Leptospirosis Flashcards
What do leptospira look like?
Gram negative, aerobic bacteria
* slender, motile, flexous and helically coiled
What are some of the characteristics of leptospira?
- Possesses an outer sheath, the outer layer of the spirochaete cell
- multilayered membrane that surrounds the periplasmic flagella
How many million human cases are there per year?
in the world
0.5
50 in the UK
What is leptospira biflexa?
Non-pathogenic but can contaminate surfaces
this means its hard to get out
Why is it to hard to culture leptospira?
- Slow-Growing, other bugs will outcompete it
- important that the sample is sterile
How do you culture leptospira?
Culture at 30 degrees, aerobically for 8 weeks
What is the main pathogenesis of leptospira?
How does it enter the body
gains entry via mucus membranes
once inside the body- > vascular damage and haemorrhage
What do you use to culture leptospira?
- Korthof broth
- Stuart broth
- Fletcher semisolid medium
What is the main test used to diagnose leptospira?
microagglutination test
Where does leptospira antibodies persist?
- Renal tubules
- Eyes
- Uterus
What samples may you take for diagnose?
- Midstream urine
- Liver tissue
- Kidney tissue
- Foetal tissue
- Blood
What animals are considered reservoirs of leptospirosis?
can be harboured in the kidneys of virtually all mammalian species
What species are the largest risk of infection for human beings
Rodents- they can shed leptospirosis throughout their life without clinical manifestations
How is leptospirosis transmissed to humans?
Infection may be acquired by direct or indirect contact- tissues or secretions, water with animal urine
How does leptospira enter the body
via a cut or damaged skin but can also pass across damaged or intact mucus membranes
Where in the world is leptospirosis most common?
tropical and subtropical areas with high rainfall
anywhere where humans come into contact with infected urine