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Chapter 15

Diseases

Book Version 6
By Boundless
Boundless Microbiology
Microbiology
by Boundless
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Section 1
Diagnosing Microbial Diseases
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Diagnosing Microbial Diseases

Diagnosis of microbial diseases calls upon numerous techniques to help identify and characterize the pathogenic agent.

Section 2
Microbial Diseases of the Skin
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Structure of the Skin: Epidermis

The epidermis includes five main layers: the stratum corneum, stratum lucidium, stratum granulosum, stratum spinosum, and stratum germinativum.

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Microbiota of the Skin

The skin flora, more properly referred to as the skin microbiome or skin microbiota, are the microorganisms that reside on the skin.

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Bacterial Skin Diseases

Bacterial skin infections include impetigo, erysipelas, and cellulitis.

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Viral Skin Diseases

Virus-related cutaneous conditions include cold sores, shingles, and warts.

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Fungal Skin and Nail Diseases

Common fungal skin diseases include athlete's foot, jock itch, and ringworm.

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Parasitic Skin Diseases

Parasites can cause skin infections and common examples include creeping eruption, lice, and scabies.

Section 3
Microbial Diseases of the Eye
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Anatomy of the Eye

Many structures in the human eye, such as the cornea and fovea, process light so it can be deciphered by rods and cones in the retina.

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Normal Eye Microbiota

A small number of bacteria are normally present in the conjunctiva.

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Bacterial Eye Diseases

Conjunctivitis is inflammation of the conjunctiva, most commonly due to an infection.

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Other Infectious Eye Diseases

Fungi and viruses such as herpes simplex can cause eye infections.

Section 4
Microbial Diseases of the Nervous System
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Functions of the Nervous System

The primary function of the nervous system is to coordinate and control the various functions of our body.

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Subdivisions of the Nervous System

The CNS includes the brain and spinal cord, while the PNS is a network of nerves linking the body to the brain and spinal cord.

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Meningitis

Meningitis is inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges.

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Botulism

Botulism is a rare but sometimes fatal paralytic illness caused by botulinum toxin produced by the bacterium Clostridium botulinum.

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Leprosy

Leprosy, also known as Hansen's disease, is a chronic bacterial disease caused by Mycobacterium leprae and Mycobacterium lepromatosis.

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Tetanus

Tetanus is a medical condition characterized by a prolonged contraction of skeletal muscle fibers.

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Paralysis-Causing Bacterial Neurotoxins

Botulinum toxin is a protein and neurotoxin, which blocks neuromuscular transmission through decreased acetylcholine release.

Section 5
Other Diseases of the Nervous System
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Rabies

Rabies is a viral disease that causes acute encephalitis in warm-blooded animals.

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Poliomyelitis

Poliomyelitis is an infection by the polio virus that affects the motor neurons of the central nervous system.

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Hantavirus

Hantaviruses are negative-sense RNA viruses that sometimes lead to hemorrhagic fever with renal syndrome in humans.

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Arboviral Encephalitis

Arboviral encephalitis (acute swelling in the brain) is caused by a group of arthropod-transmitted viruses.

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Rickettsial Diseases

Rickettsia is a genus of bacteria that can be transmitted by arthropod vectors to humans, causing diseases.

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Lyme Disease

Lyme disease is caused by bacteria from the Borrelia genus.

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West Nile Virus

West Nile virus is a mosquito-borne arbovirus found in temperate and tropical regions of the world.

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Plague

The plague is an infectious disease caused by the Gram-negative rod-shaped bacteria Yersinia pestis.

Section 6
Fungal, Protozoan, Prion, and Other Diseases of the Nervous System
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Cryptococcosis

Cryptococcosis is a disease caused by fungi that can be fatal.

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African Trypanosomiasis

Sleeping sickness is caused by a protozoa transmitted by the tsetse fly.

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Amoebic Meningoencephalitis

Amoebic meningoencephalitis is an often-fatal central nervous system infection caused by Naegleria fowleri.

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Bovine Spongiform Encephalopathy

Bovine spongiform encephalopathy (BSE) is a fatal neurodegenerative disease in cows.

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Variant Creutzfeldt-Jakob Disease

Variant Creutzfeldt–Jakob Disease (vCJD) is a fatal neurological disorder which is caused by prions.

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Chronic Fatigue Syndrome

Chronic fatigue syndrome (CFS) is the most common persistent fatigue syndrome that affects people.

Section 7
Microbial Diseases of the Cardiovascular and Lymphatic Systems
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Functions of the Lymphatic System

The lymphatic system plays a prominent role in immune function, fatty acid absorption, and removal of interstitial fluid from tissues.

