Podcast
Questions and Answers
What is a hallmark symptom of acute proliferative glomerulonephritis?
What is a hallmark symptom of acute proliferative glomerulonephritis?
- Albuminuria and haematuria (correct)
- Itching
- Painful joints
- Tiny bumps
What is the primary role of Viridans group streptococci in the human microbiome?
What is the primary role of Viridans group streptococci in the human microbiome?
- Contributing to the development of autoimmune diseases
- Causing infections in immunocompromised individuals
- Producing toxins that damage tissue
- Inhibiting colonization of pathogens (correct)
Which of the following characteristics distinguishes Viridans streptococci from pneumococci?
Which of the following characteristics distinguishes Viridans streptococci from pneumococci?
- Catalase-negative
- Optochin resistance (correct)
- Alpha-hemolytic on blood agar
- Gram-positive cocci arranged in chains
Which of the following is NOT a major group of Viridans group streptococci?
Which of the following is NOT a major group of Viridans group streptococci?
What is the characteristic rash associated with rheumatic fever?
What is the characteristic rash associated with rheumatic fever?
What is the typical time frame for the development of rheumatic fever after a streptococcal throat infection?
What is the typical time frame for the development of rheumatic fever after a streptococcal throat infection?
Which of the following is NOT a sign or symptom of rheumatic fever?
Which of the following is NOT a sign or symptom of rheumatic fever?
Which bacterial component is responsible for attachment to the surface of epithelial cells?
Which bacterial component is responsible for attachment to the surface of epithelial cells?
What type of fimbriae are associated with strains of E. coli causing meningitis?
What type of fimbriae are associated with strains of E. coli causing meningitis?
What is the main mechanism by which Viridans streptococci inhibit the growth of other pathogens?
What is the main mechanism by which Viridans streptococci inhibit the growth of other pathogens?
Which of the following is a virulence factor associated with Neisseria gonorrhoeae?
Which of the following is a virulence factor associated with Neisseria gonorrhoeae?
Which of the following enzymes is NOT a hydrolytic enzyme?
Which of the following enzymes is NOT a hydrolytic enzyme?
Which type of toxin is secreted by bacteria into their surroundings?
Which type of toxin is secreted by bacteria into their surroundings?
What is the key property that differentiates exotoxins from endotoxins?
What is the key property that differentiates exotoxins from endotoxins?
Which of the following enzymes is secreted by both Staphylococcus aureus and group A Streptococcus?
Which of the following enzymes is secreted by both Staphylococcus aureus and group A Streptococcus?
Which of the following is NOT a mechanism of bacterial mobility?
Which of the following is NOT a mechanism of bacterial mobility?
What is the main function of the reticular-endothelial system cells and lymphocytes during inflammation?
What is the main function of the reticular-endothelial system cells and lymphocytes during inflammation?
Which of the following is NOT a clinical sign of inflammation?
Which of the following is NOT a clinical sign of inflammation?
What is the main purpose of local capillary vasodilatation during inflammation?
What is the main purpose of local capillary vasodilatation during inflammation?
What are chemotactic stimuli?
What are chemotactic stimuli?
Which type of leukocyte arrives first at the site of inflammation?
Which type of leukocyte arrives first at the site of inflammation?
What is the main difference between healing restitutio ad integrum and healing with sequelae?
What is the main difference between healing restitutio ad integrum and healing with sequelae?
What is leukocyte diapedesis?
What is leukocyte diapedesis?
Which of the following is NOT a factor influencing the outcome of an inflammatory reaction?
Which of the following is NOT a factor influencing the outcome of an inflammatory reaction?
Which of the following is NOT a characteristic typically used to identify enterococci?
Which of the following is NOT a characteristic typically used to identify enterococci?
What is the most common infection caused by enterococci?
What is the most common infection caused by enterococci?
Which of the following enterococci species is known for producing a yellow pigment?
Which of the following enterococci species is known for producing a yellow pigment?
Enterococci are typically found as part of the normal flora in which part of the body?
Enterococci are typically found as part of the normal flora in which part of the body?
What percentage of infectious endocarditis cases are estimated to be caused by enterococci?
What percentage of infectious endocarditis cases are estimated to be caused by enterococci?
Which of the following is TRUE about enterococci causing lower urinary tract infections?
Which of the following is TRUE about enterococci causing lower urinary tract infections?
How are enterococci typically identified in the lab?
How are enterococci typically identified in the lab?
What is the role of leucine aminopeptidase in Enterococcus identification?
What is the role of leucine aminopeptidase in Enterococcus identification?
What is the process called where phagocytes migrate towards bacteria or other particles?
What is the process called where phagocytes migrate towards bacteria or other particles?
Which of the following is NOT a mechanism by which opsonization can be achieved?
