Spirochetes

Question 1

Borrelia Burg

Answer 1

-Northeast US, hiking/forrest, TICKS
-Lyme disease (mouse/deer)
-Wright / Giemsas stains

SX
-S1: bull eye rash, fever, chill
-S2: heart block, bells palsy
-S3: arthritis, CNS

TX: DOXY and CEFTRIAXONE

Question 2

Leptospira Inter

Answer 2

-Tropical regions, Spiral ? shape, Animal urine
-SX: fever/HA/flu, conjunctivitis (just red), Weils disease, kidney/liver bad
-Spread by Hema to other organs

Question 3

Treponema Pallidum

Answer 3

-STD, Spiral, dark field, VDRL
-Confirm via FTA AB

1: painless gen chancre
2: systemic, flat bumps, rash
3: gummas, tree bark aorta, spinal cord dam, Arg pupils (no reaction to light)

TX: PENICILLIN (if allergic, desensitize pt and still give pen) = Jar Herx rxn after tx (within hrs)