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organisms and logy means the study of, thus biology is the study of living
organisms.Micro means very small, viewed by microscope Microbiology is the
study of very small living organisms called microorganisms or microbes, these
include bacteria, algea, protozoa, fungi and viruses.Because many scientist do
not consider viruses as living organisms, the terms infectious agents or infectious
particles are often used in reference to viruses. A disease causing
microorganisms called pathoger (3% of all known microbes.The others are non
pathogenic (97%), the beneficial microbes are 87%.Microbes live on and in our
bodies e.g. skin, in the mouth and intestine are known as indigenous microflora
(or indigenous microbiota). Some of them cause disease accidentally and known
as opportunistic pathogens (10%).Diseases caused by microbes are called
infectious disease.Ubiquitous microbes means that they are virtually found every
where in or on the body and in different environment of the globe.Many bacteria
and fungi are Saprophytes, which ai fertilization by returning inorganic nutrients
to the st Saprophytes break down dead and dying organic materials (plants and
animals) into nitrates, phosphates, carbon dioxide, water and other chemicals
necessary for plant growth.Saprophytes also destroy papers, feces and other
biodegradable matters, although they cannot break down most plastics or
glass.Nitrogen-fixing bacteria, that live in the root nodules of certain plants
called legumes are able to return nitrogen from the air to the soil in the form of
ammonia for use by other plants Introduction to Microbiology.The spread of
certain diseases from one person to another long ago suggested the existence of
invisible, transmissible agent of infection. Microscopic organisms (microbes) were
not seen, however, until Antony Van Leeuwenhock (1632-1723) made
microscopes with sufficient magnification, then after, the science of microbiology
began.Leeuwenhock observed motile microorganisms. ជ from a decayed tooth
under the microscope, ne observed major morphological classes of bacteria i.e.
spheres, rods and spirals as well as large microbes i.e. protozoa, algae and yeast.
In 1767 and after the convention of compound microscope, Linnaeus
distinguished 6 species of microbes assigned to one class, and 600 types were
figured in 1838. A growth medium or culture medium is a solid, liquid, or
semi-solid designed to support the growth of a population of microorganisms or
cells via the process of cell proliferation or small plants like the moss
Physcomitrella patens. Different types of media are used for growing different
types of cells.Liquid media are also called broths, they allow for uniform and
turbid growth of bacterial strains when incubated at 37ºC for 24hrs. The media is
used for the profuse growth of microorganisms and fermentation studies.
Examples include Tryptic soy broth, phenol red carbohydrate broth, MR-VP broth,
and nutrient broth.Culture media is a gel or liquid that contains nutrients and is
used to grow bacteria or microorganisms. They are also termed growth media.
Different cell types are grown in various types of medium. Nutrient broths and
agar plates are the most typical growth media for microorganisms.Media that
support the growth of many different microorganisms without distinguishing
genera or species are nutritive. In contrast, differential media allow several
different types of bacteria to grow, but also contain compounds that allow
microbial genera (or even species) to be visually differentiated. Viruses are
strict intracellular parasites of other living cells, not only of mammalian and plant
cells, but also of simple unicellular organisms, including bacteria (the
bacteriophages).Viruses are simple forms of replicating, biologically active
particles that carry genetic information in either DNA or RNA molecules enclosed
in a protein coat or capsid.Proteins frequently glycoproteins in the capsid
determine the specificity of interaction of a virus with its host cell.The capsid
protects the nucleic acid and facilitates attachment and penetration of the
host cell by the virus. Inside the cell, viral nucleic acid redirects the host's
enzymatic machinery to functions associated with replication of the virus.
In some cases, genetic information from the virus can be incorporated as
DNA into a host chromosome.In other instances, the viral genetic
information can serve as a basis for cellular manufacture and release of
copies of the virus. This process calls for replication of the viral nucleic
acid and production of specific viral proteins.
Spirochetes, also known as spirochaetes, are a distinct double-membrane,
Gram-negative bacteria that have spiralled or helically-coiled cells.
