Airborne Bacterial and Viral diseases + Vectorborne Bacterial and Viral diseases (MIC 11)

39 important questions on Airborne Bacterial and Viral diseases + Vectorborne Bacterial and Viral diseases (MIC 11)

How can infectious disease be transmitted?

  • Transmission by vector
  • Direct transmission (STD)
  • Infection by ingestion
  • Infection by inhalation

Which transmission forms are most common?

Infection by ingestion and infection by inhalation.

Which transmission form is most dangerous?

Infection by inhalation.
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How are airborne pathogens transmitted?

Mainly through aerosols. Aerosols spread by coughing and sneezing.

What are airborne pathogens dependent on?

  • The pathogen (has to be highly infectious)
  • Droplet size (small enough to be able to reach the lungs)
  • Distance
  • Conditions (sunlight, wind, humidity, enclosed or open space)

How is the upper respiratory tract protected against pathogens?

The upper respiratory tract contains ciliated epithelia cells and mucus. Mucus contains antimicrobial peptides, IgA, and enzymes.
It also has a ring of lymph nodes.

How is the lower respiratory tract protected against pathogens?

The lower respiratory tract has protection of the lower bronchial tubes and alveoli:
  • Alveolar macrophages
  • IgG
  • IgA
  • Antimicrobial peptides
  • Surfactant

What are bacteria that cause respiratory tract infections?

  • Streptococcus pyogenes
  • Cornyebacterium diphtheria
  • Myobacterium tuberculosis

Can streptococci colonize without infection?

Yes

Can cornyebacterium diphtheria colonize without infection?

This does not occur often.

What does streptococcus pyogenes cause?

A strep throat.

What does streptococcus pneumoniae cuase?

Pneumonia in elderly and meningitis in children.

What does cornyebacterium diphtheria cause?

Diphtheria.

What happens after cornyebacterium diphtheria has infected a host?

When infected the diphtheria toxin is produced. This causes damage to the heart muscle and nervous system.

What does myobacterium tuberculosis cause?

Tuberculosis.

Is tuberculosis an acute infection or a chronic disease?

Tuberculosis is a chronic disease, it is a silent killer.

What happens after infection with mycobacterium tuberculosis?

After infection there is accumulation of immune cells, called a granuloma.

What will cause death when infected with mycobacterium tuberculosis? How long does this take?

The mtb outgrows and spreads to the rest of the body. This causes tissue damage by immune cells, but this can take years.

Are streptococcus pyogenes, cornyebacterium diphtheriae, and mycobacterium tuberculosis upper or lower respiratory tract causing pathogens?

streptococcus pyogenes and cornyebacterium diphtheriae upper respiratory tract. mycobacterium tuberculosis lower respiratory tract.

What viruses cause respiratory tract infections?

  • Influenza
  • Varicella Zoster Virus (VZV)

What are the spikes on the envelope of an influenza virus?

  • Hemagglutunin
  • Neuraminidase

What is the function of neuraminidase?

To be released from the host cell.

What is antigenic shift?


Major changes in influenza virus antigens by gene exchange.

What are conditions for optimal spread of the influenza virus?

  • Infection is the upper respiratory tract
  • Large number of viral particles
  • Free and singular viral particles

What happens after infection with VZV?

After infection there is local multiplication in lung epithelial cells. This will spread to local lymph node. Multiplication and primary viremia will happen (day 4-6). Multiplication in liver causes a secondary viremia, dissemination to skin tissue. Leading to local multiplication and characteristic papular rash (day 8-10).

The VZV remains in the body and can cause a permanent infection later in life. What is this infection called?

When the Varicella Zoster Virus gets reactivated it will cause Shingles (gordelroos).

How are zoonosis diseases transmitted?

  • Direct contact
  • Aerosols
  • Vectors
  • Food

What is typical for rabies (hondsdolheid)?

Once the central nervous system has been infected there is a 100% mortality.

What are amplifier species?

This is best to explain using an example. Hendra is a disease that is caused by bats. Humans do not get this disease, horses however do get this disease. This is probably the same with ebola and apes.

What are anthropod transmitted diseases?

  • Lyme disease
  • Malaria
  • Yellow fever
  • Plague

What are anthropods that transmit diseases?

  • Mosquitos
  • Ticks
  • Lice
  • Horsefly
  • Fleas

What are advantages for pathogens transmitted via anthropods?

  • They can travel longer distances
  • They can infect multiple hosts
  • They can multiply inside the vector
  • The vector perforates the skin (protection of the host) giving the pathogen acces to the bloodstream

What are disadvantages for pathogens transmitted via anthropods?


  • Survival of pathogen dependent on survival host (tsetse fly)
  • Multiplication inside vector should not limit fitness vector
  • Specialization in different mammalian hosts (dependent on host-specificity of vector)

What are the different stages of Lyme disease?

  • 1st stage: red ring around bite. In this stage Lyme disease can easily be treated by antibiotics.
  • 2nd stage: chronic infection
  • 3rd stage: damage to central nervous system

B. burgdorferibelongs to the spirochetes. What does this mean?


  • Internal flagella
  • No LPS

And thus difficult to identify for the immune system

What are arbo viruses?

Arbo viruses are arthropod borne viruses. They are transmitted via arthropods.

What are the symptoms of yellow fever?

First you will get a fever and a headache. This will recover, but after that you will get jaundice (geelzucht) and black vomit.

What were two experiments that led to the discovery of yellow fever transmission via mosquitos?

  1. Two groups of healthy (paid) volunteers  - One group in filthy cabin with old dirty linen, but with insect screens
      - One group in clean cabins but with open windows
  2. Use of mosquitos that had fed on yellow fever patients

What is the causing agent of yellow fever?

Flaviviridae

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