M12 Spirochaetes & ANUG Flashcards

(36 cards)

1
Q

what kind of cell wall does spirochetes have

A

gm -Ve cell wall

doesnt stain well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

spirochetes are fastidious what does this mean

A

difficult to grow in lab on agar or broth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

are spirochetes common in mouth

A

very common
assc with deep perio pockets
increase with periodontitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what si struct of spirochetes

A

helical bac
central protoplasmic cyinder
3–5 axial filaments in outer cell envelope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what si the genus of spirochetes

A

Treponema

borrelia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is borrelia burghdorferi

A

20 sub sp 5 cause disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the disease borrelia burghdorferi cause

A

lymes disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is lames disease

A

tick bite - zoonotic
slow grow
microaerophilic spirochete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the primary infection of lames disease

A

red spot at bite site the enlarges withal area in middle

red ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the symptoms of lymes disease

A
headache
drowsiness
mild fever
joint/muscle pain 
swollen lymph nodes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when does he symptoms take effect

A

3-30 days post infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what happens to 15% people after 1-5 weeks after a tick bite

A

neuro borrelia

- neurological implication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the symptoms of euro borrelia

A
back pain 
numb feel at bite
meningits presntation 
chornic 
lyme arthritis
inflam heart
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what does treponema palladium cause

A

csyphilus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the symptoms implications of csyphilus

A
painless chancre
rash 
flu like symptoms 
occasional rash 
neuro and CV madness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the diffenret progressions of csyphilus and time

A

primary
- 3 days - 3 months

secondary
- 2 weeks - 24 months

latent
- 1-30 years

tertiary
- 1- greater than 30 years

17
Q

what can congenital syphilus cause

A

vertical transmission mother to child

  • saddle nose
  • hutchisons teeth notched incisors
18
Q

what is used to treat syphilus

A

penicillin

  • 2 million unitsintramuscular Pen G
  • 3 injections for latent syphiuls
19
Q

where are oral treponemes

A

loose assc at edge sub gingival plaque

20
Q

what are some oral treponemes

A

treponema vincentii
treponema denticola (red complex)
treponema oralis

21
Q

what is T denticola

A

larger genome the T palladium
most proteolytic member of red complex
attach at to gingival fibroblast
induce cyttoxicty and cell death

22
Q

what are the stress responses of t denticola

A
superoxide dimutase (SOD) activity 
arginine deaminase
23
Q

what sit he assc of t deneticola with p gingivalis

A

commonly found assc with each other in chronic perio lesions
congregate
grown in mixed biofilms

24
Q

what does the relationship of t denticola and p gingivalis show

A

increasing evidence of synergistic assc between two periopathogens

25
what is AUG
acute (necrotising) ulcerative gingivitis | acute painful true infection of gingiva
26
what is AUG assc with
immunosuppression - poor oral hygiene - smoking - malnutrition - stress - systemic illness
27
what causes AUG
a fuso-spirochaetal complex fusobac nucletum and treponema vincentii
28
what other microorg is present at AUG
prevotella intermedia | large numbers
29
what is the presentation of AUG
acute inflam red and shiny bleeding ulcers lesions
30
what is vincents angina normally assc with
AUG
31
what is vin cents angina
``` infection pharynx unilateral sore throat increased intensity over several days referred earache bad taste in mouth halitosis deep ulcer in one tonsil ```
32
what does treponema vincentii do
spirochetes mix reuird cell assc proteolytic enzymes - prod trypsin like proteases fusobacterium required for essential GF;s
33
what is the treatment of AUG
intensive local oral hygiene - ultrasonic scaler oral hygiene advice and mouth rinses - chlorhexidine short course Ab - metronizadole - 200mg fro 5 days
34
what is cancrum oris (NOMA)
severe form AUG | - children developing countries
35
what si the typical pt fro cancrum oris
malnourished | measles and leukmai history
36
what doe cancrum oris cause
gingival infections spread into the cheeks and face | extensive tissue loss and facial disfigurement