranuclear inclusions (Cowdry type A).

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Varicella-Zoster Dewdrops

Rash vesicles in chickenpox and shingles.

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Cytomegalovirus Owl's Eye

Characteristic intranuclear inclusions with a clear halo.

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Staphylococcus Pyogenic

Staph infection causing pus-forming inflammation.

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Primary TB lesion

Initial infection, typically in the lower part of the upper lobe or upper part of the lower lobe, characterized by a Ghon focus (consolidation) and Ghon complex (involvement of pulmonary hilar nodes).

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Ghon complex

The combination of the Ghon focus and the involvement of pulmonary hilar lymph nodes in primary TB.

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Secondary TB

Tuberculosis reactivation in previously infected individuals, often due to immune compromise, leading to apical lesions and fibrosis.

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Progressive Primary TB

Untreated primary TB, characterized by further spread and potential to develop miliary pulmonary TB.

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Miliary Pulmonary TB

Disseminated TB, characterized by small foci of consolidation throughout the lungs.

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Extrapulmonary TB

Tuberculosis affecting organs other than the lungs, such as kidneys, adrenals, bones, CNS, or lymph nodes.

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Simon focus

Lesion in secondary TB, often in the apical pleura.

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Pott disease

TB of the spine, a type of osteo-myelitis.

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Clostridial Cellulitis

A disease caused by C. perfringens bacteria, characterized by tissue necrosis (death) and inflammation.

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Gas Gangrene

A severe form of clostridial infection, marked by myonecrosis (muscle death) and gas bubbles.

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Pseudomembranous Colitis

A condition involving inflammation in the large intestine, often caused by C. difficile toxin.

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Candida albicans

A common fungal pathogen causing superficial infections like oral thrush (mouth) and esophagitis (esophagus).

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Cryptococcus neoformans

A fungus primarily causing central nervous system (CNS) infections, especially in immunocompromised individuals.

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Pneumocystis jirovecii

Fungus causing a pneumonia prevalent in AIDS patients, characterized by alveolar interstitial thickening

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Anticardiolipin antibodies

Antibodies detected in certain conditions, such as lupus or infections.

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Anti-Treponema pallidum antibodies

Antibodies used to detect the bacteria Treponema pallidum which causes syphilis.

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Aspergillus flavus

A type of Aspergillus mold that produces aflatoxin, a toxin strongly linked to liver cancer.

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Aspergillus Colonizing Aspergillosis

A condition where Aspergillus grows in the respiratory tract, particularly in patients with lung cavities. This typically involves minimal or no tissue invasion.

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Aspergillomas

Fungus balls formed by Aspergillus in the lungs. They can be associated with sparse inflammation or chronic inflammation with fibrosis but don't cause much invasion of the tissues.

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Invasive Aspergillosis

A serious form of Aspergillus infection that invades the lungs and potentially other organs, potentially leading to complications like hemorrhagic infarction and necrotizing pneumonia.

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Blackwater Fever

A severe complication of P. falciparum malaria characterized by dark urine, fever, and acute kidney failure.

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Cerebral Malaria

A life-threatening complication of P. falciparum malaria affecting the brain and causing neurological problems.

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Dürck Granulomas

Small, focal inflammatory reactions in cerebral blood vessels caused by P. falciparum malaria.

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Rhinocerebral Mucormycosis

A severe form of mucormycosis that affects the nasal sinuses, brain, and orbit, often in patients with diabetes.

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P. vivax Infection

Infects young red blood cells, causing a less severe malaria with no cerebral malaria. It has hypnozoites in the liver that can cause relapse.

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P. malariae Infection

Infects older red blood cells, causing a less severe malaria with no cerebral malaria. It doesn't have hypnozoites, so it won't cause relapses.

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Strongyloides stercoralis: Autoinfection

The filariform larvae hatched in the gut invade the colonic mucosa, travel to the lungs, and then can reinfect the gut, creating an infection that's difficult to break.

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Strongyloides stercoralis: Hyperinfection

A massive increase in worm burden, often seen in people with weakened immune systems, can lead to complications like intestinal blockage and even death.

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Trichinella spiralis: Muscle Cysts

Larvae encyst in striated muscles, particularly those with rich blood supply, like the diaphragm, eyes, and heart, blocking vessel flow.

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Trichinella spiralis: Nurse Cell

Skeletal muscle loses its striations and forms a capsule around the growing larva, providing nutrients and protection.

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Lymphatic Filariasis: Elephantiasis

Chronic infection causes lymphatic vessels to enlarge, leading to swelling, thickening of skin, and fibrosis, giving an elephant-like appearance.

