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Pseudo appendicitis
Inflammation in the lymph nodes
Rare in U.S.
Bubonic plague
Virulence factor
Inhibits phagocytosis
Mucoid
2nd leading cause
3% in young adults
septicemia likely
Subtopic
Turkeys / Chickens
1500 serotypes
swine
Trimethoprim-sulfamethoxazole
Amp
Cam
S. typhi
Can survive inside PMNs
Enter intestinal lymphatics
7-14 days
S. choleraesius
Treatment
Antibiotics
Would prolong the carrier state
Fluid Replacement
Widal
Shiga
Inhibits protein synthesis
Neonatal
Septicemia
Meningitis
Majority CNS infections
K1 Antigen
UTI
EIEC
Invasive
do no penetrate epithelium layer
septicemia unlikely
intracellular parasites following endocytosis by epithelia
destroy colonic epithelium
shigella-like
Adherence
EHEC
Sequela = Hemolytic uremis syndrome (HUS)
Hemolytic anemia
Thrombocytopenia
Acute renal failure
Young children
Bloody diarrhea
Verotoxin (Shiga-like toxin)
Fast food hamburgers
ETEC
Colonization pili
attach to microvilli of small intestine epithelium
ST
increased cGMP
LT
increased cAMP
decreased NaCl absorption
Traveler's Diarrhea
EAggEC
Have pili
Adherence main virulence factor
Prolonged water diarrhea
EPEC
"Attaching and effacing lesion"
Nursery outbreaks
E. Coli
acid-resistant
Infective dose = ~200 cells
Salmonella
lactose w/ acid
glucose
Klebsiella
Shigella