# 08 Spirochetes

## Borrelia Burgdorferi

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/burgdorferi%20causes/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/n0CNndP.jpg)

* green color shirt: lyme disease

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/burgdorferi%20geography,%20transmission,%20reservoirs/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/n0CNndP.jpg)

* North east sign: Primarily Northeastern United States 
* tick on sign: Transmitted by bite of tick living in wooded areas 
* Robin of Ixodes: Ixodes Scapularis species of tick 
* Tick is the vector 
* small mouse: White-footed mouse main reservoir (host of tick larvae) 
* large deer: White-tailed deer obligatory host (host of adult tick) 

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/burgdorferi%20gm%20stain,%20special%20stains/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/n0CNndP.jpg)

* Doesn't gram stain: walls too thin
* sir wright: Visualized by Wright's stain (lime green for lyme disease)
* sir giemsa: Visualized by Giemsa stain 

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/burgdorferi%20stages%20and%20symptoms/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/n0CNndP.jpg)

stage 1:

* "Bull's eye" rash
* splitting arrow: Spirochete 
* sweating sir wright: Flu-like symptoms 

stage 2:

* heart shield: Heart block caused by Myocarditis 
* bells on both side: Bilateral Bell's palsy

stage 3:

* arrow in head, confused giemsa: Encephalopathy (memory difficulty, cognitive slowing, meningitis)
* arrow in knee, **swinging** strawman: **Migratory** polyarthritis, large joints and may move from joint to joint

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/burgdorferi%20treatment/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/n0CNndP.jpg)

* bike wheel: Doxycycline treatment if caught in early stage 
* axes: Ceftriaxone treatment if more severe or later presentation 

## Leptospirosis

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/leptospirosis%20geography,%20transmission/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/cdpyknt.jpg)

* scene: endemic in tropical regions
* yellow tide: Leptospira found in water contaminated with animal urine 

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/leptospirosis%20shape/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/cdpyknt.jpg)

* spiral shape surface leash and question mark: Described as spiral shaped or question mark shaped

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/leptospirosis%20causes%20what%20disease.%20Name)

* Whale: Weil's disease.,

![](https://f001.backblazeb2.com/file/wikiFiles/cdpyknt.jpg)

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/leptospirosis%20symptoms/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/cdpyknt.jpg)

* surfer dripping wet: Fever 
* rose colored sunglasses, rubbing eye: Conjunctival suffusion. Redness of eye but no exudate/pus
* floating reds look like RBC all over place: Leptospira affects multiple different organs by hematogenous spread 
* rubber red shaped like kidney: Leptospira can cause kidney dysfunction 
* yellow surfer: Weil's disease can cause liver dysfunction and jaundice