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100314 - Bacterial Zoonoses
N/A
52
Immunology
Graduate
10/05/2014

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Cards

Term
short, curved gram neg pleo rods that stain poorly with warthin starry silver stain, aerobe (brown on yellow)
Definition
bartonella
Term
require hemin
Definition
bartonella
Term
transmission of bartonella
Definition
fleas, lice, sandflies (not ticks!)
Term
cause vasoproliferative lesions (angiogenesis) and affect RBCs and vascular endothelial cells
Definition
bartonella
Term
bartonella bacilliformis, quintana, hensalae - which are human specific?
Definition
bacilliformis, quintana; henselae causes cat scratch disease
Term
can infect at five-day intervals or persist in erythrocytes
Definition
bartonella
Term
actin-rich structures that let bacteria invade - what is it called, what bacteria
Definition
invasomes, bartonella
Term
mechanism behind bartonella
Definition
uses angiogenic factor/vascular endothelial growth factor (VEGF) to make new BVs, form vascular tumors
Term
vascular tumor
Definition
bartonella
Term
cat scratch disease
Definition
bartonella henselae
Term
painless skin lesions that look like tumors in IC patients
Definition
bacillary angimatosis (BA) from b. henselae
Term
diseases caused by bartonella henselae in humans (IC, healthy)
Definition
IC: peloisis (vascular lesions in liver or spleen), endocarditis; healthy: cat scratch disease, bacillary angiomatosis
Term
life cycle of bartonella henselae
Definition
cat not infected, flea bits cat and gives to another cat, cat scratches human
Term
papule/pustule at inoculation site, fever, tired, headache, no bacteremia, large lymph nodes
Definition
cat scratch disease (b. henselae in healthy people)
Term
age, seasonality of b. henselae
Definition
young adults, fall and early winter months, humid climate
Term
abs are protective after you've gotten it
Definition
cat scratch disease (b. henselae in healthy people)
Term
complications of b. henselae
Definition
parinaud's oculoglandular sydrome (self-limiting BV infection in eye); encephalitis/meningitis/myelitis (treat this!)
Term
lesion in skin or organs that looks exactly like kaposi's sarcoma
Definition
bacillary angiomatosis (b. henselae in IC patients or bartonella quintana)
Term
tx for bacillary angiomatosis
Definition
erythromycin
Term
trench fever, endocarditis, chronic bacteremia; bacillary angiomatosis in IC patients
Definition
bartonella quintana
Term
transmission of bartonella quintana
Definition
louse vector feces (pediculus humanus corporis) in dirty homeless alcoholics
Term
bacillary angiomatosis diff presentation bt b. henselae and b. quintana
Definition
b. quintana is more bone/subcutaneous
Term
severe headache, pain in shin bones, high temperature in 5 day cycle
Definition
trench fever (b. quintana)
Term
biphasic disease in south american andes (peru, columbia, ecuador)
Definition
carrion's disease (bartonella bacilliformis)
Term
vector for bartonella bacilliformis
Definition
sandfly (phlebotomus verracarum)
Term
2 phases of carrion's disease
Definition
oroyo fever (anemia, pain in shins), verruga peruana (vasoproliferative eruptions of the skin)
Term
tx for bartonella
Definition
aminoglycosides - bacteriocidal; use erythro or doxy for henselae (except CSD) or quintana, chloro for bacilliformis
Term
dx of bartonella
Definition
PCR is best, can look for PCR product; elisa if you have to
Term
3 bugs than can cause ehrlichia in family anaplasmataceae
Definition
erlichia chaffeensis (HME), ehrlichia ewingii, anaplasma phagocytophilum (HGE/HGA)
Term
cape cod, MA
Definition
anaplasma phagocytophilia, human granulocytic anaplasmosis
Term
infects leukocytes (monocytes, granulocytes) (NOT RBCS)
Definition
anaplasmatacae (phagocytophilum - granulocytes, e. chaffeensis - monocytes)
Term
small gram - cocci, intracellular, no LPS or peptidoglycan
Definition
anaplasmatacae (phagocytophilum, e. chaffeensis)
Term
anaplasmatacae transmission
Definition
ticks, wild rodents, deer
Term
divide to form morulae (vacuole-bound colonies)
Definition
anaplasmatacae (phagocytophilum, e. chaffeensis)
Term
similar to E. canis
Definition
E. chaffeenmsis and HME
Term
lone star tick in arkansas, missouri, oklahoma, NC, SC, georgia in white tail deer
Definition
ehrlichia chafeensis
Term
not efficiently transmitted to egg, get infected at nymph stage post 1st deer bloodmeal
Definition
ehrlichia chafeensis
Term
trends for ehrlichia chafeensis
Definition
old people, less fatality nowadays, june and july
Term
wisconsin, minnesota, ct, ma, ny - infects neutrophils
Definition
anaplasma phagocytophilium causing anaplasmosis (HGE/HGA)
Term
transmitted by lxodes scapularis (blacklegged)
Definition
lyme disease, HGE (can also be w. blacklegged lxodes pacificus) or babesia microti
Term
HGA/HGE seasonality, age, fatality
Definition
spring, summer; over 40 (diff than lyme!!!); less fatality
Term
HME (e. chaffeensis) v. HGA (a. phagocytophilium)
Definition
hme infects monocytes/macros; hga infects granulocytes
Term
immune system dead (leukopenia, anemia), headache, rash (infrequent), fever, chills, myalgia, etc.
Definition
hme or hga/hge
Term
mech of HME and HGA
Definition
non-inflammatory uptake (no PG, LPS); do not fuse with lysosome, form morulae
Term
might be biphasic like chlamydia
Definition
a. phagocytophilum, e. chaffeensis
Term
dx of HME/HGA
Definition
morulae, indirect immunofluorescene assay, PCR (but treat based on sx, don't wait for this)
Term
tx for HME/HGA
Definition
DOXY
Term
the only parasite we know transmitted by lxodes scapularis/blacklegged tic
Definition
babesiosis (b. duncani, b. divergens, b. microti)
Term
lysis of RBCs, fever, sick - but not as severe as malaria
Definition
babesiosis (b. duncani, b. divergens, b. microti) - so hopefully you have a spleen
Term
dx of babesiosis
Definition
giemsa or wright stain of thin* blood smears; can do PCR (best) if travel, transplant
Term
tetrads of replicating merozoites in cross-like pattern in a ring thing
Definition
babesiosis (b. dunci, b. divergens, b. microti)
Term
tx for babesiosis
Definition
azithro c-c-c-combo! Or clinda & guiine for SEEEkX WEEKS
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