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40 Cards in this Set

  • Front
  • Back
Clinical manifestations of Brucellosis?
flulike symptoms
undulant fevers
bone/joint infections
CNS infections
Forms of anthrax?
Cutaneous
Gastrointestinal
Inhalational
Clinical manifestations of Tularemia?
Ulceroglandular (eschar)
Oculoglandular
Glandular
Typhoidal
Pulmonary
Pharyngeal
Clinical manifestatsions of Capnocytophaga canimorsus infection?
fulminant sepsis
disseminated intravascular coagiulation
Major animal reservoirs of plague?
GREAT KAZAKHSTAN GERBIL

Prairie dogs, other rodents
Francisella tularensis immune evasion mechanisms?
-obligately intracellular
-nonimmunogenic LPS
-phase variation
Brucella spp. virulence factors?
-Type IV secretion system
-survives inside phagocytes
-shuts off immune response via B cell mitogen
Francisella tularensis virulence factors?
30kb pathogenicity island
induces caspase-1 dependent host cell death
Clinical manifestations of Pasteurella multocida infections?
skin/soft tissue infections
osteomyelitis
respiratory tract infections
Clinical manifestations of Streptobacillus moniliformis infections?
Rate Bite Fever

fever (duh)
migratory polyarthralgias
rash on dorsal surface of hands, soles of feet
Virulence factors of Pasteurella multocida?
phage-encoded toxin
constitutively activates G proteins --> mess up signaling
induces actin polymerization
Reservoir of Pasteurella multocida?
respiratory flora of birds, cats, dogs
Reservoir of Capnocytophaga canimorsus?
mouth flora of dogs and cats
Reservoir of Streptobacillus moniliformis?
normal upper respiratory flora of rats
Reservoir of Francisella tularensis?
rabbits
free-living amoebae
Reservoir of Bacillus anthracis?
environment
Special growth needs of F. tularensis?
cysteine
Reservoir of Brucella spp?
cows/bison (B. abortus)
pigs (B. suis)
sheep/goats (B. melitensis)
dogs (B. canis)
How is Brucellosis transmitted?
-consumption of unpasteurized dairy products
-sometimes infects through mucous membranes/inhalation
Transmission of tularemia?
arthropod vectors
contact w/infected rabbits
prophylaxis of Brucellosis?
pasteurize dairy products
vaccinate goats, sheep, etc.
Transmission of C. canimorsus infections?
animal bites
Colonial morphology of Bacillus anthracis?
"ground glass"
nonhemolytic
medusa head border
tacky consistency

may produce capsule in ++CO2
Pathogenicity of B. anthracis?
basically turns host into culture media

obliterates innate immune system communication: p38, Nalp1 inflammasome

overwhelming infection, hemhorrage, necrosis, liver failure

antiphagocytic D-glutamate capsule, siderophores, cytolysin
Disease course of inhalational anthrax?
prodrome (malaise, flulike symptoms but no runny nose or headache/body aches)
brief asymptomatic period indicative of immune system collapse
all hell breaks loose: hemhorrage, respiratory distress, shock, meningitis, death
prophylaxis of Brucellosis?
pasteurize dairy products
vaccinate goats, sheep, etc.
Components of anthrax toxin?
PA = protective antigen, B subunit
LF = lethal factor (MAPKK cytotoxin)
EF = edema toxin (cAMP toxin)

ejected into cell upon acidification of endosome.
Transmission of C. canimorsus infections?
animal bites
How is inhalational anthrax spread?
only through inhalation of airborne spores.

NO P2P spread!
Colonial morphology of Bacillus anthracis?
"ground glass"
nonhemolytic
medusa head border
tacky consistency

may produce capsule in ++CO2
Tx of anthrax?
NO BETA LACTAMS! (resistant)
fluoroquinolone/doxy + rif or clindamycin

MUST treat during prodrome,
treat for 60 days due to spores
Pathogenicity of B. anthracis?
basically turns host into culture media

obliterates innate immune system communication: p38, Nalp1 inflammasome

overwhelming infection, hemhorrage, necrosis, liver failure

antiphagocytic D-glutamate capsule, siderophores, cytolysin
Dx of anthrax?
x-ray/CT: widened mediastinum
serology: anti-cell wall AB's
PCR
bacteriophage sensitivity
rapid immunochromatographic tests
gram stain: large bamboo GPR
normal WBC count.
Disease course of inhalational anthrax?
prodrome (malaise, flulike symptoms but no runny nose or headache/body aches)
brief asymptomatic period indicative of immune system collapse
all hell breaks loose: hemhorrage, respiratory distress, shock, meningitis, death
Which zoonoses activate caspase-1 cell death pathway?
B. anthracis
F. tularensis
Components of anthrax toxin?
PA = protective antigen, B subunit
LF = lethal factor (MAPKK cytotoxin)
EF = edema toxin (cAMP toxin)

ejected into cell upon acidification of endosome.
How is inhalational anthrax spread?
only through inhalation of airborne spores.

NO P2P spread!
Tx of anthrax?
NO BETA LACTAMS! (resistant)
fluoroquinolone/doxy + rif or clindamycin

MUST treat during prodrome,
treat for 60 days due to spores
Dx of anthrax?
x-ray/CT: widened mediastinum
serology: anti-cell wall AB's
PCR
bacteriophage sensitivity
rapid immunochromatographic tests
gram stain: large bamboo GPR
normal WBC count.
Which zoonoses activate caspase-1 cell death pathway?
B. anthracis
F. tularensis