Exam 4 (Bacterial Spirochetes) Flashcards
____ are defined as long, slender, coiled Gram- rods with fibrils and an outer sheath:
Spirochetes
____ are flagella like organelles imparting mobility:
fibrils
_____ generally cannot be grown outside culture as they are fastidious:
Treponema spp.
_____lacks the ability to carry out Kreb’s cycle and components of oxidative phosphorylation, thus difficult to grow on artificial media, it allows the host to do many things for it:
Treponema spp.
List the 3 subspecies of Treponema pallidum:
- pallidum (STD syphilis)
- pertenue (Yaws in children)
- endemicum (non STD syphilis)
This is the cause of Yaws in children:
Treponema pallidum pertenue
Describe each stage of syphilis:
Primary: chanre 10-90 days after infection
Secondary: diffuse skin lesions, flu like sx
Tertiary: all tissues can be involved, including brain
____ of untreated syphilis patients progress to the tertiary stage:
1/3
What type of microscopy is used to examine skin lesions in Treponema pallidum:
dark-field
___ is an antigen (antibody like agent) made in and by the human body when the organism T pallidum reacts with human tissue:
Reagin
What do serology test kits detect in T pallidum:
Reagin
The Tuskegee Experiment started in ___ and ended in ___:
1932
1972
In this study, 400 black men with syphilis were enrolled, not informed of their syphilis dx, given free medical exams/meals/etc for their participation:
Tuskegee Experiment
At the beginning of the Tuskegee Experiment there was no treatment for syphilis, but in ___ was found to be a cure in ____, yet the subjects were not informed of this cure:
Penicillin
1947
Belmont Report:
Tuskegee Experiment
Humans are the only reservoir in this disease that initially causes skin lesions and can progress to disfigurement of nose/bones/cartilage, thickening and cracking of palms, soles:
Treponema pallidum pertenue
T/F
Yaws is transmitted person to person via cracks in the skin, is most common in tropical climates, and is treated with azithromycin:
True
Sensu lato:
broad sense
sensu stricto:
narrow sense
There are ___ species within Borrellia burgdorferi sensu:
12
The most important species in the Borrelia complex is ____ sensu stricto in the U.S. causing lyme disease via tick vector ____:
Borrelia burgdorferi
Ixodes
____ is a new species discovered at Mayo clinic in 2013 and also causes Lyme disease in the US:
Borrelia mayonii
What medium is used to culture Borrellia:
Modified Kelly’s medium
Serology is the preferred method of detection for Lyme disease, including ____ and confirmation with ____:
ELISA
Western Blot
What is the adult and child tx for Lyme disease:
Adult: doxy
Child: amoxicillin
Gram- spirochete that has 3 stages, and is treated with doxy:
Borellia burgdorferi
Describe the stages of Lyme Disease:
1) bull’s eye, headache,fatigue, 3-30 days post bite
2) joint/muscle pain, arrhythmias, weeks post bite
3) chronic arthritis, neuro sx, 2-3 years post bite
Even with doxy tx, some people still experience joint pain (lyme arthritis) possibly due to ____:
autoimmune response
_____ is a bacterial spirochete, has 2 groups, and has free living and parasitic forms:
Leptospira spp.
List the 2 groups of Leptospira spp:
L. interrogans (human leptospirosis)
L. biflexa (environmental)
____ is a zoonotic disease, colonizes renal tubules of carrier animals:
Leptospirosis
How do humans contract Leptospirosis:
via contact with urine or blood of infected animals through breaks in skin/mucous membranes/conjunctiva
The septicemic stage of Leptospirosis can progress to the immune stage, which is marked by presence of ___, and can cause ______(due to toxin):
IgM
aseptic meningitis
List the two cell wall deficient bacteria:
Mycoplasma
Ureaplasma
T/F
Mycoplasma and Ureaplasma are the smallest known free-living bacteria, can be normal flora of mouth, upper resp, and GI tract, and are fastidious:
True
Mycoplasma and Ureaplasma are fastidious and require these 3 things added to media:
nucleic acid precursors
fatty acids
cholesterol