Podcast
Questions and Answers
What is the primary shape of Neisseria gonorrhoeae?
What is the primary shape of Neisseria gonorrhoeae?
- Chain-shaped
- Rod-shaped
- Spiral-shaped
- Cocci arranged in pairs (correct)
Neisseria gonorrhoeae can be found as a commensal organism in healthy individuals.
Neisseria gonorrhoeae can be found as a commensal organism in healthy individuals.
False (B)
What type of media do Neisseria gonorrhoeae require for growth in laboratory conditions?
What type of media do Neisseria gonorrhoeae require for growth in laboratory conditions?
Enriched media, such as chocolate agar or Modified Thayer-Martin medium.
Neisseria gonorrhoeae is classified as a _____ organism requiring carbon dioxide for optimal growth.
Neisseria gonorrhoeae is classified as a _____ organism requiring carbon dioxide for optimal growth.
Match the following terms with their descriptions:
Match the following terms with their descriptions:
Which of the following is NOT a characteristic of Neisseria gonorrhoeae?
Which of the following is NOT a characteristic of Neisseria gonorrhoeae?
Only Neisseria gonorrhoeae causes disease in humans within the genus Neisseria.
Only Neisseria gonorrhoeae causes disease in humans within the genus Neisseria.
What is one of the diseases caused by Neisseria gonorrhoeae?
What is one of the diseases caused by Neisseria gonorrhoeae?
The bacterial infection gonorrhea is most commonly transmitted through _____ contact.
The bacterial infection gonorrhea is most commonly transmitted through _____ contact.
Which virulence factor is associated with Neisseria gonorrhoeae?
Which virulence factor is associated with Neisseria gonorrhoeae?
Which of the following is NOT a treatment for uncomplicated gonococcal infection?
Which of the following is NOT a treatment for uncomplicated gonococcal infection?
Nisseria is oxidase negative.
Nisseria is oxidase negative.
What is the common manifestation of gonorrhea in prepubescent girls?
What is the common manifestation of gonorrhea in prepubescent girls?
Nisseria grows at _____ degrees Celsius in a CO2 enriched environment.
Nisseria grows at _____ degrees Celsius in a CO2 enriched environment.
Match the following treatments with their specific use cases:
Match the following treatments with their specific use cases:
What percentage of infertility is associated with ectopic pregnancy due to infections?
What percentage of infertility is associated with ectopic pregnancy due to infections?
Conjunctivitis in newborns is preventable with ocular prophylaxis.
Conjunctivitis in newborns is preventable with ocular prophylaxis.
Name a method used to identify gonococcal colonies in a laboratory setting.
Name a method used to identify gonococcal colonies in a laboratory setting.
Secretory IgA1 is destroyed by _____ protease.
Secretory IgA1 is destroyed by _____ protease.
Which of the following is an infection that can occur in children during childbirth?
Which of the following is an infection that can occur in children during childbirth?
What is the primary method used for detecting N. meningitidis in a laboratory setting?
What is the primary method used for detecting N. meningitidis in a laboratory setting?
All strains of Neisseria gonorrhoeae are virulent.
All strains of Neisseria gonorrhoeae are virulent.
What is the role of IgA1 protease in the virulence of Neisseria gonorrhoeae?
What is the role of IgA1 protease in the virulence of Neisseria gonorrhoeae?
Neisseria gonorrhoeae can cause _____ infections in both men and women.
Neisseria gonorrhoeae can cause _____ infections in both men and women.
Match the Neisseria species with their respective acid production from sugar:
Match the Neisseria species with their respective acid production from sugar:
Which of the following is NOT a disease caused by N. gonorrhoeae?
Which of the following is NOT a disease caused by N. gonorrhoeae?
Gonococci can cause asymptomatic infections in approximately 50% of females.
Gonococci can cause asymptomatic infections in approximately 50% of females.
What type of organism is Neisseria gonorrhoeae?
What type of organism is Neisseria gonorrhoeae?
The presence of _____ in Neisseria gonorrhoeae facilitates its attachment to mucosal cells.
The presence of _____ in Neisseria gonorrhoeae facilitates its attachment to mucosal cells.
Which of the following components is responsible for endotoxic effects in N. gonorrhoeae?
Which of the following components is responsible for endotoxic effects in N. gonorrhoeae?
Flashcards
What is the definition of microbiota?
What is the definition of microbiota?
Organisms that reside on or within human tissues and biofluids, including the skin, mammary glands, placenta, seminal fluid, uterus, ovarian follicles, lung, saliva, oral mucosa, conjunctiva, biliary and gastrointestinal tracts.
What is the primary microbiota found in the female genital system?
What is the primary microbiota found in the female genital system?
Lactobacilli
What are some examples of microbiota found in the male genital system?
What are some examples of microbiota found in the male genital system?
Pseudomonas, Lactobacillus, or Prevotella
Describe the morphology of Neisseria gonorrhoeae.
Describe the morphology of Neisseria gonorrhoeae.
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What are the cultural characters of Neisseria gonorrhoeae?
What are the cultural characters of Neisseria gonorrhoeae?
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What is the oxidase test result for Neisseria gonorrhoeae?
