Spirochete Biology and Diseases Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What defines the motility of spirochetes?

  • Periplasmic flagella or endoflagella (correct)
  • Flagella located at one end
  • Movement through passive diffusion
  • Cilia covering their surface

Which genus is NOT part of the Spirochaetaceae family?

  • Leptospira (correct)
  • All are part of Spirochaetaceae
  • Treponema
  • Borrelia

How can Treponema organisms be visualized in a laboratory setting?

  • With standard plate culture methods
  • Using light microscopy with Gram stain
  • Using darkfield microscopy (correct)
  • Through macroscopic observation

Which of the following diseases is caused by T.pallidum ssp.pallidum?

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

What is a key virulence factor of T.pallidum?

<p>Outer membrane proteins for adherence (B)</p> Signup and view all the answers

What percentage of patients with neurological or cardiac involvement progress to the subsequent stage of the disease?

<p>5-15% (D)</p> Signup and view all the answers

What is characteristic of Leptospira interrogans?

<p>It has two periplasmic flagella. (C)</p> Signup and view all the answers

What is the main route of transmission for leptospirosis to humans?

<p>Breaks in the skin or intact mucous membranes. (A)</p> Signup and view all the answers

Which antibiotic is NOT mentioned as a treatment for Lyme disease?

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

Which of the following is a clinical manifestation of anicteric leptospirosis?

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

What is the main cause of tissue destruction and lesions in syphilis?

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

Which characteristic describes the chancre during primary syphilis?

<p>It appears several weeks after initial contact. (C)</p> Signup and view all the answers

In the case of secondary syphilis, which feature is true?

<p>There is a widely disseminated mucocutaneous rash. (A)</p> Signup and view all the answers

What percentage of late latent syphilis patients is likely to progress to tertiary syphilis?

<p>40% (B)</p> Signup and view all the answers

Which process happens during the primary stages of syphilis?

<p>Rapid multiplication and dissemination through systemic circulation. (C)</p> Signup and view all the answers

What defines tertiary syphilis?

<p>Localized granulomatous dermal lesions known as gummas. (D)</p> Signup and view all the answers

Which statement is true regarding the transmission of syphilis?

<p>The chance of acquiring the disease after a single exposure is approximately 30%. (D)</p> Signup and view all the answers

In late stages of syphilis, the inhibition of cell-mediated immunity is:

<p>Reduced compared to early stages. (D)</p> Signup and view all the answers

What is a common symptom of atypical (walking) pneumonia?

<p>Persistent non-productive cough (C)</p> Signup and view all the answers

What type of pneumonia is characterized by an abrupt onset and high fever?

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

Which treatment is effective against M. genitalium?

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

What is a secondary complication associated with M. pneumoniae infection?

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

What is the main prevention strategy for M. pneumoniae infections?

<p>Avoid close contact (A)</p> Signup and view all the answers

What is the primary consequence of congenital syphilis for the developing fetus?

<p>Mental or physical problems (A)</p> Signup and view all the answers

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

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

Treponema pallidum subsp.pertenue is primarily associated with which disease?

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

Which of the following methods is NOT recommended for the prevention of syphilis?

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

What type of lesions are initially associated with Bejel?

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

The incubation period for Pinta is approximately how long?

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

Which of the following best describes the disease Yaws?

<p>Causes scarring of the skin (A)</p> Signup and view all the answers

What is the primary mode of transmission for Treponema carateum, the causative agent of Pinta?

<p>Direct contact with skin lesions (A)</p> Signup and view all the answers

What is the primary cause of hepatic injury in icteric leptospirosis?

<p>Direct invasion by leptospires (A)</p> Signup and view all the answers

Which treatment is considered effective for icteric leptospirosis?

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

What is a common symptom of leptospiremia in the early stages of illness?

<p>Flu-like illness (C)</p> Signup and view all the answers

Which characteristic is true for Mycoplasma bacteria?

<p>Require urea for growth (B)</p> Signup and view all the answers

What structural feature distinguishes Mycoplasma bacteria from most other bacteria?

