FAMILY- Leptospiraceae
FAMILY- Spirochaetaceae
GENUS- Leptospira
GENUS- Treponema, Borrelia
In what part of the spirochetes bacteria, flagella is located
Periplasmic space
General structure of Spirochetes
Mode of reproduction for Treponema spp.
Mode of reproduction for Leptospira and Borrelia
General characteristic:
LEPTOSPIRES - L. interrogans
Which of the following organisms can be demonstrated through dark-field microscopy and are obligate aerobes?
T. pallidum subsp. pallidum
B. recurrentis
L. interrogans
Culture media of choice for L. interrogans
Artificial media:
Fletcher semisolid medium,
Stuart liquid medium or Ellinghausen-
McCullough-Johnson-Harris (EMJH) semisolid medium
What is the purpose of providing a semi-solid medium for Leptospire spp.
Virulence factors:
Leptospire spp.
What is the usual incubation period of the Leptospire in the body
pinakadugay is 1 month
This occurs in severe systemic disease of Leptospire infection
a bacterial infection and severe form of Leptospira
involves renal and hepatic failure
causes intravascular disease
In serologic testing, in the first week of infection what Ab is increased
IgM antibodies to Leptospira species detected suggesting recent infection
In cases of infection IgG will start to increase when
secondary response in cases of:
- recovery from disease - convalescence - chronic disease
Serologic test for Leptospira
- Macroscopic Slide agglutination “gold standard”
What does leptospiremia indicate
after one week of infection: collect blood and CSF for presence of bacteria
Specimen of choice:
Leptospires
- urine
Drug of choice:
Leptospires
Susceptible in vitro to:
streotpmycin, etracyline and macrolides
MOST EFFECTIVE: PENICILLIN
shorten course of illness: doxycyline
Disease cause by Borrelia burgdorferi
Lyme disease/ Lyme borreliosis
Condition commonly associated with Borrelia spp.
Relapsing fever
Tick- borne (endemic)
Louse-borne (epidemic)
Serologic testing:
Borrelia app.
Giemsa/ Wright Stain components
eosin (red) and methylene blue (azure)
Culture medium for Borrelia spp.
Way to evade phagocytosis: Virulence factor
Borrelia
capable of binding plasminogen to its surface —-> activating plasmin —-> leading to tissue protein digestion