spirochetes Flashcards

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1
Q

spirochetes characteristics

A
  • corkscrew shaped
  • motile
  • gram –
  • very thin (viewed by dark field microscopy or EM)
  • varied genome size
  • many plasmids (large)
  • unique method of motility via internal flagella
  • anaerobic, fastidious, slow growing
  • many difficult to grow or unculturable – T pallidum
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2
Q

lab diagnosis of spirochetes

A

serological or immunofluorescence tests

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3
Q

spirochete taxonomy and the 3 main types

A

recognised by cell shape
- identification by sequence of analysis of 16s RNA gene

1) leptospira
2) Borella
3) treptomena

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4
Q

why is the 16s rRNA sequence used for spirochete taxonomy

A

gene is well conserved due to essential function

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5
Q

what are spirochete cell shape defined by

A

internal flagella (known axial filaments)
found between membranes
can extend to accommodate flagella

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6
Q

how are spirochetes motile

A

Counter rotation of the internal flagella filament bundles results in rotation of the cell body

  • rotation of the body results in burrowing motility of spirochetes
  • therefore they can burrow through tissues
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7
Q

spirochete cell surface components

A

contains major sheath proteins
periplasmic space is filled with flagellum (also contains peptidoglycan)
No LPS - glycolipids instead

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8
Q

spirochaete diseases

A

leptospira
boreal
treponema

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9
Q

zoonotic infections

A

infection of humans via zoonotic vector
e.g. lyme disease

transmission via ticks
Ecotoparasites of many vertebrate species: rodent, deer, birds

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10
Q

stages of infection of borella burgdoferi (zoonotic)

A

ACUTE
After biting Flu like symptoms often seen
- localised rash (erythema migrans present in 30% cases)
- characteristic bulls – eye rash
- other lesions at sites distal from inoculation occur in 50% of pts
- can live in joints hence arthritis
- slow growers, often chronic

Later

1) neurologic infections
2) Cardiac infections
2) arthalgia and arthritis

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11
Q

borella burgdorferi and virulence factors

A

Motility considered a major virulence factor
- invades epithelial cells
- No LPS, but numerous outer membrane lipoproteins expressed at different points in infection cycle.
variable surface proteins – antigenic shift
- host mimicry
- copes with low iron levels by using manganese instead of iron as an enzyme co factor

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12
Q

treatment and prevention of borella burgdoferi

A
  • antibiotics (doxycycline 3 weeks)
    chronic infections hard to treat as bacteria have become metabolically inert, hide in places with less blood access

LYMErix vaccine - only partially effective

prevention
avoidance of endemic areas
clothing, DEET based repellents

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13
Q

relapsing fever caused by

A

borelia recurrentitis

transmission via ticks and human body louse

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14
Q

how can relapsing fever occur

A

antigenic variation

surface protein OspC multiple copies

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15
Q

prevention and control of relapsing fever

A
  • CDC: since most cases occur after sleeping in rodent infested cabins
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16
Q

what causes leptospirosis and wields disease

A

caused by leptospirosis interrogans

- two terminal periplasmic flagella

17
Q

leptospirosis

A
  • febrile
  • flu like illness with muscle pain
  • reddening of eyes
  • and other symptoms such as diarrhoea
  • some cases meningitis and haemorrhage in aqueous humor of eye and CSF

1-2 week incubation in blood

18
Q

what can leptospirosis lead to

A

Weils disease

kidney failure, jaundice and liver failure

19
Q

prevention and treatment of leptospirosis

A

rodent control
doxycline
avoid swimming in infected rivers

20
Q

spirochetes in the mouth cause and treatment

A

acute necrotising ulcerative gigivitis
suppurative lesions, haliitosis associated

treatment

  • metronidazole
  • hydrogen perioxide wahes
21
Q

treponema denticola viruence factors

A

proteases (CTLP cleaves transferring ect)
saialidases (cleave sialic acid from man cells to get sugars)
motility
co adherance

22
Q

ANUG caused by

A
  • Treponema vincentii