Lecture 12 Flashcards
Pylonephritis
Inflammation of the entire kidney
Urethritis
Inflammation of the urethra
Cystitis
Inflammation of the urinary bladder
UTI (Urinary Tract Infection/flammation)
Pylonephritis, urethritis, cystitis
Vaginitis
Inflammation of the vaginal canal
Vaginosis
Overgrowth of microbes in the vaginal canal
Endometritis
Inflammation of the endometrium of the uterus
Endometriosis
Pelvic Inflammatory Disease (PID)
Includes vaginitis, vaginosis, endometritis
Proctitis
Inflammation of the anal region (can indicate prostate inflammation)
Normal Microbiota in Urinary System
Urinary bladder and upper urinary tract are sterile
Lactobacilli predominant in the vagina
> 1,000 bacteria/ml or 100 coliforms/ml of urine indicates infection
Cystitis (bladder inflammation)
Usually caused by E. coli or S. Saprophyticus (skin)
E. Coli usually causes pyelonephritis and kidney failure because it has a flagella and can swim up ureters
Antibiotic-sensitivity tests to see if bacteria will response to antibiotic and to ensure it will not be detrimental to person
Leptospirosis (can cause urethritis)
Leptospira interrogans, a spirochete
Reservoir = rodents and dogs
Transmitted by skin/mucosal contact from urine-contaminated water
Can be diagnosed from serological tests
Gonorrhea
Neisseria gonorrhoeae
Attaches to oral or urogenital mucosa by fimbriae
Females may be asymptomatic; males have painful urination and pus discharge
Tx with antibiotics
Untreated may result in endocarditis, meningitis , arthritis , ophthalmia neonatorum
Nongonococcal Urethritis (Urethritis w/o gonorrhea)
Chlamyida trachomatis
May be transmitted to newborns eyes during passage through vaginal canal
Painful urination and watery discharge
Mycoplasma hominis
Ureaplasma urealyticum - only contracted through sexual contact
PID (pevlic inflammatory disease)
Can be caused by N. gonorrhoeae or C. Trachomatis
Can block uterine tubes
Chronic abdominal pain