Bacteriology Test Questions – Flashcards

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Acid-fast
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Mycobacterium
Nocardia (partial)
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Aerobic respiration
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oxidation of substrates coupled to electron transport with O2 as final electron acceptor
38 ATP/glucose
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Aerointolerant
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anaerobes with non-oxygen final electron acceptors
very sensitive to oxygen radicals
quite a few of the medically relevant bacteria
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Aerotolerant
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anaerobes with non-oxygen final electron acceptors
can detoxify oxygen radials with superoxide dimustase and catalase
quite a few of the medically relevant bacteria
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Anaerobic respiration
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oxidation of substrates coupled to electron transport with different final electron acceptor (not O2)
less efficient than aerobic: 30 ATP/glucose
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Antigenic variation
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make surface proteins look different to immune system than did previous generation
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Autolysins
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enzymes produced by bacteria that break Beta-1,4 glycoside bonds of PG
used during growth and division
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Auxotroph
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requires at least one organic product from environment b/c can't synthesize it
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Capsule
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hydrophyilic gell that is carbohydrate based
anti-phagocytic function
seen as halo after India ink staining
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Cell wall
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provides shape and rigidity
protects against osmotic lysis
acts as semi-permeable barrier
transport site
protects from host defense mechanisms
mediates adherence
senses and signals about the environment
provides motility
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Conjugation
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DNA is transferred directly by cell-to-cell contact
extremely efficient exchange of genetic information
one bacterium must of a self-transmissible plasmid (F plasmid)
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Core
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domain of the LPS
diversity of sugars, used to classify species
KDO - 8C sugar, 1st attached to Lipid A
7C sugars follow, then regular sugars
polarity of core prevents hydrophobic passage across OM
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Death phase
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toxic products build up and autolytic enzymes forming
death rate exceeds growth rate
seen in body when immune system is winning
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Definitive (specific) therapy
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specific diagnosis available
narrow drug choice to avoid NF damage and opening areas as new infection site
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Drug targets of prokaryotic cells
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supercoiled bacteria (no chromatin or histones)
complex cell wal
70S ribosomes (not 80S)
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Empirical therapy
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based on most probably cause of infection
no specific dx yet/available
reserved for emergency situations
use broad drug choice, sometimes combination of drugs
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Endospore advantages
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resist boiling, radiation, desiccation, and most enzymes/chemical disinfectants
respiratory, wound or oral transmission
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Endospore forming genera
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Bacillus
Clostridium
(G+)
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Endospore parts
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core - highly dessicated DNA, tRNA, amino acids, nucleic acids and other essential cytoplasmic components
cortex - condensed form of cell wall
spore coats - protein-based coat that is put on by mother cell
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Faculative anaerobes
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uses O2 or inorganic electron acceptors
adapts to multiple environmental niches
most flexible group
most of the medically relevant bacteria
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Fermentation
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no electron acceptor available, oxidation of substrates leaves organic products
less efficient that an(aer) respiration
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Flagella
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thicker, longer projections (compared to pili)
funtion: locomotion in response to chemical gradient
polar - out of one end
peritrichous - all over cell
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Generalized transduction
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Virulent bacteriophage involved
Bacterial DNA is packaged into viral capsid instead of bacteriophage DNA
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Gram negative, coccus
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Neisseria
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Gram negative, pleomorphic
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Chlamydia
Rickettsiae
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Gram negative, rod, enterics
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Escherichia coli
Shigella
Salmonella
Yersinia
Klebsiella
Proteus
Enterobacter
Helicobacter
Serratia
Vibrio
Campylobacter
Pseudomonas
Bacteroids
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Gram negative, rod, non-enterics
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Haemophilus
Bordetella
Legionella
Yersinia
Francisella
Brucella
Pasteurella
Gardenerella
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Gram negative, spiral
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Treponema
Borrelia
Leptospira
Require darkfield microscope to see
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Gram positive, branching
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Actinomyces
Nocardia
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Gram positive, coccus
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Streptococcus
Staphylococcus
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Gram positive, rod
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Corynebacterium
Listeria
Bacillus
Clostridium
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Gram-negative cell wall
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3-5nm thick PG layer
emphasizes fluidity
2nd membrane with LPS outside PG layer
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Gram-positive cell wall
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20-30nM thick PG layer
emphasizes sturdiness
one membrane, no LPS
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Heterotroph
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requires organic matter for energy source, most of the relevant bacteria
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Insertion sequences
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repeats, hot spot for recombination
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KDO
