Bacterial sexually transmitted infections I Flashcards
What chlamydia species is the most common cause of genital infection and conjunctivitis?
Chlamydia trachomatis
Does chlamydia have peptidoglycan in its cell wall?
No
What is the shape of chlamydia bacteria?
Cocci
What is the infectious particle in chlamydia?
Elementary body
What is the replicating / metabolically active particle in chlamydia?
Reticulate body
Chlamydia inclusions are made up primarily of elementary bodies or reticulate bodies?
Reticulate bodies
The multiple chlamydia trachomatis serovars are based on what protein?
Major outer membrane protein
Chlamydia has a tropism for what type of cell?
Nonciliated, columnar, cuboidal, and transitional epithelial cells
How does chlamydia do cytotoxic damage?
Destruction of epithelium (cell lysis) and proinflammatory cytokine response
Without treatment, chlamydia can lead to what condition?
Fibrosis (infertility)
Which serovars are responsible for trachoma?
A, B, Ba, C
Which serovars are responsible for urogenital tract infection?
D-K
Which serovars are responsible for lymphogranuloma venerum?
L1, L2, L2a, L2b, L3
Why are LGV serovars more invasive than the other serovars?
Replication in mononuclear phagocytes
What is the leading cause of preventable blindness in the world?
Chronic chlamydia conjunctivitis
What are the symptoms of acute conjunctivitis in sexually active adults?
- Mucopurulent discharge
- Keratitis
- Corneal infiltrates
- Occasional corneal vascularization
What can help prevent transmission of neonatal conjunctivitis?
Erythromycin eye drops
What is the presentation for male C. trachomatis UG infection?
Dysuria and thin urethral MUCOPURULENT discharge
What are the complications of male C. trachomatis UG infection?
Epididymitis, prostatitis
What is Reiter syndrome?
- Complication of male C. trachomatis UG infection
2. Urethritis, conjunctivitis, polyarthritis
What is the presentation for female C. trachomatis UG infection?
Mucopurulent discharge
Is UG chlamydia infection more common in men or women?
Women
What disease presents with primary (painless) lesions / papules and inflammation and swelling of lymph nodes draining the site of infection with inguinal lymphadenopathy?
Lymphogranuloma venereum (LGV)
What is a common result of lymphatic spread in LGV?
Proctitis