Spirochaetes and Human Health
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Questions and Answers

What is a characteristic skin lesion associated with Lyme disease?

  • Follicular rash
  • Pustular lesion
  • Macular rash
  • Erythema migrans (correct)

Which of the following is NOT a common reservoir for Lyme disease?

  • Rodents
  • Hard-shelled ticks
  • Cats (correct)
  • Deer

What is the primary transmission route for Leptospira interrogans?

  • Consumption of contaminated food
  • Inhalation of contaminated air
  • Bites from infected animals
  • Breaks in the skin or intact mucous membranes (correct)

What is the primary cause of tissue destruction in leptospirosis?

<p>Host's immune response (B)</p> Signup and view all the answers

Which antibiotic is commonly used to treat Lyme disease?

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

What characteristic of Spirochaetales makes them particularly challenging to observe with light microscopy?

<p>They are too thin to be seen with standard staining methods. (C)</p> Signup and view all the answers

Which virulence factor of T. pallidum helps the bacterium evade the immune system?

<p>Outer membrane proteins (A)</p> Signup and view all the answers

What role does hyaluronidase play in the virulence of T. pallidum?

<p>It breaks down hyaluronic acid for tissue penetration. (A)</p> Signup and view all the answers

What is the primary result of the host's immune response to T. pallidum infection?

<p>Tissue destruction and lesions. (A)</p> Signup and view all the answers

Which genus of the Spirochaetaceae family is known for its pathogenic potential in humans?

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

What are the symptoms commonly associated with atypical pneumonia?

<p>Flu-like symptoms with a persistent non-productive cough (A)</p> Signup and view all the answers

Which treatment is NOT appropriate for Mycoplasma pneumoniae infections?

<p>Cell wall synthesis inhibitors (B)</p> Signup and view all the answers

Which of the following is a secondary complication of Mycoplasma pneumoniae infections?

<p>Meningoencephalitis (B)</p> Signup and view all the answers

What is a characteristic symptom of typical bacterial pneumonia?

<p>Abrupt onset with productive cough and purulent sputum (D)</p> Signup and view all the answers

Which of the following measures is effective for preventing Mycoplasma pneumoniae infections?

<p>Avoiding close contact (C)</p> Signup and view all the answers

What is the primary mode of transmission for Treponema pallidum subsp. Pertenue?

<p>Transmitted by direct contact with skin lesions (D)</p> Signup and view all the answers

Which of the following diseases is caused by Treponema pallidum subsp. Endemicum?

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

What type of organism is Borrelia spp. classified as?

<p>Gram-negative spirochetes (A)</p> Signup and view all the answers

Which statement correctly describes the late lesions of Bejel?

<p>Granulomas of skin, bones, and nasopharynx (A)</p> Signup and view all the answers

What is the incubation period for Pinta caused by Treponema carateum?

<p>1-3 weeks (B)</p> Signup and view all the answers

Which disease is NOT associated with Treponema pallidum?

<p>Marburg virus disease (C)</p> Signup and view all the answers

What is a common characteristic of relapsing fever caused by Borrelia spp.?

<p>It is characterized by recurring febrile episodes (C)</p> Signup and view all the answers

Which option correctly describes the transmission of Epidemic Relapsing Fever?

<p>By body lice from infected humans (A)</p> Signup and view all the answers

What is the primary characteristic of the transmission of syphilis?

<p>Transmission depends on the stage of the disease. (A)</p> Signup and view all the answers

How does the immune response impact the progression of syphilis?

<p>The immune response results in tissue destruction due to its activity. (D)</p> Signup and view all the answers

What is the effect of syphilis on cell-mediated immunity (CMI) in its late stages?

<p>Inhibition of CMI leads to localized immune activity. (D)</p> Signup and view all the answers

What occurs during primary syphilis?

<p>Invasion of mucus membranes and rapid multiplication takes place. (B)</p> Signup and view all the answers

How does syphilis persist in the host despite the immune response?

