Lecture 31 - Chlamydia Flashcards
Chalmydia 1) 2) 3) 4)
1) A large group of obligate intracellular pathogens
2) Lack multiple metabolic and biosynthetic pathways
3) Depend on host for ATP, amino acids
4) Genome encodes many nutrient transporters
Size of chlamydia genome
1-1.3 MB
Chlamydia species that normally infect humans
1)
2)
1) C. trachomatis
2) C. pneumoniae
Chlamydia species that infect immunosuppressed humans
1)
2)
3)
1) C. psittaci
2) C. abortus
3) C. felis
Type of evolution that chlamydia has undergone
Reductive evolution
Number of different C. trachomatis serovars
19
Disease caused by C. trachomatis serovars A-C
Trachoma (a form of blindness)
Trachoma
1)
2)
1) Caused by C. trachomatis serovars A-C
2) Currently 1.3 million people blind, 40 million with active disease
Causes of blindness form trachomatis 1) 2) 3) 4)
1) Recurrent inflammation leads to conjunctival scarring
2) Entropion
3) Trichiasis (scratches the cornea, leads to ulceration)
4) Leads to corneal opacity
Entropion
When eyelids turn inwards to eye
Trichiasis
When eyelashes scratch eye
How might blinding trachoma be transmitted? 1) 2) 3) 4) 5)
1) eye-eye contact during sleep, play
2) Spread of infected ocular or nasal secretions on fingers
3) Indirect spread on fomites (EG: face cloth)
4) Eye-seeking flies (passive vector)
5) Nasopharyngeal infections by aerosol
WHO SAFE strategy for trachomatis
Surgery for trichiasis
Antibiotic therapy
Facial cleanliness
Environmental improvements
Environmental improvements to decrease blinding trachoma 1) 2) 3) 4) 5)
1) Promote better personal and environmental hygiene
2) Improve water quality, supply
3) Improved access to latrines
4) Reduce fly population
5) Reduce crowding
Diseases caused by C trachomatis serovars D-K
Urogenital tract infections
C trachomatis serovars that cause urogenital tract infections
Serovars D-K
Leading cause of bacterially-caused STIs worldwide
C trachomatis serovars D-K
Estimated number of people infected with C trachomatis A-K each year
105 million
Number of C trachomatis D-K infectinos that are asymptomatic
Men - 50%
Women - 70%
C trachomatis D-K symptoms in men
Urethritis (can lead to discharge)
Proctitis
C trachomatis D-K symptoms in women 1) 2) 3) 4)
1) Cervicitis (can lead to ascending infection, commonly endometritis)
2) Pelvic inflammatory disease (caused by ascending infection)
3) PID can lead to fallopian tube scarring and infertility
4) Proctitis
Disease caused by C trachomatis serovars L1-L3
Lymphogranuloma venereum
Lymphogranuloma venereum 1) 2) 3) 4) 5)
1) Caused by C trachomatis serovars L1-L3
2) Invasive infection causing severe inflammation
3) Causes systemic infection, genital ulcers
4) If untreated, leads to chronic granulomatous inflammation, lymphatic obstructions, fibrosis, formation of strictures
5) Ano-rectal disease leads to acute haemorrhagic inflammation