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The Cardiovascular System

Both the cardiovascular system and the lymphatic system are susceptible to diseases caused by microorganisms.

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Structure of the Lymphatic System

The lymphatic system consists of lymphatic vessels and associated lymphoid organs.

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Cardiovascular and Lymphatic System Defenses

The circulatory system has a defence against microbial invaders in the form of the lymphatic system.

Section 8
Bacterial Diseases of the Cardiovascular and Lymphatic Systems
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Sepsis and Septic Shock

Septic shock occurs when a body's response to an infection (sepsis) leads to life-threatening low blood pressure.

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Bacterial Infections of the Heart

Bacterial endocarditis is an infection of the inner surface of the heart or heart valves caused by the presence of bacteria in the blood.

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Rheumatic Fever

Rheumatic fever is an inflammatory disease that can develop as a complication of inadequately treated strep throat.

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Tularemia

Tularemia is an infection caused by the Gram-negative bacteria Francisella tularensis.

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Brucellosis (Undulant Fever)

Brucellosis is an infectious disease that occurs from contact with animals carrying Brucella bacteria.

Anthrax

Anthrax is a rare, infectious disease caused by Bacillus anthracis that can spread from animals to humans.

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Gangrene

Gangrene is a serious and potentially life-threatening condition that arises when a considerable mass of body tissue dies.

Section 9
Viral Diseases of the Cardiovascular and Lymphatic Systems
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Burkitt's Lymphoma

Burkitt's lymphoma is a very fast growing form of non-Hodgkin's lymphoma, a cancer in the lymphatic system.

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Infectious Mononucleosis

Mononucleosis is an infectious disease caused by the Epstein-Barr virus (EBV) and results in flu-like symptoms.

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Other Diseases and Epstein-Barr Virus

Epstein-Barr virus (EBV) is a member of the herpesvirus family and is best known as the cause of infectious mononucleosis.

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Cytomegalovirus Infections

Cytomegalovirus (CMV) is a type of herpesvirus that largely affects infants and the immunocompromised.

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Chikungunya Fever

Chikungunya (CHIKV) is a mosquito-borne viral disease which causes fever and severe joint pain.

Classic Viral Hemorrhagic Fevers

Viral hemorrhagic fevers (VHFs) are a group of illnesses that are caused by several distinct families of RNA viruses.

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Emerging Viral Hemorrhagic Fevers

As human habitation expands, new viral hemorrhagic fevers are infecting humans.

Section 10
Protozoan and Helminthic Diseases of the Cardiovascular and Lymphatic Systems
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Chagas Disease (American Trypanosomiasis)

Chagas disease is caused by the protozoan parasite Trypanosoma cruzi and transmitted via the reduviid bug.

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Toxoplasmosis

Toxoplasmosis is a parasitic disease caused by the protozoan Toxoplasma gondii and its life cycle mandates a definitive host which are cats.

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Malaria

Malaria is a mosquito-borne infectious disease that affects humans and other animals caused by various species of the protist Plasmodium.

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Leishmaniasis

Leishmaniasis is caused by the protozoan parasite Leishmania and presents itself in two forms: cutaneous or visceral leishmaniasis.

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Babesiosis

Babesiosis is a malaria-like parasitic disease caused by infection with Babesia, a parasite transmitted to human hosts by ticks.

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Schistosomiasis

Schistosomiasis is a parasitic disease caused by various species of trematodes or "flukes," which are of the genus Schistosoma.

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Swimmer's Itch

Swimmer's itch is a result of an immune reaction in response to the penetration of the skin by a schistosome.

Section 11
Microbial Diseases of the Respiratory System
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Functional Anatomy of the Respiratory System

The respiratory system include lungs, airways and respiratory muscles. Ventilation is the rate at which gas enters or leaves the lung.

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Airborne Transmission of Disease

Airborne diseases are characterized by diseases that are transmitted through the air via the presence of a pathogen.

Section 12
Bacterial Diseases of the Respiratory System
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Pharyngitis

Pharyngitis is an inflammation of the throat that has many causes, some of which are bacterial infections.

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Scarlet Fever

Scarlet fever is caused by a bacteriophage that infects Streptococcus pyogenes.

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Diphtheria

Diphtheria is an upper respiratory infection that is largely benign unless left untreated, at which point very harmful toxins are produced.

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Otitis Media

Otitis media, or earache, is the inflammation of the middle ear and is often due to bacterial infections.

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Whooping Cough

Pertussis, more commonly known as whooping cough, is a bacterial infection of the upper respiratory system.

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Tuberculosis

Tuberculosis is a common, and in many cases lethal, infectious bacterial disease that mainly affects the lungs.

