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Pathogen
Disease causing microorganism
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Pathogenesis
Development of disease
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Pathogenicity
Ability to cause disease by evasion (escaping or protecting) from the host defenses
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Disease
An abnormal state in which the body is not functioning normally
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INfectious disease
Disease caused by a pathogen
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Etiology
Study of the cause of a disease
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Etiological agent
Agent causing a disease
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Transient microbiota
May be present for days, weeks, months, and then disappear
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Resident microbiota
Permanently colonize the host; is normal; doesnt cause disease in healthy individual
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Opportunistic pathoens
Microbes don't cause any disease in healthy individual, but under other conditions
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Microbial antagonism
Competition among microbes (observed b/w normal microbiota and pathogens) for common factors required for growth
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Normal microbiota inhibits growth of pathogen in the body by
1. Reducing avaliability of nutrients/ growth factors2. Occupying receptors on host tissue3. Changing pH/ O2 Concentrations4. Producing toxins for pathogens
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Infection
Presence of pathogen in body when it is normally not there
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Pathogenesis (4 stages)
1. Entry of pathogen in teh body (infection)2. Adhesion of pathogen to host tissue3. Survival or pathogen against hot defense and invasion: virulence and virulent factors4. Development of diease
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Mucous membrane
Location: Respiratory tract, urogenital tract, conjuntiva of eye, GI tract
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Skin (as portal of entry)
2nd most common portalentry through pore, hair follicle, digesting keratin layer of skin w/ enzymes, burrow in skin (some helminths)
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Placental (portal of entry)
Some viruses (HIV)Some bacteria, some protozoa Check mother's antibodies to seeSome infection --> mental retardation, miscarriage
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Parenteral route of entry
Direct entry of pathogen in teh blood or deep in the tissueThrough cuts/ wounds, damaged physical barrier, contaminated blood transfusion, contaminated needles, bites of insects/ animals
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Virulence of a pathogen
Strength of a pathogen, ability for it to escape from host defenses
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ID50 value
the number of pathogens required to infect 50 percent of test population, lower value= more virulent
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Virulent adhesion factors
Attachment of pathogen to the receptors of host tissue
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Coagulase
Forms blood clots (prevents bacteria from host defenses)
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Kinases
Dissolves blood clots (invasion/ spread of pathogen inside the body)
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Collagenase
Dissolves collagen (helps bacteria invasde)
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IgA proteases
Immunoglobulin A (antibodies) Help recognize pathogen. Proteases dissolve protein (destroys IgA antibody) mechanism for some pathogens to escape the immune system (protection)
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Keratinase
Dissolves keratin (invasion)
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Hyaluronidase
Hyauronic acid helps epithelial cells stick together; this enzyme destroys these cells and helps in invasion
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Toxigenicity
Ability of microbe to produce toxin
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Exotoxin
Produce inside mostly gram positive bacteria s part of their growth and metabolism. Secreted/ release followed lysis into surronding medium.
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Endotoxin
part of outer portion of the cells wall (lipid A) of GM- bacteria. They are liberated when the bacteria die and the cell wall breaks apart (lysis of cell wall)
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Bacterial source (exo/endotoxin)
Exo- Gram Positive Endo- Gram negative
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Chemical nature (endo/exo toxin)
Endo- Lipid A)
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Heat stability (exo/endotoxin)
Exo- heat labile (less stable, easily destroyed by heat) Endo- heat stable
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Fever producing toxin
Endotoxins (pyrogen)
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Potency (toxicity) and LD value of endo exo toxins
Exo- very high LD 50, endo- ow lethal dose; potency of toxic is inversely porportional to LOD50
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