<p>Lack of a cell wall (A)</p> Signup and view all the answers

What role do P1 pili play in the virulence of M.pneumoniae?

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

What is a distinguishing feature of Mycoplasma colonies when cultured?

<p>Fried egg appearance (D)</p> Signup and view all the answers

Which of the following is a common clinical manifestation of M.pneumoniae infection?

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

Signup and view all the answers

What characteristic of Treponema makes it challenging to observe with light microscopy?

<p>It is too thin to be seen. (B)</p> Signup and view all the answers

Which virulence factor of Treponema pallidum is associated with facilitating tissue infiltration?

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

Which disease is caused by the subspecies of Treponema pallidum identified as T.pallidum ssp. pertenue?

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

What primarily causes tissue destruction and lesions associated with T.pallidum infections?

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

What unique structural feature of spirochetes contributes to their motility?

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

What is a characteristic feature of Leptospira interrogans?

<p>It exhibits a hooked shape at both ends. (D)</p> Signup and view all the answers

What are the primary host animals associated with the transmission of leptospirosis?

<p>Rodents and domestic animals (C)</p> Signup and view all the answers

What type of antibiotic is indicated for the treatment of relapsing fever?

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

What is the primary cause of tissue destruction and lesions in leptospirosis?

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

Which stage of Lyme disease may exhibit migrating episodes of painful arthritis?

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

Which of the following symptoms is NOT typically associated with atypical (walking) pneumonia?

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

What is the primary treatment recommended for M. hominis infections?

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

Which of the following complications is NOT associated with M. pneumoniae infection?

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

Which treatment option is considered ineffective against M. pneumoniae infections?

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

What is a notable characteristic of Mycoplasma bacteria?

<p>They are the smallest free-living organisms (B)</p> Signup and view all the answers

What is the hallmark lesion associated with primary syphilis?

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

Which statement accurately describes the secondary stage of syphilis?

<p>It causes widespread mucocutaneous rash. (B)</p> Signup and view all the answers

During which stage of syphilis is the patient non-infectious?

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

What typically occurs at the site of inoculation during primary syphilis?

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

Which feature is characteristic of tertiary syphilis?

<p>Localized granulomatous lesions (A)</p> Signup and view all the answers

What indicates the onset of the latent stage of syphilis?

<p>Complete resolution of primary lesions (B)</p> Signup and view all the answers

What is a potential outcome for infants affected by congenital syphilis?

<p>Scarring from active disease (D)</p> Signup and view all the answers

Which treatment duration is appropriate for early-stage syphilis?

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

What type of lesions are the initial manifestations of Bejel?

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

Which of the following is true regarding the transmission of Yaws?

<p>Requires direct contact with lesions (A)</p> Signup and view all the answers

What are the late-stage lesions associated with Pinta?

<p>Disseminated hypopigmentation or depigmentation (D)</p> Signup and view all the answers

Which antibiotic is the primary choice for treating syphilis?

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

Which of the following is a characteristic of Treponema pallidum subsp.pertenue?

<p>Initial skin lesions are pruritic papules (B)</p> Signup and view all the answers

What is a recommended method for syphilis prevention?

<p>Using barrier methods (C)</p> Signup and view all the answers

Which symptom is typically associated with leptospiremia during the early stages of illness?

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

What is a common treatment for icteric leptospirosis?

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

Which of the following is a characteristic of Mycoplasma bacteria?

<p>They lack a cell wall. (A)</p> Signup and view all the answers

Which Mycoplasma species is specifically known for causing infections in the respiratory tract?

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

What role do P1 pili play in M.pneumoniae virulence?

<p>They assist in adhering to host tissues. (B)</p> Signup and view all the answers

Which of the following statements about the incubation period for icteric leptospirosis is correct?

<p>It is typically around 10-12 days. (C)</p> Signup and view all the answers

What type of colonies do Mycoplasma bacteria form when cultured?

<p>Small, fried-egg-like colonies (D)</p> Signup and view all the answers

Flashcards

Spirochetes

A type of bacteria known for its spiral (coiled) shape, belonging to the order Spirochaetales.