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Bacterial Pneumonias

Pneumonia is an inflammatory lung disease that can lead to problems with breathing, often caused by bacterial infections.

Section 13
Viral Diseases of the Respiratory System
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Colds

The common cold is caused by several different viruses and is the most common human viral infection.

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Viral Pneumonia

Viral pneumonia, one of the two leading causes of pneumonia, more commonly affects children.

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Respiratory Syncytial Virus Infection

Human respiratory syncytial virus (RSV) causes respiratory tract infections in humans.

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Coryza and Influenza

Influenza is an infectious disease caused by RNA viruses of the family Orthomyxoviridae that affects birds and mammals.

Section 14
Fungal Diseases of the Respiratory System
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Histoplasmosis

Histoplasmosis is a disease caused by the fungus Histoplasma capsulatum.

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Coccidiomycosis

Coccidioidomycosis is a fungal disease caused by Coccidioides immitis or C. posadasii.

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Pneumocystis Pneumonia

Pneumocystis pneumonia (PCP) or pneumocystosis is a form of pneumonia, caused by the yeast-like fungus Pneumocystis jirovecii.

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Blastomycosis

Blastomycosis is a fungal infection caused by the organism Blastomyces dermatitidis.

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Other Fungi Involved in Respiratory Disease

Sporotrichosis is a disease caused by the fungus Sporothrix schenckii.

Section 15
Microbial Diseases of the Digestive System
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Anatomy of the Digestive System

The human gastrointestinal tract refers to the stomach and intestine, and sometimes to all the structures from the mouth to the anus.

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Normal Gastrointestinal Microbiota

Gut flora consist of microorganisms that live in the digestive tracts of animals and are the largest reservoir of human flora.

Section 16
Bacterial Diseases of the Mouth
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Tooth and Gum Infections

The mouth contains a wide variety of oral bacteria, but only a few specific species of bacteria are believed to cause tooth and gum infections.

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Dental Caries

Dental caries cause demineralization of the hard tissues and destruction of the organic matter of the tooth.

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Periodontal Disease

Plaque-induced inflammatory lesions make up the vast majority of periodontal diseases, which are divided into peridontitis or gingivitis.

Section 17
Bacterial Diseases of the Digestive System
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Bacterial Gastroenteritis

Gastroenteritis is characterized by inflammation of the gastrointestinal tract that involves both the stomach and the small intestine.

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Staphylococcal Food Poisoning

Staphylococcal toxins are a common cause of food poisoning, as they can be produced in improperly-stored food.

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Salmonellosis

Salmonellosis is an infection by the Salmonella bacteria that results in diarrhea, fever, vomiting, and abdominal cramps.

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Typhoid Fever

Typhoid fever is a common, worldwide bacterial disease transmitted by Salmonella typhi, serotype Typhi.

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Cholera

Cholera is an infection in the small intestine caused by the bacterium Vibrio cholerae.

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Noncholera Vibrios

Vibrio is a Gram-negative bacteria possessing a curved rod shape (comma shape), several species of which can cause foodborne infection.

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Pathogenic Escherichia coli

Most E. coli strains are harmless, but some serotypes are pathogenic and can cause serious food poisoning in humans and other species.

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Campylobacter

Campylobacter (meaning 'twisted bacteria') is a genus of bacteria that are Gram-negative, spiral, and microaerophilic.

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Peptic Ulcer Disease

A peptic ulcer, also known as peptic ulcer disease, is an erosion in the wall of the stomach, duodenum, or esophagus.

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Listeriosis

Listeriosis is a bacterial infection caused by a Gram-positive, motile bacterium called Listeria monocytogenes.

Section 18
Viral Diseases of the Digestive System
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Mumps

Mumps was a common childhood viral disease, but widespread vaccination has now made it rare in developed countries.

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Hepatitis

Hepatitis is the inflammation of the liver. Causes include viruses, bacterial infections, alcohol, autoimmune disorders, drugs, and toxins.

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Viral Gastroenteritis

Gastroenteritis is caused by two different virus types in adults and children.

Section 19
Fungal and Protozoan Diseases of the Digestive System
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Ergot Poisoning

Ergot poisoning is caused by ingestion of the alkaloids produced by the ergot fungi.

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Aflatoxin Poisoning

Aflatoxin poisoning is a result of ingestion of aflatoxins produced by Aspergillus that have contaminated a food source.

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Giardiasis

Giardiasis, sometimes referred to as beaver fever, is caused by the protozoan Giardia lamblia and results in diarrheal illness.

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Cryptosporidiosis

Cryptosporidiosis is a type of parasitic disease caused by Cryptosporidium that infects the gastrointestinal system.

