Microbiology TEST 2

Lectures 5 - 7

Lectures 5 - 7


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Langue English
Catégorie Biologie
Niveau Université
Crée / Actualisé 28.11.2016 / 06.02.2020
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Escheri-chia Coli causing EXTRA-INTESTINAL DISEASE is the commensal pathobionts or the pathogenic form?

Commensal pathobionts

Name the EXTRA-intestinal diseases caused by E.coli:

 

  1. UTIs
  2. Infant meningitis 
  3. Septicemia

Name the specific name of strains of E.coli that cause UTIs & Virulence Factors:

Uro-pathogenic strains

VF: Hemolysin & adhesins (P pili, Dr, AAF)

80% off all community-acquired UTIs are caused by which Entero-bacteria-ceae?

Escheri-chia coli uro-pathogenic strains

Neonatal meningitis appearing in infants age <1 month caused by which Entero-bacteria-ceae?

E.coli K1 capsulated strains

Neonatal meningitis caused by E.coli possess a specific antigen-name it:

K1 capsular antigen

In immunocompremised & hospitalized patients E.coli can lead to a specific extra-intestinal disease name it:

Septicemia – spread from urinary or GI tract

Name species of Salmonella

Salmonella typhi 

Salmonella enterica

Name reservoir of Salmonella typhi & Salmonella paratyphi:

 

Only Humans

Name reservoir of other Salmonella serotypes other than typhi/paratyphi:

animals

Salmonella typhi & Salmonella paratyphi can survive at a specific site in Human body and cause what sort of carriage?

 

Survive in gallblader 

establish chronic carriage 

→ facultative intracellular

Salmonella transmission:

ingestion – food-borne

direct fecal-oral spread in children

Salmonella typhi transmission:

human-to-human spread = fecal-oral 

Name Virulence Factors of Salmonella:

Enterotoxin 

Cytotoxin 

LPS 

 

Vi capsule – antiphagocytic 

Fimbria & Flagella(H-antigen)

 

Name the Salmonella clinical presentation: 

 

1. Gastroenteritis/salmonellosis -nonbloody diarrhea

2. Septicemia – risk group immunocompromised, pediatric & geriatric patients

3. Enteric Fever = typhoid fever

4. Asymptomatic Colonization -chronic carriage/chronic colonization

Give a different name for gastroenteritis caused by nontyphoidal Salomnella

salmonellosis – due to enterotoxin

Enteric Fever caused by what species of Salmonella and name the other clinical name for enteric fever?

Salmonella typhi & Salmonella paratyphi 

enteric fever = typhoid fever

Which bacteria causes typhoid fever?

Salmonella typhi & paratyphi

Other name for enteric fever?

Typhoid fever

Other name for typhoid fever?

enteric fever

Chronic colonalization of Salmonella typhi & paratyphi has what sort of clinical presentation:

Asymptomatic Colonization in the gallbladder

Name medical important species of shigella:

Shigella dysenteriae – most serious 

Shigella flex-neri – most common in underdeveloped countries 

Shigella sonnei – most common in developed countries

Which shigella species produces SHIGA toxin:

 

Shigella reservoir:

Shigella transmission

person-to-person by fecal-oral route- contaminated hands & less common food

Shigella is 1.________ & is spread from 2.__________ which protects them from host immunity.

  1. invasive – Virulence Factor= invasins

  2. cell-to-cell

Shigella is NOT spread through______?

Bloodstream

Which serotype of Shigella dys-en-teriae produces shiga toxin?

Sh. dys-en-teriae type 1

Which toxins have Sh. Flex-neri & Sh. Sonnei ?

Enterotoxin

Endotoxin

Shigella clinical presentation:

shigellosis – watery diarrhea, bloody stool

Shigellosis the complication:

HUS – hemolytic uremic syndrome 

→ like EHEC/STEC & also caused by shiga toxin!

Name all glucose-fermentative bacteria:

Name all obligate ANAerobic gram-negative bacteria:

Name the most important genus of Bacteroides:

Bacteroides fragilis

What stimulates the growth of bacteroides ?

bile

Which obligate anaerobic gram-negative bacteria have a polysaccharide capsule?

bacteroides fragilis 

prevotella melanino-genica 

Name major virulence factor of Bacteroides fragilis:

polysaccharide capsule

enterotoxin B. Fragilis (LT zinc metalloprotease toxin) – diarrhea

→ no endotoxin – as LPS misses lipid A

Obligate Anaerobic gram-negative bacteria RESERVOIR: 

 

virutally any anatomical site: mucosal surfaces of oropharynx, GI & genitourinary tract 

(book says no skin, PPP says skin)

Obligate Anaerobic gram-negative bacteria cause endogenous or exogenous infection?

 

Endogenous Infections – as they are part of the natural flora of virtually any anatomical site

Predisposing factors leading to endogenous infection in obligate anaerobic gram-negative bacteria:

 

trauma, surgery, tissue necrosis, tissue ischemia