Which of the following is NOT a mechanism by which opsonization can be achieved?
What is the name of the vacuole formed when a phagocyte engulfs a particle?
What is the name of the vacuole formed when a phagocyte engulfs a particle?
What is the process called where the phagosome merges with lysosomes?
What is the process called where the phagosome merges with lysosomes?
Which of the following is NOT a compound formed during the 'respiratory burst' in oxygen-dependent mechanisms of microbial destruction?
Which of the following is NOT a compound formed during the 'respiratory burst' in oxygen-dependent mechanisms of microbial destruction?
What is the name given to the enzymes involved in oxygen-independent mechanisms of microbial destruction?
What is the name given to the enzymes involved in oxygen-independent mechanisms of microbial destruction?
What is the process called where phagocytes leave capillaries and enter tissues?
What is the process called where phagocytes leave capillaries and enter tissues?
What is the function of the Fc fragment of an antibody in opsonization?
What is the function of the Fc fragment of an antibody in opsonization?
Which of the following is NOT a mechanical barrier to infection?
Which of the following is NOT a mechanical barrier to infection?
What is the primary function of the low pH on the skin surface?
What is the primary function of the low pH on the skin surface?
How does lysozyme act as a chemical barrier against bacteria?
How does lysozyme act as a chemical barrier against bacteria?
Which of the following statements about the acidic pH of the vagina is TRUE?
Which of the following statements about the acidic pH of the vagina is TRUE?
What role do commensal flora play in the body's defense system?
What role do commensal flora play in the body's defense system?
Which of the following is a characteristic of specific resistance against infection?
Which of the following is a characteristic of specific resistance against infection?
Which of the following examples best illustrates the concept of species-specific resistance?
Which of the following examples best illustrates the concept of species-specific resistance?
Which of the following is NOT a component of innate (non-specific) resistance?
Which of the following is NOT a component of innate (non-specific) resistance?
Flashcards
Mobility in Bacteria
Mobility in Bacteria
Movements of cells like corkscrew or via cilia/flagella that aid in locomotion.
Fimbriae
Fimbriae
Hair-like structures on bacteria that assist in attachment to host cells.
Common Pili
Common Pili
Adhesion pili that enhance bacteria's ability to attach to epithelial cells.
P fimbriae
P fimbriae
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Enzymatic Virulence Factors
Enzymatic Virulence Factors
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Coagulase
Coagulase
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Exotoxins
Exotoxins
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Endotoxins
Endotoxins
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Acute Proliferative Glomerulonephritis
Acute Proliferative Glomerulonephritis
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Rheumatic Fever
Rheumatic Fever
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Erythema Marginalis
Erythema Marginalis
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Viridans Group Streptococci (VGS)
Viridans Group Streptococci (VGS)
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Streptococcus Mutans
Streptococcus Mutans
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Alpha-Hemolysis
Alpha-Hemolysis
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Catalase-Negative
Catalase-Negative
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Optochin Resistant
Optochin Resistant
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Diapedesis
Diapedesis
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Chemotaxis
Chemotaxis
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Opsonization
Opsonization
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Phagosome
Phagosome
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Phagolysosome
Phagolysosome
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O2-dependent mechanisms
O2-dependent mechanisms
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O2-independent mechanisms
O2-independent mechanisms
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Respiratory burst
Respiratory burst
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Macrophages
Macrophages
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Inflammation
Inflammation
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Clinical signs of inflammation
Clinical signs of inflammation
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Outcome of inflammation
Outcome of inflammation
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Vasodilatation
Vasodilatation
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Chemoattraction
Chemoattraction
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Polymorphonuclear leukocytes (PMN)
Polymorphonuclear leukocytes (PMN)
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Chemotactic factors
Chemotactic factors
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Non-specific resistance
Non-specific resistance
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Specific resistance
Specific resistance
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Skin barriers
Skin barriers
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Mechanical barriers
Mechanical barriers
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Chemical barriers
Chemical barriers
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Bio barriers
Bio barriers
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Lysozyme
Lysozyme
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pH levels
pH levels
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Carotenoid pigments
Carotenoid pigments
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PYR hydrolysis
PYR hydrolysis
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Leucine aminopeptidase
Leucine aminopeptidase
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Bile-esculin test
Bile-esculin test
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Normal intestinal flora
Normal intestinal flora
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Urinary tract infections (UTIs)
Urinary tract infections (UTIs)
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Bacteremia
Bacteremia
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Endocarditis
Endocarditis
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Study Notes
- Infectious Process*
- Infectious process is the pathophysiological and clinical responses resulting from the conflict between a microorganism and the human body.
- Infection involves all biological changes in the human body triggered by the penetration of an infectious agent. A key characteristic of infection is its specific etiology; a particular infectious agent causes a specific infectious disease.
