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Getting Into Your Jeans: Infections of The Genital Tract - Maija Swanson
Getting Into Your Jeans: Infections of The Genital Tract - Maija Swanson
Getting Into Your Jeans: Infections of The Genital Tract - Maija Swanson
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Chlamydia trachomatis
The genus Chlamydia is a rather small one, housing only three bacterial species. C. trichomatis is distinguished from the others by its affinity for genital and conjunctiva epithelium. It is best well known as a sexually transmitted infection that moves from person to person via contact with bodily fluids of an infected individual. It has a unique biphasic life cycle, in which there are infectious but metabolically inactive elementary bodies (EB) which reside in the cytoplasm after being endocytosed. They are then transformed into noninfectious but metabolically active reticulate bodies (RB). After incubating for 7-21 days, they begin to replicate, completing one cycle every three hours. Some are reinstated as infectious EBs and are released in order to infect other cells.
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There are an incredible number of organisms inhabiting the human genital tract. Many are considered normal flora, but others can cause serious problems below the belt. The variety of organisms and their varying pathogenesis covers a significant range as well; here we will explore several different pathogens hailing from various kingdoms that employ diverse methods of invasion and infection.
Candida albicans
C. albicans is a member of the yeast family and is generally part of the normal flora of the mucus membranes of the body. Overgrowth of this fungus due to the disruption of normal flora, however, can cause vaginal Candidiasis. This organism is the second leading cause of vaginal infections is women of reproductive age. The main virulence factor of this fungus is that it has the ability to carry out numeric and structural chromosomal rearrangements, which it uses as a way of increasing genetic diversity. This allows the fungus to readily adapt to many different environments. Under harsh conditions, it also has the ability to convert to its mycelial form; the cells become elongated and are able to attach at the ends to a variety of surfaces. This organism has the ability to penetrate, invade, develop and proliferate within the deep layers of intact cells of the cervix and vaginal mucosal epithelium
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Phthirus pubis
Also known as crab lice, these small parasites can infect any region of the body covered in hair, but are notorious for infesting the genital region. These creatures feed solely on blood and humans are the only known host. The main symptom of an infestation is itching; most people have a hypersensitivity to the saliva of the louse. The skin of the host will sometimes turn a grayish color at the feeding site as well, and may last for a few days after the infestation has been terminated. This parasite is generally spread by direct contact during sexual intercourse, but can also be transmitted by contact with an infested inanimate object, such as a towel or clothing.