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8-carbon sugar of core of LPS that is always the first one or couple sugars attached to Lipid A
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LPS
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unique G- molecule
Lipid A, core and O antigen domains
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Lag phase
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initiation of culture, adjustment to new environment
sensing what is and isn't available in media
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Lipid A
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domain of LPS
endotoxin highly conserved between bacteria
GlcNac dimers connected by phosphates that have fatty acid chains
the fatty acids are highly branched and saturated --> unique to bacteria
fatty acis prevent hydrophilic molecules from passing OM of G- cell
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Lipoteichoic acid
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unique to G+ bacteria, derived from techoic acid
glycerol phosphates linked with fatty acids
pro-inflammatory molecule
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Log/exponential growth phase
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rapid growth, as fast as possible in provided media
measured in turbidity (cloudiness) using spectrophotometer
seen in privileged sites in body (low NF and low immune presence)
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Lysozyme (muramidase)
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enzymes in human body fluids that break Beta-1,4 glycoside bonds of PG
more effective against G+ than G-
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MBC
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minimal bactericidal concentration
min. conc. needed to kill 99.9% of organisms
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MIC
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minimal inhibitory concentration
min. conc. needed to inhibit bacterial growth
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Microaerophiles
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don't do aerobic respiration, but require oxygen for other essential purposes
must have LOW levels of oxygen
few of the medically relevant bacteria
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O antigen
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part of LPS
polymer of sugar units
highly diverse, used to classify strains of species
polarity of prevent passage of hydrophobic molecules
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Obligate aerobes
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require oxygen for life
some are medically relevant
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Peptidoglycan (PG)
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unique to bacteria
long glycan chains cross-linked by short peptides
determines physical integrity and shape of cell wall
highly polar =<100,00Da pass
pro-inflammatory molecule
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Periplasm
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"space" between membranes of G- bacteria
where PG layer is located
has lots of proteins used for transport
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Pili
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hair-like, very small projections
function: attach to host cell, sex for genetic info transfer
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Plasmids
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extrachromasomal DNA
provide accessory, non-essential information (virulen, antiB resistance)
typically circular, single or multi copies
sorting between daughter cells is not well organized, can result in loss of copies or information
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Porins
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proteins of outer membrane of G- bacteria
trimerize to form channel through membrane that aids in nutrient attainment
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Prokaryotic chromosomes
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1-10Mbases, 10^3 to 10^4 genes
haploid
supercoiled in nucleoid region
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Prokaryotic cytoplasmic membrane
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selectively permeable
carrier-mediated transport
electron transport system
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Prototroph
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can synthesize all organic products that it needs; does not require any from its environment
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Quorum sensing
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ability to sense own population and alter gene expression based on that info
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R factor
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F' plasmid with drug resistance genes on plasmid
transferred via conjugation
always implies transfer of drug resistance
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Regulon
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multiple operons under control of a single transcription regulator
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Specialized transduction
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Temperate bacteriophage involved
error in splicing of phage DNA from the bacterial DNA, results in mixed DNA in phage packages
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Stationary phase
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nutrients are running low, no net growth seen
metabolically inactive, quiet
see in walled off abscess of body
not good for some antiBs b/c only work on actively dividing cells
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Targets for antibiotics
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cell-wall synthesis
cell membrane
DNA integrity
folic acid synthesis
protein synthesis (30S or 50S)
RNA synthesis
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Teichoic acid
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unique to G+ bacteria
series of phosphate-linked surgars with glycerol or ribitol phophate-linkages
has substiuents like D-Ala that are bacteria unique
pro-inflammatory molecule
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Transduction
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Bacteriophage carries bacterial DNA from one bacterium to others
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Transformation
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Naked DNA fragments released from one lysed bacterium binds to cell wall of another competent bacterium and is taken up and incorporated into the new bacterium's chromosome
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Transposase
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recognizes sequence of DNA, opens it, inserts a copy of itself and transposon
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Transposon
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moveable elemtsn of DNA
consists of insertion sequences, virulence/resistance genes, and transposase encoding
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Two-component regulators
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consists of sensing extra-cellular component, transmembrane domain, and intracellular signaling domain
recognizes signal from external environemnt, autophosphorylates tail, tail phosphorylates regulator, signal cascade proceeds and gene expression is altered
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Mechanism of adverse reactions to drugs
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direct toxicity
sensitivity
superinfections
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Optimal salinity, temp and pH
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0.85%
30-37*C
6-8pH
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Resistance strategies