Origin of the term 'Spirochete'

The term 'Spirochete' comes from the Greek word for 'coiled hair'.

Physical characteristics of Spirochetes

These bacteria are extremely thin and can be very long.

Motility of Spirochetes

Spirochetes use unique periplasmic flagella, also called axial fibrils or endoflagella, for movement.

Signup and view all the flashcards

Treponema classification

The genus Treponema belongs to the family Spirochaetaceae within the order Spirochaetales.

Signup and view all the flashcards

Treponema pallidum

The causative agent of syphilis, a sexually transmitted infection. It is a spirochete bacterium that can be transmitted through direct sexual contact or from mother to fetus.

Signup and view all the flashcards

Primary syphilis

The initial stage of syphilis infection, characterized by the appearance of a painless sore called a chancre at the site of infection. This stage is highly contagious, but the infection can be treated with antibiotics.

Signup and view all the flashcards

Secondary syphilis

This stage occurs 2-10 weeks after the primary lesion and is marked by a widespread mucocutaneous rash, potentially including sores in the mouth and genital area. It is highly contagious and reflects a generalized immune response to the infection.

Signup and view all the flashcards

Latent stage syphilis

This stage follows secondary syphilis and is characterized by a period of latency where the infection is less active and may not cause any symptoms. This stage is often asymptomatic but can last for years.

Signup and view all the flashcards

Tertiary syphilis

This stage is the later, more serious stage of syphilis infection, characterized by localized granulomatous lesions in the skin and potentially affecting the central nervous system. It occurs many years after the initial infection and can lead to serious neurological complications.

Signup and view all the flashcards

Treponema pallidum infection and immune response

Infection with Treponema pallidum is characterized by a destruction of tissues and lesions, primarily a consequence of the host’s immune response.

Signup and view all the flashcards

Treponema pallidum and vasculature

Treponema pallidum primarily infects blood vessels (vasculature) and the surrounding areas. This can lead to inflammation and damage to these systems.

Signup and view all the flashcards

Persistence of Treponema pallidum

Despite a strong immune response, Treponema pallidum can persist in the body for decades. This is due to the bacteria's ability to evade the immune system and remain dormant, leading to persistent inflammation and damage.

Signup and view all the flashcards

Syphilis

A contagious bacterial infection transmitted through direct contact, characterized by painless sores, rashes, and potential long-term complications.

Signup and view all the flashcards

Congenital Syphilis

Syphilis that affects a developing fetus during pregnancy, resulting in various birth defects and health problems.

Signup and view all the flashcards

Penicillin

The primary drug used to treat syphilis, effectively eliminating the bacteria.

Signup and view all the flashcards

Bejel (Endemic Syphilis)

A subtype of syphilis that mainly affects the oral cavity, causing lesions and ulcers.

Signup and view all the flashcards

Yaws

A chronic disease caused by the bacterium Treponema pallidum subsp. pertenue, causing skin lesions and bone damage.

Signup and view all the flashcards

Pinta

A skin infection caused by Treponema carateum, characterized by discolored patches on the skin.

Signup and view all the flashcards

Leptospirosis

A bacterial infection primarily spread via contact with infected animal urine. It causes a range of symptoms, from mild flu-like illness to severe complications like meningitis and liver failure.

Signup and view all the flashcards

Borrelia

A genus of bacteria within the family Spirochaetaceae, responsible for various diseases in humans and animals.

Signup and view all the flashcards

Leptospira interrogans

A unique type of bacteria known for its spiral shape and characteristic hooked ends, resembling a question mark. It's a gram-negative bacterium with periplasmic flagella.

Signup and view all the flashcards

Leptospira

A gram-negative spirochete bacterium that causes leptospirosis. Found in animals like rats, dogs, and farm animals.

Signup and view all the flashcards

Virulence factors of Leptospira interrogans

The ability of Leptospira interrogans to directly enter and multiply within human tissues, triggering an inflammatory response.

