Chlamydia and Rickettsia: Intracellular Lifestyle
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Questions and Answers

What is the diameter of the elementary bodies (EB)?

  • 2-5 microns
  • 0.5-2 microns
  • 1-3 microns
  • 0.2-0.3 microns (correct)
  • What is the reproductive form of Chlamydia?

  • Metabolic bodies
  • Elementary bodies (EB)
  • Reticular bodies (RB) (correct)
  • Initial bodies
  • What is the shape of the elementary bodies (EB)?

  • Spherical (correct)
  • Filamentous
  • Rod-shaped
  • Coccoid
  • What is the function of peptidoglycan in Chlamydia?

    <p>It provides structural support to the cell wall</p> Signup and view all the answers

    Who discovered the presence of peptidoglycan in Chlamydia trachomatis?

    <p>Liechti et al.</p> Signup and view all the answers

    What is the mode of reproduction in Reticular bodies (RB)?

    <p>Binary fission</p> Signup and view all the answers

    What is the diameter of the Reticular bodies (RB)?

    <p>0.5-2 microns</p> Signup and view all the answers

    What is the characteristic of the cell wall of Chlamydia?

    <p>It has a thin peptidoglycan layer</p> Signup and view all the answers

    What is the primary way that Chlamydia trachomatis obtains energy?

    <p>From the host cell</p> Signup and view all the answers

    What is the estimated number of people living in trachoma endemic areas?

    <p>142 million</p> Signup and view all the answers

    What is the primary mode of transmission of trachoma?

    <p>Through flies, fomites, and touch</p> Signup and view all the answers

    What is the estimated percentage of global-level antibiotic coverage in 2018?

    <p>50%</p> Signup and view all the answers

    What is the name of the strategy used to combat trachoma?

    <p>SAFE</p> Signup and view all the answers

    What is the name of the condition that can develop in infants when infected with Chlamydia trachomatis?

    <p>Inclusion blenorrhoea</p> Signup and view all the answers

    What is the primary mode of transmission of genital chlamydiasis in men?

    <p>Sexual contact via STD</p> Signup and view all the answers

    What is the incubation period for men infected with genital chlamydiasis?

    <p>7-28 days</p> Signup and view all the answers

    What is the name of the disease caused by Rickettsia prowazekii?

    <p>Typhus</p> Signup and view all the answers

    What is the primary mode of transmission of Rickettsia?

    <p>Arthropod vectors such as ticks, mites, and fleas</p> Signup and view all the answers

    What is the name of the disease caused by Chlamydia psittaci?

    <p>Parrot fever</p> Signup and view all the answers

    What is the typical duration of symptoms in patients infected with Chlamydia psittaci?

    <p>After 10 days</p> Signup and view all the answers

    What is the name of the syndrome caused by Chlamydia in men?

    <p>Rieter's syndrome</p> Signup and view all the answers

    What is the primary mode of transmission of Chlamydia psittaci?

    <p>Isolated from over 100 avian species</p> Signup and view all the answers

    What is the characteristic feature of Rickettsiae?

    <p>All of the above</p> Signup and view all the answers

    What is the primary difference between Typhus and Typhoid?

    <p>Symptoms</p> Signup and view all the answers

    Chlamydia is a type of extracellular pathogen.

    <p>False</p> Signup and view all the answers

    The elementary bodies of Chlamydia are metabolically active.

    <p>False</p> Signup and view all the answers

    Chlamydia has a cell wall that lacks peptidoglycan.

    <p>False</p> Signup and view all the answers

    Rickettsia is a type of gram-positive bacteria.

    <p>False</p> Signup and view all the answers

    Chlamydia can only infect epithelial cells.

    <p>False</p> Signup and view all the answers

    Chlamydia is a motile bacterium.

    <p>False</p> Signup and view all the answers

    Reticular bodies of Chlamydia can divide by binary fission.

    <p>True</p> Signup and view all the answers

    The diameter of elementary bodies of Chlamydia is approximately 0.5-2 microns.

