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Ch. 14+15 - Principles of Disease and Epidemiology | Microbial Mechanisms of Pathogenicity
Chapter 11, Problem 14.6a

How can a local infection become a systemic infection?

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Understand that a local infection is initially confined to a specific area of the body, such as a cut or wound, where pathogens have entered and begun to multiply.
Recognize that for a local infection to become systemic, the pathogens must gain access to the bloodstream or lymphatic system, which can occur through various mechanisms such as tissue damage or inflammation.
Consider the role of virulence factors produced by the pathogens, such as enzymes or toxins, which can facilitate the spread of the infection by breaking down tissue barriers or evading the immune response.
Acknowledge the importance of the host's immune system in controlling the spread of infection. If the immune response is weakened or overwhelmed, pathogens are more likely to disseminate throughout the body.
Identify potential symptoms and signs of a systemic infection, such as fever, chills, fatigue, and widespread inflammation, which indicate that the infection has spread beyond the initial local site.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Local Infection

A local infection occurs when pathogens invade a specific area of the body, leading to localized symptoms such as redness, swelling, and pain. This type of infection is typically confined to a small region, allowing the immune system to respond effectively. Examples include a cut becoming infected or a urinary tract infection affecting only the bladder.
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Systemic Infection

A systemic infection arises when pathogens spread from the initial site of infection into the bloodstream, affecting multiple organs or systems throughout the body. This can lead to more severe symptoms and complications, such as sepsis, where the body's response to infection causes widespread inflammation. Common examples include pneumonia or meningitis that can disseminate beyond their original sites.
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Pathogen Dissemination

Pathogen dissemination refers to the mechanisms by which infectious agents spread from their original site to other parts of the body. This can occur through the bloodstream, lymphatic system, or direct extension to adjacent tissues. Understanding how pathogens disseminate is crucial for recognizing the potential for local infections to escalate into systemic infections, highlighting the importance of early intervention.
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Related Practice
Textbook Question

Which of the following is not one of Koch's postulates?

a. The same pathogen must be present in every case of the disease.

b. The pathogen must be isolated and grown in pure culture from the diseased host.

c. The pathogen from pure culture must cause the disease when inoculated into a healthy, susceptible laboratory animal.

d. The disease must be transmitted from a diseased animal to a healthy, susceptible animal by direct contact.

e. The pathogen must be isolated in pure culture from an experimentally infected lab animal.

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Textbook Question

Distinguish symptoms from signs as signals of disease.

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Textbook Question

Which one of the following diseases is not correctly matched to its reservoir?

a. influenza-animal

b. rabies-animal

c. botulism-nonliving

d. anthrax-nonliving

e. toxoplasmosis-cats

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Textbook Question

Use the following information to answer questions 6–7.

On September 6, a 6-year-old boy experienced fever, chills, and vomiting. On September 7, the child was hospitalized with diarrhea and swollen lymph nodes under both arms. On September 3, he had been scratched and bitten by a cat. The cat was found dead on September 5, and Y. pestis was isolated from the cat. Chloramphenicol was administered to the child from September 7, when Y. pestis was isolated from his blood. On September 17, the child's temperature returned to normal. On September 22, the child was released from the hospital.


Identify the incubation period for this case of bubonic plague.

a. September 3-5

b. September 3-6

c. September 6-7

d. September 6-17

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Textbook Question

Why are some organisms that constitute the normal microbiota described as commensals, whereas others are described as mutualistic?

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Textbook Question

Use the following information to answer questions 6–7.

On September 6, a 6-year-old boy experienced fever, chills, and vomiting. On September 7, the child was hospitalized with diarrhea and swollen lymph nodes under both arms. On September 3, he had been scratched and bitten by a cat. The cat was found dead on September 5, and Y. pestis was isolated from the cat. Chloramphenicol was administered to the child from September 7, when Y. pestis was isolated from his blood. On September 17, the child's temperature returned to normal. On September 22, the child was released from the hospital


Identify the prodromal period for this disease.

a. September 3-5

b. September 3-6

c. September 6-7

d. September 6-17

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