Toxigenic Bacteria Flashcards

1
Q

How many cases of C. diphtheriae are there per year?

A

About 1 or 2

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2
Q

What does the fall of the USSR reveal about the need to continue vaccination?

A

When the USSR fell, people stopped receiving vaccinations and the incidence of C. diphtheriae rose. That is, it lives somewhere in the environment.

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3
Q

What are signs of C. diphtheriae infection?

A
  • Pseudomembrane on the oropharynx (boy with cotton candy)
  • Myocarditis (toreador’s cloth)
  • Bull neck (fat bull neck)
  • Conjunctivitis
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4
Q

What kind of bacteria is C. diphtheriae?

A

Gram-positive rod

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5
Q

Corynebacterium can also be acquired by ___________.

A

skin lesions (particularly C. ulcerans)

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6
Q

Where does C. diphtheriae live?

A

In the upper respiratory tract (only the toxin moves systemically)

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7
Q

The C. diphtheriae toxin affects which tissues?

A

Peripheral nerves, heart, and kidneys

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8
Q

How much diphtheria toxin is needed to kill a cell?

A

Only one molecule

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9
Q

How does diphtheria toxin work?

A

It ribosylates EF-2 (like the accordion player in the stadium).

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10
Q

How can you test for C. diphtheriae be tested?

A

It’s crucial to know if the strain produces toxin, so you need to PCR for the toxin gene or do the toxin-antitoxin test.

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11
Q

It’s important to give the ______________ very soon.

A

diphtheria equine antitoxin (antibodies cultured from horses)

Fatalities increase by each day waited.

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12
Q

The diphtheriae toxin is carried on ______________.

A

bacteriophage

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13
Q

The diphtheriae toxin is only expressed in low _________ states.

A

iron

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14
Q

Antitoxin is available only from the _______.

A

CDC

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15
Q

What is one of the worst potential complications of whooping cough?

A

Cerebral hemorrhage

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16
Q

Why was the live pertussis vaccine discontinued?

A

Childhood seizures (though this is disputed)

17
Q

What kind of bacteria is Bordetella pertussis?

A

Gram-negative coccobaccilus

18
Q

What is unique about the immune response to B. pertussis?

A

It has a high lymphocyte response,

19
Q

Bordetella and Corynebacterium both grow ____________.

A

extremely slowly

20
Q

True or false: whooping diagnosis usually requires toxin testing.

A

False. Toxin testing is not done for pertussis.

21
Q

How does the pertussis toxin work?

A

It inhibits Gi, thus leading to increased cAMP. It is unclear how this damages cells.

22
Q

Filamentous hemagglutinin plays a key role in _______________.

A

B. pertussis attaching to ciliated respiratory epithelium

23
Q

C. diphtheriae is now considered an _____________ disease.

A

adult (due to failure to maintain booster schedule)

24
Q

Which vaccines are to toxoids?

A

Diphtheriae and tetanus

25
Q

B. pertussis can be diagnosed three ways: ________________.

A

direct fluorescent antibody, PCR, and culture