Académique Documents
Professionnel Documents
Culture Documents
OF INFECTIOUS DISEASE
Gu Junsheng
1
SUMMARIZATIONS
A new subject:
Infectious Disease-- one of the
most important clinical courses.
2
SUMMARIZATIONS
• In the past…
• Nowadays:
• HIV/AIDS
• Bacillus anthracis/`Anthrax
• Prion/v CJD (New Variant Creutzfeldt-Jackob Disease)
• SARS
• Bird flu
• In the future
3
SUMMARIZATIONS
Our topics of this term:
Measles
Epidemic Encephalitis B
Viral Hepatitis
AIDS
SARS
Epidemic Hemorrhagic Fever
4
SUMMARIZATIONS
Our topics of this term:
Cholera (By Sun Changyu)
Epidemic Cerebrospinal Meningitis
Typhoid Fever (By Yu Zujiang)
Bacillary Dysentery
Bacteremia and Septicemia
FUO
5
Definitions
• Infectious Disease:
• Caused by virus, bacteria,
chlamydia, rickettsia, prion, fungus,
spirochete, protozoa, helminth etc.
6
Definitions
• Infectious Disease
• Communicable disease
• Noncommunicable disease
7
Definitions
• Communicable Disease:
• Caused by upper microorganisms
• And be communicable
8
INFECTION AND IMMUNITY
Definitions:
Infection: Interaction between pathogen and
the host (results in different consequence)
Opportunistic infection:
During evolutionary process of microorganisms
balance commensalism imbalance
opportunistic infection
9
Pathogenecity of Pathogen
• Pathogenecity:
• Invasiveness: adherence
• Virulence: exotoxin, endotoxin & other virulence factor
• Quantity:
• Variability:
10
Immune Response of the Host
During the Infection Process
• Nonspecific immunity
• Specific immunity:
11
Immune Response of the Host
During the Infection Process
• Nonspecific immunity:
skin
• Natural barrier: mucosa
• Phagocytosis BBB
`complement
• Humoral factors lysozyme interleukin
cytokines TNF
interferon-γ
12
Immune Response of the Host
During the Infection Process
• Specific immunity:
• Cell-Mediated Immunity
• intracellular autoeciousness
• T-cell
• regulates humoral immunity
•
13
Immune Response of the Host
During the Infection Process
• Specific immunity:
• Humoral Immunity
• B-cell plasma cell
immunoglobulin:
IgA IgD IgE IgG IgM
14
Infection Process
(Infection spectrum)
• Clearance of pathogen
• Covert infection /subclinical infection
• Overt infection /clinical infection
• Carrier state
• Latent infection
15
Infection Process
(Infection spectrum)
• Clearance of pathogen:
• Cleared by:
• 1.nonspecific immunity
• 2.specific immunity(prior, foregoing)
• vaccination
• Immunoglobulin active immunity
• passive immunity
16
Infection Process
(Infection spectrum)
• Covert infection /subclinical infection:
• 1. Very light damage
• 2. Asymptomatic
• 3. Only induces specific immune
response and can be tested by
immunological tests
17
Infection Process
(Infection spectrum)
• Overt infection /clinical infection:
• 1.Symptomatic (the damage is severe)
• 2.Result in:
• clearance of pathogen always with a
stable post-infection immunity or
• chronic carrier state
• latent infection
18
Infection Process
(Infection spectrum)
• Carrier state:
• Common character:
• 1. Asymptomatic
• 2. Carrying & discharging pathogen
19
Infection Process
(Infection spectrum)
• Latent infection:
• The pathogen and the host cant not beat each other.
• Latent infection can become overt infection when stress
comes or immunity is inhibited.
• Asymptomatic
• No pathogen discharged
• eg.vericella-zoster virus
(chichenpox in children & herps zoster in adults)
20
Infection Process
21
Infection Process
• Questions: difference between each
type?
• The difference between type 1
(clearance of pathogen) and type 2 (covert
infection/subclinical infection) ?
• The difference between carrier state
and latent infection ?
22
Basic Conditions of
the Process of Communicable Disease
Sources of infection:
patients
covert infection ones
carriers
infected animals
23
Basic Conditions of
the Process of Communicable Disease
Routes of transmission:
respiratory tract
digestive tract
contact
blood
sex
`arthropod
24
Basic Conditions of
the Process of Communicable Disease
Routes of transmission:
horizontal transmission
vertical transmission
congenital transmission
25
Basic Conditions of
the Process of Communicable Disease
Susceptible persons:
different susceptibility of different groups
26
Basic Character of Communicable Disease
• Pathogen
• Infectivity
• Epidemiologic feature
• Post-infection immunity
27
Basic Character of Communicable Disease
• Pathogen:
• virus, bacteria, chlamydia,
rickettsia, prion, fungus, spirochete,
protozoa, helminth, etc.
28
Basic Character of Communicable Disease
• Infectivity
• Communicable
29
Basic Character of Communicable Disease
• Epidemiologic feature :
• sporadic occurrence: normal
• epidemic: with a higher morbidity than
that in normal time
• pandemic:in a large area
• epidemic outbreak:in a short time
30
Basic Character of Communicable Disease
• Post-infection immunity:
• IgM
• IgG
31
Clinical Features
32
Clinical Features
33
Clinical Features
34
Clinical Features
35
Clinical Features
36
Clinical Features
• Other features:
• recrudescence
• relapse
37
Common Symptoms & Signs
• Pyrexia:
• effervescence
• fastigium
• defervescence
38
Common Symptoms & Signs
• Eruption
• Following rashes can be seen in eruptive
infectious disease.
• 1. maculopapule
39
Common Symptoms & Signs
• Eruption
• Following rashes can be seen in eruptive
infectious disease.
• 2. petechia
40
Common Symptoms & Signs
• Eruption
• Following rashes can be seen in eruptive
infectious disease.
• 3.`vesicle
41
Common Symptoms & Signs
• Eruption
• Following rashes can be seen in eruptive
infectious disease.
• 4. urticaria
42
Common Symptoms & Signs
• Toxemic symptoms:
Discomfort, fatigue, inappetent,
headache, etc caused by metabolite and
toxins of the pathogen.
43
Common Symptoms & Signs
44
DIAGNOSIS
45
TREATMENT
• General treatment:
• Supportive treatment:
• Etiologic treatment:
• Symptomatic treatment:
• Rehabilitative therapy:
46
PREVENTION
• Management of the source of infection:
• I. plague, cholera, SARS, AIDS
• II. viral hepatitis, measles, epidemic
hemorrhagic fever, epidemic cerebrospinal
meningitis, typhoid fever, bacillary dysentery
• III. mumps, influenza.etc
47
PREVENTION
• Cut off the transmitting route:
48
PREVENTION
• Protection of the susceptible persons:
49
50