880 likes | 1.11k Views
Spirochetes and Misc Bacteria. Slackers Facts by Mike Ori. Disclaimer. The information represents my understanding only so errors and omissions are probably rampant. It has not been vetted or reviewed by faculty. The source is our class notes.
E N D
Spirochetes and Misc Bacteria Slackers Facts by Mike Ori
Disclaimer The information represents my understanding only so errors and omissions are probably rampant. It has not been vetted or reviewed by faculty. The source is our class notes. The document can mostly be used forward and backward. I tried to mark questionable stuff with (?). If you want it to look pretty, steal some crayons and go to town. Finally… If you’re a gunner, buck up and do your own work.
Spirochetes are long but very narrow spiral shaped bacterial with internal flagella that course down the side of the bacterium essentially between the inner and outer membrane,
Usually best visualized with dark-field microscopy. Antibody staining can also be used.
Treponema Leptospira Borrelia
Recurring fevers Lyme disease
Primary Secondary (Latent) Tertiary
Develops 2-8 weeks after chancre formation. Lasts days to weeks.
Macular papular rash over body surface including soles and palms.
Essentially none. Low infectivity. May revert to secondary syphilis with high infectivity.
Neurosyphilis Cardiavascular syphilis
Chronic meningitis Brain degeneration Psychosis
Ascending and transverse aortic dilation due to endarteritis of the vasavasorum
Macular papular rash similar to secondary syphilis in adults Bone changes (saddle nose, saber shins) Anemia, thrombocytopenia, liver failure
VDRL – non-treponemal Fluorescent treponemal antibody (FTA)
Sensitive but not specific as a number of other situations can increase cardiolipin antibody levels that form the basis of the test. Always confirm positive results.
1/3 secondary 1/3 latent 1/3 chronic (~3% of original?)
Up to four cycles of fever that are separated by a few days and that each last about a week.