Spirochaetaceae family includes four genera: Spirochaeta, Cristispira,
Treponema, and Borrelia. Two of these genera—Spirochaeta and Cristispira—are
considered free-living and commensal, respectively. The other three genera—
Treponema, Borrelia, and Leptospira—contain pathogenic species.Spirochete
taxonomy defines three families. Family Spirochaetaceae includes a diverse
group of organisms that have adapted to a range of niches. At one extreme,
there are a large number of free-living Spirochaeta species.Spirochetes are the
etiological agents of several important animal and human diseases, such as
syphilis, Lyme disease and leptospirosis. Bacteria are the smallest (0.1 to 10 µm)
living cells.They have a cytoplasmic membrane surrounded by a cell wall; a
unique interlinking polymer called peptidoglycan makes the wall rigid.The simple
prokaryotic cell plan includes ncludes no no mitochondria, lysosomes,
endoplasmic reticulum, or other organellesIn fact, most bacteria are about the
size of mitochondria. Their cytoplasm contains only ribosomes and a single,
double-stranded DNA chromosome.Bacteria have no nucleus, but all the
chemical elements of nucleic acid and protein synthesis are present. Although
their nutritional requirements vary greatly, most bacteria are free-living if given
an appropriate energy source. They divide by binary fission and can be grown in
artificial culture, often in less than 1 day. Archaebacteria differ radically from
other bacteria in structure and metabolic processes; they live in environments
humans consider hostile (eg, hot springs, high salt areas) but are not associated
with disease. Ultrastructure of a Bacteria Cell Bacteria are single-celled
microorganisms with the absence of the nucleus and other cell organelles;
hence, they are classified as prokaryotic organisms. They are also very versatile
organisms, surviving in extremely inhospitable conditions. Such organisms are
called extremophiles.Bacteria are unicellular organisms that have a variety of
sizes, shape, and envelope structures. The minimal requirements are cytoplasm,
a cell membrane that sur- rounds the cytoplasm, and a DNA chromosome. A few
have internal structures such as vacuoles and storage bodies but none have true
organelles. nutritional requirements of bacteria .The bacterial cell contains
water (80% of total weight), proteins, polysaccharides, lipids, nucleic acids,
mucopeptides and low molecular weight compounds. For growth and nutrition of
bacteria, the minimum nutritional requirements are water, a source of carbon, a
source of nitrogen and some inorganic salts. Growth and cultivation of
bacteria Bacteria cultivation is a biological activity wherein microorganisms
multiply themselves in a predetermined culture media under laboratory
conditions. Whereas, microbial culture media are used to identify the types of
microorganisms and their abundance in culture media are being tested precisely.
Phases Bacterial colonies progress through four phases of growth: the lag phase,
the log phase, the stationary phase, and the death phase.Bacterial growth is
proliferation of bacterium into two daughter cells, in a process called binary
fission. Providing no mutation event occurs, the resulting daughter cells are
genetically identical to the original cell. Aerobic bacteria are those that require
oxygen to carry out metabolisms. They are in a large majority and make up 75%
of all the known types of bacteria. Most of them live on or near the surfaces of
plant or animal life. Symbiosis The relationship between aerobic bacteria and its
host is symbiotic, as it provides both populations with benefits such as defense
against other harmful organisms or nutrients for metabolism. This is called
mutualism and for aerobic bacteria, nutrients could include sugars, amino acids,
vitamins or even oxygen. Some aerobic bacteria can be found in animals such
as intestinal flora in humans or animals like cows and pigs. Ex Bacillus subtilis,
Bacillus fusiformis and Bacillus tenuis. Aerobic bacteria provide many benefits to
its host such as defense against other harmful organisms or nutrients for
metabolism. They can be found in the intestines of animals in cow’s and pigs.
