Bacterial Name/TransmissionMicroorganismSites/pathoComplicationsS/S Gonorrhea –verticaltransmission tofetus shows as eyeinfection 1-12 daysafter birthNeisseriagonorrhoeae-gram negative-non-sporeforming-pili helps attachto epithelial cells-Endocervical Canal(Most common site forwomen)-Urethraskene/Bartholin glands-Urethra/rectum (mostcommon site for men)PID, sterility,disseminated infection(spread frombloodstream to skin,joints, heart)Men – sudden painful urination/purulent discharge or both Women – asymptomatic, dysuria, inc. vag discharge, inc flow/dysmenorrhea, dyspareunia, pelvic/lower abd pain, fever, mucopurulent cervical discharge Disseminatedgonococcalinfection (DGI)-complication ofgonorrheaN. gonorrhoeaePeriheptatitis (liver)Ophthalmicneonatorum (eyeinfection in infant from mother) Life threateningRare systemic blood stream infection, generalized rash, severe joint pain Syphilis–male/male sex,urban/povertystricken areas,prison, moretransmissibleduringprimary/secondarystages, fetus duringpregnancy (as earlas 9 weeksgestation)TreponemapallidumAny organ or tissue-Becomes systemicshortly after infection- Congenital syphilisleads to prematurity ofnewborn, bonemarrow depression,CNS involvement, renalfailure, IUGRPrimary– Local manifestations 12 days-12 weeks (av 3 weeks) -Granulomatous tissue reaction (hard painless chancre) -Firm enlarged lymph nodes with chancres -Microorganisms drain with lymphatic fluid Secondary– systemic manifestations 6 weeks after hard chancre -fever, malaise, sore throat, hoarseness, anorexia, joint pain, skin rash, wart-like lesions (condylomata lata) Latent– medical evidence of