- Basic Mechanisms of Infectious Process*
- Infection is achieved through the antagonistic combined actions of pathogenicity factors of bacteria and the resistance factors of the infected body.
- Pathogenicity refers to the ability of bacteria to cause disease, expressed through virulence and toxigenicity.
- Virulence Factors of Bacteria*
- Virulence is the ability of bacteria to penetrate, adapt, multiply, invade, and elicit specific tissue lesions. This is driven by:
- Corpuscular Factors: Related to bacterial cell structure components providing protection against host defenses and facilitating tissue penetration.
- Capsule: Inhibits phagocytosis, promoting microbial invasion. Examples include pneumococcus, Klebsiella pneumoniae, some strains of staphylococci and streptococci.
- Components of bacterial cell wall: Located in superficial bacterial layers, these components play an anti-phagocytic role. Examples include M protein in Streptococcus beta-hemolytic group A, virulence factors in Staphylococcus aureus and Koch bacillus, factors of attachment to intestinal mucus in pathogenic E. coli and Shigella, and Vi antigen in Salmonella typhi.
- Mobility: Mobile bacteria tend to have higher virulence compared to non-mobile bacteria. Mobility is achieved through cell body movements (e.g., corkscrew motion in leptospires), cilia (flagella), an attribute of species.
- Fimbriae: Involved in germ attachment, aiding in invasion. Common pili (adhesion pili) allow strong attachment to epithelial cells. Different types of fimbriae are associated with specific infections (e.g., P fimbriae and pyelonephritis, S fimbriae and meningitis, K88 and K89 fimbriae and diarrhea in newborns).
- Enzymatic Factors (Exoenzymes): Substances produced and released by bacteria that break down tissues facilitating bacterial invasion and spread.
- Coagulase, fibrinolysin, hyaluronidase, nucleases (DN-ase and RN-ase), collagenases, lecitinases, neuramidases, lipases, proteases, are examples.
- Corpuscular Factors: Related to bacterial cell structure components providing protection against host defenses and facilitating tissue penetration.
- Toxigenicity*
- Toxigenicity is the ability of bacteria to produce toxins (soluble substances inducing toxic effects on infected tissues).
- Exotoxins: Toxic substances released by living Gram-positive bacteria in their environment (e.g., in culture media or infected organisms).
- Physical-chemical properties: Thermostable, transformed by aging and formalin, and sensitive to radiation and pH variation. Toxoids are inactivated toxins that preserve their immunogenicity.
- Biological properties: Appear after latency, high toxic power, and small minimum lethal dose.
- Endotoxins: Toxic substances found in the Gram-negative bacterial cell wall, released after the bacteria's death.
- Physical-chemical properties: Heteroproteins (complex proteins), typically carbohydrate-lipid-polypeptide complexes, are soluble but released at the same time of bacterial cell lysis. They are thermostable, resistant to treatment with alcohol, and do not turn into toxoids under the action of formalin.
- Biological properties: Lower toxicity compared to exotoxins, the minimum lethal dose is high, the toxic effects occur without latency.
- Exotoxins: Toxic substances released by living Gram-positive bacteria in their environment (e.g., in culture media or infected organisms).
- Host Defense Mechanisms Against Infection*
- Non-specific (Natural, Innate) Resistance: A resistance state present in individuals of a species against certain pathogens.
- Mechanical barriers: Skin and mucous membranes. Epidermis, cilia, cilia movement, and mucous secretions limit bacterial penetration.
- Chemical barriers: Low pH, lysozyme, hydrochloric acid. These substances are present in mucous and on the skin, preventing bacterial growth.
- Biological barriers: Commensal flora. Competing microbes inhibit the colonization of pathogens.
- Specific (Acquired): Immunologic defense develops over time through exposure to various infectious agents.
- Specific Inflammatory Processes*
- Febrile reaction (inflammation with fever) often accompanies bacterial infections. Pyrogens (interleukin-1, tumor necrosis factor) trigger this response.
- Phagocytosis: Cells (e.g., neutrophils, macrophages) engulf and destroy invading microbes. Phagocytosis involves chemotaxis, cellular adherence, ingestion, and intracellular digestion.
- Inflammation: A response aimed at localizing an infection, caused mainly by infectious agents. Inflammation manifests with symptoms like redness, swelling, heat, pain, and reduced function in the affected area. Inflammatory processes are essential for immune defense. Inflammation can result in tissue damage if persistent. The outcome depends on the inflammatory process's extent, the invading microorganisms, and the host's reaction.
- Infections/Diseases Caused by the Different Microbial Species*
- Detailed descriptions of diseases caused by Staphylococci, Streptococci, S. Viridans, Enterococci, and Streptococcus pneumonia - Various infections of the skin, oral cavity, urinary tract, tissues, and other areas are described.
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