<p>The infection persists over decades without eradication. (B)</p> Signup and view all the answers

What is a characteristic symptom of icteric leptospirosis?

<p>Acute febrile jaundice (C)</p> Signup and view all the answers

Which of the following treatments is effective for icteric leptospirosis?

<p>Doxycycline (B)</p> Signup and view all the answers

What is a primary virulence factor of M. pneumoniae?

<p>Adherence mediated by P1 pili (C)</p> Signup and view all the answers

Which of the following features distinguishes mycoplasmas from other bacteria?

<p>Resistance to penicillin (C)</p> Signup and view all the answers

What typically occurs during the leptospiremia phase of icteric leptospirosis?

<p>Bacterial shedding in urine (A)</p> Signup and view all the answers

Which statement correctly describes the incubation period for icteric leptospirosis?

<p>10-12 days (C)</p> Signup and view all the answers

In which environments do Mycoplasmas typically grow?

<p>Media requiring sterols and glucose (B)</p> Signup and view all the answers

What is a common complication of icteric leptospirosis?

<p>Multi-organ failure (B)</p> Signup and view all the answers

What is a significant challenge in observing Treponema under light microscopy?

<p>They are too thin to be seen clearly. (C)</p> Signup and view all the answers

Which of the following statements correctly describes the function of hyaluronidase in T. pallidum?

<p>It promotes the breakdown of connective tissue barriers. (D)</p> Signup and view all the answers

What is primarily responsible for the tissue damage seen in infections caused by T. pallidum?

<p>Host immune response to the bacterium. (D)</p> Signup and view all the answers

Which family does the genus Borrelia belong to?

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

What role do outer membrane proteins play in the virulence of T. pallidum?

<p>They promote bacterial adherence to host tissues. (A)</p> Signup and view all the answers

What is the primary mechanism causing tissue destruction in syphilis?

<p>Patient's immune response (A)</p> Signup and view all the answers

At what stage of syphilis is the host typically non-infectious?

<p>During the incubation period (D)</p> Signup and view all the answers

What characterizes the immune response during late-stage syphilis?

<p>Localized immune activity (C)</p> Signup and view all the answers

What is the approximate chance of acquiring syphilis after a single exposure to an infected partner?

<p>30% (D)</p> Signup and view all the answers

Why can Treponema pallidum persist in the host for decades?

<p>The immune response does not fully eradicate it (A)</p> Signup and view all the answers

What unique characteristic is associated with the initial stage of Lyme disease?

<p>A skin lesion known as erythema migrans (C)</p> Signup and view all the answers

Which class of antibiotics is appropriate for treating Lyme disease?

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

What is a significant risk factor for contracting leptospirosis?

<p>Direct contact with infected animal urine (C)</p> Signup and view all the answers

What was primarily responsible for the tissue destruction caused by Leptospira interrogans?

<p>Host's immune response (D)</p> Signup and view all the answers

Which of the following stages is most likely to include neurological or cardiac involvement in Lyme disease?

<p>Subsequent stage (A)</p> Signup and view all the answers

What is the hallmark lesion associated with primary syphilis?

<p>Chancre (B)</p> Signup and view all the answers

Which of the following is true regarding secondary syphilis?

<p>Secondary lesions are easily and widely disseminated. (D)</p> Signup and view all the answers

During which stage of syphilis does the host enter a latent period?

<p>Secondary syphilis (B)</p> Signup and view all the answers

What is a characteristic feature of tertiary syphilis?

<p>Localized granulomatous dermal lesions (gummas) (C)</p> Signup and view all the answers

Which condition can result from congenital syphilis?

<p>Neonatal mortality (A)</p> Signup and view all the answers

What is the recommended duration of penicillin treatment for early stage syphilis?

<p>7-10 days (A)</p> Signup and view all the answers

Which statement about late latent syphilis is correct?

