SlideShare a Scribd company logo
Neisseria
Buga Rudolf
HTC LECTURE SERIES
Introduction
•Family- Neisseriaceae.
•Genus- Neisseria
•Species- N.gonorrhoeae, N.meningitidis,
N.pharyngis, N.lactamica, N.catarrhalis (Moraxella
catarrhalis).
•Two species of medical importance:N. gonorrhoeae
and N. meningitidis.
•Inhabit mucosal surfaces.
•Gram negative diplococci with opposing surfaces
flattened or with concavity.
Neisseria gonorrhoeae
Microscopy:
•Gram negative diplococci.
•Occurs in pairs with adjacent surfaces
flattened or concave.
•Intra/extracellular occurrence in
polymorpho nuclear neutrophils
(PMNs)
Diagnosis……..
Direct: Gram stained smears.
Culture:
•Specimens: U/swabs, cervical swabs,
eye/swab, ear/swabs, joint aspirate, etc.
•Media: Choc, MTM, MNYC agar.
•Incubation: 24-48 hrs, ambient air + 5-
10% CO2.
Diagnosis……..
Identification:
• Oxidase test +ve, Glucose +ve.
• Immunofluoresnce or COA
• Sero-grouping: A, B or C
• DNA probe test (not as sensitive as culture).
• Sensitivity test.
Pathogenesis
• Gonorrhoea is an STD, the sites are urethra (men) and
cervix (women)
• Transmission through sexual contact
• GC adheres to columnar epithelial cells, penetrate and
multiply on the basement membrane
• Adherence is facilitated by pili and Opa proteins
• GC LPS stimulates the production of tumour necrosis
factor (TNF), which causes cell damage
Pathogenesis…..
• GC may disseminate via blood stream.
• GC produces extracellular protease that cleaves a
proline-threonine bond in Ig A. This causes loss of
antibody activity.
• Approximately 9-15% affected women with PID have
polymicrobic infections.
Virulence factors
•LPS
•Extracellular IgA protease
•Pili/fimbriae
• Opa proteins
Host defenses
•Gonorrhoea infection stimulates local
immunity (secretory Igs may enhance
association with PMNs)
•Uncomplicated infection activates
complement via classical pathway,
while disseminated infections activate
complement via alternate pathway
Diseases caused
• Gonorrhoea
• Ophthalmia neonatorum
• Conjunctivitis
• Skin lesions
• Tenosynovitis
• Septic arthritis
• Endocarditis
• Meningitis (very rarely).
Epidemiology
•Sexually transmitted worldwide
•Highest attack rate men and women
occurs between 15 and 29 years of age
•The number of sexual partners, sexual
preference and population mobility
contribute to incidence of gonorrhoea
Antibiotics/Control
•Antibiotics
• 3rd Generation Cephalosporins
•Fluoroquinolones
•Doxycyline
•Spectinomycin
• Azithromycin
Control
• Treatment of sex partner
• No effective vaccine
• Abstinence
• Use condoms

More Related Content

Similar to NEISSERIA.lec.ppt

Streptococcus
StreptococcusStreptococcus
Streptococcus
ThenaruviS
 
043 Brain abscess
043 Brain abscess043 Brain abscess
043 Brain abscess
Neurosurgery Vajira
 
Medical Microbiology Laboratory (Neisseria spp.)
Medical Microbiology Laboratory (Neisseria spp.)Medical Microbiology Laboratory (Neisseria spp.)
Medical Microbiology Laboratory (Neisseria spp.)
Hussein Al-tameemi
 
Adenovirus
AdenovirusAdenovirus
Adenovirus
ARSHU Hidha
 
Miscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavityMiscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavity
Vinay Bhat
 
Herpetic keratitis
Herpetic keratitisHerpetic keratitis
Herpetic keratitis
Tukezban Huseynova, MD
 
Sexually transmitted infections
Sexually transmitted infectionsSexually transmitted infections
Sexually transmitted infections
Dr Subodh Shah
 
10 - Gram - ive cocci.pptx
10 - Gram - ive cocci.pptx10 - Gram - ive cocci.pptx
10 - Gram - ive cocci.pptx
shehla24
 
Malaria and Dengue
Malaria and DengueMalaria and Dengue
Malaria and Dengue
sana choudhry
 
Acute pharyngitis
Acute pharyngitisAcute pharyngitis
Acute pharyngitis
Khem Chalise
 
