Lesson 3.8 - Chlamydia Flashcards

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1
Q

Characteristics of Chlamydia

[Size, Cell wall, etc.]

A
  • Obligate intracellular parasite
  • 0.3 um (elementary body)
  • Cell wall
    • Outer membrane, inner cytoplasmic membrane
    • Cysteine-rich outer membrane proteins
    • Lacks peptidoglycan
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2
Q

Chlamydia is sensitive to what?

A

Penicillin; peculiar b/c it lacks peptidoglycan

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3
Q

Gene Characteristics of Chlamydia

A
  • 1,073
    • Small # consistent with being obligate parasite
  • Has genes for glycolysis & pentose phosphate pathway
    • Dependent on host for ATP
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4
Q

Can Chlamydia grow on liquid or agar media?

A
  • Nope.
  • Studied using human tissue culture cells & animal models
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5
Q

Life cycle of Chlamydia

A
  • Alternates b/t non-replicating infectious elementary body (EB) and replicating non-infectious reticulate body (RB)
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6
Q

How does the EB attach to a host cell?

A

Abrasion or laceration in conjunctiva or mucous membrane

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7
Q

Chlamydia prevents formation of a ___________

A

phagolysosome

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8
Q

How big are elementary bodies?

A

0.2-0.4 um

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9
Q

How big are reticulate bodies?

A

0.6 - 1.5 um

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10
Q

What is the causal agent of Chlamydia?

A

Chlamydia trachomatis (most common bacterial STD)

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11
Q

___ of infected women and ____ of infected men report no symptoms of chlamydia

A

2/3, 1/2

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12
Q

Symptoms of Chlamydia [Men and Women]

A
  • May take 3 weeks to appear
  • Coinfections common w/ gonorrhea
    • Men:
      • Discharge from penis, burning sensation when peeing
      • Spreads to epididymis
    • Women:
      • Vaginal discharge, burning sensatiom when peeing
      • Pelvic Inflammatory Disease
      • Infertility, ectopic pregnancy, chronic pain
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13
Q

What does trachoma mean?

A

rough

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14
Q

Can a newborn contract chlamydia?

A
  • Yes, during vaginal birth
    • Lead to pneumonia & newborn eye infections
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15
Q

Chlamydia initially infects the ____ and the _____.

A
  • cervix, urethra
    • Spreads to fallopian tubes, uterus, & rectum
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16
Q

Describe Pelvic Inflammatory Disease (PID)

A
  • Inflammation of prolong periods
  • Causes damage to host tissues & progress to necrosis
  • Tubal infertility (from scar tissue)
  • Potentially fatal ectopic pregnancy
17
Q

PID can lead to inflammation of [3]

A

Ovaries, Fallopian Tube, and Rectum

[Ovaritis, Salpingitis, Proctitis]

18
Q

Diagnostic Tests for Chlamydia

A
  • Endocervical epithelial cell swab during pelvic exam
  • Staining for bacterial cells
  • Serology & PCR test
19
Q

Chlamydia virulence factors (4)

A
  • Adhesion
  • Antigenic variation
  • Survival in phagosome (prevents fusion)
  • Cytoxin (unconfirmed)
20
Q

Antibiotic Susceptibility of Chlamydia

A
  • Single 1g dose of azithromycin
    • Macrolide binds to 50S
  • Weeklong doxycycline
    • Tetracycline binds to 30S
  • Resistance = RARE
21
Q

Cases are high in what parts of US?

A

Eastern seaboard, Mississippi delta, and Clark County

22
Q

Highest rates of chlamydia were among females aged _____ and ______.

A

15-19 (3333.8) and 20-24 (4109.5)

(per 100k females)

23
Q

Highest rates of chlamydia were among males aged _____.

A

20-24 (1871.5)

(per 100k males)

24
Q

Rate of reported chlamydia among Black females was ____ times rate among White females.

Rate of reported chlamydia among Black males was ____ times rate among White males.

A

5.2

7.1

25
Q

Rate of reported chlamydia cases among AI/AN females were ____ times the rate among White females.

Rate of reported chlamydia cases among AI/AN males were ____ times the rate among White males.

A

4.0

3.2

26
Q

Among those tested for chlamydia, ____% were men who have sex with men, ____% were men who have sex with women only, and ___% were women.

A

17.1

14.4

9.7

27
Q

Women and men who have sex with women only had highest positivity at ____% and ____% respectively.

A

33.8

38.8