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prevent drug access to target
modify drug
modify target of drug
change metabolic status of bacterium
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Prevention of drug access
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barrier
lack of binding target
anaerobic for O2-dependent drugs
lack of activating enzyme
alteration in porins
efflux pumps
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MLS(R) phenotype
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overlapping binding site of multiple drugs is effect by one methylation change in rRNA due to presence of erm gene
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Stratgies for drug resistance
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prevent access to target
modify drug
modify drug's target
modify metabolism (state or processes)
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Commensal
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bacterium that causes no apparent disease
es: normal flora
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Opportunistic pathogen
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can cause disease, but depends on right conditions
ex: +/- virulence factor, host barrier status and host immune status
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Obligate pathogen
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always causes disease
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Extracellular Bacteria
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Path - resist phagocytosis
Disease - acute onset, faster resolution, unless biofilm
Fever - usually
WBC - PMNs, pus formation
Clearance - by humoral immunity
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Intracellular Bacteria
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Path - survive in host cells
Disease - chronic infection, slower onset and recovery
Fever - maybe
WBC - macrophage, lymphocytes
Cleared - by cell-mediated immunity
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Tropism
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selective infection of specific tissues or cells
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Siderophores
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bacteria enzyme with high affinity for Fe3+, chelators
strip Fe3+ from lactoferrin and transferrin
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Fe-binding receptors
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bacterial molecules that help with Fe scavenging
bind Fe-loaded siderophores, bind free Fe3+ and bind Fe-loaded host molecules
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Exotoxins
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act distal to infection site
commonly enzymes that damage host directly
disrupt host processes or membrane
AB toxins, non-AB toxins, activation requirements
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Endotoxins
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elicit inflammatory response and activates complement --> cell damage indirectly
part of outermembrane of G- bacteria
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AB toxins
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protein complex of 2 subunits
A = active subunit, enters host cell and has toxic effects
B = binding subunit and delivers A to susceptible cell
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Host cell process-disruption by exotoxin
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protein synthesis
signaling (G-proteins)
ADP-ribosylation (inactivates proteins, shut down pathway)
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Host cell membrane-disruption by exotoxin
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osmotic balance -> lysis
phospholypases -> digest membrane
pore-formation -> lysis/permeability
hemolysins -> lyse RBC, release Fe`
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Autoinducers
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molecules that serve as signals of population density
G- = HSL
G+ = peptides
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Type III Secretory Apparatus
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"molecular syringe"
structure that bacterial cell inserts into host membrane and injects effector into host cytoplasm
effectors: induce apoptosis, suppress cytokine production, shut down phagocytosis, etc.
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Polymicrobial biofilm
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mixed infection, i.e. wound or areas of normal flora (pathogen binds to biofilm of normal flora)
particularly advantageous
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Monomicrobial biofilm
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only one pathogen, usually in sterile site
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Sessile cells
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bacteria located in biofilm
not moving, less active
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Planktonic cells
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bacteria of biofilm colony that aren't in the biofilm, free-floating, more active
capable of leaving to form new colonies elsewhere
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Advantages of biofilm
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adherence, nutritional opportunity, protected environment
extracellular bacteria can cause chronic infection this way
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Sialyation of LPS
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molecular mimcry, prevents MAC deposition (i.e. complment mediated cytosis)
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C5a peptidase
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counter strategy of bacteria to complement system
prevents inflammatory response
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Invasins
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proteins expressed by bacteria that rearrange cytoskeleton in host cell
induce actin polymerization that forms pseudopods and takes in bacteria
forces phagocytosis by non-pros
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Systemic Inflammatory Response Syndrome (SIRS)
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abrupt on set of 2: fever, tachycardia, tachypnea, and leukocytosis
can be due to infection or severe trauma with lots of tissue damage
good prognosis if underlying issue is solved
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Sepsis
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clinical symptoms of SIRS + documentation of bacterial infection
progression to severe sepsis guaranteed
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Bacteremia
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viable bacteria in blood stream, document by Gram stain
possible migration though body, does not require SIRS symptoms for Dx, usually transient
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Severe sepsis
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Sepsis (SIRS + documentation) and signs of organ failure
DIC --> organ damage
1* COD is resp. failure
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Disseminated intravascular coagulation
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dysfunction in clotting cascade
abnormal clotting and bleeding
poor perfusion to organs --> damage
seen in severe sepsis
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MODS
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multiple organ dysfunction of syndrome
worsening situation of severe sepsis
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Septic shock
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severe sepsis (SIR + documentation + organ failure) and extreme hypotension
profoundly low BP that is unresponsive to fluid treatment
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