4& 5 nsra menin and gono
4& 5 nsra menin and gono4& 5 nsra menin and gono
4& 5 nsra menin and gono
Ratheeshkrishnakripa
 
Sinus and fistula
Sinus and fistulaSinus and fistula
Sinus and fistula
SURABHI SUSHMA REDDY
 
Sinus and fistula, TB lymphadenitis, anal fistula
Sinus and fistula, TB lymphadenitis, anal fistulaSinus and fistula, TB lymphadenitis, anal fistula
Sinus and fistula, TB lymphadenitis, anal fistula
SURABHI SUSHMA REDDY
 
Staphylococcus
StaphylococcusStaphylococcus
Staphylococcus
Mahesh Yadav
 
Neisseria
Neisseria Neisseria
Neisseria
Auricle Nissim
 
Covid 19 associated mucormycosis
Covid 19  associated mucormycosis Covid 19  associated mucormycosis
Covid 19 associated mucormycosis
Ritcha Singh
 
monkeypox- amended 2.pptx
monkeypox- amended 2.pptxmonkeypox- amended 2.pptx
monkeypox- amended 2.pptx
Helen Utaji
 
Tubercular lymphadenitis management
Tubercular lymphadenitis managementTubercular lymphadenitis management
Tubercular lymphadenitis management
Ankur Gupta
 
Cervicofacial infection
Cervicofacial infection Cervicofacial infection
Cervicofacial infection
Arul Lakshmanaperumal
 
Fissural cysts of oral cavity
Fissural cysts of oral cavityFissural cysts of oral cavity
Fissural cysts of oral cavity
NarmathaN2
 

Similar to NEISSERIA.lec.ppt (20)

Streptococcus
StreptococcusStreptococcus
Streptococcus
 
043 Brain abscess
043 Brain abscess043 Brain abscess
043 Brain abscess
 
Medical Microbiology Laboratory (Neisseria spp.)
Medical Microbiology Laboratory (Neisseria spp.)Medical Microbiology Laboratory (Neisseria spp.)
Medical Microbiology Laboratory (Neisseria spp.)
 
Adenovirus
AdenovirusAdenovirus
Adenovirus
 
Miscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavityMiscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavity
 
Herpetic keratitis
Herpetic keratitisHerpetic keratitis
Herpetic keratitis
 
Sexually transmitted infections
Sexually transmitted infectionsSexually transmitted infections
Sexually transmitted infections
 
10 - Gram - ive cocci.pptx
10 - Gram - ive cocci.pptx10 - Gram - ive cocci.pptx
10 - Gram - ive cocci.pptx
 
Malaria and Dengue
Malaria and DengueMalaria and Dengue
Malaria and Dengue
 
Acute pharyngitis
Acute pharyngitisAcute pharyngitis
Acute pharyngitis
 
4& 5 nsra menin and gono
4& 5 nsra menin and gono4& 5 nsra menin and gono
4& 5 nsra menin and gono
 
Sinus and fistula
Sinus and fistulaSinus and fistula
Sinus and fistula
 
Sinus and fistula, TB lymphadenitis, anal fistula
Sinus and fistula, TB lymphadenitis, anal fistulaSinus and fistula, TB lymphadenitis, anal fistula
Sinus and fistula, TB lymphadenitis, anal fistula
 
Staphylococcus
StaphylococcusStaphylococcus
Staphylococcus
 
Neisseria
Neisseria Neisseria
Neisseria
 
Covid 19 associated mucormycosis
Covid 19  associated mucormycosis Covid 19  associated mucormycosis
Covid 19 associated mucormycosis
 
monkeypox- amended 2.pptx
monkeypox- amended 2.pptxmonkeypox- amended 2.pptx
monkeypox- amended 2.pptx
 
Tubercular lymphadenitis management
Tubercular lymphadenitis managementTubercular lymphadenitis management
Tubercular lymphadenitis management
 
Cervicofacial infection
Cervicofacial infection Cervicofacial infection
Cervicofacial infection
 
Fissural cysts of oral cavity
Fissural cysts of oral cavityFissural cysts of oral cavity
Fissural cysts of oral cavity
 

More from ssuser504dda

Palliative care presentation slide4.pptx
Palliative care presentation slide4.pptxPalliative care presentation slide4.pptx
Palliative care presentation slide4.pptx
ssuser504dda
 
Palliative class presentation slid3.pptx
Palliative class presentation slid3.pptxPalliative class presentation slid3.pptx
Palliative class presentation slid3.pptx
ssuser504dda
 