<p>About 40% of these patients progress to tertiary syphilis. (D)</p> Signup and view all the answers

What is an outcome associated with late neurosyphilis?

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

What is the primary cause of multi-organ failure in icteric leptospirosis?

<p>Vascular collapse and renal dysfunction (D)</p> Signup and view all the answers

Which stage follows leptospiremia during the progression of icteric leptospirosis?

<p>Renal failure phase (B)</p> Signup and view all the answers

Which antibiotic is effective against Mycoplasma species?

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

What key characteristic differentiates Mycoplasmataceae from other bacterial families?

<p>Size and absence of cell walls (D)</p> Signup and view all the answers

What symptom is characteristic of the acute febrile phase in icteric leptospirosis?

<p>High fever with rigors (C)</p> Signup and view all the answers

What is the role of P1 pili in Mycoplasma pneumoniae's virulence?

<p>Enables adherence to mucous membranes (D)</p> Signup and view all the answers

What is the typical incubation period for icteric leptospirosis?

<p>10-12 days (D)</p> Signup and view all the answers

Which Mycoplasma species is classified as a strict aerobe?

<p>M. pneumoniae (D)</p> Signup and view all the answers

What is the primary mode of transmission for Treponema pallidum subsp. Endemicum?

<p>Contaminated eating utensils (C)</p> Signup and view all the answers

Which of the following is a characteristic associated with Yaws caused by Treponema pallidum subsp. Pertenue?

<p>Destructive skin lesions and lymphadenopathy (B)</p> Signup and view all the answers

What type of lesions are primarily seen in Pinta caused by Treponema carateum?

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

Which statement describes the acute infection phase of relapsing fever caused by Borrelia spp.?

<p>It follows recurrent febrile episodes. (B)</p> Signup and view all the answers

What is a key feature of Lyme borreliosis epidemiology?

<p>It was first recognized in 1975 during an outbreak in Lyme, Connecticut. (A)</p> Signup and view all the answers

What distinguishes Tick-borne Relapsing Fever from Louse-borne Relapsing Fever?

<p>It is usually associated with sporadic and rural cases. (D)</p> Signup and view all the answers

Which of the following accurately represents the late lesions associated with Bejel caused by Treponema pallidum subsp. Endemicum?

<p>Severe skin and bone granulomas (C)</p> Signup and view all the answers

What characteristic of Borrelia spp. is primarily responsible for the persistent nature of relapsing fever?

<p>Rapid replication during febrile episodes (A)</p> Signup and view all the answers

Flashcards

Spirochaetales

A group of bacteria with a unique spiral shape, known for their motile nature and ability to cause various diseases in humans and animals.

Treponema pallidum

A type of spirochete that causes syphilis, a sexually transmitted infection, and is characterized by its thin, helical shape and inability to survive outside of a host.

Adherence Factors

Outer membrane proteins that help T. pallidum attach to host cells, facilitating infection.

Hyaluronidase

An enzyme produced by T. pallidum that breaks down hyaluronic acid, a component of connective tissue, allowing the bacteria to spread in the body.

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Antiphagocytic Coating of Fibronectin

A protein coating that camouflages T. pallidum from the immune system, allowing it to evade detection and destruction by immune cells.

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Syphilis

A sexually transmitted infection caused by the bacterium Treponema pallidum.

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Primary Syphilis

The initial stage of syphilis, characterized by the appearance of a painless sore called a chancre.

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Syphilis and the Immune System

The immune response plays a significant role in the tissue destruction seen in syphilis.

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Persistence of Treponema pallidum

The bacteria causing syphilis can persist in the body for decades, even after initial treatment.

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Erythema Migrans

A unique skin lesion characterized by a circular, expanding rash with a central clearing, resembling a bullseye. It often occurs in the first stage of Lyme disease.

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Lyme Disease

Lyme disease is caused by the bacterium Borrelia burgdorferi and is transmitted to humans through the bite of infected blacklegged ticks.