Signup and view all the flashcards

Epidemiology of leptospirosis

The main mode of transmitting Leptospirosis is through contact with infected animal urine, typically found in soil, water, or feed. Humans can also contract it through breaks in the skin or intact mucous membranes.

Signup and view all the flashcards

What is icteric leptospirosis?

A bacterial infection that affects the liver and kidneys, causing jaundice, fever, and potential organ failure.

Signup and view all the flashcards

What is leptospiremia?

The initial stage of icteric leptospirosis involves rapid multiplication of the bacteria in the bloodstream, typically lasting a week.

Signup and view all the flashcards

What is leptospiruria?

In the later stage of icteric leptospirosis, leptospires infect the kidneys, leading to urine excretion of the bacteria and potential renal failure.

Signup and view all the flashcards

How is icteric leptospirosis treated and prevented?

Penicillin and doxycycline are effective antibiotics for treating icteric leptospirosis. Additionally, managing reservoirs of the bacteria and vaccinating susceptible animals play crucial roles in controlling its spread.

Signup and view all the flashcards

What makes Mycoplasmas unique?

These bacteria lack a cell wall, making them resistant to antibiotics that target cell wall synthesis (e.g., penicillin, cephalosporins, vancomycin). However, they are susceptible to certain other classes of antibiotics.

Signup and view all the flashcards

What are some common human diseases caused by Mycoplasmas?

Mycoplasma species, like M. pneumoniae, are known to cause respiratory infections, while Ureaplasma species, like U. urealyticum, are associated with genitourinary infections.

Signup and view all the flashcards

How does M. pneumoniae adhere to respiratory tissues?

M. pneumoniae utilizes specialized structures called P1 pili to attach to the respiratory tract lining. This adherence disrupts the movement of cilia and impairs the body's defense mechanisms.

Signup and view all the flashcards

How does M. pneumoniae trigger excessive inflammation?

M. pneumoniae acts as a superantigen, a type of molecule that triggers an exaggerated immune response. This leads to excessive inflammation and the release of inflammatory mediators.

Signup and view all the flashcards

Atypical (Walking) Pneumonia

A type of pneumonia caused by Mycoplasma pneumoniae, often milder than bacterial pneumonia, with symptoms like fatigue, cough, and low-grade fever.

Signup and view all the flashcards

Mycoplasma pneumoniae Infections

Caused by Mycoplasma pneumoniae, these infections can cause a range of symptoms from mild pharyngitis to more serious pneumonia. The symptoms can persist for weeks.

Signup and view all the flashcards

Mycoplasmas

A class of bacteria that lack cell walls, making them resistant to antibiotics that target cell wall synthesis.

Signup and view all the flashcards

Treatment for Mycoplasma pneumoniae Infections

Erythromycin and tetracyclines are often used to treat infections caused by Mycoplasma pneumoniae. New fluoroquinolones are also effective.

Signup and view all the flashcards

Other Mycoplasmas and Their Infections

Mycoplasma genitalium, Mycoplasma hominis, and Ureaplasma urealyticum can cause various infections in the genital tract, including urethritis, pelvic inflammatory disease, and complications during pregnancy.

Signup and view all the flashcards

Treponema

A genus of spirochetes that includes the causative agent of syphilis, Treponema pallidum. These bacteria are extremely thin and require specialized microscopy techniques for visualization.

Signup and view all the flashcards

Syphilis and Cardiovascular Health

Syphilis is a sexually transmitted infection caused by Treponema pallidum and can have serious long-term consequences for cardiovascular health.

Signup and view all the flashcards

Penicillin for Syphilis

Penicillin is the drug of choice for treating syphilis and is highly effective in eliminating the bacteria.

Signup and view all the flashcards

Preventing Syphilis

Prevention of syphilis includes using barrier methods during sexual activity, and prophylactic treatment of individuals who have come into contact with infected people.

Signup and view all the flashcards

Treating Syphilis

Syphilis can be treated effectively with penicillin, especially if caught in the early stages. It's crucial to seek medical attention if you suspect you have syphilis.

