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Micro Spirochetes IDIT DO2013
Micro Spirochetes Westernu IDIT
26
Medical
Professional
02/12/2010

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Term
3 important spirochetes
Definition
Borrelia, Leptospira, Treponema

Syphilis from BLT
Term
How to visualize spirochetes
Definition
Dark-field microscopy, they don't stain good. pallidum > silver nitrate
Term
Treponema pertenue (yaws) and Treponema carateum (pinta) cause what?
Definition
non-vd chronic skin lesions. Happens in the tropics.
Term
Treponema pallidum causes?
Definition
Syphilis
Term
3 stages of Syphilis
Definition
1. Painless chancre 2. Rash 3. CV and CNS lesions>typically non-contagious
Term
Syphilis (pallidim) diagnosis?
Definition
Ab test. Relatively unreliable, must use f/u test specific for palidim
Term
What does Borrelia recurrentis cause?
Definition
Louse-borne relapsing fever.

(Cyclic rise and fall of temp, d/t transient evasion of immune sys. by mutation)
Term
Borrelia burgdorferi causes what?
Definition
Lyme disease.

Presents w/ skin lesions and arthritis
Term
Borrelia vincentii causes?
Definition
A.N.U.G.
Acute Necrotizing Ulcerative Gingivitis

Acute necrotizing ulcerative gingivitis
Term
Leptospira interrogans symptoms
Definition
Sepsis, localizes in kidney. Hemorrhage, jaundice, and azotemia.
Term
Antibiotic effective against most spirochetes?
Definition
Penicillin BIATCH!
Term
Louse-borne vs tick-borne relapsing fever transmission
Definition
Louse-borne: Person>louse>person

Tick borne: Animal reservoir(rodents)>humans.
Term
Relapsing Borrelia fever
Definition
Term
Relapsing Borrelia fever disease presentation
Definition
Sudden onset of chiulls, fever, HA, myalgias, emesis, diarrhea.>recovery?relapse (x2-3, maybe 13)
Term
Relapsing fever micro stains
Definition
Wright, Giemsa, or Gram
Term
Lyme disease Gen features
Definition
Rodent/pet>transfers tick to human.
3-30 days incubation
>lesion @ bite site.
>red flat border, central clearing
>called erythema chronicum migrans.

Early disease also associated w/ flu-like sx
Term
Advanced Lyme disease features
Definition
Neuro, and cardio sx>>Arthralgias and arthritis.
Term
Detecting Lyme spirochetes (Borrelia burgdorferi)
Definition
Don't stain well.
>Serologic tests.
>late in Dz, few spirochetes present, sx largely d/t immune response>cross rxn.
Term
Borrelia vincentii (ANUG) AKA. Vincent's infection, Sx
Definition
inflammation/necrosis of gingiva.

Gram negative >anaerobic bac (fungospirochetal complex).
Term
ANUG causes
Definition
Stress, anxiety, negligent oral hygeine
Term
Leptospirosis
Definition
Infectious jaundice, Weil's disease, and Canicola fever.

Signs and Sx: chills, fever, HA, pphotophobia, GI, myalgias. Hemorrhage, jaundice, and azotemia=far progression and poor prognosis.
Term
Leptospire detection:
Definition
Easily cultered on animal serum media. Obligate aerobes.
Term
Species in Leptospirosis
Definition
Leptospira interrogans. Three pathogenic serotypes: Pomona (pig), Canicola (dog), icterohaemorragiae (rat).
Term
Organs affected by leptospirosis
Definition
Meninges, lungs, liver, kidney
Term
Lab dx of leptospirosis
Definition
Specimen under darkfield microscopy

Blood and CSF-week 1
Urine- after 1 week

Culture:
Fletcher's medium.
Same samples

3. Microscopic agglutination to detect Ab to microbe in serum
Term
Tx. of Leptospirosis
Definition
ABX effective in early stages. Prognosis has inverse relationship w/ jaundice.
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