Bacteriology - fastidious bacteria Flashcards
What is the main feature of fastidious bacteria?
They are difficult to grow so hard to confirm a diagnosis
What are the two main fastidious bacteria?
Chlamydiales
Rickettsiales
Are chlamydiales and rickettsiales gram positive or gram negative?
Appear gram negative - dont have LPS but also dont have peptidoglycan
Where are fastidious bacteria found?
In epithelial cells, blood cells and macrophages - inside cells rather than on surface
Where do fastidious bacteria grow?
Inside cells
What does rickettsia infect?
Endothelial cells lining capillaries - multiply in cytoplasm
What does ehrlichia infect?
Red blood cells (haemolytic anaemia) and immune cells
How are rickettsia and ehrlichia transmitted?
Blood sucking arthropod vectors
Why do fastidious bacteria need to be intracellular to survive?
Missing cofactors and precursors
How is reckettsia treated?
Antibiotics
What is chlamydia associated with?
Mucous membranes - resp, GI, conjunctival, urogenital
How does chlamydia present as a disease?
Subclinical persistence with clinical flares
What are the two forms of chlamydia?
Elementary body
Reticulate body
What are elementary bodies of chlamydia?
Infectious form - has a resistant wall and is metabolically inactive, can be spread outside the body
What are reticulate bodies of chlamydia?
Reproductive form - intracellular, active
How is chlamydia identified?
Lesion smear
PCR
How is chlamydia treated?
Antibiotics - oxytetracycline or chloramphenicol, not penicillin
For 2-3 weeks
How is coxiella burnetii transmitted?
Ticks
Spores in aerosols/dried faeces/milk
What does C. burnetii cause in animals?
Abortion if gets to placenta
Mild gut/udder infection
What does C. burnetii infect?
Macrophages in oropharynx
What disease does C. burnetii cause in humans?
Q fever