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Treponema Pallidum

Microbiology

Treponema pallidum is a bacterium, that is quite famous in its family,


since it is the causative agent for the king of Sexually
Transmitted Diseases which is said to be Syphilis.

Syphilis

What is Treponema Pallidum?

Treponema pallidum is a delicate, obligate bacterium that causes


multistage chronic infection. Treponema is a genus, belonging to the
Spirochaetaceae family.

Spirochaetaceae Family

The genus Treponema is divided into two main categories:

• Pathogenic species & their sub species

• Non-pathogenic species and their subspecies.

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Is Treponema Pallidum Gram Positive or Negative?
Peptidoglycan Cell
Wall
T. pallidum is like every other gram-negative bacteria.
It constitutes a cell wall made up of peptidoglycan, an Inner
Membrane
inner membrane, and an outer membrane. But the
outer membrane of Treponema Pallidum lacks Outer Membrane

polysaccharide thus making it more vulnerable to


Treponema Structure
damage.

Treponema Pallidum - Mode of Transmission

The transmission of Treponema Pallidum might be via:

• Sexual contact

• Contaminated blood transfusion

• Direct contact with the contaminated skin lesion

• Through transplacental route.

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Treponema Pallidum Microscopy

Treponema pallidum gram stain results in a very weak stain. So, silver
impregnation technique is one of the most traditional techniques of
viewing Treponema species.

Treponema Pallidum Pathogenicity

The pathogenicity of T. pallidum directly relates to its genome since its


genome is responsible for all the diseases it causes in
humans.

The genome of T. pallidum constitutes 1 138 006


base pairs, containing 1041 predicted coding
sequences. The virulence factor constitutes 12 membrane proteins and
several putative hemolysis.

Treponema Pallidum Pathophysiology

It also constitutes flagella which is present in between an inner and an


outer membrane. The rotational movement of flagella along its longitudinal

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axis is responsible for the mobility, thus making it possible for the pathogen
to penetrate and disseminate into the skin.

T. pallidum penetrates the mucosal lining and attaches itself to the host
cell. Following adherence, it multiplies itself and start to disseminate
through blood and into distant organs.

Due to the presence of an outer agent inside the body, cell mediated
immunity comes into action. This action results in the
formation of lesions.

Lesions
Treatment of Choice for Treponema Pallidum

All these Treponema pallidum bacteria are vulnerable to benzylpenicillin


(penicillin G), which can be utilized to treat the
early stages of disease. It is particularly important
to check the history of the patient before
Penicillin G
prescribing penicillin to avoid hypersensitive reactions.

Treponema Pallidum - Pathogenic Species

There are four humans pathogenic species and subspecies of Treponema.

• Treponema pallidum - Sub-specie Pallidum (causes Syphilis)

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• Treponema pallidum - Sub-specie Endemicum (Causes non-venereal
syphilis or bejel)

• Treponema pallidum - Sub-specie Pertenue (responsible for Yaws)

• Treponema carateum (causes Pinta)

Dermal Depigmentation in Pinta

Treponema Pallidum - Non-pathogenic Species

The most common non-pathogenic species and subspecies of Treponema


are:

• Treponema denticola (Causing periodontal disease)

• Brachyspira aalborgi

• Brachyspira pilosicoli Human intestinal morbidities

• Brachyspira hominis

TREPONEMA PALLIDUM MICROBIOLOGY | sqadia.com

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