Summary of infections

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GIT Infections Name of infect ion Causative Agent morphology Source of infecti on Porta l of entry Pathogen e-sis Sign & symptoms Treatme nt control Typhoid Salmonella typhi Gram negative rod, motile, non capsulated, non sporing Contamina ted food & water Oral fecal route S. typhi reach the small intestine Enter the lymphatic Bacteremia Multiplicat ion in intestinal lymph node High Fever, malaise, headache, constipatio n. Spleen & liver become enlarged. Rose spots on the skin of chest & abdomen. Chloramph inicol, ampicilli n, Prevent contamination of food with organisms, carriers should not be involved in cooking & control by five Fs: Fly, feaces, finger, food & friend Cholera Vibrio cholerae Gram negative comma shaped, motile, non capsulated, non sporing Contamina ted food & water Oral fecal route Attachment with microvilli of epithelial cell Multiply Release of cholera toxin Increased level of cyclic AMP Hyper secretion of water & electrolyte Nausea, vomiting, diarrhea with abdominal cramp. Rice watery stool contains mucus, epithelial cells & large number of epithelial cells. Water & electroly te replaceme nt Prevent contamination of food with organisms by five Fs: Fly, feaces, finger, food & friend Ascaria sis Ascaris lumbricoid Round worm Contamina ted food particula rly raw vegetable s Oral fecal route Eggs hatch in intestine Reach to blood stream Lungs Damage to air sacs Dry cough, fever, difficulty in breathing, loss of appetite, & loss of weight Pirate pamate mebendazo le Prevent contamination of food particularly raw vegetables with organisms

Transcript of Summary of infections

Page 1: Summary of infections

GIT Infections

Name of infection

Causative Agent

morphology Source of infection

Portal of entry

Pathogene-sis

Sign & symptoms

Treatment control

Typhoid Salmonella typhi Gram negative rod, motile, non capsulated, non sporing

Contaminated food & water

Oral fecal route

S. typhi reach the small intestine

Enter the lymphatic

Bacteremia

Multiplication in intestinal lymph node

High Fever, malaise, headache, constipation. Spleen & liver become enlarged. Rose spots on the skin of chest & abdomen.

Chloramphinicol, ampicillin,

Prevent contamination of food with organisms, carriers should not be involved in cooking & control by five Fs:Fly, feaces, finger, food & friend

Cholera Vibrio cholerae Gram negative comma shaped, motile, non

capsulated, non sporing

Contaminated food & water

Oral fecal route

Attachment with microvilli of epithelial cell

Multiply

Release of cholera toxin

Increased level of cyclic AMP Hyper secretion of water & electrolyte

Nausea, vomiting, diarrhea with abdominal cramp. Rice watery stool contains mucus, epithelial cells & large number of epithelial cells.

Water & electrolyte replacement

Prevent contamination of food with organisms by five Fs:Fly, feaces, finger, food & friend

Ascariasis Ascaris lumbricoid

Round worm Contaminated food

particularly raw

vegetables

Oral fecal route

Eggs hatch in intestine

Reach to blood stream

Lungs

Damage to air sacs

Dry cough, fever, difficulty in breathing, loss of appetite, & loss of weight

Pirate pamate mebendazole

Prevent contamination of food particularly raw vegetables with organisms

Teniasis Tenia soliumTenia saginata

Long, flat ribbon like worm that is divided into segments called proglottids

PorkBeef

Oral fecal route

Eggs hatch in intestine

Reach to blood stream

Disseminate to different organs

No obvious symptoms. Intestinal discomfort, loss of vision, headache, muscular paralysis & seizures.

niclosamide Prevent contamination of food vegetables with organisms

mumps Spherical, RNA containg virus

Contaminated food & water

Oral fecal route

Virus replicate in URT epithelial cells viremia,

virus disseminate to parotid gland & other body organ

Swelling of parotid gland with pain, malaise, anorexia & a low grade fever.

No specific chemotherapy

MMR vaccine

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CNS InfectionsName of infection

Causative Agent morphology Source of infection

Portal of entry

Pathogene-sis

Sign & symptoms

Treatment control

Polio Polio virus - Picorna virus family -Icosahedral symmetry -RNA containing virus

Contaminated food & water

Oral fecal route

Consumption of Contaminate food

virus multiply in oropharynx / intestine

viremia

CNS invasion , multiplication & intraneural spread High level of Ab

paralysis

Abortive polio: -Most common - Minor illness with fever, malaise, drowsiness, headache, nausea, vomiting constipation & sore throat.- Non paralytic polio:- with above symptoms pain in neck & back, less chances of paralysis Paralytic polio:Above mentioned symptoms & paralysis of lower part of the body.

Reduction of pain maintenance of respiration & hydration , early mobilization & exercises

Killed virus (Salk) vaccine - live virus ( sabin ) vaccine / oral vaccine

Tetanus Clostridium. tetani Gram positive rod, motile, capsulated, sporing, anaerobic,

Soil contaminated with feaces of

cattle

- any break in the skin - surgical sutures umbilical stump

Spores enter in the wound through contaminated Soil

Spores convert into vegetative cell

Toxin (tetanospasmin) production

Toxin reach to CNS through nerves / blood

Toxin fixed to ganglioside & brain stem

Inhibit the release of acetylcholene

Generalized muscular spasm, hyper reflexia &seizures

-convulsive contraction of voluntary muscles - muscular spasm at the site of injury & in the jaw ( lock jaw) mouth cannot be opened - seizures - arching of the back Respiratory failure

-Tetanus antitoxin -antitetanus serum ATS- Penicillin

- DPT - tetanus toxoid - awareness program

Skin Infections

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Name of infection

Causative Agent morphology Source of infection

Portal of entry

Pathogene-sis

Sign & symptoms

Treatment control

Measles Measles virus - Paramyxo virus -spherical symmetry -RNA containing virus

Infected person

Direct contact, inhalation

Virus multiply in RT

Spread to regional lymph node & multiply

Viremia

Virus replicate in epithelial surface of the body which includes skin, RT & conjunctiva

Coryza, cough, conjunctivitis, fever & Koplik’s spots in mouth ( small, bluish white ulceration on the bucal mucosa, opposite the lower molars)

No antibiotic but antibiotic can be use for super bacterial infections

MMR