Atypical Bacteria Flashcards

1
Q

Treponema pallidum

A

Keys:

  • spirochete
  • rabbit testis
  • chancre
  • RANC

Extras:

  • Congenital: saddle nose, mulberry molars, hutchinson teeth, rhinitis, osteochondritis
  • organ endarderitis
  • Tabes dorsalis - Argyll Robertson pupils
  • Benzathine penicillin G
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2
Q

Borrelia burgdorferi

A

Key:

  • spirochete
  • erythema migrans (targetoid)
  • tick bite
  • northeast/midwest region

Extras:

  • boys 5-19
  • spirochete
  • transient Ops (vf)
  • flu-like symptoms
  • child blindness
  • child arthritis
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3
Q

Borrelia afzelli

A

Key:

  • spirochete
  • old woman
  • acrodermatitis chronic atrophicans
  • European ticks/fleas
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4
Q

Chlamydia (general)

A
  • intracellular
  • biphasic
  • (EB[metabollic spore epithelial invasion] -> RB[intra-c replication -> EB[lysis/extrusion])
  • cAMP / cGMP mediated
  • LPS
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5
Q

Chlamydia trachomatis

A

Ocular:

  • increase blindness
  • hand eye child transmission
  • recurrent cojunctivitis

Genital:

  • highly asymptomatic
  • male: NGU
  • female: cervicitis, ectopic pregnancy
  • babies: conjuctivits, pneumonia
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6
Q

Chlamydia psittaci

A
  • bird sneeze -> human transmission
  • atypical pneumonia
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7
Q

Chlamydia pneumoniae

A

Key:

  • TWAR strain
  • pear shape
  • ALL ppl acquire
  • school age child

Extra:

  • bronchitis
  • preceding pharyngitis/laryngitis
  • asymptomatic spread
  • human -> human
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8
Q

Ehrlichia chaffeensis

A
  • *morulae
  • monocyte target
  • southeastern region
  • tick transmission
  • *positive aminotransferase labs
  • lypho/thrombocytopenia
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9
Q

Anaplasma phagocytophilium

A
  • HGE: human granulocytic ehrlichia
  • neutrophil morulae
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10
Q

Rickettsia rickettsii

A

Key

  • intracellular gram (-) bacillus
  • adult tick/dog transmission
  • southeastern region
  • Omp A/B (vf)
  • ankle/wrist -> palm/sole petechiae

Extra

  • diffuse rash
  • G6PD deficiency susceptible
  • need > 10 hrs of tick attachment transmission
  • CD8 needed clearance
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11
Q

Rickettsiae prowazekii

A
  • typhus disease
  • body louse -> human transmission
  • U.S. (flying squirrels), beyond (human->human)
  • *rash + pneumonia
  • *doxycycline treatment
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12
Q

Mycobacterium tuberculosis

A

Key

  • acid fast V shaped/parallel bacillus
  • (*LAM)/complement/mannose macrophage binding
  • Gohn complex
  • fever + cachexia

Extra

  • slow growth (AB resistance)
  • high lipid content cell wall (mycolic acid)
  • CD4 mediated–macrophage activation
  • primary- located in mid-low lung
  • post primary- upper (right) lung
  • granulomas
  • fever + fatigue + hemoptysis + cachexia
  • upper lung cavities
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13
Q

Mycoplasma pneumoniae

A

Key

  • naked (smallest bacteria) sterol membrane
  • H2O2 cilial loss
  • atypical bronchial pneumonia
  • IgM cold agglutins

Extra

  • fried egg culture appearance
  • mulberry colonies
  • no colonization –> instant or no infection
  • bind to epithelial neuraminic acid (no penetration)
  • damage (cilial loss)
    *
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14
Q

Ureaplasma urealyticum

A
  • NGU
  • asymptomatic
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15
Q
A
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