Borrelia burgdorferi

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Borrelia burgdorferi sensu lato  (also known as Borreliella burgdorferi ) are bacterias of the Spirochetes class. It is one of the causative agents of the multiorgan disease called Lyme disease which is transmitted by ticks.

Morfology

 * Borrelia is typical for its elongated spiral shape (with flagellas at both ends), this allows helical movement, which is advantageous especially in the highly viscous environment of the intercellular mass.This type of movement allows Borrelia to cross both the epithelial barrier and the blood-brain barrier.
 * They are also able to enter cells, such as Fibroblasts, dendritic cells and macrophages, and survive in them.
 * Borrelia are capable of high speed movements.

Physiology a Cultivation

 * Borrelia are microaerophiles that require an enriched complex medium with N-acetylglucosamine, amino acids, vitamins and nucleotides.
 * They do not have their own metabolic equipment, so they are fully dependent on the host. Therefore, they are not able to grow in the external environment.
 * They lack enzymes for the synthesis of amino acids, fatty acids and nucleotides that they obtain from the host organism.
 * They are adapted to low levels of iron, the active reduction of which in body fluids is one of the main mechanisms of non-specific antibacterial host defense.
 * Borrelia is able to form so-called  „non-spiral“ forms  with reduced metabolic activity. These are cystic forms and strangulation sacs containing cytoplasmic components. The transformation has been observed when exposing the classical spiral form to suboptimal living conditions such as low pH, lack of nutritional resources or low osmotic pressure. „Non-spiral“ forms are capable of 'reversing' into a fully metabolically active spiral form.

Antigen characteristics

 * The antigens are bound to the the surface membrane and to the flagella.
 * Flagella antigens are species specific.

Pathogenicity factors

 * Active movement of the flagella.
 * Presence of lipopolysaccharide complex.

Laboratory diagnostics

 * Direct detection is performed in shadow, phase contrast, immunofluorescence, silvering.
 * Lyme disease is diagnosed serologically.

Imunity

 * During the course of the disease, there is a significant proliferation of T-cells in the peripheral blood, cerebrospinal fluid and joint fluid.
 * IgM antibodies to flagellar antigen can be detected in 1-3 weeks, followed by IgG antibodies.
 * Antibodies can also be detected in cerebrospinal fluid.

Therapy

 * In stage 1, oral penicillin - eg amoxicillin (in combination with clavulanic acid, which has no antibiotic effects) or doxycycline.

Classification
Borrelia burgdorferi sensu lato species group includes:


 * Borrelia burgdorferi sensu stricto ((especially in north America, where it was apparently transferred from Europe);
 * Borrelia garinii (especially in Europe and Asia);
 * Borrelia afzelii (especially in Europe and Asia);
 * Borrelia valaisiana (rare pathogen);
 * Borrelia lusitaniae (rare pathogen).

Related articles

 * Lyme disease
 * Repetitorium mikrobiologie