One example is the acidophilians which provides the immune system with an
alternate pathway for defense against pathogenic organisms by breaking down
cell walls of microbes that can cause disease. Anaerobic bacteria are those that
do not require oxygen to carry out metabolisms. They are found in the extreme
environment, such as hot springs or sink holes like the Maracas, or anaerobic
environments where there is no oxygen such as in caves and crevices, often
created by petroleum. They break down other organic matter like dead insects
and animals and feed off it with hydrogen sulfide around them or produce it
themselves. Symbiosis The relationship between anaerobic bacteria and its host
is parasitic in nature, as it only provides benefits to the symbiont and provides no
benefits to its host. Ex Prevotella copri and Desulfovibrio vulgaris In these
conditions, the host does not contribute in any way to the symbiotic relationship.
This means that anaerobic bacteria do not provide any benefits to their hosts.
Difference Aerobic and anaerobic bacteria use fermentation to produce ATP
which is a major energy source for all living cells. The end result is carbon
dioxide plus hydrogen sulfide. The difference between aerobic and
anaerobic bacteria is similar to the difference between symbiotic and parasitic
relationships. Anaerobic bacteria provide benefits to their host in an environment
with low oxygen, such as hot springs or sinkholes. Aerobic bacteria on the other
hand are found in a wide range of habitats from soil to water; they have been
found even in the human intestines. ENRICHMENT MEDIA Basic principle is to
control the nutrients and culture conditions in such a way that it suits mainly to a
specific species y temperature, air supply, light, pH | When we assume low
amount of potential pathogens being present in the specimen, they have to be
enriched first, to multiply up the low number – e.g. serum bouillon, dextrose
bouillon, chopped meat bouillon | Promotes the growth of a particular organism
by providing it with the essential nutrients, and rarely contains inhibitory
substances to prevent the growth of normal competitors SELECTIVE MEDIA |
Used for growth of only selected microorganisms. Selection by y Adding
antibiotics, prevents the growth of other cells y Lacking amino acids y May
contain stains and color indicators (EMB) Eosin-methylene blue agar (EMB)
Contains methylene blue, toxic to Gram + bacteria, allowing only the growth of
Gram – bacteria |MacConkey agar (MCK) For Gram – bacteria | Buffered charcoal
yeast extract agar (BCYE) Selective for certain Gram - , for example Legionella. |
Mannitol salt agar (MSA) Selective for Gram + bacteria | Hektoen enteric agar
(HE) Shigella, Salmonella | Thiosulfate citrate bile sucrose (TCBS) Vibrio cholerae
DIFFERENTIAL MEDIA | Distinguishes one microorganism type from another
growing on the same media on a difference in the colony appearance y Color,
shape, growth pattern y Dyes in the medium, pH indicators | Eosin-methylene
blue agar (EMB) y Differential for lactose and sucrose fermentation | MacConkey
agar (MCK) Differential for lactose fermentation.Mannitol salt agar
(MSA) .Differential for mannitol fermentation Bacterial Isolation Introduction
There are approximately 10,000 named species of microbes. It is estimated that
there are between 10,000 and 100,000 more unidentified species for every
identified one. Not only are there many types of bacteria, there are a lot of
individual bacteria. A single spoonful of soil can have 100 million individual
bacteria. A scraping of your gums can yield 1 million bacteria per cm 2 (a cm2 is
about the size of your little fingernail). The bacteria in and on our bodies makes
up about 10% of our dry body weight.Most of the currently known species of
bacteria have been identified using traditional microbiological techniques such
as the gram stain reaction, morphology, and metabolic reactions. Bacteria rarely
live alone but in communities with other bacteria. This is true both in the
environment and in and on our bodies. This class focuses on the role of bacteria
in disease. Isolating a single bacterium species is the first step in identifying the
bacteria possibly responsible for a disease process.The first requirement for
physically isolating a bacterium is that it can be cultured in the laboratory. This
