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Bacterial Diseases: Pathogens, Transmission, and Clinical Features

Study Guide - Smart Notes

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Disease List: Bacterial Pathogens

Pertussis (Whooping Cough)

Pertussis is a respiratory disease primarily affecting children, characterized by prolonged coughing with mucus production.

  • Causative Agent: Bordetella pertussis

  • Gram Stain: Gram-negative coccobacillus

  • Transmission: Airborne

  • Symptoms: Prolonged coughing fits, mucus production

  • Virulence Factors: Pertussis toxin, filamentous hemagglutinin

  • Prevention: DTaP vaccine

Gonorrhea

Gonorrhea is a sexually transmitted bacterial infection that can cause reproductive and urinary tract complications.

  • Causative Agent: Neisseria gonorrhoeae

  • Transmission: Sexual contact

  • Symptoms: Often asymptomatic in females; can cause pelvic inflammatory disease (PID)

  • Diagnosis: Gram-negative diplococci observed in clinical samples

  • Prevention: Safe sexual practices

Scarlet Fever & Strep Throat

These diseases are caused by Streptococcus pyogenes and can range from mild throat infection to severe systemic illness.

  • Causative Agent: Streptococcus pyogenes

  • Symptoms: Sore throat, red rash (scarlet fever), fever

  • Complications: Streptococcal toxic shock syndrome, rheumatic fever

  • Transmission: Respiratory droplets

  • Diagnosis: Rapid strep test, throat culture

Syphilis

Syphilis is a sexually transmitted infection with multiple clinical stages, caused by a spirochete bacterium.

  • Causative Agent: Treponema pallidum

  • Transmission: Sexual contact

  • Symptoms: Primary stage: painless chancre; secondary stage: rash; tertiary stage: neurological and cardiovascular complications

  • Diagnosis: Serological tests (e.g., VDRL, RPR)

Chlamydia

Chlamydia is a common sexually transmitted infection that can be asymptomatic or cause reproductive complications.

  • Causative Agent: Chlamydia trachomatis

  • Transmission: Sexual contact

  • Symptoms: Often asymptomatic; can cause PID in females

  • Diagnosis: Nucleic acid amplification tests (NAATs)

Lyme Disease

Lyme disease is a tick-borne illness that can cause multisystem symptoms, including joint pain and neurological issues.

  • Causative Agent: Borrelia burgdorferi

  • Transmission: Ixodes tick bite

  • Symptoms: Bull's-eye rash, fever, joint pain

  • Prevention: Avoidance of tick habitats; vaccine not currently available

Tuberculosis

Tuberculosis is a chronic respiratory disease with global significance, caused by a slow-growing bacterium.

  • Causative Agent: Mycobacterium tuberculosis

  • Transmission: Airborne droplets

  • Symptoms: Chronic cough, weight loss, night sweats

  • Diagnosis: Tuberculin skin test, chest X-ray, sputum culture

  • Prevention: BCG vaccine (not used in all countries)

Rocky Mountain Spotted Fever

This is a tick-borne bacterial disease that can cause severe systemic symptoms and rash.

  • Causative Agent: Rickettsia rickettsii

  • Transmission: Tick bite

  • Symptoms: Fever, headache, rash

  • Diagnosis: Serology, clinical presentation

  • Complications: Can progress to severe illness (e.g., Toxic Shock Syndrome)

Clostridium difficile Infection (C. diff)

C. diff is a bacterial infection often associated with antibiotic use, leading to severe diarrhea and colitis.

  • Causative Agent: Clostridium difficile

  • Transmission: Fecal-oral route, often in healthcare settings

  • Symptoms: Diarrhea, abdominal pain, fever

  • Diagnosis: Detection of toxins in stool

  • Prevention: Proper hand hygiene, antibiotic stewardship

Summary Table: Bacterial Diseases Overview

Disease

Causative Agent

Transmission

Main Symptoms

Prevention

Pertussis

Bordetella pertussis

Airborne

Prolonged cough, mucus

DTaP vaccine

Gonorrhea

Neisseria gonorrhoeae

Sexual contact

Discharge, PID

Safe sex

Strep Throat/Scarlet Fever

Streptococcus pyogenes

Respiratory droplets

Sore throat, rash

Hygiene

Syphilis

Treponema pallidum

Sexual contact

Chancre, rash, systemic

Safe sex

Chlamydia

Chlamydia trachomatis

Sexual contact

Often asymptomatic, PID

Safe sex

Lyme Disease

Borrelia burgdorferi

Tick bite

Bull's-eye rash, joint pain

Avoid ticks

Tuberculosis

Mycobacterium tuberculosis

Airborne

Cough, weight loss

BCG vaccine

Rocky Mountain Spotted Fever

Rickettsia rickettsii

Tick bite

Fever, rash

Avoid ticks

C. diff Infection

Clostridium difficile

Fecal-oral

Diarrhea, colitis

Hand hygiene

Additional info:

  • Some diseases (e.g., Chlamydia, Gonorrhea) can be asymptomatic, especially in females, increasing risk of complications.

  • Vaccines are available for some bacterial diseases (e.g., Pertussis, Tuberculosis), but not for others (e.g., Lyme disease, C. diff).

  • Diagnosis often relies on laboratory tests such as Gram stain, serology, or nucleic acid amplification.

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