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. 2017 Jan 31;34(1):109–119. doi: 10.1007/s12264-017-0098-1

Table 1.

Types of infections that produce pain, itch, or analgesia.

Pathogen name Sensation Infection site(s) Neuronal sensitization/silencing mechanism(s)
Bacteria
 Citrobacter rodentium Pain GI tract Suppression of I(A) currents
 Clostridium difficile Pain GI tract Unknown
 Escherichia coli Pain GI tract, genitourinary tract LPS activates TLR4 and TRPA1
 Salmonella enterica Pain GI tract LPS and flagellin activate TLRs and/or TRPA1
 Helicobacter pylori Pain GI tract Unknown
 Porphymonas gingivalis Pain Oral cavity LPS sensitizes TRPV1
 Streptococcus mutans Pain Oral cavity Unknown
 Staphylococcus aureus Pain, Itch Skin, soft tissues α-toxin, formyl peptides
 Streptococcus pyogenes Pain Skin, pharynx Unknown
 Listeria monocytogenes Pain CNS, meninges, GI tract Unknown
 Streptococcus pneumoniae Pain CNS, meninges, lung Unknown
Viruses
 Herpes simplex virus Pain DRG/trigeminal ganglia Nociceptor sensitization
 Herpes zoster virus Pain DRG/trigeminal ganglia Post-herpetic neuralgia
 Influenza virus Pain Respiratory tract IDO-mediated sensitivity
 Norovirus Pain GI tract Unknown
 Rotavirus Pain GI tract Unknown
Fungi
 Candida albicans Pain, Itch Skin, genito-urinary tract Zymosan sensitizes nociceptor neurons
 Tinea cruris Itch Groin (jock itch) Unknown
 Tinea pedis Itch Feet (athlete’s foot) Unknown
Parasites
 Hookworms Itch Skin, GI tract Unknown
 Onchocerca volvulus Itch Skin, eyes Unknown
 Pinworms Itch Skin, GI tract, anus Unknown
 Schistosoma Itch Skin (swimmer’s itch) Unknown
Pathogens that block pain
 Clostridium botulinum Painless Skin, GI tract BoNTs block neurotransmission
 Clostridium tetani Painless Skin TeNT blocks neurotransmission
 Mycobacterium ulcerans Painless Skin Mycolactone induces hyperpolarization
 Mycobacterium leprae Painless Skin Schwann cell destruction
 Treponema pallidum Painless Skin, genitourinary tract Unknown