Patho Ch. 10

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1
host
any organism capable of supporting the nutritional and physical growth requirements of another organism
2
microflora
bacteria inhabiting exposed surfaces of the body
3
colonization
• the presence and multiplication of a living organism on or within the host.

• Colonization does not cause harm to the host. Colonization DOES NOT mean infection.
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infection
the presence and multiplication of another living organism within a host
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infectious disease
a disease state brought about by interaction with another organism that causes harm to the host
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virulence
ability to produce disease
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pathogens
microorganisms so virulent that they are rarely found in the absence of disease
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saprophytes
free-living organisms obtaining their growth from dead or decaying organic material from the environment; :HUMANS ARE NOT USUALLY AFFECTED BY SAPROPHYTES
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opportunistic pathogens
normal microbiota that can cause disease when the health and immunity of the host have been severely weakened by illness, malnutrition, or medical therapy
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mutualism
A relationship between two species in which both species benefit
(You scratch my back and I'll scratch yours!)
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What is an example of mutualism in humans?
the bacateria in the gut that is necessary to produce vitamin K
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Commensalism
A relationship between two organisms in which one organism benefits and the host is unaffected
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parasitic relationship
only the infecting organism benefits from the relationship
14
Wht are the only human pathogens that are always intracellular?
viruses, rickettsiacea, chlamydiaceae
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What are the human pathogens can be either intra or extra cellular?
protozoans, yeast, bacteria
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prions
protein particles that lack any kind of demonstrable genome and are able to transmit infection
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What type of infection do prions cause?
transmissible neurodegenerative diseases such as curetzfeldt-jacob disease and kuru; slow growing
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viruses
smallest obligate intracellular pathogens that have NO ORGANIZED CELLULAR STRUCTURE and are incapable of replication outside of a living cell
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Do viruses have a DNA or RNA structure?
either one but never both
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bacteria
prokaryotes that lack an organized nucleus.
contain both DNA and RNA;
contain both cell membranes and cell walls
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fungi
eukaryote microorganisms that contain an organized nucleus
22
What are 3 classifications of fungi?
yeasts, molds, and dimorphic fungi
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How are bacteria classified?
by microscopic appearance and staining of the cell wall
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What are 3 types of parasites?
protozoa, helminths, and arthropods
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What are some examles of arthropods?
ticks, mosquitoes, biting flies, etc.
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What are some examples of helminths?
roundworms, tapeworms, flukes
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What are some examples of protozoa?
malaria, giardia- Single celled animals with well defined nucleus and organelled
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What disease does Rickettsiaceae cause?
Tick born: rocky mountain spotted fever, possibly Lyme disease
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Rickettsiaceae, Anaplasmataceae, Chlamydiaceae, Coxiella
Organisms that combine the characteristics of viral and bacterial agents to produce disease in humans (obligate intracellular pathogens that have a cell wall containing DNA and RNA)?
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epidemiology
study of the factors determining the distribution and frequency of health-related conditions in a defined human population
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incidence
the rate of NEW cases of a specific disease during a particular period of time
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prevalence
the number of NEW and OLD cases of a disease that is present in a population at a given time, or occurrences of an event during a particular period of time
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endemic disease
found in a particular geographic region; the incidence and prevalence are expected and relatively STABLE
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epidemic
abrupt and unexpected increase in the incidence of disease over endemic rates
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pandemic
spread of disease beyond continental boundaries
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What are the portals of entry for pathogens into the human body?
penetration, direct contact, ingestion, inhalation
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nosocomial vs. Community acquired
• Nosocomial: infections acquired in a health care facility

• Community: acquired outside health care facility
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endogenous infection
infections produced from the host's own microflora
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exogenous infection
infection originating outside an organism
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fomites
inanimate objects that carry disease
nonspecific
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fulminant
acute illness with an abrupt onset with little or no prodrome
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insidious
acute illness in which the prodromal phase is prolonged
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incubation period
the period of an illness in which the pathogens begin active replication WITHOUT symptoms
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prodromal stage
• initial appearance of symptoms appear;
• most contagious time
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acute stage
stage of illness in which the host experiences MAXIMUM impact of the disease process
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convalescent stage
Stage of infectious disease in which the host overcomes the infectious agent
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resolution stage
total elimination of the pathogen without residual signs or symptoms of disease
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Subacute/subclinical illness
disease with a protracted and irregular course without clinically apparent symptoms
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toxins
substances that alter or destroy the normal function of the host or host's cells
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exotoxins
proteins released from bacteria during cell growth that may cause many different types of symptoms
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endotoxins
A toxic component of the outer membrane of certain gram-negative bacteria that is released only when the bacteria die.
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adhesion factors
specialized structures and attachment proteins that allow the pathogen to attach and colonize
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evasive factors
• Mechanisms which allow pathogens to avoid the hosts defenses.
• tuberculosis is a good example of an evasive organism.
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invasive factors
factors that facilitate penetration of anatomic barriers
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culture
the propogation of a microorganism outside of the body usually on or in artificial growth media such as agar plates or in broth
56
What are types of antibiotic that interfere with a specific step in bacterial cell wall synthesis?
penicillins, cephalosporins, monobactams
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What is a type of antibiotic that inhibits bacterial protein synthesis?
glycopeptides (vancomycin), macrolides (mycins), tetracyclines, aminoglycosides
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What is a type of antibiotic that interrupts bacterial nucleic acid synthesis?
quinolones (ciprofloxacin, levofloxacin)
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What is a type of antibiotic that interferes with normal bacterial metabolism such as folic acid synthesis?
sulfaziazine
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bactericidal and bacteriostatic
What are the 2 overreaching types of antibiotic drugs?
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bactericidal
•causes irreversible and lethal damage to the bacterial pathogen
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bacteriostatic
inhibits bacterial growth
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What is required for a bacteriostatic drug to work?
competent immune system
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Why can bacteriostatic and bactericidal drugs not be given together?
because bactericidal drugs must be attack while bacteria are reproducing
65
What are the catagory A weapons of bioterrorism?
plague, tularemia, smallpox, hemorrhagic fever viruses
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