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Microbiology - The Development of Infectious Disease

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    Study Guide Microbiology – The Development of Infectious Disease 1 . Contributing Factors Infectious disease develops as a competition between the parasite (pathogen) and the host (the body) . If the pathogen successfully overcomes the body’s defenses, the normal state of health is disturbed and disease occurs . Whether a microorganism is able to cause disease depends on several contributing factors . These factors influence the ability of the pathogen to enter the body, survive, multiply, and cause damage . 1.1 Portals of Entry For a pathogen to cause infection, it must first enter the body through a portal of entry . The most common portals of entry are: • Mucous membranes , especially those of the: o Respiratory tract o Gastrointestinal tract o Urogenital tract Another important portal of entry is the skin . • Microorganisms can enter through: o Cuts or wounds o Hair follicles When pathogens enter the body beneath the skin , the route is called the parenteral route . 1.2 Dose of the Pathogen The dose refers to the number of microorganisms required to establish an infection. • Some diseases require only a small number of organisms

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    Study Guide o Example: typhoid fever (a few hundred bacteria) • Other diseases require a very large number o Example: cholera (millions of bacteria) The dose is sometimes expressed as LD ₅₀ (lethal dose 50) : • This is the number of microorganisms required to kill 50% of the hosts exposed 1.3 Invasiveness Invasiveness is the ability of a pathogen to penetrate and spread through body tissues . • Highly invasive organisms are more likely to cause disease • For example, organisms that cause intestinal ulcers can penetrate deeply into tissue Tissue invasion usually begins with adherence , which is the ability of a microorganism to attach to host cells . • Adherence is often aided by structures such as pili • Capsules or glycocalyx layers also help because they are sticky , allowing stronger attachment to tissues 1.4 Capsules and Resistance to Host Defenses Some microorganisms are surrounded by a capsule , which greatly increases their ability to cause disease. Capsules help pathogens by: • Preventing phagocytosis • Interfering with the action of white blood cells Normally, white blood cells engulf and destroy invading microorganisms. However: • Toxic substances in the capsule can damage or kill white blood cells • This allows the pathogen to survive and multiply A well - known example is the organism that causes pneumonia , which has a capsule containing toxic materials. Many other disease - causing microorganisms also possess capsules.

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    Study Guide Key Points to Remember • Disease depends on the balance between host defenses and pathogen strength • Pathogens must enter through a portal of entry • The dose of microorganisms affects disease development • Invasiveness allows pathogens to penetrate tissues • Capsules help pathogens avoid destruction by the immune system 2. Enzymes and Toxins Pathogenic microorganisms use special enzymes and toxins to damage body tissues, avoid immune defenses , and establish infection. These substances increase the organism’s ability to cause disease. 2.1 Enzymes – Tools That Help Pathogens Spread Many pathogens produce enzymes that weaken the body’s defenses and help them survive inside the host. Leukocidins • Leukocidins are enzymes that destroy white blood cells • Since white blood cells perform phagocytosis , their destruction reduces the body’s ability to fight infection Hemolysins • Hemolysins are enzymes that destroy red blood cells • They are produced by organisms such as: o Streptococci o Staphylococci o Some Clostridium species

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