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18 Cards in this Set

  • Front
  • Back
Neisseria Gonorrhea bacteria
Gram negative diplococci
Gonorrhea Pathogenesis
1. Bacteria attaches to cervix or urethra mucosal epithelial cells

2. Phagocytosis of bacteria, mucosal cells damaged

3. Leads to inflammation and recruitement of WBC

4. Abscesses can form and purulent exudates are secreted
Chlamydia Trachomatis Bacteria
Intracellular gram negative bacterium; contain inclusion bodies in which bacteria replicates
Chlamydia Pathogenesis
1. Bacteria enters cervix or urethral epithelial cells

2. Replication of bateria occurs in vesicles

3. Infectious particles are released from epithelial cells and move onto new cells

4. Symptoms can result from inflammation
Treponema Pallidum (Syphillis)
Spirochete
Syphillis Pathogenesis (Primary)
1. Bacteria comes into contact with cutaneous surfaces/mucous membranes

2. Single, painless, indurated lesion appears (chancre), heals in 1-8 weeks w/o drugs
Syphillis Pathogenesis (Secondary)
1. Bacteria spreads through body

2. Generalized skin lesions, often on palms and soles

3. Systemic symptoms can occur- fever, malaise, headache, arthralgias (joint pain)

4. lesions will resolve in 4-10 weeks
Syphillis Pathogenesis (Tertiary)
1. Bacteria can infect organs of body

(neurosyphillis- infects CNS)
Herpes Simplex Virus 1&2 Pathogenesis
1. Infected secretion come into contact with mucosal surface

2. virus invades and undergoes replication

3. spreads to peripheral sensory nerve cells

4. Latency- virus stored in nerve cells dormant; stress, trauma, immunocompromise may activate it
Difference between HSV 1 and HSV 2?
HSV 1: oral herpes; causes genital lesions through sexual activity

HSV 2: genital herpes; cause oral lesions through sexual activity
HSV 1: Primary Infection
1+ fluid filled lesions present
Pharyngitis
Fever/Swollen Lymph nodes
Mouth pain/Blisters - resolve in 2-8 days
HSV 1: Recurrence/Reactivation
Burning and itching (prodrome) 24hrs before lesions reoccur
Lip lesions are common
Mouth pain and blisters resolve in 8 days
HSV 2: Primary Infection
Commonly asymptomatic
Multiple, pus filled painful lesions
7-10 days onset
2-4 weeks healing time
Flulike symptoms
HSV 2: Recurrence
Prodrome 24 hours prior to lesion reoccurence
Less severe, fewer lesions
7-10 day onset
7 day healing
Diagnosis of Chlamydia/Gonorrhea
Rapid Antigen Testing
Gram stain/culture of specimen
Diagnosis of HSV 1/2
Tissue culture
HSV DNA detection through PCR
Diagnosis of Syphillis
Microscopic examination of lesion material
Serologic studies
Complications of Chylamidia/Gonorrhea
Female infertility
Neonatal Infection (also through HSV/Syphillis)