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Borrelia burgdorferi

A spirochete bacterium responsible for Lyme disease, often transmitted through the bite of infected ticks.

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Zoonotic Disease

The process of a disease being passed from animals to humans.

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Meningitis

A serious inflammatory condition affecting the meninges, the membranes surrounding the brain and spinal cord, often caused by bacteria.

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What is Atypical Pneumonia?

Mycoplasma pneumoniae causes a type of pneumonia that presents as a less severe illness than bacterial pneumonia. Known as "walking pneumonia", it is characterized by mild symptoms and a longer duration.

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How does atypical pneumonia present?

Unlike bacterial pneumonia, atypical pneumonia often starts slowly and recovery is gradual. Symptoms include a persistent dry cough and flu-like body aches.

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Why can't you use antibiotics like penicillin to treat M. pneumoniae?

Mycoplasma pneumoniae lacks a cell wall, so treatment with antibiotics like penicillin that target cell wall synthesis is ineffective.

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What antibiotics can effectively treat M. pneumoniae?

Tetracycline and erythromycin are the primary antibiotics used to treat M. pneumoniae. Newer fluoroquinolones are also effective.

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Besides M.pneumoniae, which other mycoplasmas cause infections and how are they treated?

Mycoplasma genitalium, Ureaplasma, and Mycoplasma hominis are other types of mycoplasmas that can cause infections. Treatment strategies differ based on the specific species.

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Icteric Leptospirosis (Weil's Disease)

A bacterial disease characterized by fever, jaundice, and inflammation of the kidneys, potentially leading to organ failure.

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Leptospirosis: Direct Invasion

Bacteria that invade and multiply within the body, often causing a severe inflammatory response.

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Leptospiremia

A stage of leptospirosis characterized by the presence of leptospires in the bloodstream, often lasting around 7 days.

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Leptospiruria

Stage of leptospirosis, often leading to kidney failure, where the leptospires shed in the urine.

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Mycoplasmas

A type of bacteria that lacks a cell wall, making them resistant to certain antibiotics.

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Mycoplasma pneumoniae

A type of mycoplasma known for causing respiratory infections, especially pneumonia.

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Adherence of M.pneumoniae

A type of mycoplasma that adheres to the respiratory tract using its pili.

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Superantigen Action of M.pneumoniae

A way M.pneumoniae can cause immune system dysregulation and inflammation by overstimulating immune cells.

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Bejel (Endemic Syphilis)

A subtype of syphilis that is not sexually transmitted and is found primarily in tropical regions. It causes skin lesions and can spread through contaminated utensils.

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Yaws

A granulomatous disease caused by Treponema pallidum subsp.pertenue that affects the skin and bones. It's primarily found in tropical regions.

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Pinta

A skin condition caused by Treponema carateum, primarily affecting the skin in tropical regions. It leads to lesions and discolouration.

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Borrelia

A genus of spirochetes that cause a variety of diseases in humans, including Lyme disease and relapsing fever.

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Relapsing Fever

A bacterial infection caused by Borrelia species, characterized by recurrent fever episodes, chills, sweating, and muscle aches. It is transmitted by lice or ticks.

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Lyme Borreliosis

A bacterial infection caused by Borrelia burgdorferi, transmitted by ticks. It can affect the skin, joints, nervous system, and heart, causing Lyme disease.

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Borrelia spp.

A gram-negative, spiral-shaped bacteria responsible for a variety of diseases, including Lyme disease and relapsing fever. They stain well with Giemsa stain and can be observed under a microscope.

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What is Treponema pallidum?

A type of spirochete that causes syphilis, a sexually transmitted infection. It's a thin, helical bacterium that cannot survive outside of a host.

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What are adherence factors in T. pallidum?

These are proteins on the surface of T. pallidum that help it stick to the host cell, allowing it to infect the body.

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What is hyaluronidase and what does it do?

