M12 - spirochaetes Flashcards

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1
Q

are spirochaetes gram -ve or gram +ve

A

Gram -ve cell wall

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2
Q

where are spirochaetes commonly found?

A

deep periodontal pockets and numbers increase dramatically in periodontits

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3
Q

describe the strucutre?

A

helical bacteria

genus; treponema

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4
Q

what is lymes disease? (borreliosis)

A

bite by infected ticks
red spot enlarges with pale in the middle
headaches…

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5
Q

which bacteria is assoiciated with lymes disease?

A

borrelia burghdorferi

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6
Q

when does symtpoms begin to show?

A

classically 3-30 days post infection

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7
Q

what is congenital syphilis?

A

vertical transmission from mother to infant (treponema pallidum)

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8
Q

what is the treatment for syphilis?

A

penecill

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9
Q

list two types of oral treponemes

A

treponema vincentii

treponema denticola

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10
Q

which oral treponem is the most proteolytic member of the red complex?

A

t.denticola

can attach to gingival fibroblast and induce cytotoxicity and cell death

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11
Q

what other pathogen is T.denticola commonly found with?

A

P. gingivalis

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12
Q

define Acute necrotising ulcerative gingivitis (AUG)

A

An acute painful true infection of the gingivae

associated with immunosupression

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13
Q

which fuso-spirochaetal complex is involved?

A

fusobacterium nucleatum and treponema vincentii

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14
Q

what are the symptoms of AUG?

A

Acutely inflamed
bleeding
ulcers
vincents angina - unilateral sore throat

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15
Q

why is spirochetes mixture required?

A

produce different virulence factors etc
spirochaetes - production of trypsin like protease
fusobacterium spp required - provides essential growth factors

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16
Q

what is the treatment of AUG?

A

intensive local oral hygiene

short course of antibiotics