What is the oxidase test result for Neisseria gonorrhoeae?
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What diseases can Neisseria gonorrhoeae cause?
What diseases can Neisseria gonorrhoeae cause?
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Briefly explain the pathogenesis of gonorrhea.
Briefly explain the pathogenesis of gonorrhea.
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How is gonorrhea transmitted?
How is gonorrhea transmitted?
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How is gonorrhea diagnosed?
How is gonorrhea diagnosed?
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Gonorrhea
Gonorrhea
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Cervicitis
Cervicitis
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Urethritis
Urethritis
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Salpingitis
Salpingitis
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Pelvic Inflammatory Disease (PID)
Pelvic Inflammatory Disease (PID)
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Ectopic Pregnancy
Ectopic Pregnancy
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Infertility
Infertility
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Antigenic Variation
Antigenic Variation
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IgA1 protease
IgA1 protease
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Chocolate agar
Chocolate agar
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Oxidase Test
Oxidase Test
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Acid Production from Sugar
Acid Production from Sugar
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Neisseria
Neisseria
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Pili
Pili
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Lipopolysaccharides (LOS)
Lipopolysaccharides (LOS)
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Outer Membrane Proteins (I, II, III)
Outer Membrane Proteins (I, II, III)
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Porin A
Porin A
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Study Notes
Neisseria gonorrhoeae
- Â Neisseria gonorrhoeae (gonococci) cause gonorrhea (STD)
- Â Morphology: Gram-negative diplococci (kidney bean shape). Occur intracellularly and extracellularly in infected tissues
-  Cultural characteristics: Aerobes, requiring enriched media (e.g., chocolate agar or Modified Thayer-Martin medium) containing heated blood, antibiotics to inhibit other organisms present in the specimen; incubated at 35-37°C and 5-10% CO2
- Â Biochemical activities: Oxidase-positive (due to cytochrome C)
- Acid production from sugar: Glucose is positive for N. meningitidis and N. gonorrhoeae; maltose is positive for N. meningitidis; sucrose is negative for all species tested.
- Â Antigenic composition and virulence factors:
- Pili: mediate attachment to mucosal cells and are antiphagocytic. Non-piliated strains are less virulent. There are 100 serotypes and antigenic variation due to chromosomal rearrangement.
- Lipooligosaccharides (LOS): responsible for endotoxic effects
- Outer membrane proteins (I, II, III): play a role in attachment
- Porin A: present in some strains, inactivates C3b, making strains resistant to killing by antibodies and complement; leads to disseminated infections.
- IgA1 protease: hydrolyzes secretory IgA1, aiding attachment to mucous membranes (colonization)
- Â Diseases caused by Neisseria gonorrhoeae:
- Urogenital, pharyngeal, and rectal infections in males and females.
- Conjunctivitis in adults and neonates. Untreated gonorrhea can lead to pelvic inflammatory disease (PID), tubal infertility, ectopic pregnancy, and chronic pelvic pain.
- Â Genital infection in men: urethritis, epididymitis. Infection can progress to chronic infections with scanty discharge.
- Â Genital infection in women: approximately 50% asymptomatic. Common symptoms include cervicitis, urethritis, salpingitis, pelvic inflammatory disease (PID), ectopic pregnancy, and infertility (20%). No infection of the adult vagina, due to normal vaginal acidity and flora.
- Â Anorectal and throat infections in heterosexual men and women.
- Â Infections in children: -Â Perinatal infections during childbirth can affect the neonatal conjunctiva, pharynx, respiratory tract, and anal canal. Preventable by newborn ocular prophylaxis. -Â In older children, gonorrhea should raise suspicion of sexual abuse. Vulvovaginitis (non cervicitis) is common in prepubescent girls.
- Â Repeated gonococcal infection: -Â Antigenic variation of pili and outer membrane proteins -Â Superficial nature of infection, limiting IgG protective action -Â Secretory IgA1 is destroyed by IgA1 protease
Diagnosis
- Â Specimen: discharge from urethra, cervix, rectum, conjunctiva, throat, or synovial fluid
- Â Identification of colonies by: -Â Morphology: gram-negative diplococci -Â Biochemical reaction: oxidase-positive, acid production from glucose -Â Detection of gonococcal antigen using ELISA
-  Culture: On chocolate agar or Modified Thayer-Martin (MTM) medium. Incubation at 35-37°C in 5-10% CO2
- Â Blood culture
Treatment
- Â Penicillin G:Â Drug resistance reported in 1950.
- Â Ceftriaxone: uncomplicated gonococcal infections
- Â Spectinomycin or ciprofloxacin: Used if mixed infection with Chlamydia trachomatis
- Â Tetracycline or azithromycin: Used if mixed infection with Chlamydia trachomatis
Prevention
- Â Condoms
- Â Treatment of patients
- Â Treatment of neonatal ophthalmia after birth with erythromycin or tetracycline eye drops and ointments
Quiz Time
- Â Question 1: Is Nisseria oxidase negative? (Answer: False)
-  Question 2: Does Nisseria grow at 35-37°C in 5-10% CO2? (Answer: True)
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