Gonorrhea and Syphylis Pa Tho Physiology

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PATHOPHYSIOLOGY OF GONORRHEA Direct Contact Transmission through exudates or secretions of mucous membranes Indirect Contact Transmission through Fomites

Mother-Child Contaminated vaginal secretions

Gonococcus / N. Gonorrhoeae adheres to the epithelium

Redness Pain Heat/Burning Sensation Swelling

Bacteria penetrates mucosa

Inflammatory response; Formation of small abscesses

May obstruct drainage of small abscesses Small abscesses becomes large abscesses Scarring formation Epidydymal Involvement Sterility Involvement of Fallopian Tubes Complications Ectopic Pregnancy Infection spreads along mucosal surfaces

Spread/Travel through the blood stream

PATHOPHYSIOLOGY OF SYPHILIS Contact with body fluids (i.e. semen, blood, tears), mucous discharges (i.e. form the eyes, nose, genital tract and bowels), surface lesions Indirect contact with Fomites Placental transmission from Syphilitic mother

Congenital Syphilis Spirochete adheres in the epithelium

PRIMARY STAGE Chancre appears in contact skin or mucosa

Organisms reproduce in the Chancre; Initiates immune response

Lymphadenopathy

Lesion heals Organisms enter the general circulation SECOND STAGE General Signs of Infection

Mucous Patches (Loose, white, tongue)

Widespread Rash (Macular, Reddish, Skin/Mucous Membranes)

Lesions Disappear spontaneously LATENT STAGE (years) Asymptomatic, but with serologic evidence TERTIARY STAGE/LATE Recurrence of Lesions may occur

TERTIARY STAGE/LATE Gumma appears (Nervous Fibrosis)

Bone

Skin

Liver

Heart

Brain

Pathologic Fractures

Cirrhosis

Damage the arterial walls

Neurosyphilis CNS Affectation

Aortic Aneurysm

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