Palliative care presentation slide2.pptx
Palliative care presentation slide2.pptxPalliative care presentation slide2.pptx
Palliative care presentation slide2.pptx
ssuser504dda
 
Palliative care presentation slides.pptx
Palliative care presentation slides.pptxPalliative care presentation slides.pptx
Palliative care presentation slides.pptx
ssuser504dda
 
Development studies - presentation .pptx
Development studies - presentation .pptxDevelopment studies - presentation .pptx
Development studies - presentation .pptx
ssuser504dda
 
Group Reproductice health Coursework.ppt
Group Reproductice health Coursework.pptGroup Reproductice health Coursework.ppt
Group Reproductice health Coursework.ppt
ssuser504dda
 
Mortality Audit presentation - slid.pptx
Mortality Audit presentation - slid.pptxMortality Audit presentation - slid.pptx
Mortality Audit presentation - slid.pptx
ssuser504dda
 
Examinating the Resipiratory System.pptx
Examinating the Resipiratory System.pptxExaminating the Resipiratory System.pptx
Examinating the Resipiratory System.pptx
ssuser504dda
 
crush-injury-and-crush-syndrome-191.pptx
crush-injury-and-crush-syndrome-191.pptxcrush-injury-and-crush-syndrome-191.pptx
crush-injury-and-crush-syndrome-191.pptx
ssuser504dda
 
Male Reproductive System ......... .pptx
Male Reproductive System ......... .pptxMale Reproductive System ......... .pptx
Male Reproductive System ......... .pptx
ssuser504dda
 
Antenatal Care -REPRODUCTIVE HEALTH.pptx
Antenatal Care -REPRODUCTIVE HEALTH.pptxAntenatal Care -REPRODUCTIVE HEALTH.pptx
Antenatal Care -REPRODUCTIVE HEALTH.pptx
ssuser504dda
 
Student Academic - PLACEMENT REPORT.pptx
Student Academic - PLACEMENT REPORT.pptxStudent Academic - PLACEMENT REPORT.pptx
Student Academic - PLACEMENT REPORT.pptx
ssuser504dda
 
Intravenous Urography lecture detai.pptx
Intravenous Urography lecture detai.pptxIntravenous Urography lecture detai.pptx
Intravenous Urography lecture detai.pptx
ssuser504dda
 
IVU contrasted studies - lecture....pptx
IVU contrasted studies - lecture....pptxIVU contrasted studies - lecture....pptx
IVU contrasted studies - lecture....pptx
ssuser504dda
 
Cranial nerves - esson presentation.pptx
Cranial nerves - esson presentation.pptxCranial nerves - esson presentation.pptx
Cranial nerves - esson presentation.pptx
ssuser504dda
 
HEPATITIS IN Children a case study.pptx
HEPATITIS IN Children  a case study.pptxHEPATITIS IN Children  a case study.pptx
HEPATITIS IN Children a case study.pptx
ssuser504dda
 
children. palliative care.pptx
children.     palliative       care.pptxchildren.     palliative       care.pptx
children. palliative care.pptx
ssuser504dda
 
PALLIATIVE CARE (GROUP2) BME3 2023.pptx
PALLIATIVE CARE (GROUP2)  BME3 2023.pptxPALLIATIVE CARE (GROUP2)  BME3 2023.pptx
PALLIATIVE CARE (GROUP2) BME3 2023.pptx
ssuser504dda
 
Group pharmacology uuuuu. .pptx
Group pharmacology   uuuuu.        .pptxGroup pharmacology   uuuuu.        .pptx
Group pharmacology uuuuu. .pptx
ssuser504dda
 
Group 5_ Year 3 Pharmacology 2023.pptx
Group 5_   Year 3 Pharmacology 2023.pptxGroup 5_   Year 3 Pharmacology 2023.pptx
Group 5_ Year 3 Pharmacology 2023.pptx
ssuser504dda
 

More from ssuser504dda (20)

Palliative care presentation slide4.pptx
Palliative care presentation slide4.pptxPalliative care presentation slide4.pptx
Palliative care presentation slide4.pptx
 
Palliative class presentation slid3.pptx
Palliative class presentation slid3.pptxPalliative class presentation slid3.pptx
Palliative class presentation slid3.pptx
 
Palliative care presentation slide2.pptx
Palliative care presentation slide2.pptxPalliative care presentation slide2.pptx
Palliative care presentation slide2.pptx
 
