Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
34 Cards in this Set
- Front
- Back
Describe the habitat of chlamydia species
|
Chlamydia species are obligate intracellular parasites that target epithelial cells of the genital and respiratory tracts, as well as the conjunctiva
|
|
What are the three important species of chlamydia according to the old taxonomy?
|
C. trachomatis, C. pneumonia, and C. psittaci
|
|
Which serovars of C. trachomatis cause trachoma?
|
A, B, Ba, and C
|
|
Which serovars of C. trachomatis cause STDs and conjunctivitis?
|
serovars D-K
|
|
What serovars of C. trachomatis cause lymphogranuloma venereum?
|
L1-L3
|
|
What is the natural host of C. psittaci?
|
Birds, as well as humans
|
|
What are the target host cells for chlamydia?
|
columnar epithelial cells lining mucous membranes of humans and animals such as the urethra, endocervix, endometrium, fallopian tubes, rectum, respiratory tract, and conjunctiva
|
|
Describe the cellular location of chlamydia
|
They are located within phagosomes of the host cells, which become known as "inclusions"
|
|
What are the two different types of chlamydia bacteria?
|
Elementary bodies and reticulate bodies
|
|
Describe elementary bodies
|
They are infectious chlamydia responsible for entry and attachment to the epithelium and contain a rigid cell wall allowing for it to survive environmental stress
|
|
Describe reticulate bodies
|
They are metabolically active forms of chlamydia found within the phagosome that form the inclusions; they are gram negative with no peptidoglycan
|
|
Describe the transmission of chlamydia
|
It is transmitted by mucosal secretions from an infected person or animal
|
|
What are the most important cellular antigens of chlamydia?
|
LPS, type specific serovars, and MOMP (A heat-labile protein on the surface of the elementary body)
|
|
From where should a specimen be collected for diagnosis of C. trachomatis L1-L3?
|
Aspirate from an infected lymph node
|
|
From where should a specimen be collected for the diagnosis of C. trachomatis D-K?
|
Swabs of the cervix in men and urethra in men
|
|
What is the best way to diagnose a chlamydia infection?
|
Microscopic examination with antibody labeling for specific antigens
|
|
What is a trachoma?
|
The leading preventable cause of blindness in the world; due to C. trachomatis serovars A-C
|
|
Describe the clinical manifestations of trachoma
|
It begins in childhood as an inflammation of the conjunctival epithelium that progresses to a purulent conjunctivitis which eventually develops blindness due to scarring of the conjunctiva and deformity of the eyelids
|
|
Describe the transmission of C. trachomatis serovars D-K
|
It is transmitted person-to-person via sexual contact (most common sexually transmitted pathogen)
|
|
What are the clinical manifestations of C. trachomatis serovars D-K?
|
1) Nongonococcal urethritis (males) 2) Cervicitis (females) 3) Acute pelvic inflammatory disease 4) Reiter's syndrome
|
|
Describe nongonococcal urethritis
|
This is an STD caused by C. trachomatis D-K that occurs in males and is an infection of the urethra with a clear to purulent discharge occurring with or without pain; gram stain shows neutrophils and no organisms
|
|
Describe Cervicitis
|
This is the C. trachomatis D-K infection that occurs in females with inflammation of the cervix with mucoid or purulent discharge and can be asymptomatic (75%)
|
|
Describe pelvic inflammatory disease caused by C. trachomatis D-K
|
It may spread to the fallopian tubes producing scarring leading to infertility and ectopic pregnancy; subacute or chronic mild abdominal pain
|
|
What is Reiter's syndrome?
|
A reactive arthritis, urethritis, and uveitis following C. trachomatis D-K infection and associated with HLA-B27
|
|
Describe how one would treat C. trachomatis D-K infection
|
You would co-treat for gonorrhea
|
|
What is inclusion conjunctivitis?
|
Purulent conjunctivitis that heals without scarring in neonates who become infected during passage through an infected birth canal; incubation period 5-21 days
|
|
What is also seen in addition to inclusion conjunctivitis in neonates infected with C. trachomatis D-K?
|
Pneumonia with cough and little fever
|
|
What are the clinical manifestations of lymphogranuloma venereum?
|
Small painless ulcers at the site of sexual contact which heal, but then progress to inguinal lymphadenopathy with painful nodes 2-6 weeks later
|
|
Describe the transmission of C. pneumonia
|
It is transmitted person to person via respiratory secretions, mostly seen in school-aged children and young adults
|
|
What kind of pneumonia is C. pneumonia?
|
Community acquired atypical pneumonia'
|
|
What are the clinical manifestations of C. pneumonia infection?
|
Pharyngitis that progresses to bronchitis with a mild to severe atypical pneumonia
|
|
From what organism must C. pneumonia be distinguished?
|
Mycoplasma pneumonia
|
|
How is C. psittaci transmitted?
|
Inhalation of the organism from infected birds and their droppings
|
|
Describe the clinical manifestations of a C. psittaci infection
|
The infection is often mild and asymptomatic and caused an atypical pneumonia that can disseminate to the liver, spleen, heart, ect. in immunocompromised patients
|