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Lecture notes Medical Microbiology

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Infectious diseases and TB









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Uploaded on
November 15, 2021
Number of pages
3
Written in
2021/2022
Type
Lecture notes
Professor(s)
Neil mcewan
Contains
All classes

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Infectious Diseases and TB


-




Pathogen Microorganism causing disease
-

.




-




Primary pathogen only associate with body -
to cause disease .




-


Opportunist pathogen -




often present as part of the body's normal flora .




Only cause disease when defence system weakened e.
g. 5. aureus in suffers from cystic fibrosis
-

.





4
groups to
be considered based on mode of transmission .




-



Respiratory conditions e.
g.
measles .




-


Sexually transmitted e.
g herpes
-

Food and waterborne e. cholera
g.
-

Animal transmitted e.
g. Yersinia pestis .




Respiratory Diseases



Globally influenza is the
biggest cause
of microbial death each year .





However both tuberculosis and pneumonia aremajor causes of death as well .




Tuberculosis

caused by the bacterium Mycobacterium tuberculosis
-




.




-

Annual about a million deaths worldwide .




-
Around 28,000 people develop TB everyday -3,000 to 4,000 die daily .




-

UK peaked in 2011 at 8,919 now about 6,000 annually .




-




Figures for 2016 :




5,664 in England

39%
of cases in London

74 % were non -
UK nationals

3.8% also had HIV .




alcohol / drug misuse
' '

11% had risk factors e.
g.

Two Phases of TB :




primary
First
TB :



phase
-




-




Mycobacterium Bt acquired from aerosols .




-
Bacteria reach alveoli in lungs and start to grow .




the alveoli stimulates the host's
My growth TB in
macrophages
-


. . . .




-




Macrophages form into aggregates (known as tubercles) and engulf
mycobacteria .




-
However ,
some mycobacteria survive within the macrophage after phagocytosis
-



They don't succumb to the normal lysosomal destruction process .




Mycobacterial cell walls are rich in colic acid
glycolipid
-

a
my
-
.




Not
really Gram tire
-

ve or -


.




-




My colic acids hydrophobic are .




-

Outside of cell is hydrophobic .




-

Due to this exterior surface normal phagocytosis does not
occur .




It also limits the
entry of antimicrobial compounds
-



.
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