This enzyme breaks down hyaluronic acid, a substance in our connective tissue. It helps the bacteria spread to the spaces around blood vessels.

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What does the antiphagocytic coating do in T. pallidum?

This protein coating on T. pallidum acts like a shield, hiding the bacteria from our immune system. T. pallidum can evade immune cells and survive longer in the body.

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How does T. pallidum cause damage in the body?

Although T. pallidum initiates the infection, the main cause of damage and symptoms is the body's own immune response trying to fight the bacteria.

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What is primary syphilis?

The initial stage of syphilis, marked by a painless sore (chancre) at the site of infection.

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How long can T. pallidum persist in the body?

The bacteria that causes syphilis, Treponema pallidum, can persist for decades in the body, even after treatment. This is a major challenge for syphilis management.

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What is the primary cause of tissue damage in syphilis?

Syphilis damages tissue mainly due to the host's immune response, not just the bacteria itself.

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How does the immune response change in syphilis?

The immune response in syphilis shifts from widespread suppression in early stages to localized activity in later stages, explaining the specific tissue damage seen in late syphilis.

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What are the main targets of T. pallidum in the body?

Syphilis is a disease of blood vessels and the tissues surrounding them. The bacteria travels through the blood and lymph system to spread the infection.

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What is Lyme disease?

Lyme disease is a multi-stage illness caused by the bacterium Borrelia burgdorferi and transmitted through the bite of infected ticks.

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What are the symptoms of the first stage of Lyme disease?

The first stage of Lyme disease is characterized by a distinctive skin rash called erythema migrans, resembling a bullseye, along with flu-like symptoms.

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What is leptospirosis?

Leptospirosis is a zoonotic disease caused by the bacterium Leptospira interrogans and transmitted through contact with infected animal urine.

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What are the possible symptoms of leptospirosis?

Leptospirosis can progress through various stages, ranging from mild flu-like symptoms to serious complications like meningitis and kidney failure.

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How is leptospirosis treated?

Treatment for leptospirosis typically involves antibiotics, such as penicillin or doxycycline.

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Secondary Syphilis

The second stage of syphilis, occurring 2-10 weeks after primary syphilis. It's marked by a widespread mucocutaneous rash, highly contagious lesions, and a generalized immune response.

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Latent Syphilis

A period following secondary syphilis where the infection is not actively spreading. It can be divided into early latent (first 4 years) and late latent (subsequent years). About 40% of late latent patients progress to tertiary syphilis.

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Tertiary Syphilis

The final stage of syphilis, occurring in about 40% of late latent patients. It is characterized by localized granulomatous lesions (gummas), CNS and cardiovascular involvement, leading to neurological complications and cardiovascular disease.

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Congenital Syphilis

Syphilis passed from an infected mother to her child during pregnancy or childbirth. It can lead to various complications, including miscarriage, stillbirth, and developmental problems in the child.

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Penicillin Treatment

The preferred treatment for syphilis. It involves administering penicillin intravenously for 7-10 days for early stages and at least 21 days for later stages. It's crucial to follow WHO's treatment recommendations.

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Syphilis Prevention

Effective prevention measures against syphilis include using condoms during sexual activity and receiving prophylactic treatment if identified through contact tracing.

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What is Bejel?

Bejel is a non-sexually transmitted form of syphilis caused by Treponema pallidum subsp. Endemicum. It primarily affects the oral cavity and is spread through contaminated utensils.

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What is Yaws?

Yaws is a granulomatous disease caused by Treponema pallidum subsp. Pertenue. It is primarily found in tropical regions and is spread through direct contact with lesions.

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What is Pinta?

Pinta is a skin condition caused by Treponema carateum. It is primarily found in tropical regions and is spread through direct contact with skin lesions.

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What is Relapsing Fever?

Relapsing fever is a bacterial infection caused by Borrelia species, characterized by recurrent fever episodes, chills, sweating, and muscle aches. It is transmitted by lice or ticks.

