Pathogenic Substances, Infections, and Viruses: A Comprehensive Guide
Pathogenic Substances Produced by Streptococcus Pyogenes
1. What are the pathogenic substances produced by Streptococcus pyogenes?
- Invasive &pygenic infection:
- Streptococcal sore throat
- Streptococcal pyoderma
- Cellulitis
- Subacute endocarditis
- The most common bacterial cause of sore throat
- Intoxication
- Poststreptococcal sequelae.
Mechanism of Cholera Toxin
2. Explain the mechanism of cholera toxin?
- Produce the symptoms of cholera.
- A-B type ADP-ribosylating toxin
Sub unit A: ADP-ribosylating activity.
Sub unit B: Bind to a GM1 ganglioside receptor.
- Catalyze the ADP ribosylation of the G protein
- cAMP
- Secretion of electrolyte & water
- Massive watery diarrhea without inflammation (20-30l/d)
- Dehydration & electrolyte imbalances, shock, acidosis, death.
Culture Medium Interpretation
Please give interpretation to culture medium?
It supports containing appropriate nutrients artificially made for growth of bacteria (or) fungi. i.e., liquid, semisolid, solid medium
- Nutrients
- pH
- Temperature
- Aeration
- Ionic strength
- Osmotic pressure
Clinical Findings of HIV Infection
What are the four stages of clinical findings of HIV infection?
Stage I: Primary
- Short, six weeks after infection
- No symptoms
- Infected person can infect others
Stage II: Asymptomatic
- Lasts for an average of 10 years
- HIV antibodies are detected in the blood
Stage III: Symptomatic
- Symptoms are mild
- Immune system deteriorates
Stage IV: HIV — AIDS
- Immune system weakens
- Opportunistic infection – Pneumocystosis, malignancies — Kaposi’s sarcoma
Bacterial — Tuberculosis, Strep pneumonia
Viral ——– Herpes, Influenza
Parasite —–Pneumocystis carinii pneumonia (PCP)
Fungi ——-Candida, Cryptococcus.
Transformation in Bacteria
Please explain transformation?
Direct uptake of donor DNA by recipient cells depends on their competence.
*Competence: The ability to take up DNA from the environment
*Some species have competence in nature
*Some can enter the competent state by treatment
Tetanus Acquisition and Pathogenesis
How is tetanus acquired? What is its pathogenesis?
Tetanus is acquired through exposure to the spores of the bacterium Clostridium tetani, which are universally present in the soil. The disease is caused by the action of a potent neurotoxin produced during the growth of the bacteria in dead tissues, e.g., in dirty wounds or in the umbilicus following non-sterile delivery.
Pathogenesis:
- Infection of wound by spores
- Germination of spores to bacilli
- Bacilli produce toxin (tetanospasmin)
- Toxins affect CNS and inhibit inhibitory mediators which are responsible for relaxation of muscles after contraction
- So contraction prolongs
Sterilization vs. Disinfection
What is the difference between sterilization and disinfection?
Sterilization:
Completely destroys or removes all microbial life, including spores.
By physical or chemical process
Disinfection:
Killing, or removal of microorganisms that may cause disease
Viruses Transmitted by Sexual Contact
Which virus can be transmitted by sexual contact?
- HIV
- HPV
- Hepatitis B
Morphological and Cultural Characteristics of Mycobacterium Tuberculosis
Describe the morphological and cultural characteristics of Mycobacterium tuberculosis?
Morphology:
Thin rods, acid-fast bacilli.
Cultural:
- Obligate aerobic
- Nutrition are high, Lowenstein-Jensen medium
- It grows very slow with a generation time of 18 hours, colony, 3-4 weeks.
- The rough colonies are granular, dull-yellow, dry.
Infection Sources and Transmission Routes of HBV
Describe the infection sources and transmission routes of HBV?
Infection source:
- Patients with hepatitis B
- Asymptomatic HBsAg carrier (ASC)
Transmission routes:
- Via infected blood (or) blood products
- Vertical transmission
- Others (tightly contact & sex).
Spore of Bacterium
Please explain spore of bacterium?