requires knowledge of optimal temperature for growth, optimal oxygen
requirements, and optimal nutritional needs. We work with a very limited
number of bacteria in this course. The bacteria we work with are also very easy
to culture in the lab. Most bacteria are not this agreeable!There are two main
ways to isolate organisms.1Streaking for isolation on an agar plate 2 The pour
plate method1 Streaking for isolation on an agar plate involves the successive
dilution of organisms until you have the cells at a low enough density that single
cells are physically isolated spatially to give rise to recognizable individual
colonies. In the pour plate method, you dilute your sample sufficiently before you
add it to molten cooled agar and then pour this mixture in a dish. The isolated
cells give rise to individual colonies growing in the agar itself. This technique can
be a little tricky. If the melted agar is too hot you kill all the bacteria. If the
melted agar is too cool you end up with a big lump in your Petri dish. The
streaking method yields individual colonies on the surface of the agar. This
technique is much faster and easier to master.Procedure . There are several
methods of streaking for isolation. The vast majority of our students have been
most successful with the quadrant method of streaking which is described below
1 Label your plate with your name, date, section, and organism.2
Use BSL2 procedures to obtain a loop-full of organisms from your tryptic soy
broth (TSB) tube. Refer to the aseptic technique protocol.Be sure that you have
adequately mixed your broth tube so the organisms are uniformly suspended in
the broth3 Recap your TSB tube 4 You can do the next part with your plate on
the lab benchmor holding it in your hand. You decide which works best. Lightly
drag your loop back and forth across the surface of the agar.The more you drag
the more bacteria you deposit.The general idea is to decrease the bacterial
concentration with each swipe.Four to five zigzags seems to work
well.Experiment with your different plates. Be sure to keep track of what you did
on each plate. 5 If you are using an incinerator, sterilize your loop. If you are
using plastic loops, discard your used loop in the cavicide container and obtain a
new sterile plastic loop.6 Do not go back into the original broth tube.7Touch your
loop to the agar surface against the far end of your first streak. Repeat by
dragging back and forth.Do not drag into the center of your plate.You should be
able to see the faint indentations of your streaking line on the agar
surface.8Using a sterile loop, repeat the procedure on your second streak.9Using
a sterile loop, repeat the procedure on your third streak. Zigzag the last part into
the center of the plate. You should end up with isolated colonies somewhere in
your last streak.9If you are using an incinerator, sterilize your loop. If you are
using plastic loops, discard your used loop in the cavicide container.10 Replace
the lid on your plate.11 Place your completed plates agar side up on the
incubation rack on the front desk in the incubate section. Staining techniques
Simple stain: Basic dyes (methylene blue or basic fuchsin) are used to provide
the color contrast, but imparts the same color to all the bacteria in a
smear.Negative staining: A drop of bacterial suspension is mixed with dyes
(India ink or Nigrosin). The background gets stained black where as unstained
bacterial/yeast capsule stand out in contrast.Impregnation methods: Bacterial
cells and structures are thickened by impregnation of silver salts on their surface
to make them visible, e.g. for demonstration of bacterial flagella and spirochetes
Differential stain: Two stains are used which impart different colors to different
bacteria or bacterial structures, which help in differentiating bacteria. Most
commonly employed differential stains are: Gram stain: Differentiates bacteria
into gram-positive and gram-negative groups.Acid-fast stain: Differentiates
bacteria into acid fast and non acid-fast groups. Albert stain: differentiates
bacteria having metachromatic granules from other bacteria that do not have
them gram srain Originally developed by Hans Christian Gram (1884).Gram
stain still remains the most widely used test in diagnostic bacteriology. Gram-
positive bacteria resist decolorization and retain the color of primary stain i.e.