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Cyclospora Diarrheal Infection

Cyclospora diarrheal infection is commonly referred to as traveler's diarrhea and is caused by the parasite Cyclospora cayetanensis.

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Amoebic Dysentery (Amoebiasis)

Amoebic dysentery is caused by the parasite Entamoeba histolytica and infected individuals suffer from severe diarrhea, cramps, and fever.

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Legionellosis

Legionellosis is most commonly caused by the Gram-negative bacteria Legionella pneumophila which is an aquatic organism.

Section 20
Helminthic Diseases of the Digestive System
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Tapeworms

Tapeworms are helminths capable of targeting the digestive system, but require various hosts for successful growth and transmission.

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Hydatid Disease

Hydatid disease, also referred to as cystic echinococcosis, is characterized by the slow growth of large cysts within various organs.

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Nematodes

Nematodes, or roundworms, are capable of exhibiting parasitic behavior.

Section 21
Microbial Diseases of the Genitourinary System
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Overview of the Male and Female Reproductive Systems

The human reproductive system functions to produce human offspring, with the male providing sperm and the female providing the ovum.

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Overview of the Urinary System

The urinary system maintains blood homeostasis by filtering out excess fluid and other substances from the bloodstream and secreting waste.

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Normal Genitourinary Microbiota

The vaginal microflora consist mostly of various lactobacillus species.

Section 22
Bacterial Diseases of the Urinary System
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Urinary Tract Infection (UTI)

A urinary tract infection (UTI) is an infection affecting the urinary tract; about 150 million people develop UTIs each year.

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Cystitis

Cystitis is a urinary bladder inflammation that is most commonly caused by a bacterial infection of the lower urinary tract infection.

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Pyelonephritis

Pyelonephritis is an inflammation of the kidney tissue and surrounding area, commonly caused by a bacterial infection ascending up the upper urinary tract.

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Leptospirosis

Leptospirosis is a rare and severe infection caused by Leptospira bacteria and usually transmitted to people from animals.

Section 23
Bacterial Diseases of the Reproductive System
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Prostatitis

Prostatitis is an inflammation of the prostate which can be caused by bacteria.

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Prostatitis

Prostatitis is an inflammation of the prostate which can be caused by bacteria.

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Gonorrhea

Gonorrhea (also colloquially known as the clap) is a common human sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae.

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Nongonococcal Urethritis (NGU)

Nongonococcal urethritis (NGU) is an urethral inflammation that is not caused by Neisseria gonorrhoeae.

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Pelvic Inflammatory Disease (PID)

Pelvic inflammatory disease (PID) is an inflammation of the female reproductive organs that is most often caused by infection.

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Syphilis

Syphilis is a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum.

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Genital Ulcer Diseases

Genital ulcers are skin ulcers on the genital area caused by sexually transmitted diseases or noninfectious conditions.

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Lymphogranuloma Venereum

Lymphogranuloma venereum (LGV) is a sexually transmitted disease which causes an infection of the lymph nodes.

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Group B Streptococcus Colonization

Group B streptococcus is part of the natural microflora in some people, but can sometimes cause life-threatening infections.

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Chancroid (Soft Chancre)

Chancroid is a sexually transmitted disease caused by Haemophilus ducreyi.

Bacterial Vaginosis

Bacterial vaginosis (BV) is a condition of disrupted balance of the vaginal microflora.

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Chlamydia

Chlamydia infection is a common sexually transmitted infection (STI) in humans caused by the bacterium Chlamydia trachomatis.

Section 24
Viral Diseases of the Reproductive System
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Genital Herpes

Herpes genitalis (or genital herpes) refers to a genital infection by Herpes simplex virus.

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Genital Warts

Genital warts is a highly contagious sexually transmitted disease caused by some sub-types of human papillomavirus (HPV).

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HIV and AIDS

Human immunodeficiency virus infection/acquired immunodeficiency syndrome is a disease of the human immune system caused by HIV.

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Human Papillomavirus (HPV)

Human papillomavirus (HPV) is a virus from the papillomavirus family that is capable of infecting humans.

Section 25
Fungal and Protozoan Diseases of the Reproductive System
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Vulvovaginal Candidiasis

Candidal vulvovaginitis is an infection of the vagina's mucous membranes caused by Candida albicans.

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Trichomoniasis

Trichomoniasis is primarily an infection of the urogenital tract; the most common site of infection is the urethra and the vagina in women.

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The TORCH Panel of Tests

TORCH infections are a group of viral, bacterial, and protozoan infections that gain access to the fetal bloodstream from the mother.

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Diseases
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