Palliative care presentation slides.pptx
Palliative care presentation slides.pptxPalliative care presentation slides.pptx
Palliative care presentation slides.pptx
 
Development studies - presentation .pptx
Development studies - presentation .pptxDevelopment studies - presentation .pptx
Development studies - presentation .pptx
 
Group Reproductice health Coursework.ppt
Group Reproductice health Coursework.pptGroup Reproductice health Coursework.ppt
Group Reproductice health Coursework.ppt
 
Mortality Audit presentation - slid.pptx
Mortality Audit presentation - slid.pptxMortality Audit presentation - slid.pptx
Mortality Audit presentation - slid.pptx
 
Examinating the Resipiratory System.pptx
Examinating the Resipiratory System.pptxExaminating the Resipiratory System.pptx
Examinating the Resipiratory System.pptx
 
crush-injury-and-crush-syndrome-191.pptx
crush-injury-and-crush-syndrome-191.pptxcrush-injury-and-crush-syndrome-191.pptx
crush-injury-and-crush-syndrome-191.pptx
 
Male Reproductive System ......... .pptx
Male Reproductive System ......... .pptxMale Reproductive System ......... .pptx
Male Reproductive System ......... .pptx
 
Antenatal Care -REPRODUCTIVE HEALTH.pptx
Antenatal Care -REPRODUCTIVE HEALTH.pptxAntenatal Care -REPRODUCTIVE HEALTH.pptx
Antenatal Care -REPRODUCTIVE HEALTH.pptx
 
Student Academic - PLACEMENT REPORT.pptx
Student Academic - PLACEMENT REPORT.pptxStudent Academic - PLACEMENT REPORT.pptx
Student Academic - PLACEMENT REPORT.pptx
 
Intravenous Urography lecture detai.pptx
Intravenous Urography lecture detai.pptxIntravenous Urography lecture detai.pptx
Intravenous Urography lecture detai.pptx
 
IVU contrasted studies - lecture....pptx
IVU contrasted studies - lecture....pptxIVU contrasted studies - lecture....pptx
IVU contrasted studies - lecture....pptx
 
Cranial nerves - esson presentation.pptx
Cranial nerves - esson presentation.pptxCranial nerves - esson presentation.pptx
Cranial nerves - esson presentation.pptx
 
HEPATITIS IN Children a case study.pptx
HEPATITIS IN Children  a case study.pptxHEPATITIS IN Children  a case study.pptx
HEPATITIS IN Children a case study.pptx
 
children. palliative care.pptx
children.     palliative       care.pptxchildren.     palliative       care.pptx
children. palliative care.pptx
 
PALLIATIVE CARE (GROUP2) BME3 2023.pptx
PALLIATIVE CARE (GROUP2)  BME3 2023.pptxPALLIATIVE CARE (GROUP2)  BME3 2023.pptx
PALLIATIVE CARE (GROUP2) BME3 2023.pptx
 
Group pharmacology uuuuu. .pptx
Group pharmacology   uuuuu.        .pptxGroup pharmacology   uuuuu.        .pptx
Group pharmacology uuuuu. .pptx
 
Group 5_ Year 3 Pharmacology 2023.pptx
Group 5_   Year 3 Pharmacology 2023.pptxGroup 5_   Year 3 Pharmacology 2023.pptx
Group 5_ Year 3 Pharmacology 2023.pptx
 

Recently uploaded

Nutritional deficiency disorder in Child
Nutritional deficiency disorder in ChildNutritional deficiency disorder in Child
Nutritional deficiency disorder in Child
Bhavyakelawadiya
 
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)
GeorgeKieling1
 
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.GawadHemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
NephroTube - Dr.Gawad
 
All about shoulder Joint ..
All about shoulder Joint .. All about shoulder Joint ..
All about shoulder Joint ..
Aswan University Hospital
 
2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx
Madhumita Dixit
 
Pharmacology of Drugs for Congestive Heart Failure
Pharmacology of Drugs for Congestive Heart FailurePharmacology of Drugs for Congestive Heart Failure
Pharmacology of Drugs for Congestive Heart Failure
Dr. Nikhilkumar Sakle
 
Selective α1-Blocker.pptx
Selective α1-Blocker.pptxSelective α1-Blocker.pptx
Selective α1-Blocker.pptx
Madhumita Dixit
 
