Chlamydiaceae Flashcards

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1
Q
  • What type of organism are chlamydia?

- What can they do with ATP or NADP?

A

Obligate intracellular parasite

- Can’t synthesize ATP or reoxidize reduce NADP

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2
Q

What are the 2 forms of Chlamydia and what are there functions?

A
  • Elementary body: infectious form of the organism - attaches by not expending energy or synthesizing protein.
  • Reticulate body which is large, and the intracellular form of the organism. - Replicates
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3
Q

What fusion does chlamydia avoid to escape degradation?

A
  • Fusion of the lysosome with the phagosome
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4
Q

What is serotyping in Chlamydia based on?

What are 3 clinical syndromes of most concern in the chlamydia family?

A
  • the major outer membrane protein
  • 1) “parrot fever” - chlamydophila psittaci
    2) “walking pneumoniae” - C. pneumoniae
    3) Trachoma, inclusion conjunctivitis, NGU, LGV are all caused by C. trachomatis
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5
Q
  • What types of animals are C. psittaci associated with?

- What are the occupations at risk?

A
  • birds and bird excrement - parrots, parakeets, macaws, and cockatiels
  • poultry workers and veterinarians
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6
Q

What is the pathogenesis of C. psittaci?

A
  • in through repiratory tract, enters via macrophages and reticuloendothelial system and has a hematogenous spread. Lung inflammation , mucous plugs, cyanosis, and anoxia
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7
Q

What are the symptoms of “parrot fever”?

What is diagnostic about C. psittaci?

A
  • acute onset of fever, chills, headache, malaise, muscle aches, dry hacking cough, and bilateral interstitial pneumonia. Liver and spleen enlarged
  • 4 fold increase in AB titer or indirect fluroscent antibody test.
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8
Q

How is C. pneumoniae acquired?

What do you see (C. pneumoniae or Mycoplasma pneumoniae) more in adults?

A
  • respiratory droplets

- Mycoplasma more often in young people; and chlamydophila pneumoniae in adults

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9
Q

What are the symptoms of Walking pneumoniae?

What is the diagnostic test for C. pneumoniae?

A
  • Pharyngitis, bronchitis, sinusitis, and pneumonia

- microimmunofluorescence

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10
Q

What serotypes of C. trachomatis are responsible for inclusion conjunctivitis and non-gonococcal urethritis?
- What are the seortypes that cause lymphogranuloma venerum (LGV)?

A
  • Serotypes D-K

- L1, L2, L2a, and L3

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11
Q

What is the unique about the immune response of chlamydia?

- Where is Trachoma most common?

A
  • will have neutrophils because of inflammation but won’t see bacteria because it is intracellular
  • Middle East, North Africa, and india
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12
Q

How is trachoma (chronic keratoconjunctivits) transmitted?

What serotypes are important to know for Trachoma?

A
  • via eye-eye, eye seeking flies as well as feces and respiratory as well in kids –> blindness
  • A, B , Ba, and C
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13
Q

How can inflammation occur?

- How common is c. trachomatis as far as bugs that can cause neonatal conjunctivitis?

A
  • chronic inflammation of the eyelids and scarring of the conjunctiva can cause the eyelids to turn inward and the eyelashes can abrade the cornea.
  • Most common form of neonatal conjunctivits in US
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14
Q

What other type of eye problem is possible with C. trachomatis and what is the serotype with this problem.
- What types of eye injury is possible with it?

A
  • Inclusion conjunctivitis - serotypes D-K, occurs in newborns and adults worldwide.
  • not associated with permanent eye damage or chronicity
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15
Q

Non-gonococcal urethritis (NGU) is how common?

- What is the pathogenesis in women?

A
  • Most common bacterial STD in the US, highest prevalence in teens
  • infection at cervix or urethra and can spread to the fallopian tube –> possible scaring. 50% asymptomatic or discharge.
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16
Q
  • What is the pathogenesis in men?

- What is the differences between chlyamdia and gonorrhoeae?

A
  • infection at the urethra –> epididymus; normally painful urination and discharge;
  • NGU has a longer incubation and the dicharge tends to be more mucoid
17
Q

how is lymphogranuloma venereum acquired?

Symptoms of LGV?

A
  • by abrasions
  • Transient papules on genitalia by painful swelling of inguinal and perirectal lymph nodes –> lymphedema –> ulceration, necrosis, abscesses