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41 Cards in this Set

  • Front
  • Back
What are the two diseases caused by the Borrelia species?
Relapsing fever and Louse disease.
What are the two different types of Relapsing fever?
Louse-borne and tick borne.
Are borrelia gram negative or gram positive?
Weakly staining gram negative spirochetes, neither
What type of type of aerobes are the Borrelia species?
Microaerophilic
How long does it take to generate a Borrelia species?
A long time, 8-18 hours.
How is motility possible in the Borrelia species?
7-20 periplasmic flagella
What is the reservoir of Louse borne Relapsing fever?
Humans
What is the reservoir of Tick Borne Relapsing Fever?
Ticks and Rodents
What is the vector of Louse Borne Relapsing Fever?
Human body Louse.
What is the vector of Tick Borne Relapsing Fever?
Ticks.
Is Louse Borne Relapsing Fever Endemic or Epidemic?
Epidemic
Is Tick Borne Relapsing Fever Endemic or Epidemic?
Endemic
How do you treat Louse Borne Relapsing Fever and Tick Borne Relapsing Fever?
Tetracycline or Macrolides. No vaccination available.
What Borrelia Species causes Louse Borne Relapsing Fever?
Borrelia Recurrentis
What Borrelia species is the cause for lyme disease?
B. burgdorferi
How does B. burgdorferi evade the immune system?
not expressing its surface proteins.
Where does B. burgdorferi hide and survive for years?
in joints, the nervous system, and skin.
What is the leading vector borne disease in the US?
Lyme disease.
What are the reservoirs of B. burgdorferi in lyme disease?
White footed mouse and white tailed deer.
What is the vector of B. burgdorferi in lyme disease?
ticks (deer tick and the western black legged tick)
What stage of tick growth is responsible for 90% of lyme disease?
nymph stage
How is B. burgdorferi transmitted in the nymph stage?
The nymph feeds on the white footed mouse instead of the deer; the tick then feeds on humans.
What are the three stages of lyme disease?
Early localized, early disseminated, late manifestation.
What are the symptoms of the Early localized stage of lyme disease?
erythema migrans at site, fever, muscle pain.
Describe what is happening during the early disseminated stage of Lyme disease?
Hematogenous spread of the infection.
What are some symptoms of the early disseminated stage of Lyme disease?
widespread lesions, cardiac dysfunction and neurologic abnormalities
What are the symptoms of late stage Lyme disease?
arthritis
How do you treat Lyme disease?
Penicillin, tetracycline. No vaccine available
How is Leptospira motile?
motile by two periplasmic flagella
What kind of aerobes are the Leptospira?
obligate aerobes
How does Leptospira enter the body?
through small cuts and abrasions
What are the clinical symptoms of leptospira?
Can be varied.
Where is Leptospira located?
Everywhere, but based in tropical regions.
How is the Leptospira maintained in nature?
spread by renal infections in animals, spread by urine in animals.
Who are the main carriers of Leptospira?
Rodents
How does infection of Leptospira occur?
exposure to contaminated water or soil, exposure to infected animals.
What are some of the symptoms of Weil's disease, and what infection is it associated with?
Associated with Leptospira, symptoms include: renal failure, liver failure, and vascular collapse.
What is the mortality rate of Weil's disease?
10-15%
How do you treat Leptospira?
Penicillin or tetracycline
Is there a vaccine for Leptospira?
Yes, but it is short lived and not widely used.
Why is Leptospira difficult to eradicate?
Due to the wild and domestic reservoir