Signup and view all the flashcards

Latent Syphilis

The stage of syphilis infection following secondary syphilis where the infection is less active and may not cause any symptoms. It is often asymptomatic but can last for years. During this stage, the spirochetes may remain dormant.

Signup and view all the flashcards

Chancre

The hallmark lesion of primary syphilis, typically a painless sore that appears at the site of infection. The chancre changes from hard to ulcerative with shedding of spirochetes.

Signup and view all the flashcards

Gumma

A localized granulomatous dermal lesion that appears in the tertiary stage of syphilis. It reflects containment by the immune system's reaction to chronic infection.

Signup and view all the flashcards

Syphilis and Vasculature

Syphilis primarily affects blood vessels and the surrounding areas, leading to inflammation and damage. This is a consequence of the body's immune response to the infection.

Signup and view all the flashcards

Clinical Disease: Leptospirosis

Characterized by various clinical manifestations including mild virus-like illness, aseptic meningitis, and severe systemic complications.

Signup and view all the flashcards

Icteric Leptospirosis

Weil's disease, characterized by vascular collapse, thrombocytopenia, hemorrhage, hepatic and renal dysfunction, and a yellowing of the skin and mucus membranes due to bile deposition.

Signup and view all the flashcards

Leptospiremia

The stage of icteric leptospirosis where the bacteria multiplies rapidly in the bloodstream, typically lasting a week.

Signup and view all the flashcards

Leptospiruria

The stage of icteric leptospirosis where the bacteria infect the kidneys leading to the excretion of leptospires in urine and potential renal failure.

Signup and view all the flashcards

M. pneumoniae

A species of Mycoplasma responsible for respiratory infections.

Signup and view all the flashcards

M. genitalium

A species of Mycoplasma that causes infections in the genital tract.

Signup and view all the flashcards

P1 pili

Specialized structures on M. pneumoniae that allow attachment to the respiratory tract lining.

Signup and view all the flashcards

Superantigen

A molecule that triggers an exaggerated immune response, leading to excessive inflammation.

Signup and view all the flashcards

Atypical Pneumonia

A type of pneumonia often caused by Mycoplasma pneumoniae, characterized by gradual onset, less severe symptoms, and a persistent cough. Patients may feel well enough to be active, hence the name "walking pneumonia".

Signup and view all the flashcards

Mycoplasma pneumoniae

A specific bacterium that causes atypical pneumonia. It is known for its slow onset and lingering cough.

Signup and view all the flashcards

Treatment for Mycoplasma pneumoniae

Treatment for Mycoplasma pneumoniae infections often includes antibiotics like erythromycin or tetracyclines. New fluoroquinolones may also be effective.

Signup and view all the flashcards

Study Notes

Spirochaetes

  • Gram-negative bacteria
  • Shaped like a spiral
  • Extremely thin, can be very long
  • Motile due to periplasmic flagella (axial fibrils or endoflagella)

Taxonomy

  • Order: Spirochaetales
  • Family: Spirochaetaceae
    • Genus: Treponema
      • Species: T. pallidum ssp. pallidum (Syphilis)
      • Species: T. pallidum ssp. endemicum (Bejel)
      • Species: T. pallidum ssp. pertenue(Yaws) -Species: T. carateum(Pinta)
  • Family: Leptospiraceae
    • Genus: Leptospira
      • Species: L. interrogans

Treponema

  • Too thin to be seen by light microscopy in stained specimens
  • Motile spirochetes can be seen with darkfield microscopy.
  • Stained with anti-treponemal antibodies labeled with fluorescent dyes
  • Intracellular pathogen
  • Has three periplasmic flagella at each end
  • Cannot be grown in cell-free cultures in vitro (meaning it does not survive well outside a host)

