Rickettsias and Chlamydias Overview

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Questions and Answers

What characterizes the primary stage of syphilis?

  • Neurological damage to the fetus
  • It is highly infectious (correct)
  • Mucosal rashes appear
  • No symptoms present

Which bacterium is primarily responsible for causing gastritis and peptic ulcers?

  • Helicobacter pylori (correct)
  • Vibrio cholerae
  • Borrelia burgdorferi
  • Campylobacter jejuni

What is a significant effect of untreated cholera infection?

  • Mucosal rashes
  • Neurodegenerative effects in infants
  • Severe arthritis
  • Severe loss of fluid and electrolytes (correct)

Which stage of syphilis may show no symptoms, resulting in many infections stopping?

<p>Latent period (A)</p> Signup and view all the answers

What is the primary source of infection for Campylobacter jejuni?

<p>Poultry (C)</p> Signup and view all the answers

Which genera of the Rickettsias group causes diseases in humans?

<p>Rickettsia, Orientia, Ehrlichia, Anaplasma (C)</p> Signup and view all the answers

What is the main transmission vector for Rickettsia rickettsii?

<p>Wood ticks (D)</p> Signup and view all the answers

What is a significant risk factor for severe outcomes when infected with Rickettsia prowazekii?

<p>Elderly age (C)</p> Signup and view all the answers

Which characteristic distinguishes reticulate bodies from elementary bodies in Chlamydia trachomatis?

<p>Reticulate bodies are noninfective adult stages (A)</p> Signup and view all the answers

What is the most common reportable STD in the US caused by Chlamydia trachomatis?

<p>Chlamydia (D)</p> Signup and view all the answers

What is a potential consequence of reinfection with Chlamydia trachomatis in women?

<p>Pelvic inflammatory disease (PID) (B)</p> Signup and view all the answers

What does the infection of Chlamydia trachomatis typically cause in men?

<p>Discharge and painful urination (A)</p> Signup and view all the answers

Which of the following is true about Treponema pallidum pallidum?

<p>It is a spirochete. (B)</p> Signup and view all the answers

Flashcards

Rickettsias

Tiny, gram-negative bacteria that survive inside host cells.

Obligate intracellular parasites

Organisms that require a host cell to reproduce.

Rocky Mountain Spotted Fever

Disease caused by Rickettsia rickettsii, transmitted by ticks.

Chlamydia

Bacterial pathogens that replicate inside host cells, in vesicles.

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Chlamydia trachomatis

Common STD, causing infections in reproductive organs and eyes.

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Spirochetes

Spiral-shaped bacteria, with Treponema, Borrelia, and Leptospira as examples.

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Treponemas (T.pallidum)

Spirochetes (spiral shaped bacteria) that causes syphilis.

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Epidemic Typhus

Severe Rickettsia-caused disease, often in unsanitary conditions.

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Syphilis Stages

Syphilis progresses through stages: primary (highly infectious), secondary (mucosal rashes, infectious), latent (no symptoms, many infections stop here), and tertiary (years later, 25% untreated).

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Congenital Syphilis

Syphilis transmitted from mother to fetus during pregnancy, often causing neurological damage and stillbirth.

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Lyme Disease Pathogen

Lyme disease is caused by Borrelia burgdorferi, a bacteria that lacks iron enzymes and uses manganese.

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Cholera Symptoms

Vibrio cholerae causes severe diarrhea (rice-water stool), dehydration, and electrolyte loss.

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Campylobacter Jejuni Source

Campylobacter jejuni, a common cause of US gastroenteritis, is often transmitted through contaminated poultry.

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Study Notes

Rickettsias

  • Extremely small G- bacteria
  • Obligate intracellular parasites
  • Four genera cause human disease: Rickettsia, Orientia, Ehrlichia, and Anaplasma
  • Rickettsia genus: bacteria live inside host cell's cytosol after phagosome lysis
  • R. rickettsii: Rocky Mountain Spotted Fever, transmitted by wood ticks
    • Without early diagnosis, mortality rate is approximately 20%
    • Prevention involves avoiding ticks
  • R. prowazekii: Epidemic Typhus
    • Causes high fever, depression, and rash
    • Occurs in crowded, unsanitary conditions
    • High death rate in elderly patients (60%) and younger patients (20%)
  • Ehrlichia:
    • Similar symptoms to Rocky Mountain Spotted Fever, but without the rash
    • Transmitted by lone star ticks (Amblyoma) and deer ticks (Ixodes)
    • Triggers its own phagocytosis

Chlamydias

  • Once thought to be viruses
  • Grow and multiply within host cell vesicles
  • Two forms:
    • Elementary bodies (EBs): dormant, infective stage
    • Reticulate bodies (RBs): non-infective, replicating stage
  • Chlamydia trachomatis:
    • Enters body via abrasions and lacerations
    • Infects conjunctiva and mucous membranes
    • Most common reportable STD in the US
    • Usually asymptomatic in women but can cause discharge and painful urination

Spirochetes

  • Phylum Spirochaetes
  • Includes Treponema, Borrelia, and Leptospira
  • T. pallidum pallidum: Causative agent of syphilis
    • Primary stage: highly infectious
    • Secondary stage: mucosal rashes, infectious
    • Latent period: No symptoms, many infections stop here
    • Tertiary stage: appears years after latency; 25% untreated develop neurological damage
    • Congenital syphilis: Transmitted through placenta damaging fetus
    • Government-funded research: Tuskegee Syphilis Study
  • Borrelia burgdorferi: Lyme Disease
    • Lacks iron, uses manganese
    • Severe arthritis can last for years, resulting from the body's immune response

Vibrio

  • Vibrio cholerae: "Rice-water stool"; characteristic symptom
    • Causes severe fluid and electrolyte loss (3-5 gallons/day)
    • Can cause shock, organ failure, and death (50% untreated)
  • Campylobacter jejuni: Likely most common cause of gastroenteritis in the US
    • Poultry is the most common source of infection
    • Causes fever, cramping, abdominal pain, diarrhea, and dysentery

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