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      <title>Borrelia extollendam(n) this is a cool microbe by </title>
      <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg</link>
      <description>Made by Doofensmirtz Evil Incorporated </description>
      <language>en-us</language>
      <pubDate>2021-04-24 17:08:52 UTC</pubDate>
      <lastBuildDate>2025-11-08 07:16:15 UTC</lastBuildDate>
      <webMaster>hello@padlet.com</webMaster>
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      <item>
         <title>Epidemiology</title>
         <author></author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454918666</link>
         <description><![CDATA[<div><br>Zoonotic disease based off of the migration of the Canadian Goose and mosquito Culex tarsalis.<br><br>Infection happens from late Spring to mid Fall. Higher incidence of infection happens in late summer.<br><br>Men are more likely to get infected.<br><br></div>]]></description>
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         <pubDate>2021-04-24 17:15:27 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454918666</guid>
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      <item>
         <title>Pathogenesis</title>
         <author>mshelle1</author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454918835</link>
         <description><![CDATA[<div>From infected Canadian geese, a mosquito becomes a vector and transfers the bacteria to other Canadian geese or to a human host. <em>Borrelia extollendam</em> gets into the blood stream and works its way into the nerves through the vasa nervorum where a biofilm, along the axons from OMPAX, is formed. This causes the nerve hype sensation. <br><br></div>]]></description>
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         <pubDate>2021-04-24 17:15:35 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454918835</guid>
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      <item>
         <title>Transmission</title>
         <author></author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454918860</link>
         <description><![CDATA[<div><br>Vector borne disease:<br>&nbsp; &nbsp; &nbsp;.&nbsp; Canadian Geese are natural reservoir. &nbsp;<br>&nbsp; &nbsp; &nbsp;.&nbsp; Culex tarsalis is the mosquito vector.<br><br>Transmission:<br>&nbsp; &nbsp; &nbsp;.&nbsp; C. tarsalis transmits through blood meals on humans.<br>&nbsp; &nbsp; &nbsp;.&nbsp; Transmissible through contact with dead animals.<br>&nbsp; &nbsp; &nbsp;.&nbsp; No transmission human to human</div>]]></description>
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         <pubDate>2021-04-24 17:15:36 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454918860</guid>
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      <item>
         <title>Disease</title>
         <author></author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454933535</link>
         <description><![CDATA[<div><strong>Causes Nervus Extollendam Syndrome:</strong><br>extreme nerve amplification followed by the deadening of axon sensory capabilities</div><ul><li>without treatment Nervus Extollendam syndrome lasts 1-3 months&nbsp;</li><li>followed by a healing period of 2-5 weeks of axon sensory deadening&nbsp;<ul><li>axon sensory deadening often includes painful tingling all throughout the body</li><li>on rare occasion, this can be permanent</li></ul></li><li>Very low mortality rate<ul><li>10-15% without treatment</li><li>5-8% with treatment</li></ul></li></ul><div><strong>Symptoms</strong>: <br><em>Humans and animals:</em></div><ul><li>extreme nerve amplification all over the body that is often highly painful</li><li>bullseye rash at sight of infection<ul><li>surrounds mosquito bite or wound in which the bacteria entered after contact with infected animal carcass</li><li>appears within 1-2 days of bite or contact with infected animal carcass</li></ul></li><li>shingles like rashes often accompanied by the whites of the eyes turning red<ul><li>1 week after onset of nerve amplification&nbsp;</li></ul></li></ul><div><em>Animals:</em></div><ul><li>disorientation</li><li>trouble walking</li><li>self isolation from herd to avoid physical contact followed by the discontinuation of walking</li></ul><div><strong>Disease presentation:</strong></div><ul><li>within 1-2 weeks of infection when no co-infection is present<ul><li>disease onset occurs faster when contracted via mosquito bite when compared to contraction due to open wound contact with an infected animal carcass</li></ul></li></ul><div><strong>West Nile Co-infection:</strong></div><ul><li>occurs in some cases where the mosquito is the vector of transmission&nbsp;</li><li>great increase in mortality rate<ul><li>25-30% without treatment</li><li>10-12% with treatment</li></ul></li><li>extreme nerve and pain amplification<ul><li>24-36 hours after infection</li><li>renders patient, essentially immobile&nbsp;</li></ul></li><li>increased risk of permanent axon sensory deadening and tingling sensation<ul><li>occurs in 80% of patients with a West Nile co-infection without treatment</li><li>occurs in 40% of patients with a West Nile co-infection with treatment</li></ul></li></ul>]]></description>
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         <pubDate>2021-04-24 17:26:38 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454933535</guid>
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      <item>
         <title>Diagnostic tests</title>
         <author></author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454982451</link>
         <description><![CDATA[<div>PCR (polymerase chain reaction)<br>- very sensitive and accurate<br>1) DNA is denatured and the strands separate<br>2) A set of primers bind to the target DNA sequence<br>3) The DNA is amplified<br><br>Serology&nbsp;<br>- ELISA (enzyme-linked immunoassay)<br>- to detect the presence of antibodies in the blood<br>- analyzes the body's immune response to being infected by the bacteria</div>]]></description>
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         <pubDate>2021-04-24 18:03:01 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1454982451</guid>
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      <item>
         <title>Virulence Factors</title>
         <author>asaul6</author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1481519745</link>
