MIDTERM 06 - Spirochetes Flashcards
Are a large, heterogenous group of long, slender, helically coiled, spiral, or corkscrew-shaped bacilli
Spirochetes
Are flagella-like organelles in the periplasmic space encased by the outer membrane; present in spirochetes
Axial filaments/Endoflagella
Spirochetes reproduce by __________
Transverse fission
Are motile, rotating steadily around their endoflagella even attaching to cells by their tapered ends; viewed by darkfield microscopy (Examples of spirochetes)
Treponema pallidum
Characterized by a primary, secondary, latent, and tertiary stage (Clinical findings of Treponema pallidum)
Acquired syphilis
Characterized by a hard chancre; always heals; occurs 2-10 weeks after infection (Stages of acquired syphilis)
Primary
An ulcer with a clean, hard base; present in the primary stage of acquired syphilis
Hard chancre
Characterized by a red maculopapular rash and condyloma lata; subsides spontaneously; occurs 2-10 weeks later (Stages of acquired syphilis)
Secondary
Are moist, pale papules in the anogenital region, axillae, and mouth; present in the secondary stage of acquired syphilis
Condyloma lata
Can occur up to 10 years (Stages of acquired syphilis)
Latent
Characterized by gummas, neurosyphilis, aortic aneurysm, and aortic valve insufficiency (Stages of acquired syphilis)
Tertiary
Are granulomatous lesions in the skin, bones, and liver; present in the tertiary stage of acquired syphilis
Gummas
Characterized by degenerative changes in the central nervous system; present in the tertiary stage of acquire syphilis
Neurosyphilis
Occurs as an intrauterine infection; can lead to miscarriage and stillbirth (Clinical findings of Treponema pallidum)
Congenital syphilis
Characterized by a combination of these three symptoms: Hutchinson’s teeth, interstitial keratitis, and CN VII deafness; present in congenital syphilis
Hutchinson’s triad
2 tests used for diagnosis of Treponema pallidum (NT)
Nontreponemal, Treponemal
A screening test; measures antibodies to cardiolipin (released by damaged cells) (Tests for Treponema pallidum)
Nontreponemal tests
2 examples of nontreponemal tests (RT)
RPR, TRUST
Confirmatory test; measures antibodies against Treponema pallidum antigens (Tests for Treponema pallidum)
Treponemal tests