Breast cancer :hormonal discordance.pptx
Breast cancer :hormonal discordance.pptxBreast cancer :hormonal discordance.pptx
Breast cancer :hormonal discordance.pptx
Dr. Sumit KUMAR
 
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls LucknowCall Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
nandinirastogi03
 
One piece compressive Dental implant : data from Google Scholar
One piece  compressive  Dental implant : data from Google Scholar One piece  compressive  Dental implant : data from Google Scholar
One piece compressive Dental implant : data from Google Scholar
rafadjoko11
 
Call Girls Mumbai Just Call 9920874524 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9920874524 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9920874524 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9920874524 Top Class Call Girl Service Available
hanshkumar9870
 
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxCan Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
FFragrant
 
Applications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptxApplications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptx
Anagha R Anil
 
Unlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENT
Unlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENTUnlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENT
Unlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENT
keshavtiwari584
 
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptxDigital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
Swathi Gayatri
 
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...
Donc Test
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
SIVAVINAYAKPK
 
Pharmacology of Prostaglandins, Thromboxanes and Leukotrienes
Pharmacology of Prostaglandins, Thromboxanes and LeukotrienesPharmacology of Prostaglandins, Thromboxanes and Leukotrienes
Pharmacology of Prostaglandins, Thromboxanes and Leukotrienes
Dr. Nikhilkumar Sakle
 
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
MuskanShingari
 
OSPE response physiology 1 st yesr mbbs.pptx
OSPE response physiology 1 st yesr mbbs.pptxOSPE response physiology 1 st yesr mbbs.pptx
OSPE response physiology 1 st yesr mbbs.pptx
5btvo
 

Recently uploaded (20)

Nutritional deficiency disorder in Child
Nutritional deficiency disorder in ChildNutritional deficiency disorder in Child
Nutritional deficiency disorder in Child
 
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)
 
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.GawadHemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
Hemodialysis: Chapter 6, Hemodialysis Adequacy and Dose - Dr.Gawad
 
All about shoulder Joint ..
All about shoulder Joint .. All about shoulder Joint ..
All about shoulder Joint ..
 
2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx2nd generation Antihistaminic-Part II.pptx
2nd generation Antihistaminic-Part II.pptx
 
Pharmacology of Drugs for Congestive Heart Failure
Pharmacology of Drugs for Congestive Heart FailurePharmacology of Drugs for Congestive Heart Failure
Pharmacology of Drugs for Congestive Heart Failure
 
Selective α1-Blocker.pptx
Selective α1-Blocker.pptxSelective α1-Blocker.pptx
Selective α1-Blocker.pptx
 
Breast cancer :hormonal discordance.pptx
Breast cancer :hormonal discordance.pptxBreast cancer :hormonal discordance.pptx
Breast cancer :hormonal discordance.pptx
 
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls LucknowCall Girls Lucknow 9024918724 Vip Call Girls Lucknow
Call Girls Lucknow 9024918724 Vip Call Girls Lucknow
 
One piece compressive Dental implant : data from Google Scholar
One piece  compressive  Dental implant : data from Google Scholar One piece  compressive  Dental implant : data from Google Scholar
One piece compressive Dental implant : data from Google Scholar
 
Call Girls Mumbai Just Call 9920874524 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9920874524 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9920874524 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9920874524 Top Class Call Girl Service Available
 
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxCan Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptx
 
Applications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptxApplications of NMR in Protein Structure Prediction.pptx
Applications of NMR in Protein Structure Prediction.pptx
 
Unlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENT
Unlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENTUnlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENT
Unlimited Fun With Call Girls Gurgaon ✅ 9711199012 💘 FULL CASH PAYMENT
 
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptxDigital Smile Design-An innovative tool in aesthetic dentistry.pptx
Digital Smile Design-An innovative tool in aesthetic dentistry.pptx
 
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
 
Pharmacology of Prostaglandins, Thromboxanes and Leukotrienes
Pharmacology of Prostaglandins, Thromboxanes and LeukotrienesPharmacology of Prostaglandins, Thromboxanes and Leukotrienes
Pharmacology of Prostaglandins, Thromboxanes and Leukotrienes
 
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)
 
OSPE response physiology 1 st yesr mbbs.pptx
OSPE response physiology 1 st yesr mbbs.pptxOSPE response physiology 1 st yesr mbbs.pptx
OSPE response physiology 1 st yesr mbbs.pptx
 

NEISSERIA.lec.ppt