violet.Gram-negative bacteria are decolorized and, therefore, take counterstain
and appear pink. Uses Identification of Gram-positive and Gram-negative.For
identification of Gram staining from bacterial culture helps in further
identification of bacteria.Helps in initiation of empirical treatment with broad
spectrum antibiotics can be started early before the culture report is
available.Gram stain helps in early presumptive identification of fastidious
organisms, such as Haemophilus.Gram stain gives a preliminary clue in
anaerobic culture (Clostridium).Helps in identification of Candida and
Cryptococcus spp Acid-fast stain Discovered by Paul Ehrlich and subsequently
modified by Ziehl and Neelsen. Acid fastness is due to presence of mycolic acid
in the cell wall. Methods Step1 (primary stain) - Carbol fuchsin (1%) for 5
minutes. Intermittent heating is done by flaming until the vaporize.Step2
(decolorization) - 25% sulfuric acid for 2–4minutes. Step 3 (counter staining) -
0.1% methylene blue slide for 30 seconds Viable Bacteria Count: Determines
the number of living bacteria only. A viable cell is defined as a cell which is able
to divide and form a colony. Common methods:1. Pour Plate Method2.Spread
plate Method3. Membrane Technique.Principle Viable Bacterial Count is one of
the most common methods, for the enumeration of bacteria. Serial dilutions of
bacteria are plated onto an agar plate either by spread plate method or pour
plate method. The plates. are incubated so that colonies are formed.
Multiplication of a bacterium on solid media results in the formation of a
macroscopic colony visible to the naked eye. The total number of colonies is
counted and this number multiplied by the dilution factor to find out the
concentration of cells in the original sample. Counting plates should have 30-300
colonies at least. 1.Spread Plate Technique Make a dilution series (a series of
sequential dilution) from a sample.Pipette out 0.1 ml onto the center of the
surface of an agar plate.Dip the L-shaped glass spreader into alcohol.Spread the
sample evenly over the surface of agar using the sterile glass spreader, carefully
rotating the Petri dish underneath at the same time.Incubate the plates at 37°C
until bacterial colonies grow.Calculate the CFU value of the sample. Once you
count the colonies, multiply by the appropriate dilution factor to determine the
number of CFU/ml in the original sample. Only plates with 30- 300 colonies are
statistical.2. Pour Plate Technique In this method, a fixed amount of inoculum
(generally 1 ml) from a broth/sample is further inoculated in the warm agar
medium. Warm agar (approx. 15mL) is then poured into the plate and mixed
well. After the solidification of the agar, the plate incubated at 37°C for 24-48
hours.Microorganisms will grow on the surface.Each (both large and small)
colony is carefully counted (using magnifying colony counter if needed). Each
colony represents a "colony-forming unit" (CFU). The number of microorganisms
present in the particular test sample is determined using the formula:CFU/mL
CFU x dilution factor /volume 3. Membrane filter technique Bacteria from
aquatic samples are trapped on membranes. Membrane filter placed on
appropriate nutrient medium.Incubate for 24-48 hours so that colonies grow on
membrane. Colony count determines the number of bacteria in the sample.
Sterilization is a meticulous and critical process employed in healthcare
facilities to completely eradicate all forms of life, particularly microorganisms like
bacteria, fungi, spores, and even viruses, from various surfaces, objects, or
liquids. This comprehensive procedure is achieved through a range of methods,
including the application of heat, chemicals, irradiation, high pressure, or
filtration. It is essential to distinguish sterilization from other related terms like
disinfection, sanitization, and pasteurization. Unlike these methods, which aim to
reduce but not entirely eliminate harmful microorganisms, sterilization ensures
that once an item has undergone this process, it is rendered entirely free from
any potentially hazardous biological agents, making it sterile or aseptic.