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Schistosomiasis: Liver Involvement

Schistosoma parasites infect the liver, potentially leading to cirrhosis and even death.

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Mycobacterium avium intracellulare complex (MAC)

Causes disseminated disease, common in immunocompromised patients like those with AIDS or transplants. Macrophages are filled with bacteria, and granulomas are sparse in the affected tissue.

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Mycobacterium leprae

Causes leprosy, primarily impacting the skin and peripheral nerves.

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Tuberculoid leprosy

A form of leprosy with a strong host immune response, limited to the skin and nerves.

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Lepromatous leprosy

Leprosy with a weak immune response; this form can spread throughout the body, including skin, nerves, eyes, and other organs.

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Syphilis

Infectious disease caused by Treponema pallidum, in four stages; affects the body in a characteristic way.

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Primary Syphilis

First stage of syphilis; marked by a painless sore (chancre) on the genitals.

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Secondary Syphilis

Characterized by skin rashes, often on palms and soles, and sores.

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Tertiary Syphilis

Late-stage syphilis, leading to severe organ damage and issues.

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Congenital Syphilis

Syphilis transmitted from a mother to her unborn child.

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Gumma

A characteristic lesion (granuloma) appearing in tertiary syphilis.

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Hutchinson teeth

A dental abnormality associated with congenital syphilis.

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Non-treponemal tests

Used to screen for syphilis.

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Treponemal tests

Used to confirm syphilis diagnosis.

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Plasma cell-rich infiltrate

An inflammatory response characterized by a high number of plasma cells in the affected tissue.

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Study Notes

Infectious Diseases

  • Infectious diseases are caused by pathogens, which include bacteria, viruses, fungi, and parasites.
  • Pathogens enter the body through various routes, including the skin, gastrointestinal tract, respiratory tract, and urogenital tract.
  • Skin's primary defense includes an epidermal barrier, mechanical defects such as punctures or burns can compromise this barrier.
  • The gastrointestinal tract has epithelial barriers, acidic secretions, peristalsis, bile and pancreatic enzymes, and normal microbiota, which work together to protect against pathogens.
  • The respiratory tract uses mucociliary clearance and resident alveolar macrophages to fight off infections.
  • The urogenital tract employs mechanisms like urination and normal vaginal microbiota to prevent infections.
  • Pathogens can spread through nerves, lymphatics, and the bloodstream.
  • They can also avoid the body's immune responses via adaptations such as antigenic variability and inhibiting phagocytosis.
  • Inflammatory responses vary in severity. Suppurative inflammation involves neutrophils, granulomatous inflammation involves macrophages and lymphocytes. Some infections lead to necrosis or tissue damage.
  • Viruses can harm cells by altering metabolic processes, leading to cell lysis or transformation.
  • Numerous viruses are responsible for various diseases affecting different organ systems (respiratory, digestive, systemic, skin, etc.).
  • Some bacteria cause disease through exotoxins, whereas others cause disease through inflammation and the destruction of host tissue.
  • Certain microbes evade innate and adaptive immunity.
  • Fungi and parasites also cause diseases.
  • Different forms of inflammation are observed in diseases.
  • Specific examples of diseases caused by various pathogens (bacteria, viruses, fungi, and parasites), including morphology, epidemiology, and clinical findings, are described extensively for each type of infection.
  • Numerous examples of pathogens causing infections with detailed morphologic and clinical features are mentioned. This includes a variety of infections of the skin, lungs, gastrointestinal tract, and nervous system.
  • Mycobacterium tuberculosis and Mycobacterium avium intracellulare are discussed in detail, including clinical forms, pathology, and complications.
  • The different stages of syphilis, including primary, secondary, and tertiary, are covered , along with its congenital form.
  • Various pathogens and infections have different clinical presentations causing different morphologies.
  • Diagnostic techniques also vary depending on the pathogen. Detailed discussion of serological diagnosis for syphilis is given.
  • Different types of infections are accompanied by different morphologies that enable diagnosis and treatment.
  • Several examples of opportunistic parasitic infections and fungal infections are highlighted.
  • Information on different types of parasitic infections is provided, including transmission routes, pathogenesis, and organ system involvement.
  • The study notes describe the characteristics of different classes of infections, such as Gram-positive and Gram-negative.
  • Methods of diagnosing infections are covered.

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Description

This quiz covers the fundamentals of infectious diseases, including the types of pathogens and their routes of entry into the body. It discusses the body's defense mechanisms through various systems, such as the skin, gastrointestinal tract, respiratory tract, and urogenital tract. Additionally, the quiz touches on how pathogens can avoid immune responses.

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