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borrelia is gram __
negative, spriochetes
for borellia, ___ are required for transmission to humans
vectors
b. burgdorferi causes ___ disease
lyme
most common vector borne diseasein the us
lyme
b. burgdorferi has an ______ protein __ that allows for binding to ______
O surface protein A, mindgut of unfed ticks
b. burgdorferi has an outer surface protein C that is _______ during tick blood meal
upregulated
borrelia lyme has a _____ rash. begins as _____ infection
bullseye, localized
lyme ____ develops in the majority of untreated patients
arthritis
most common diagnostic method for b. burgdorferi
antibody detection
Borrelia recurrentis is spread by the human body __
louse
B. recurrentis happens when lice feed on an ____ person. human infection happens when lice are ______ while feeding.
infected, crushed
B. recurrentis causes relapsing ____ and ___ return after a week
fever, bacteremia
leptospira is extremely ____, and an obligate __
motile, aerobe
two types of hosts for leptospira
reservoir (endemic), incidental (humans, person to person not documented)
leptospira, because of its motility can spread _____, and damage ____ of blood vessels
everywhere, epithelium
leptospira infection through skin abrasions, causes flu like symptoms that can progress to severe disease
leptospirosis
icteric form of lectospirosis, associated with higher mortality. hepatic necrosis and red eyes
Weil disease
mistaken for viral meningitis, in CNS, low mortality rate of leptospira
leptospirosis in the CNS
treponema pallidum is the etiological agent of
syphilis
T. pallidum enterse through _____ abrasions. local multiplication causes infiltration of _____, ___, ____
skin. plasma cells, PMNs, macrophages
syphilis causes ___ nodes. spontaneous healing can occur
inguinal
secondary syphilis causes ____ illness or ____ in lymph nodes, liver, joints etc
flu like, lesions
what can occur after secondary syphilus
latent
latent syphilus is when its ______ after secondary and the treponemas _____
dormant, multiply
tertiary syphilis is a ____ disease. causes syphilus in ____ or ___ systems.
destructive. neuro or cardio
congenital syphilus causes facial and _____ deformaties
tooth
congenital syphilus can infect baby ____
in utero