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What is Epidemic Relapsing Fever?

Louse-borne borreliosis, also known as Epidemic Relapsing Fever, is a type of relapsing fever caused by Borrelia species and transmitted by human body lice. It occurs in densely populated areas with poor hygiene.

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What is Endemic Relapsing Fever?

Endemic Relapsing Fever, also known as Tick-borne borreliosis, is a type of relapsing fever caused by Borrelia species and transmitted by ticks. It occurs in areas where ticks are prevalent.

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What are Borrelia spp.?

Borrelia spp. are a group of gram-negative, spiral-shaped bacteria that are responsible for a variety of diseases, including Lyme disease and relapsing fever. They can be identified using Giemsa staining and phase contrast microscopy.

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What is Weil´s disease?

Weil´s disease is a severe form of Leptospirosis marked by systemic symptoms such as fever, jaundice, vascular collapse, low platelet count leading to bleeding, and dysfunction of the liver and kidneys. It can result in multi-organ failure.

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How does Leptospirosis affect the body?

The bacteria causing Leptospirosis directly invades and replicates in tissues, leading to inflammation and damage. This can affect various organs, including the liver and kidneys, causing dysfunction and potentially leading to organ failure.

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What is Leptospiremia?

Leptospiremia is the stage in Leptospirosis where the bacteria multiplies rapidly in the bloodstream. It typically lasts for about 7 days and leads to a flu-like illness in the early stages. Though there are no visible lesions at this stage, the bacteria is actively harming the body.

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Explain Leptospiruria.

After Leptospiremia, the bacteria moves to the kidneys and is shed in urine, leading to a stage known as Leptospiruria. This phase can cause organ damage, particularly to the kidneys, leading to potential renal failure.

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What are Mycoplasmas?

Mycoplasmas are bacteria that lack a cell wall. This unique characteristic makes them resistant to certain antibiotics that target cell wall synthesis.

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Why is penicillin ineffective against M. pneumoniae?

Mycoplasma pneumoniae, a common cause of respiratory infections, does not possess a cell wall. This makes traditional antibiotics like Penicillin, which target cell wall synthesis, ineffective against it.

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How does M. pneumoniae infect the respiratory tract?

Mycoplasma pneumoniae, a type of bacteria that causes various respiratory infections, is known for its ability to adhere to the respiratory tract. This adherence is achieved through its pili, which acts like tiny hooks that can grasp onto the mucous membrane within the respiratory tract.

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What makes M. pneumoniae so dangerous?

Mycoplasma pneumoniae is a type of bacteria that causes respiratory infections. It has a superantigen nature, meaning it can overstimulate the immune system, leading to an uncontrolled inflammatory response. This can worsen the infection and cause harm to the body.

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Study Notes

Spirochaetes

  • Gram-negative bacteria, shaped like a "coiled hair"
  • Extremely thin and vary in length
  • Motile due to periplasmic flagella (axial fibrils/endoflagella)
  • Found within the periplasmic space
  • Too thin to be visualized via light microscopy. Requires darkfield microscopy for observation
  • Stained using anti-treponemal antibodies labeled with fluorescent dyes.
  • Intracellular pathogens
  • Three periplasmic flagella present at each end.
  • Do not survive well outside the host and cannot be grown in cell-free cultures in vitro.

Taxonomy

  • Order: Spirochaetales
  • Families: Spirochaetaceae, Leptospiraceae
  • Treponema genus includes: T. pallidum,T. pallidum subspecies endemicum,T. pallidum subspecies pertenue, T. carateum
  • Borrelia genus includes Borrelia spp.
  • Leptospira genus includes Leptospira spp.

