Spirochetes Flashcards
What does Treponema pallidum gram stain and shape?
-Gram−spirochete
Does Treponema pallidum have LPS?
No
- Gram−spirochete but no LPS
- flagella (3/pole) in an axial filament (between inner &outer membrane)
- fragile (only survive transmission without exposure):sexual and congenital (placental)transmission in body fluids and mucous membranes
Treponema pallidum
What is the main virulence factor of Treponema pallidum?
host response causes disease symptoms
Which sexually tansmitted diease was passed from native american people to settlers? (a new world —> old world disease)
Syphilis
• sexual (human reservoir)
• congenital (spirochete
crosses placenta: late lethality
Transmission of Syphilis
1. local: hard chancre/ulcer at site of infection; infectious 2. disseminated: rash, aches; mucous membrane lesions (“the great imitator”); infectious 3. gummas; damage to blood vessels, eyes, CNS; insanity; not infectious
Stages of Transmission of Syphilis
2-6 weeks; chancre, which heals
spontaneously, giving false sense of relief.
Primary Syphilis
2-24 weeks
Asymptomatic period:
2-6 weeks; 50% of primary
infections go on to secondary; symptoms typically
resolve spontaneously (but recurrence in 25% with 1 yr)
Secondary syphilis
Microbe persists for 2/3 of secondary infections, with 1/2 exhibiting tertiary syphilis
diffuse, chronic inflammation
Tertiary syphillis
These form in tertiary syphilis
granuloma lesion = inflammatory mass which can perforate, e.g. roof of mouth or any other tissues.
gummas
T/f: congenital syphilis is completely preventable by penicillin treatment early in pregnancy!
true
_______ has high lethality in-utero OR when initially born without symptoms: high lethality typical of young children (e.g. 2 yrs old) with facial and dental abnormalities like “Hutchinson’s incisors” and “mulberry molars”.
Syphilis
______ for 1º and 2º syphillis infections, which contain actively growing spirochetes
penicillin
T/F: there is no vaccine for syphillis
true