         <description><![CDATA[<div>A variety of virulence factors promote infection. Involved in the virulence of <em>B. extollendam</em> include batrachotoxin, <em>agr</em> quorum sensing system for spore regulation, outer membrane protein AX for biofilm formation, and flagellum to promote motility. <br><br><strong>Batrachotoxin (BTS):</strong></div><ul><li>Toxin promoting prolonged opening of sodium/potassium channels</li><li>Leads to irreversible depolarization of nerves&nbsp;</li><li>Also found in frog species</li></ul><div><strong><br></strong><strong><em>Agr</em></strong><strong> Quorum Sensing System:</strong></div><ul><li>Controls virulence factor chain promoting sporulation</li><li>Overexpression regulates colonization</li></ul><div><strong><br>OMPAX:</strong></div><ul><li>Outer Membrane Protein AX</li><li>Stimulates the formation of a biofilm on axons in coordination with the quorum sensing system</li></ul><div><strong><br>Flagellum:</strong></div><ul><li>Motility to reach axons efficiently and travel efficiently though blood stream</li></ul>]]></description>
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         <pubDate>2021-05-01 23:52:16 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1481519745</guid>
      </item>
      <item>
         <title>Transmission Cont.</title>
         <author></author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1490270890</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-05-04 15:46:47 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1490270890</guid>
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      <item>
         <title>Introduction</title>
         <author></author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1496334031</link>
         <description><![CDATA[<div>- <em>Borrelia extollendam</em> is a gram negative, anaerobic, zoonotic bacteria that causes amplification of physical feelings in the nerves.&nbsp;<br>- It was first isolated in Canada in 1988 during an outbreak.&nbsp;<br>- The disease caused is nervous extollendam. This commonly shows itself as amplified pain.&nbsp;<br>- Ex: If you stubbed a toe and described the pain level as 2, with nervous extollendam, the pain level would be closer to a 7.&nbsp;<br>- This bacterial infection is treatable with antibiotics.&nbsp;</div>]]></description>
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         <pubDate>2021-05-06 01:40:20 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1496334031</guid>
      </item>
      <item>
         <title>Summary</title>
         <author></author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1496368082</link>
         <description><![CDATA[<div>- <em>Borrelia extollendam</em> is a zoonotic bacteria that is most commonly transmitted from animals to humans through contact with infected blood, most commonly by mosquitos. <br>- The Canadian Goose is the main reservoir for the pathogen, with the mosquito being the main vector.<br>- This bacteria causes nervous extollendam, which is extreme nerve amplification. <br>- Batrachotoxin, agr quorum sensing system, outer membrane protein AX, and flagellum are virulence factors.<br>- Serology tests and PCR are used to detect the pathogen in blood.<br>- Chloramphenicol is the antibiotic used to treat this disease. Insect repellent and clothing are effective methods to prevent mosquitos from biting.&nbsp; <br><br><br><br><br><strong>Citations:&nbsp; <br></strong><a href="http://www.wyomosquito.org/mosquito_species.htm">http://www.wyomosquito.org/mosquito_species.htm</a> <br><br>“Chloramphenicol.” <em>National Center for Biotechnology Information. PubChem Compound Database</em>, U.S. National Library of Medicine, pubchem.ncbi.nlm.nih.gov/compound/Chloramphenicol.&nbsp; <br><br>Staniszewska M. (2020). Virulence Factors in Candida species. <em>Current protein &amp; peptide science</em>, <em>21</em>(3), 313–323. https://doi.org/10.2174/1389203720666190722152415<br><br>Tijerina-Rodríguez, L. D., Villarreal-Treviño, L. D., Baines, S. D., Morfín-Otero, R. D., Camacho-Ortíz, A. D., Flores-Treviño, S. D., . . . Garza-González, E. D. (2019, July 31). High sporulation and overexpression of virulence factors in biofilms and reduced susceptibility to vancomycin and linezolid in recurrent Clostridium [Clostridioides] difficile infection isolates. Retrieved from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0220671<br><br>Chan, K., Casjens, S., &amp; Parveen, N. (2012, April 01). Detection of Established Virulence Genes and Plasmids To Differentiate Borrelia burgdorferi Strains. Retrieved from https://iai.asm.org/content/80/4/1519<br><br>Czerwińska-Główka, D., &amp; Krukiewicz, K. (2019, October 14). A journey in the complex interactions between electrochemistry and bacteriology: From electroactivity to electromodulation of bacterial biofilms. Retrieved from https://www.sciencedirect.com/science/article/pii/S1567539419304876<br><strong><br></strong><br><br></div>]]></description>
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         <pubDate>2021-05-06 01:55:05 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1496368082</guid>
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      <item>
         <title>Treatment/Prevention  </title>
         <author>slake51</author>
         <link>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1498935271</link>
         <description><![CDATA[<div><strong>Treatment:</strong></div><div>&nbsp;<br>- <em>Borrelia extollendam</em> is multi-drug resistant&nbsp;<br>- Chloramphenicol intravenously (IV) is a very effective antibiotic<br>- Broad spectrum antibiotic used for serious infections&nbsp;<br>- Bacteriostatic, binds to the 50S ribosomal subunit&nbsp;<br>- Interferes with the peptidyl transferase activity&nbsp;and blocks protein synthesis<br>- Also used to treat meningitis, plague, typhoid fever, and conjunctivitis&nbsp; &nbsp;<br>- Pain management<br>- No vaccine, still being researched<br><br></div><div><strong>Prevention:&nbsp;<br></strong><br></div><div>- Apply insect repellent, such as DEET&nbsp;<br>- Cover skin while outdoors&nbsp;<br>- Limit exposure, stay indoors during the dusk-dawn period of the day &nbsp;<br>- Avoid contact with dead animals</div><div><br><br></div>]]></description>
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         <pubDate>2021-05-06 16:15:16 UTC</pubDate>
         <guid>https://padlet.com/mshelle1/rkqe25v42vx6ftwg/wish/1498935271</guid>
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