Treponema and Human Disease

  • Treponema pallidum subspecies pallidum (Syphilis):

    • Disease transmitted via sexual contact or from mother to fetus
    • Not highly contagious (~30% chance of acquiring disease after a single exposure).
    • Long incubation period (non-infectious during this time)
    • Tissue destruction/lesions primarily due to host's immune response
    • Infection is neither fully controlled nor eradicated
    • Early stages inhibit cell-mediated immunity (CMI); late stages, lesions localize
    • Hosts have widespread immune suppression initially, but late stages exhibit more localized immune response activity.
  • Treponema pallidum subsp. pallidum causes Syphilis

    • Transmitted through direct sexual contact or from mother to fetus.
    • Not highly contagious (~30 % chance of acquiring disease)
    • Infection period dependent on stage of disease.
    • Host is non-infectious during the long incubation period.

Treponema pallidum subsp. Endemicum

  • Causes Bejel (endemic syphilis)
  • Not sexually transmitted.

Treponema pallidum subsp. Pertenue

  • Causes Yaws
  • Transmitted through direct contact with lesions containing large numbers of spirochetes
  • Affects mostly primitive, tropical regions (Southeast Asia, Africa, and South Pacific)

Treponema carateum

  • Causes Pinta
  • Transmitted via direct contact with skin lesions
  • Restricted to primitive tropical regions (Mexico, Central, and South America)

Borrelia spp.

  • Gram-negative spirochetes
  • Diagnosis often involves Giemsa stain or phase contrast microscopy to visualize the organisms
  • Antigenic shifts and immune responses play critical roles in the disease process

Relapsing fever

  • Associated with poverty, crowding, and warfare
  • Arthropod vectors transmit disease
  • Louse-borne borreliosis = Epidemic Relapsing Fever (transmitted between humans via body lice)
  • Tick-borne borreliosis = Endemic Relapsing Fever (transmitted by ticks from small mammals)
  • Acute infection with 2–14 day incubation period. Followed by recurring febrile episodes.

Lyme disease

  • Transmitted via hard-body ticks (Ixodes spp.)
  • Symptoms include: skin lesions, neurological or cardiac issues, widespread non-destructive yet painful arthritis (affecting joints)
  • Identified as a syndrome in 1975 in Lyme, Connecticut.
  • White-footed deer mice, and other rodents, deer, pets, and hard-shelled ticks are common reservoirs for disease.

Leptospira

  • Gram-negative spirochetes, often appearing as a question mark
  • Characterized by having two periplasmic flagella
  • Disease transmission occurs primarily through contact with urine/contaminated substances.
  • Characterized by an acute febrile jaundice and glomerulonephritis (inflammation of the glomeruli in the kidneys).
  • Incubation period is typically 10-12 days, with flu-like illness commonly progressing through two clinical stages.

Mycoplasmas

  • Smallest bacteria (0.1–0.3 µm)
  • Often grow slowly, requiring sterols and glucose
  • Lack a cell wall
  • Primarily diagnosed based on the presence of extremely small, fried-egg-like colonies

Mycoplasma pneumoniae

  • Causes atypical pneumonia (walking pneumonia) characterized by flu-like symptoms, persistent, non-productive cough, and low-grade fever, headache, and malaise.
  • Transmitted through close contact.
  • Treatment options include tetracycline, erythromycin, or newer fluoroquinolones.
  • No vaccine available.

Other Mycoplasmataceae

  • Other Mycoplasmataceae species (e.g., Mycoplasma hominis, Mycoplasma genitalium, Ureaplasma urealyticum) cause similar diseases affecting different organ systems.
  • These infections can cause conditions such as non-gonococcal urethritis, pelvic inflammatory disease, pyelonephritis, postpartum fever, and systemic infections (in immunocompromised hosts). They can also cause spontaneous abortion or premature births.

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Explore the fascinating world of Spirochaetes, a group of Gram-negative bacteria characterized by their unique coiled shape and motility. This quiz covers their taxonomy, key species like Treponema and Borrelia, and the diseases they cause in humans, including syphilis. Test your knowledge on their biology and impact on health.

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