Sterilization is not to be confused with disinfection, a process that involves the
removal or killing of organisms that are capable of causing infections, although it
may not necessarily result in complete sterilization. Common disinfectants
include substances like phenol, formaldehyde, chlorine, and iodine. Sterilization,
on the other hand, goes the extra mile by achieving the total removal of all types
of microorganisms, including both vegetative and spore forms. This is
accomplished through a combination of physical and chemical techniques,
resulting in the elimination of approximately 106 log colonyforming units
Method of sterilization 1) physical method of microbial control aim to
eliminate or neutralize microorganisms through the use of extreme
temperatures, removal of water, radiation, sound waves, or filtration. These
techniques exploit the vulnerability of microorganisms to temperature variations,
desiccation, genetic mutations from radiation, cell breakdown through
sonication, and filtration to block their passage. Sterilization is the complete
eradication of all forms of microorganisms, while disinfection reduces them but
may not achieve complete sterility. Medical devices that contact sterile body
tissues or fluids must be sterilized to prevent disease transmission, with steam
sterilization being the preferred method for heat-resistant items. Understanding
these techniques is crucial in preventing the spread of pathogens in healthcare
settings. Sterilization removes or deactivates all life forms, while disinfection and
sanitization reduce them, and pasteurization only partially eliminates
microorganisms.two methods involve in physical method Dry heat
sterilization in microbiology is a method that relies on elevated temperatures,
typically exceeding 356°F (180°C), and does not involve moisture. This high
temperature effectively eliminates microorganisms through a process known as
destructive oxidation, which targets and breaks down essential cell components,
particularly proteins. This results in the death of the microorganisms. Maintaining
this temperature for an extended period, often around an hour, ensures the
destruction of even the most resilient bacterial spores Moist heat
sterilization, using high-pressure steam in devices like autoclaves, is a cost-
effective and fast method to eliminate harmful microorganisms on objects
without toxic chemicals. This widely used technique is crucial in healthcare for
sterilizing equipment, such as surgical tools, and relies on pure steam and
efficient air removal. Monitoring temperature and using indicators like Bowie-Dick
tape ensure its effectiveness. It's the go-to method for medical device
sterilization, known as steam sterilization. 2 Chemical sterilization is a vital
method used across various industries, including healthcare, food production,
and agriculture, to eliminate harmful microorganisms such as bacteria, fungi, and
viruses. This technique is particularly advantageous when other sterilization
methods like heat, high pressure, irradiation, or filtration are unsuitable for the
materials involved. Chemical sterilization offers several benefits, including
affordability, speed, efficiency in eradicating target microorganisms, and minimal
reliance on complex equipment. Chemical sterilization methods can be
categorized as liquid or gaseous. The choice between them depends on factors
like material type and heat sensitivity. The Food and Drug Administration (FDA)
regulates the chemicals employed in sterilization processes and tends to
recommend gaseous techniques for enhanced sterility assurance Radiation is a
non-thermal sterilization technique that eradicates microorganisms in various
products using gamma radiation, electron beams (beta particles), or ultraviolet
light. Unlike many sterilization methods, it doesn't rely on high temperatures.
This method has gained popularity since the late 1950s and is especially
valuable in medicine and healthcare, as it can effectively sterilize products like
tissue allografts, pharmaceutical packaging, and medical devices. two main
types of radiation 1) Ionizing radiation, such as gamma or X-rays, uses short-
wavelength, high-intensity radiation to damage microorganisms' DNA. Non-
ionizing radiation, like ultraviolet light, has longer wavelengths and lower energy,
making it suitable for surface sterilization. 2) Non-ionizing radiation can also
break down ozone in water to kill bacteria, though it requires subsequent
treatment to make the water safe for use. In medical device sterilization, ionizing
radiation is often used, with gamma rays from a cobalt 60 isotope source or
machine-generated accelerated electrons. Gamma irradiation is the preferred
choice when materials are sensitive to high temperatures but compatible with
ionizing radiation. It exposes packages to a 60Co source for a specified time,
typically at a dose of 25 kGy. 4 The mechanical method of sterilization, also
known as the filtration method in microbiology, involves the use of membranous
filters with small pores to effectively sterilize liquids or gases by excluding
particulate matter and microorganisms based on their size. This process consists
of three essential steps: sieving, adsorption, and trapping. 1. Sieving: Filtration
works like a sieve, where a porous membrane filter with specific pore sizes is
used. These pores act as a physical barrier, preventing particles and
microorganisms larger than the filter's pore size from passing through 2.
Adsorption: Contaminants, such as microorganisms and particles, are not just
physically blocked by the filter; they can also be adsorbed or attracted to the
filter material's surface. This helps to capture and immobilize the contaminants
3. Trapping: The matrix of the filter material itself plays a role in trapping
contaminants. Microorganisms and particles that are too large to pass through
the pores or have been adsorbed are effectively trapped within the filter
material, ensuring they do not pass through.
