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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