Microbial Diseases Overview and Diagnosis

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Questions and Answers

What is a major characteristic of Methicillin-resistant Staphylococcus aureus (MRSA)?

  • It can be treated with penicillin effectively.
  • It requires alternative treatments like vancomycin. (correct)
  • It is always sensitive to all antibiotics.
  • It only occurs in hospital settings.

Which microbe is primarily responsible for whooping cough?

  • Vibrio cholerae
  • Staphylococcus aureus
  • Streptococcus pyogenes
  • Bordetella pertussis (correct)

Which of the following is a key virulence factor of Streptococcus pyogenes?

  • Exfoliative toxin
  • Lethal factor
  • Toxic shock syndrome toxin
  • M protein (correct)

What causes necrotizing fasciitis?

<p>Bacterial infections like Streptococcus pyogenes (A)</p> Signup and view all the answers

What is the primary method of transmission for rotavirus?

<p>Fecal-oral route (B)</p> Signup and view all the answers

Which statement about the diagnostic process for microbial diseases is true?

<p>Complicated symptoms can obscure the underlying causative microbe. (B)</p> Signup and view all the answers

What type of rash is typically associated with measles?

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

What are the main virulence factors of Helicobacter pylori?

<p>Collagenase, mucinase, and vacuolating toxin (VacA) (D)</p> Signup and view all the answers

What is one function of alveolar macrophages in the respiratory tract?

<p>Protecting against pathogens (C)</p> Signup and view all the answers

Which bacterial species is primarily linked to gastric ulcers?

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

Which of the following infections is caused by viral agents?

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

What is the primary mode of infection for German Measles?

<p>Through the respiratory tract (D)</p> Signup and view all the answers

What might the increasing use of the rotavirus vaccine lead to regarding gastrointestinal diseases?

<p>Rise in norovirus infections as a leading cause of diarrhea (A)</p> Signup and view all the answers

Which is the leading cause of gastroenteritis globally?

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

Which of the following bacteria is primarily responsible for urinary tract infections (UTIs)?

<p>Uropathogenic Escherichia coli (UPEC) (B)</p> Signup and view all the answers

Which of these diseases is primarily caused by viral pathogens?

<p>Respiratory Syncytial Virus (RSV) (B)</p> Signup and view all the answers

What is the primary role of the capsule in Streptococcus pneumoniae?

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

Histoplasma presents in two forms based on temperature. What are these forms?

<p>Budding yeast at 37℃ and mycelial form at 25℃ (B)</p> Signup and view all the answers

What is the main factor associated with the reemergence of tuberculosis?

<p>HIV epidemic increasing susceptibility (C)</p> Signup and view all the answers

Which virus is a major cause of pneumonia in infants and young children?

<p>Respiratory syncytial virus (RSV) (B)</p> Signup and view all the answers

Which type of diarrhea is primarily caused by increased osmolarity leading to water retention?

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

Rehydration therapy for diarrheal diseases should ideally include which components?

<p>Water, glucose, and electrolytes (D)</p> Signup and view all the answers

Which class of pathogenic E. coli is known to cause severe bloody diarrhea?

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

What is a potential consequence of inappropriate antibiotic use for diarrhea?

<p>Disruption of normal intestinal flora (A)</p> Signup and view all the answers

Flashcards

Microbial Diseases: Global Impact

Microbial diseases are a major cause of death worldwide, highlighting the importance of research and prevention.

Diagnostic Process: Unraveling the Mystery

Diagnosing microbial diseases involves gathering patient history, identifying symptoms, and considering potential causative microbes.

Staphylococcus aureus: Skin Infection

This bacterium causes common boils, often requiring drainage and antibiotics. It produces toxins that can lead to toxic shock syndrome and skin peeling.

MRSA: Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus is a serious infection that is resistant to many antibiotics, requiring alternative treatments like vancomycin.

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Streptococcus pyogenes: Flesh-Eating Bacteria

This bacterium can cause necrotizing fasciitis, a life-threatening infection, as well as less severe cellulitis.

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Measles: Respiratory Infection and Rash

This highly contagious viral disease causes a distinctive rash and spreads through the respiratory tract.

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German Measles: Skin and Lymph Nodes

This viral infection primarily affects the skin and lymph nodes, potentially causing serious complications during pregnancy.

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Bordetella pertussis: Whooping Cough

This bacterium causes whooping cough by binding to cilia in the lungs, disrupting the normal respiratory functions.

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Streptococcus pneumoniae

A bacteria primarily responsible for pneumonia, especially in the elderly and those with weakened immune systems. It has a capsule that helps it evade the immune system and can cause bloodstream infections and meningitis.

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Histoplasma

A fungus that causes histoplasmosis, a lung infection. It exists in two forms - a mold-like form in the environment and a yeast-like form that infects humans.

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Mycobacterium tuberculosis

The bacterium responsible for tuberculosis (TB), a serious respiratory disease that can be fatal. TB has seen a resurgence due to the HIV epidemic, which weakens the immune system.