    <p>False</p> Signup and view all the answers

    Chlamydia trachomatis has a ATP-generating ability.

    <p>False</p> Signup and view all the answers

    Trachoma is a public health problem in only 20 countries.

    <p>False</p> Signup and view all the answers

    Trachomatous scarring is caused by infection of conjunctival epithelial cells only.

    <p>False</p> Signup and view all the answers

    Trachoma is typically found in cold, humid climates.

    <p>False</p> Signup and view all the answers

    Inclusion conjunctivitis is only found in neonatal form.

    <p>False</p> Signup and view all the answers

    The global-level antibiotic coverage in 2018 was 100%.

    <p>False</p> Signup and view all the answers

    Chlamydia can be transmitted through sexual contact and contaminated swimming pools.

    <p>True</p> Signup and view all the answers

    The incubation period for men infected with genital chlamydiasis is typically less than 7 days.

    <p>False</p> Signup and view all the answers

    Lymphogranuloma veneruum is a type of pneumonia caused by Chlamydia psittaci.

    <p>False</p> Signup and view all the answers

    Rickettsia can be transmitted through contaminated food and water.

    <p>False</p> Signup and view all the answers

    Typhus is caused by Salmonella typhi.

    <p>False</p> Signup and view all the answers

    The symptoms of psittacosis typically appear within 5 days of infection.

    <p>False</p> Signup and view all the answers

    Chlamydia trachomatis can cause epididymitis in women.

    <p>False</p> Signup and view all the answers

    Rickettsiae are facultative intracellular pathogens.

    <p>False</p> Signup and view all the answers

    Coxiella is transmitted through the bite of an infected arthropod.

    <p>False</p> Signup and view all the answers

    Pediculus humanus corporis is the vector responsible for transmitting Typhoid fever.

    <p>False</p> Signup and view all the answers

    Study Notes

    Chlamydia and Rickettsia: Intracellular Lifestyle

    Chlamydia

    • Family: Chlamydia (previously included 2 genera: Chlamydia and Chlamydophila)
    • Species:
      • C. trachomatis: ocular, genital
      • C. psittaci: psittacosis
      • C. pneumoniae: 10-20% of community-acquired pneumonia (CAP), cardiovascular disease
    • Obligate intracellular pathogens: non-motile, coccoid bacilli that inhabit epithelial cells/macrophages
    • Elementary bodies (EB): infectious form, metabolically inactive, electron dense, nucleoid, granular cytoplasm, spherical, approximately 0.2-0.3 microns in diameter
    • Reticular bodies (RB): intracellular reproductive form, metabolically active, chromatin dispersed, approximately 0.5-2 microns in diameter, can divide by binary fission
    • Energy parasites: lack ATP-generating ability, must obtain from host cell

    Chlamydia Trachomatis

    • Most common preventable cause of blindness: public health problem in 44 countries, responsible for blindness or visual impairment of about 1.9 million people
    • Trachoma: infection of conjunctival epithelial cells, repeated clinical/subclinical infection and cell infiltration can cause cornea to cloud/scar
    • SAFE strategy: Surgery, Antibiotics, Facial cleanliness, and Environmental improvement
    • Inclusion conjunctivitis: neonatal form, adult form (STD, swimming pools)
    • Genital chlamydiasis: urethritis, cervicitis, PID, infertility, ectopic pregnancy, premature delivery, postpartum fever, LGV

    Chlamydia Psittaci

    • Psittacosis/parrot fever: isolated from over 100 avian species, especially cockatiels and parakeets
    • EB very resistant: can survive in feed for 2 months
    • Clinical signs: range from non-apparent to flu-like to severe pneumonia (30-60 year olds)
    • Risk groups: occupational disease, pigeon farmers, pet shop owners, veterinarians, poultry workers

