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28 Cards in this Set

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--Rocky Mountain spotted fever
--Epidemic typhus (typhus fever)
--Endemic typhus

GRAM POSITIVE
Rickettsial Arthoropodborne Diseases
Bacillus anthracis

3 forms: Cutaneous, Inhalation, Gastrointestinal; easily septicemic and proliferates in blood
Bacillus anthracis
Aeorbic, endospore-forming Gram + long rods

spores found in soil ingested by grazing animals
Bacillus anthracis
______ are infected by Anthrax by handling infected animal hair, skin, or wastes
Humans
one endospore in a skin abrasion can start disease, spores germinate, vegetative cell multiples

SKIN INFECTION--insect bite, vesicle, ulcer, black necrotic (dying) area in the center
--lymph glands in the adjacent area may swell
Cutaneous anthracis
Cutaneous Anthrax

From the necrotic ulcer the infection may disseminate into blood stream giving rise to _________. (FATAL 20% death)

What treatment is used?
Septicemia

Penicillin
humans may become infected by the inhalation of the endospores, but thousands must be inhaled before the person becomes ill

symptoms: common flu/cold, breathing problems, shock, respiratory distress--then DEATH (fatal)

Antibodic is... ?
Inhalation Anthrax

Ceprofloxaxin
Ingestion of contaminated meat causing an acute inflammation of the intestinal tract

1st: nausea, loss of apetite, vomit, fever followed by:

2nd: abdominal pain, vomiting of blood and severe diarrhea

death--25-60%
Gastrointential Anthrax
What are the anthax virulence factors?
1. Capsule
2. Toxin
poly-D-glutamate polypeptide

On culturing smooth (S) and rough (R) variants occur

S=Virulent
R=avirulent

Protect against bactericidal components of serum and phagocytes; important in the establishment of the infection
Anthracis Capsule
What is the toxin of Anthrax?

death is due to oxygen depletion, secondary shock, increased vascular permeability, respiratory failure and cardiac failure
Diffusible exotoxins
What vacinnes are used for Anthrax?

-A nonencapsulated toxigenic strain has been used effectively in livestock, what is this called? ___________: produces sublethal amounts of toxin that induces formation of protective antibody
Animal Vaccines

The Sterne Strain of Bacillus anthracis produces toxin that induces formation of protective antibodies
____ vaccine is effective in providing protection against aerosol exposure to deadly anthrax spores--safe in humans
rPA = Purified Recombinant Protective Antigen
Anthrax is not contagious.

T/F?
TRUE
Gram-positive, anaerobic, endospore-forming rods

Endospore contaminated soils
-vegetative bacteria found in intestines of many animals/humans
Agent: Clostridum Tetani

Tetanus (Lockjaw)
How does Tetanus enter your body?
puncture wounds--spores cline to thorns, glass, rusty nails

Within oxygen-free tissue of wound spores germinate
Virulence factors:

Neurotoxin, _________, which interferes with synaptic inhibition of skeletal muscles, leading to sustained contraction (convulsions)

Death from paralysis of breathing muscles
Clostridum Tetani

Tetanus (Lockjaw)
muscle stiffness, facial and swallowing muscles, spasms of jaw muscles, jaw locks, "fixed smile"

Last--spasmodic inhalation, seizures in the diaphragm and rib muscles occur which leads to reduce ventilation and death
Tetanus (lockjaw)
What is the treatment for Tetanus?
Penicillin
Tetanus antitoxin
Sedatives/muscle relaxants

Vaccines: Tetanus toxoid--part of DPT or DPaP
Agent: Clostridium Perfringens...
Gas Gangrene
Gram positive, anaerobic endospore forming rod

--Endospore contaminated soils
-Vegetative bacteria found in intestines of many animals and humans
Clostridium Perfringens

Gas Gangrene
Gangrene is the death of soft tissue = ______, resulting from the loss of blood supply

Wound becomes anaerobic, caused by frostbite
Necrosis
Intense pain and swlling at the wound site, foul odor, inital site turns dull red, then green and finally blue-black, toxins may damage heart and nervous system
Gas Gangrene
Spirochete, usually with hook one end resembles question mark--hence interrogans

--moves by way of axial filament giving undulating appearance
Leptospira interrogans

Leptospirosis
Animals infected with this disease shed the organisms in their urine; infected animals are often rodents and dogs

occupational disease for sewer workers, farmers, vets, meatpacking workers

-can be obtained from flood contaminated water
Leptospira interrogans

Leptospirosis
Spirochete can enter body through skin, colonizes the kidney tubules

Symptoms: incuabtion 1-2 weeks, headaches, muscle aches, chills, fever--symptoms might disappear and come back to affect dif organs, kidney and liver failures (common, fatal)
Leptospira interrogans

Leptospirosis
What is the treatment of Leptospirosis?
Penicillin
What is the diagnosis of Leptospirosis?
Isolating pathogens from the blood or cerebrospinal fluid