Chlamydia and Mycoplasma Flashcards
Where are chalmydias found?
Intracellular
What does Chlamydia use for energy?
Host ATP
What are the two forms of chlamydia?
Infectious (elementary body) and replicative (reticular body)
What is the elementary body like?
Rigid cell wall, low metabolism, extracellular
Where in the body is Chlamydia found?
GI, resp and genital tract
How can contamination by Chlamydia occur?
Infected placentas
Why are Chlamydia carriers so common?
Many mechanisms to evade immune system - inhibits phagolysosome, down-regulates class II antigens, proteolytic cleavage of NFkB
What are clinical signs of ocular Chlamydia?
Conjunctivitis, keratitis, corneal ulceration
What resp signs can Chlamydia cause?
Exudative or purulent bronchiolitis with tracheitis, or pneumonia with areas of consolidation
How big are mycoplasms?
The smallest free-living cells known
What shape do Mycoplasmas take?
Filamentous or spherical
What is the membrane of Mycoplasmas like?
Flexible, with no peptidoglycan
What is gram stain of Mycoplasms?
-ve
How do you grow Mycoplasmas?
Grows slowly, can be cultured on artificial media (tissue culture)
What do Mycoplasma colonies look like?
Nipples
Which toxins do Mycoplasmas produce?
Haemolysin, proteases, nucleases
Which inflammatory cytokines do Mycoplasmas produce?
TNF, IL6, IL1
How do Mycoplasmas attach to the host cell?
Via the anionic surface layer
Which types of Mycoplasma has a specialised surface?
M pneumoniae and gallisepticum
How do some Mycoplasmas increase attachment and predispose to bacteria?
Inhibit or destroy cilia
How can mycoplasmas hide from the immune system?
Decrease phagocytosis by neutrophils or macrophages, decreased respiratory burst allows persistence in Macrophages, antigenic variability, molecular mimicry, induce polyclonal activation of B cells
What do you see at PM in acute Mycoplasma infections?
Inflammation, neutrophil infiltration, fibrin, exudate
What do you see in septicaemic Mycoplasma infection?
Coagulopathy, vascular thrombosis, shock (mediated by cytokines)
What do you see in persistent Mycoplasma infection?
Often asymptomatic