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Primary TB

The initial stage of TB infection characterized by the formation of granulomas, which wall off the bacteria in the lungs.

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Secondary TB

A reactivation of latent TB infection, often occurring in individuals with weakened immune systems. The reactivated TB bacteria can cause lung damage and spread to other organs.

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Miliary TB

A severe form of TB where the bacteria spread throughout the body, resembling tiny grains (millet seeds).

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Rotavirus

A common cause of viral diarrhea, particularly in infants and young children. It spreads rapidly and can cause severe dehydration.

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EHEC

One of the seven pathogenic classes of E. coli bacteria. Enterohemorrhagic E. coli strains cause severe bloody diarrhea.

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Shiga Toxin

A toxin produced by Shigella and EHEC bacteria that blocks protein synthesis and damages endothelial cells, resulting in bleeding and bloody diarrhea.

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Helicobacter pylori

A bacteria found in the stomach that causes ulcers. It neutralizes stomach acid using urease and damages the stomach lining with enzymes.

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What causes boils and scalded skin syndrome?

Staphylococcus aureus, a bacteria commonly found on skin, is the culprit behind these infections.

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What is the primary cause of urinary tract infections (UTIs)?

Gram-negative bacteria, particularly Uropathogenic Escherichia coli (UPEC), are the main culprits behind UTIs, causing discomfort and infection in the bladder.

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What are the main causes of pneumonia?

Pneumonia is caused by a variety of organisms, including bacteria, viruses, and fungi.

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What is the main cause of gastroenteritis?

Rotavirus is the leading cause of gastroenteritis, causing diarrhea, vomiting, and stomach cramps.

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Study Notes

Microbial Diseases Overview

  • Microbial diseases are a major global health concern.
  • Research is needed due to emerging pathogens, increasing drug resistance, and bioterrorism threats.
  • Rapid identification and prevention are crucial to control outbreaks.

Diagnostic Process and Challenges

  • Diagnosis involves collecting patient history (travel, occupational hazards).
  • Identifying symptoms and causative microbes is crucial.
  • Similar symptoms can complicate diagnosis (e.g., Vibrio cholerae vs. enterotoxigenic E. coli).
  • Accurate patient history is essential, especially for travel-related illnesses.

Skin, Soft Tissue, and Bone Infections

  • Infections range from boils to severe necrotizing fasciitis.
  • Caused by bacteria, fungi, and viruses.
  • Staphylococcus aureus causes boils, produces toxins (TSST, exfoliative toxin), and can result in MRSA (Methicillin-resistant Staphylococcus aureus).
  • Streptococcus pyogenes causes necrotizing fasciitis and cellulitis, contains virulence factors (M protein, exotoxins, hyaluronidase, DNase).

Respiratory Tract Infections

  • Alveolar macrophages and mucociliary escalator protect the lungs.
  • Key pathogens include Bordetella pertussis, Streptococcus pneumoniae, and histoplasmosis.
  • Bordetella pertussis causes whooping cough. Streptococcus pneumoniae causes pneumonia, while histoplasmosis is caused by a fungus.
  • Common diseases include measles, German measles.

Tuberculosis

  • Mycobacterium tuberculosis is a major cause of death.
  • Re-emergence is linked to the HIV epidemic.
  • Primary TB involves granuloma formation; secondary TB can reactivate, especially in immunocompromised individuals, or disseminate as miliary TB.

Viral Diseases of the Lung

  • Common viruses include influenza, rhinovirus, SARS, and Respiratory Syncytial Virus (RSV).
  • RSV is a major cause of pneumonia in infants and young children.
  • Viruses cause localized lung infections, leading to inflammation and excess mucus production.

Gastrointestinal Tract Infections

  • Diarrheal diseases are a significant health issue, particularly in developing countries.
  • Mostly caused by viruses (e.g., rotaviruses) or bacteria (e.g., Salmonella, Campylobacter).
  • Osmotic diarrhea, secretory diarrhea, inflammatory diarrhea, and motility-related diarrhea caused by pathogens.

Antibiotic Usage

  • Antibiotics are often inappropriate for diarrhea, disrupting normal intestinal flora and potentially leading to Clostridioides difficile infections.

Pathogenic E. coli

  • Seven classes of pathogenic E. coli exist (EHEC, EIEC, ETEC, EPEC, EAEC, UPEC, NMEC).
  • Shiga toxin is produced by Shigella and EHEC.

Rotavirus and Norovirus

  • Rotavirus and norovirus are leading causes of intestinal diseases.

Helicobacter pylori

  • Gastric ulcers were historically attributed to spicy foods and stress.
  • Helicobacter pylori is the causative agent of gastric ulcers.

Diagnosing Infections

  • Accurate patient histories are crucial.
  • Specific examples of related infections (Skin-Soft Tissue, Respiratory, Gastrointestinal, Urinary) are mentioned and listed for each category.

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