- Formed in response to adverse conditions
- Sporulation occurs when nutrients are depleted
- Inside the cell, mother cell autolysis
- Contains bacterial DNA, a small amount of cytoplasm, cell membrane, peptidoglycan, very little water, a thick coat
- A thick, keratin-like coat: responsible for the remarkable resistance of the spore to heat, dehydration, radiation, and chemicals.
- Is a resting cell, the spore has no metabolic activity and remains dormant for many years
- When returned to a favorable environment, the spore germinates to produce a single vegetative cell
- Sterilization cannot be achieved by boiling
- Patients can be infected by spore-forming organisms
Antigenic Shift and Antigenic Drift of Influenza Virus
Describe the antigenic shift and antigenic drift of influenza virus?
Antigenic shift:
- Reassortment of genes is a common feature of influenza virus A, but not B or C
- When two different”” viruses infect the same cell, their RNA segments can become mixed during replication
- New viruses produced in this way may survive due to a selective advantage within the population
Antigenic drift:
- Constant mutations in the RNA of influenza virus which lead to polypeptide mutations
- Changes are less dramatic than those induced by shift
- If these mutations affect HA or NA they may cause local epidemics.
Pathogenic Substances Produced by Staphylococcus Aureus
What are the pathogenic substances produced by Staphylococcus aureus?
- Coagulase and clumping factor
Cause plasma to clot
Initiate fibrin polymerization deposit
Fibrin on the surface of bacteria
S. aureus is distinguished from the others primarily by coagulase production
- Exotoxins
- Toxic shock syndrome toxin
- Enterotoxins
Diseases Caused by Salmonella
What disease can be caused by Salmonella?
Typhoid fever
Pathogenic Substances Produced by Meningococcus
What are the pathogenic substances produced by Meningococcus?
- Localized infections
In men: Urethritis with dysuria and purulent discharge
In women: Purulent vaginal discharge, intermenstrual bleeding, ascending infection of the uterine tube, ectopic pregnancy (or) infertility.
- Disseminated infection
– Arthritis
– Pustules
- Newborn infants
– Purulent conjunctivitis
Neurotoxins
Which toxins are neurotoxins?
- Botulinum toxin
- Tetrodotoxin
- Tetanus toxin
- Nitric oxide
- Chlorotoxin
- Conotoxin
- Lead
- Ethanol
- Glutamate
- Arsenic mercury
Pathogenesis of Treponema Pallidum
Describe the pathogenesis of Treponema pallidum.
– Natural infection with T. pallidum occurs only in human beings
–Habitat: The human skin (or) mucous membrane
–Transmission:
Intimate contact (sexual contact), pregnant women to fetus via placenta.
– Produce no important toxins (or) enzymes.
–Diseases:- Syphilis (STD)
Acquire syphilis (venereal syphilis) – sexual contact
Primary syphilis – nontender ulcer
Secondary lesion – maculopapular rash
Tertiary syphilis – gumma
Congenital syphilis
Viruses Associated with Nasopharyngeal Carcinoma and Cervical Cancer
Which virus is associated with nasopharyngeal carcinoma, cervical cancer?
- Nasopharyngeal — Epstein-Barr virus, CMV
- Cervical cancer —-HPV
Viruses Causing Vertical Transmission
Which virus causes vertical transmission?
From mother to offspring through placenta, delivery, and suckling, such as HBV, HIV & HSV
Viruses Causing Congenital Malformations
Which viruses are the cause of congenital malformations?
- Rubella, CMV, Herpes
Rabies Virus: Shape, Transmission, and Prevention
What shape of rabies virus, describe the transmission routes of rabies virus, how to prevent rabies?
- Shape: Bullet
- Transmission routes:
By biting or scratching of animals (through saliva)
Airborne (bats)
- Prevention:
Handling the biting site – complete washing with solvent water, usage of disinfectant
Anti-viral sera
Usage of vaccine
Asepsis and Disinfection
What are asepsis and disinfection?
Asepsis:
Absence of pathogenic microbes
The technique that prevents bacteria from going to the body (or) other objects.
Disinfection:
Killing (or) removal of microorganisms that may cause disease
