Gram+, anaerobic, non-spore forming, branching rod
Endogenous transmission (dental crevices -bad higiene, dental trauma- ; female genital tract -IUD-)
Dx: branching rods in “sulfur granules”; colonies resemble a molar tooth.
Not painful but very invasive penetrating tissues, including bone.
Draining abscess (sinus tracts) CULTURE THAT PUS
Disease: ACTINOMYCOSIS in low O2 tissues
Cervicofacil: “Lumpy jaw”, mycetoma on jaw line
Pelvic: from IUD
CNS: solitary abscess
Abdominal: qx, trauma
Thoracic: aspiration
Pneumonia & Meningitis Timelines
study tip request: studying on public transport (or sth related like how to know what to record when you record yourself saying notes so that you can listen to them on public transport)
Testing yourself is the most effective way to learn a topic, so this one is fairly straightforward. For recording:
Formulate an examination style question, and run through the answer in your head, organising your thoughts.
Then record the question, and mouth silently the answer fluently (reason being that just thinking in your head may result in too little or too much silence.
Leave a few extra seconds of silence for thinking time (~3-5 seconds).
Answer the question aloud in the recording (I’d suggest a brief one)
Rinse and repeat until you have enough to last you the whole commute.
Hope that helps! For more tips on how to spend time on commutes, check out my post on Staying Productive No Matter How Much Time You Have :)
volutin granules are an intracytoplasmic storage form of complexed inorganic polyphosphate, the production of which is used as one of the identifying criteria when attempting to isolate Corynebacterium diphtheriae on Löffler’s medium….look like chines letters…as given below
11.19.17
2 more days until break
Music mood: Mili - Miracle Milk
Transformation
Conjugation: F+ –> F- & Hfr –> F-
Transposition
Transduction: Generalized & Specialized
Gram staining
fungal infectors by systems
Sorry guys haven’t been updating much lately
From 1930. This well-dressed young scientist is experimenting with The Air. Exactly what he is doing is a mystery.
July 25 …. I finally get it! He’s holding an eye dropper with a bulb on the end. I thought it was a pair of chopsticks! He’s picking up pieces of paper using the vacuum from squeezing the bulb! Still very formal, though …
Bacterial chromosome replication
DNA replication
maintain DNA in appropriate state of supercoiling
cut and reseal DNA
DNA gyrase (topoisomerase II) introduces negative supercoils
Topoisomerase IV decatenates circular chromosomes
these are the targets of the quinolone antibacterial agents
Quinolones
bind to bacterial DNA gyrase and topoisomerase IV after DNA strand breakage
prevent resealing of DNA
disrupt DNA replication and repair
bactericidal (kill bacteria)
Fluoroquinolone is particularly useful against
Gram +ves: Staphylococcus aureus, streptococci
Gram -ves: Enterobacteriacea; Pseudomonas aeruginosa
Anaerobes: e.g. Bacteroides fragilis
many applications e.g. UTIs, prostatitis, gastroenteritis, STIs
Adverse effects
Relatively well tolerated
GI upset in ~ 5% of patients
allergic reactions (rash, photosensitivity) in 1 - 2% of patients
Macrolides
in 1952: Erythromycin was isolated as the first macrolide (Streptomyces erythreus)
Newer macrolides: clarithromycin, azithromycin
Structurally they consist of a lactone ring (14- to 16-membered) + two attached deoxy sugars
Mode of action
bind reversibly to bacterial 50S ribosomal subunit
causes growing peptide chain to dissociate from ribosome → inhibiting protein synthesis
bacteriostatic (stops reproduction)
Macrolides’ spectrum of activity
good antistaphylococcal and antistreptococcal activity
treatment of respiratory & soft tissue infections and sensitive intracellular pathogens • e.g. Chlamydia, Legionella
Adverse effects
Generally well tolerated
nausea
vomiting
diarrhoea
rash
large family of antibiotics produced by various species of Streptomyces (“mycin”) and Micromonospora (“micin”)
include: streptomycin, neomycin, kanamycin, gentamicins, tobramycin
Structure = linked ring system composed of aminosugars and an aminosubstituted cyclic polyalcohol
Mode of action of aminoglycosides
Bind irreversibly to 30S ribosomal subunit
disrupt elongation of nascent peptide chain
translational inaccuracy → defective proteins
bactericidal
Spectrum of activity
broad spectrum; mainly aerobic G-ve bacilli (e.g. P. aeruginosa)
used to treat serious nosocomial infections (hospital acquired infections)
First TB antibiotic
Used for cystic fibrosis
Adverse effects
all aminoglycosides have low Therapeutic Index (only a small amount needed to become toxic)
renal damage, ototoxicity, loss of balance, nausea
11.19.17
2 more days until break
Music mood: Mili - Miracle Milk