Week 5 - Intracellular Bacteria & Other Medically Important Bacteria Flashcards

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1
Q

What gram-variable bacteria causes bacterial vaginosis and how is this diagnosed?

A

Gardnerella vaginalis -

DX: clue cells - epithelial cells covered in bacteria

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2
Q

What is it about the cell wall of Tuberculosis spp that make this infection difficult to treat?

A

It contains mycolic acid in the cell wall - a lipid - so it is difficult for ABs to kill.

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3
Q

How is tuberculosis diagnosed?

A
  • Mantoux test - Tuberculin skin test
  • observation of acid-fast bacteria in sputum, blood or bone marrow by Kinyoun/Ziehl Neelson Stains
  • Chest X-ray
  • DNA sequencing
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4
Q

Can you describe a big problem faced by HIV patients that also have tuberculosis?

A

Often the TB is antibiotic resistant.

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5
Q

What is Hansen’s Disease and what bacteria is it caused by?

A

Leprosy - caused by Mycobacterium leprae

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6
Q

What is walking pneumonia usually caused by?

A

Infection with Mycoplasma pneumoniae !

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7
Q

What can you state about the cell wall of the bacteria that causes walking pneumonia?

A

Mycoplasma pneumoniae - has NO CELL WALL!

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8
Q

How can you diagnose Mycoplasma pneumoniae if you can’t culture it?

A

PCR or serological testing.

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9
Q

Which serotype of Chlamydia is responsible for cystitis, reproductive tract abnormalities and eye infections in koalas?

A

Chlamydia pecorum

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10
Q

Which serotype of Chlamydia is sexually transmitted in humans?

A

Chlamydia trachomatis

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11
Q

What two forms does Chlamydia exist in? What type of bacteria does this make it?

A
  1. Reticulate body - larger
  2. Elementary body - smaller “seed”

It is an intracellular bacteria - needs to live and reproduce inside host cell.

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12
Q

What are some symptoms and complications of Chlamydia trachomatis infections in humans?

A
Men - acute urethritis
Women - can be asymptomatic
- PID - damage cilia in Fallopian tube
-tubal infertility
-risk of ectopic pregnancy 
-chronic pelvic pain
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13
Q

What is trachoma? How is it transmitted? What are some complications?

A

Caused by Chlamydia trachomatis serotypes A-C

  • chronic inflammation of cornea and conjunctiva (karatoconjunctivitis)
  • Transmitted through direct contact or towels, clothes, flies
  • Can lead to scarring and blindness
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14
Q

Can you culture Chlamydia for a diagnosis?

A

No - it’s intracellular.

Therefore direct fluorescent antibodies or PCR

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15
Q

How is Typhus contracted in humans?

A

Tick/louse bite and faeces rubbed into bite wound. The faeces contain causative bacteria:
Epidemic typhus: Rickettsia prowazekii
Rocky Mountain Spotted Fever: Rickettsia rickettsii

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16
Q

What organism causes Q Fever?

A

Coxiella burnetii

17
Q

What is the implication with the Q Fever vaccination?

A

If you are serologically positive for past or present infection, you may develop anaphylaxis upon administration of the vaccine. Therefore you must be NEGATIVE before vaccine can be given.

18
Q

What is the causative microorganism for the Syphilis?

A

Treponema pallidum

19
Q

What is the primary stage of syphilis?

A

Chancres at the site of infection.

Eg penis, vagina, lips

20
Q

What is the secondary stage of syphilis?

A

Rash

21
Q

What is the tertiary stage of syphilis?

A

Gummas on many organs

22
Q

How is syphilis diagnosed?

A

Since Treponema pallidum can not be grown on plates, diagnosis is made from indirect method: fluorescent-labelled monoclonal antibodies.

23
Q

What animals does Treponema pallidum infect?

A

Only known to infect humans

24
Q

What are some considerations when a pregnant mother has been diagnosed with syphilis?

A

-High risk of stillbirth, premature delivery, neonatal death or congenital syphilis.
-CONGENITAL SYPHILIS: rhinitis, skin and mucosal lesions, hepatosplenomegaly, lymphadenopathy, abnormalities of bones, teeth and cartilage.
Treatment: antibiotic treatment.