Degenerate Bacteria Flashcards

1
Q

What are the 2 groups of Degenerate Bacteria?

What is unique about these bacteria?

A

Rickettsia and Orientia

The can only grow inside eukaryotes

Rickettsial LPS has low endotoxins activity; Oreintia has no LPS or peptidoglycan (no gram staining)

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2
Q

What disease is characterized by the following symptom?

Most common in summer month

patient was bit by a tick 2-14 days ago

high fever, severe, headache, malaise,

macular rash (in 3 days) starting on extremities and moving centrally

Rash evolves to “spotted” or “petechial” form

What is the probable bacterial cause?

A

Rocky Mountain Spotted Fever

R. rickettsii

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3
Q

How could you identify an infection caused by R. Ricketsii?

Gram stain?

What is the common diagnostic test?

A

Poor gram stain – thus Giemsa or Gimenez stains

nucleic acid amplification test

MIF: detects OMP & LPS antibodies (positive 2nd week)

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4
Q

What disease is characterized by the following symptoms?

1st phase: Papuan where mite bites; progression to ulceration and Escher; high fever

2nd phase: abrupt onset; high fever, severe headache; generalized maculpapular rash in 2-3 days; vesicles form and crust over; recovery 2-3 weeks

A

Rickettsialpox

R. akari

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5
Q

What disease is characterized by the following symptoms?

louse borne infection

In 2-30 days high fever, severe headache and myalgia

Recovery in 2 weeks, may remain dormant

What is the probable bacterial cause? How would you diagnose?

A
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6
Q

What disease is characterized by the following symptoms?

From rat/cat fleas

7-14 day incubation, abrupt onset

fever, severe headache, chills, myalgia and nausea

rash limited to chest and abdomen

lasts 3 weeks

What is the probable bacterial cause?

A

Murine typhus

R. typhi

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7
Q

What disease is characterized by the following symptoms?

sudden onset 6-18 days after encounter with mites in Eastern Asia, Australia, Japan & Western Pacific Islands

sever headache, fever, myalgia

macular to popular rash on trunk, spreading to extremeties

recover in 2-3 weeks

What is the probable bacterial agent?

A
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8
Q

What disease is characterized by the following symptoms?

infection of blood and tissue monocytes

1-3 weeks after tick bite, flulike illness

high fever, headache, malaise, myalgias

late onset rash

leukopenia, thrombocytopenia, increase transaminases

A

Human monocytes ehrlichiosis

caused by Ehrlichia chaffeensis

Human granulocytic ehrlichiosis is caused by Ehrlichia ewingii with the same symptoms, but infects granulocytes rather than monocytes

Human Anaplasmosis is caused by A. phagocytophilum which also infects granulocytes and has the same symptoms

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9
Q

How could you identify a infection caused by Ehrlichia or Anaphlasma?

Gram stain?

What unique feature are found?

what its he common identification test ran?

A

Poor gram stain (lack peptidoglycan)

giemsa-stain to see intracellular organisms (modulate) in blood

Nucleic amplification test

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10
Q

Where are common places Coxiella burnetti are found?

What is unique about this bacteria?

What are the symptoms?

How is it diagnosed?

A

Commonly found in placenta, feces, and urine of infected livestock

The bacteria has 2 forms: small (SCV) and large (LCV)

SCV= spore like, resistant to environmental conditions

Mostly asymptomatic, but may cause flue-like symptoms, mostly seen in months to years in immunocompromised patients– can cause pneumonia, hepatitis, chronic Q feverr and S/A endocarditis

Serology or PCR

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11
Q

Why are Chlamydiaceae considered energy parasites?

What are the 2 forms uses through its cycle?

A

It uses host ATP

Elementary bodies: inactive but infectious

Reticulate bodies: metabolically active, non infectious

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12
Q

Describe the Chlamydiasceae developmental cycle

A

EBs vind host cell receptors and stimulate uptake

once inside, EBs are converted to RBs

about 18-24 hours after th infection, RBs are reorganized into EBs

in about 72 hours, the cell ruptures and released the infectious EBs

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