Spirochaetaceae Flashcards

1
Q

4 pathogenic spirochaete genera

A
  1. Leptospira
  2. Treponema
  3. Borrelia
  4. Brachyspira
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2
Q

Spriochaetaceae

-features

A
  • unusual, elegant morphology (long and slender, spiral morphology)
  • Gram neg, and stain poorly
  • characterised by presence or periplasmic flagella which confer motility (located under outer envelope)
    • one set anchored at each cell end, running back down the cell length, overlapping w/ other set towards the centre of the spirochaetal cell
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3
Q

Genus: Leptospira

  • features
  • what inactivated by
A
  • Worldwide distribution
  • Economically important disease
  • major zoonosis
  • 20 serogroups + > 200 named serovars (still being discovered)
  • very difficult & slow to grow (+ dangerous)
  • LPS activates TLR2 (toll like receptor) not TLR4 (different immune response)
  • easily inactivated by heat, require moisture for survival
  • survives 1 wk in pig urine
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4
Q

Pathogenesis of Leptospirosis

  • how they can be carried
  • penetration
  • 4 generalised effects
A
  • Obligate parasites + enviro species
  • long-term carriage in kidney tubules
  • Passed in urine, contaminating slurry and water systems
  • can penetrate conjuctive, or enter skin via abrasions
  • bacteraemia develops then localises in kidney tubules (causes kidney failure)
  • can get generalised effects such as hepatitis, abortions, haemolysis and bleeding
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5
Q

Leptospira

-maintenance host & Accidental host

A
  • Maintenance host: acts as a reservoir
    • host adapted serovars generally cause mild disease in host species, w/ long term carriage
  • rats
  • Accidental host: not essential for survival for survival of serovar
    • acute and often severe disease
    • generally need higher dose to become infected
  • can occ. infect humans
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6
Q

Leptospirosis

  • Public health
  • Diagnosis (4)
A

-An emerging disease in outdoor humans
-v. severe outbreaks in China, central America
Diagnosis;
-Microscopic examination (plasma, urine)
-Culture
-Animal inoculation
-Serological examination

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7
Q

Control and Prevention (Leptospirosis) (4)

A
  • Control wild animal populations
  • Decreased prevalence of infection in maintenance hosts (wild animals)
  • Improve hygiene standards
  • Immunise and treat accidental hosts
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8
Q

Treponema

  • features
  • 2 species and what they cause
A
  • Slender spiral shaped filaments
  • Motile-corkscrew action
  • Do not stain easily
  • Difficult to culture
  • 2 species: T. pallidum (Syphilis) & T. pertenue (yaws)
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9
Q

T. pallidum

-primary, secondary and tertiary signs

A
  • The agent of human syphilis (never been cultured)
  • veneral disease (sexual contact)
  • Primary lesions on genitalia = chancre
    • secondary: later lesions elsewhere (e.e.g skin - is infectious)
    • tertiary: neurological signs (brain)
  • chronic disease, diagnosed by serology (can be cured by antibiotic treatment)
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10
Q

Diagnosis of T. pallidum

A
  • Microscopic examination

- Serology for syphilis

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11
Q

T. pertenue

  • what it causes
  • typical signs
A
  • infects humans only
  • “yaws”
  • tropical ulcers, skin, bone joints
  • palms of hands and soles of feet
    • heals after 3-6 months but may get deformities and scars
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12
Q

Borrelia -features

-mode of transmission

A
  • Spiral shaped
  • motile
  • Gram negative
  • 36 species
    • 12 cause lyme disease/borreliosis
    • all arthropod-borne bacteraemias, relapsing fever
  • spread by ticks
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13
Q

2 species of Borrelia

A
  1. B. recurrentis (relapsing fever)
  2. B. burgdorferi (Lyme disease)

*major emerging zoonosis

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14
Q

Borr. recurrentis

  • what it causes
  • what transmits it
  • special feature of it

Borr. hermsii

  • what it causes
  • reservoirs
  • more or less fatal
A

-Agent of epidemic relapsing fever in humans
-Louse-borne
-obligate pathogen
-grows in gut (of louse)
*undergoes antigenic change, leading to recurrence
-severe generalised disease
-present in Africa/South America
Borr. hermsii
-endemic recurrent fever
-reservoirs in small mammals, rodents
-transmitted by soft body ticks
-again, severe generalised disease but more fatal

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15
Q

Borr. burgdorferi

  • what it causes
  • mode of transmission
  • how it evades immune attack
  • features of disease
A
  • Agents of lyme disease in humans and dogs
  • transmitted by ticks
  • microaerophilic and slow growin
  • varies surface proteins to avoid immune attack
  • localised lesions around the bite; fever, enlarged lymph nodes and sometimes chronic reactive arthritis, neurological complications, renal failure

*not yet in Australia

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16
Q

Borr. burgdorferi

  • unusual membrane
  • what it doesn’t need
  • how it moves
A
  • Has unusual membrane that contains glycolipid (not LPS)
  • does not need iron to grow, little oxygen
  • divides every 12-18 hours (v. slow)
  • can move in corkscrew fashion through CT
17
Q

Diagnosis of Borrelia (2 methods)

Control

A

-Microscpic examination in blood
-serology
Control;
-vaccines: recombinant surface proteins for Lyme disease - but no longer commercially available
-not routinely used in Australia

18
Q

Brachyspira

  • Resistence
  • pathogenic status?
  • features
A
  • has antibiotic resistence due to high use of antibiotics
  • emerging pathogens due to antibiotic (growth promoters) in pigs
  • Anaerobic intestinal spirochaetes
  • slow growing
  • colonise large intestine
  • Previously weak, but ow strong haemolysis
19
Q

Other types of Brachyspira

A
  • B. hyodysenteriae: agent of swine dysentry
  • B. pilosicoli: weakly haemolytic
  • B. murdochii: mildly pathogenic and/or commensals