Treponema and Human Disease

  • T. pallidum ssp. pallidum causes Syphilis, transmitted by direct sexual contact or from mother to fetus.
  • Transmission rates depend on the stage of the disease.
  • Syphilis has a long incubation period when the host is non-infectious.
  • Syphilis causes tissue destruction and lesions, which are primarily caused by the patient’s immune response.
  • Syphilis is a disease of blood vessels and the perivascular areas, and the organisms can persist for decades.
  • Primary Syphilis involves invasion of mucus membranes, rapid multiplication, and wide dissemination through perivascular lymphatic system. The first sign is a painless chancre.
  • Secondary Syphilis shows up 2-10 weeks after the primary lesion. Characterized by a widely disseminated mucocutaneous rash and secondary lesions.
  • Latent stage syphilis: following secondary disease, the host enters a latent period.
    • First 4 years = early latent
    • Subsequent period = late latent
    • 40% of late latent patients progress to late tertiary syphilitic disease
  • Tertiary syphilis: characterized by localized granulomatous dermal lesions (gummas), few microorganisms present.
    • Late neurosyphilis develops usually more than 5 years after initial infection, involving the central nervous system and spinal cord, and can cause dementia, seizures, and wasting.
    • Cardiovascular involvement can appear 10-40 years after initial infection resulting in myocardial insufficiency and death.

Congenital Syphilis

  • Results from transplacental infection
  • Characterized by T. pallidum septicemia in the developing fetus and wide dissemination.
  • Can cause abortion, neonatal mortality, and late mental or physical problems

Prevention and Treatment of Syphilis

  • Penicillin is the drug of choice.
  • WHO monitors treatment recommendations
  • 7-10 days continuously for early stage
  • At least 21 days continuously beyond early stage
  • Prevention with barrier methods
  • Prophylactic treatment for contacts identified through epidemiological tracing

Treponema pallidum subsp. endemicum

  • Causes Bejel (endemic syphilis).
  • Initial lesions are oral, and secondary lesions are oral papules and mucosal patches
  • Late lesions are gummas of skin, bones, and nasopharynx
  • Transmitted person-to-person by contaminated eating utensils
  • Found in primitive tropical/subtropical areas (Africa, Asia, and Australia)

Treponema pallidum subsp pertenue

  • Characterized by Yaws: granulomatous skin disease, early skin lesions, late destructive lesions of skin, lymph nodes and bones with painless nodules widely distributed over body.
  • Transmitted via direct contact with lesions of the skin containing abundant spirochetes
  • Typical of primitive tropical areas (South America, Central Africa, Southeast Asia).

Treponema carateum

  • Primarily restricted to skin
  • Has a 1-3 week incubation period
  • Initial symptoms are small pruritic papules which progress into enlarged plaques that last for months to years
  • Late lesions may cause disseminated, recurrent hypopigmentation or depigmentation of skin
  • Transmitted by direct skin-to-skin contact.
  • Found in primitive tropical areas (Mexico, Central and South America).

Borrelia spp.

  • Gram-negative spirochetes identified via Giemsa stain of blood, and phase contrast microscopy
  • Antigenic shift and immune reactions are responsible for the disease

Borrelia and Human Disease

  • B. recurrentis: reservoir: humans, vector: body lice; causes Relapsing fever (epidemic)
  • B. spp: reservoir: rodents and ticks, vector: soft-shelled ticks; causes Relapsing fever (endemic)
  • B. burgdorferi: reservoir: rodents, ticks, other animals, vector: hard-shelled ticks; causes Lyme disease

Relapsing Fever

  • Associated with poverty, crowding, and warfare
  • Arthropod vectors (lice or ticks) transmit person-to-person.
  • Lice transmit to hosts only when injured (e.g., during scratching).
  • Lice leave infected hosts and seek normal temperature hosts.
  • Often characterized by an acute infection with a 2-14 day incubation period followed by recurring febrile episodes and a constantly worsening spirochaetemia during these febrile episodes.

Epidemiology of Lyme Borreliosis

  • Recognized in 1975 in Lyme, Connecticut
  • Associated with B. burgdorferi
  • Transmitted by hard-bodied ticks (Ixodes)
  • Reservoirs are white-footed deer mice, other rodents, deer, domesticated pets, and hard-shelled ticks.

