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Chapter 20b

AB
The Most Prevalent Enteric BacillusEscherichia coli (e-coli)
enterichaving to do with GI tract
Escherichia coli (e-coli)Most common aerobic bacterium in gut --150 strains-- Some have developed virulence through plasmid transfer, others are opportunists
Enterotoxigenic E. colicauses severe diarrhea due to heat-labile toxin and heat-stable toxin
Enteroinvasive E. colicauses inflammatory disease of the large intestine
Enteropathogenic E. colilinked to wasting form infantile diarrhea
Enterohemorrhagic E. colicauses hemorrhagic syndrome and kidney damage
___________Pathogenic strains frequent agents of infantile diarrhea – greatest cause of mortality among babiesEscherichia coli (e-coli)
______Causes ~70% of traveler’s diarrheaEscherichia coli (e-coli)
_______Causes 50-80% UTIEscherichia coli (e-coli)
Coliform count– indicator of fecal contamination in water
Typhoid Fever-how transmittedBacillus enters with ingestion of fecally contaminated food or water; occasionally spread by close personal contact
Salmonella typhi –most serious pathogen of the genus; cause of typhoid fever; human host
Flagellated; survive outside the host Resistant to chemicals – bile and dyesSalmonella typhi –
Typhoid Fever-disease progressBacilli adhere to small intestine, cause invasive diarrhea that leads to septicemia
typhoid fever treatmentTreat with chloramphenicol or sulfatrimethoprim 2 vaccines for temporary protection
enteric feversSalmonelloses other than typhoid fever
enteric fevers examplesSalmonella food poisoning, and gastroenteritis--Usually less severe than typhoid fever but more prevalent
Shigellosis –incapacitating dysentery
S. dysenteriae, S. sonnei, S. flexneri, and S. boydiiHuman parasites- Invades villus of large intestine, does not perforate intestine or invade blood
Shigellosis treatmentTreatment – fluid replacement and ciprofloxacin and sulfatrimethoprim
If your nephew gets gastroenteritis after cleaning out his pet snake’s aquarium, the most likely pathogen is Shigella dysenteriae Serratia marcescens Salmonella typhi Salmonella enteritidisSalmonella enteritidis
Coagulase-- Endotoxin-- Murine toxinVirulence factors – capsular and envelope proteins protect against phagocytosis and foster intracellular growth
Yersinia pestisHumans develop plague through contact with wild animals (sylvatic plague) or domestic or semidomestic animals (urban plague) or infected humans
Most dangerous form of plague:pneumonia
Yersinia pestisFound in 200 species of mammals – rodents, without causing disease
Yersinia pestisFlea vectors
types of plaqueBubonic ,Septicemic ,Pneumonic
bubonecrosis and swelling in groin or axilla
The bubo of bubonic plague is a/an Ulcer where the flea bite occurred --Granuloma in the skin-- Enlarged lymph node-- Infected sebaceous glandEnlarged lymph node


Bowles Academy

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