Hepatitis is a general term used to describe inflammation of the liver. Liver inflammation can be
caused by several viruses (viral hepatitis), chemicals, drugs, alcohol, certain genetic disorders or by
an overactive immune system that mistakenly attacks the liver, called autoimmune hepatitis. Causes
Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis.
However, hepatitis is often caused by a virus. In the United States, the most common types of viral
hepatitis are hepatitis A, hepatitis B, and hepatitis C. symptoms Some people with hepatitis do not
have symptoms and do not know they are infected. If you do have symptoms, they may include:Fever
,Fatigue,Loss of appetite,Nausea and/or vomiting,Abdominal pain,Dark urine ,Clay-colored bowel
movements,Joint pain,Jaundice, yellowing of your skin and eyes Treatment for hepatitis depends on
which type you have and whether it is acute or chronic. Acute viral hepatitis often goes away on its
own. To feel better, you may just need to rest and get enough fluids. But in some cases, it may be
more serious. You might even need treatment in a hospital. There are different medicines to treat
the different chronic types of hepatitis. Possible other treatments may include surgery and other
medical procedures. People who have alcoholic hepatitis need to stop drinking. If your chronic
hepatitis leads to liver failure or liver cancer, you may need a liver transplant. Syphilis is a sexually
transmitted infection (STI) that spreads when you have vaginal, anal or oral sex with someone who
has the infection. A bacteria causes it. Antibiotic medication treats syphilis. Untreated syphilis can
lead to serious health problems, including blindness and damage to your brain, heart, eyes and
nervous system. symptoms vary depending on the stage of the infection. You’re most contagious in
the early stages, when you’re most likely to notice symptoms. During the first stage, one or more
sores develop on your genitals. You may not notice them or mistake them for a pimple or other skin
lesion.During the second stage, you may get a rash and experience flu-like symptoms, such as
fatigue, fever, sore throat and muscles aches.After the second stage, the symptoms of syphilis are
hidden (latent stage). Just because you don’t have symptoms doesn’t mean the infection is gone. The
only thing that cures the infection and prevents it from progressing is treatment with medication.
Causes The bacteria Treponema pallidum causes syphilis. An infected person spreads the bacteria
through vaginal, anal or oral sex. The bacteria can enter your body through your anus, vagina, penis,
mouth or broken skin. The bacteria continues to spread throughout your body, which can eventually
damage certain organs. Treatment Your healthcare provider treats syphilis with antibiotics.
Antibiotics are a type of medication that treats bacterial infections. Penicillin is the most commonly
used medication for syphilis. How much medication you need and how long you take it depends on
your syphilis stage and symptoms.You must finish all your antibiotics even if the sore or rash goes
away. It’s important to contact anyone you’ve had sex with within the last two years and let them
know they should be tested. Your healthcare provider will test your blood after syphilis treatment to
make sure the infection is gone. You can get syphilis again after getting treated, so be sure to practice
safe sex and get tested regularly if you have an increased risk of syphilis. HIV stands for human
immunodeficiency virus. HIV harms your immune system by destroying a type of white blood cell
that helps your body fight infection. This puts you at risk for other infections and diseases.Symptoms
he first signs of HIV infection may be flu-like symptomsFever.Chills.Rash.Night sweats (heavy
sweating during sleep).Muscle aches Sore throat.Fatigue. Swollen lymph nodes.Mouth ulcers.These
symptoms may come and go within two to four weeks. This stage is called acute HIV infection.
Treatment There is no cure for HIV infection, but it can be treated with medicines. This is called
antiretroviral therapy (ART). ART can make HIV infection a manageable chronic condition. It also
reduces the risk of spreading the virus to others. Most people with HIV live long and healthy lives if
they get ART as soon as possible and stay on it. It's also important to take care of yourself. Making
sure that you have the support you need, living a healthy lifestyle, and getting regular medical care
can help you enjoy a better quality of life.