    Rickettsia

    General Features

    • Obligate intracellular pathogens: small coccoids or rods (0.3 by 1-2 microns)
    • Fastidious: require embryonic eggs, tissue culture cells
    • Structurally similar to Gram-negative bacteria: LPS and PG cell walls
    • Multiply by binary fission: only in infected cells
    • Transmitted by arthropod vectors: except Coxiella (Q fever)

    Typhus

    • Caused by Rickettsia prowazekii: arrives in Europe in 1489 via soldiers returning from Cyprus
    • Transmitted by Pediculus humanus corporis: infected faeces
    • Incubation: 7-14 days, high fever, chills, headache, may lead to coma
    • Macular eruption: 5-6 days after onset

    Typhus vs Typhoid

    • Typhus: cough, headache, joint and muscle pain, nausea, chills, confusion, low blood pressure
    • Typhoid: abdominal tenderness, agitation, bloody stool, chills, confusion, delirium, hallucinations, nose bleeds, and fatigue

    Chlamydia and Rickettsia: Intracellular Lifestyle

    Chlamydia

    • Family: Chlamydia (previously included 2 genera: Chlamydia and Chlamydophila)
    • Species:
      • C. trachomatis: ocular, genital
      • C. psittaci: psittacosis
      • C. pneumoniae: 10-20% of community-acquired pneumonia (CAP), cardiovascular disease
    • Obligate intracellular pathogens: non-motile, coccoid bacilli that inhabit epithelial cells/macrophages
    • Elementary bodies (EB): infectious form, metabolically inactive, electron dense, nucleoid, granular cytoplasm, spherical, approximately 0.2-0.3 microns in diameter
    • Reticular bodies (RB): intracellular reproductive form, metabolically active, chromatin dispersed, approximately 0.5-2 microns in diameter, can divide by binary fission
    • Energy parasites: lack ATP-generating ability, must obtain from host cell

    Chlamydia Trachomatis

    • Most common preventable cause of blindness: public health problem in 44 countries, responsible for blindness or visual impairment of about 1.9 million people
    • Trachoma: infection of conjunctival epithelial cells, repeated clinical/subclinical infection and cell infiltration can cause cornea to cloud/scar
    • SAFE strategy: Surgery, Antibiotics, Facial cleanliness, and Environmental improvement
    • Inclusion conjunctivitis: neonatal form, adult form (STD, swimming pools)
    • Genital chlamydiasis: urethritis, cervicitis, PID, infertility, ectopic pregnancy, premature delivery, postpartum fever, LGV

    Chlamydia Psittaci

    • Psittacosis/parrot fever: isolated from over 100 avian species, especially cockatiels and parakeets
    • EB very resistant: can survive in feed for 2 months
    • Clinical signs: range from non-apparent to flu-like to severe pneumonia (30-60 year olds)
    • Risk groups: occupational disease, pigeon farmers, pet shop owners, veterinarians, poultry workers

    Rickettsia

    General Features

    • Obligate intracellular pathogens: small coccoids or rods (0.3 by 1-2 microns)
    • Fastidious: require embryonic eggs, tissue culture cells
    • Structurally similar to Gram-negative bacteria: LPS and PG cell walls
    • Multiply by binary fission: only in infected cells
    • Transmitted by arthropod vectors: except Coxiella (Q fever)

    Typhus

    • Caused by Rickettsia prowazekii: arrives in Europe in 1489 via soldiers returning from Cyprus
    • Transmitted by Pediculus humanus corporis: infected faeces
    • Incubation: 7-14 days, high fever, chills, headache, may lead to coma
    • Macular eruption: 5-6 days after onset

    Typhus vs Typhoid

    • Typhus: cough, headache, joint and muscle pain, nausea, chills, confusion, low blood pressure
    • Typhoid: abdominal tenderness, agitation, bloody stool, chills, confusion, delirium, hallucinations, nose bleeds, and fatigue

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    Description

    Learn about the impact and aetiology of Chlamydia and Rickettsia, including their unique life cycle and intracellular survival. Understand the characteristics of these bacteria and their effects on human health.

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