Lyme Disease

  • Characterized by three stages with an initial unique skin lesion (erythema migrans) with malaise.
  • Lesions periodically reoccur.
  • 5-15% of patients develop neurological or cardiac involvement.
  • Third stage involves non-destrucive, but painful arthritis.

Leptospira interrogans

  • Gram-negative spirochete, with characteristic hooked ends (like a question mark)
  • Two periplasmic flagella
  • Tissue destruction and lesions are caused by the host's immune response
  • Able to directly invade and replicate in tissues, inducing inflammatory response

Epidemiology of Leptospirosis

  • Zoonotic disease (transmitted to humans from various wild and domestic animal hosts such as rats, dogs, farm, and wild animals.)
  • Transmitted through breaks in the skin or intact mucus membranes, or through indirect contact with infected urine (e.g., in soil, water, feed).
  • Occupational disease of animal handling

Clinical Disease: Leptospirosis

  • Mild virus-like syndrome

  • Anicteric leptospirosis: systemic with aseptic meningitis

  • Icteric leptospirosis (Weil's disease): overwhelming disease with vascular collapse, thrombocytopenia, hemorrhage, hepatic and renal dysfunction

  • Note: Icteric refers to jaundice (yellowing of skin and mucus membranes from deposition of bile) and liver involvement

Pathogenesis of Icteric Leptospirosis

  • Direct invasion and replication in tissues.
  • Characterized by an acute febrile jaundice and glomerulonephritis.
  • 10-12 day incubation period with flu-like illness, progressing through two clinical stages.
  • Leptospiremia develops rapidly (usually lasts 7 days) without local lesion.
  • Infect the kidneys, shed in the urine (leptospiruria), with renal failure and death.
  • Hepatic injury and meningeal irritation is common.

Treatment of Leptospirosis

  • Treatment with penicillin or doxycycline
  • Control reservoirs
  • Vaccinate animals

Mycoplasmas

  • Smallest bacteria (0.1-0.3 µm)
  • Grow slowly, need sterols and glucose as a source of energy
  • Ureaplasma spp requires urea.
  • Facultative anaerobes; except M. pneumoniae - strict aerobe.
  • Lack a cell wall.
  • Resistant to penicillin, cephalosporins, vancomycin but sensitive to tetracycline and erythromycin.
  • Small, fried-egg-like colonies (except M. pneumoniae)

Mycoplasmataceae and Human Disease

  • Genus: Mycoplasma
    • Species: M. pneumoniae
    • Species: M. hominis
    • Species: M. genitalium
  • Genus: Ureaplasma
    • Species: U. urealyticum

M. pneumoniae

  • Primarily asymptomatic carriage
  • Causes acute pharyngitis, low-grade-fever, malaise, headache, persistent dry and non-productive cough for more than 2 weeks
  • Tracheobronchitis with lymphocyte and plasma cell infiltration, and an atypical (walking) pneumonia.
  • Secondary complications include hemolytic anemia, arthritis, myocarditis, pericarditis, and neurologic abnormalities (like meningoencephalitis)

Atypical (Walking) Pneumonia

  • Chronic; onset and recovery
  • Flu-like symptoms (generalized aches, discomfort, headache, chills, and low-grade fever).
  • Persistent non-productive cough

Typical (Bacterial) Pneumonia

  • Abrupt, rigorous onset
  • Productive cough with purulent sputum
  • High fever, chest pain stiffness in the neck

Treatment and Prevention of M. pneumoniae

  • Treatment with tetracycline or erythromycin or newer fluoroquinolones (cannot use cell wall synthesis inhibitors)
  • Prevention: avoid close contact; no vaccine.

Other Mycoplasmataceae

  • M. genitalium: erythromycin, tetracycline
  • Ureaplasma: erythromycin.
  • M. hominis: clindamycin
  • Avoid unprotected sex.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Spirochaetales: Characteristics and Diseases
76 questions

Spirochaetales: Characteristics and Diseases

CongratulatoryIntelligence5915 avatar
CongratulatoryIntelligence5915
Syphilis and Spirochete Pathology Quiz
45 questions
Use Quizgecko on...
Browser
Browser