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59 Cards in this Set

  • Front
  • Back

Times capitis

Which of the following is not a cause of ringworm


A. Microsporum


B. Trichopython


C. Times capitis


D. Epidermophyton


E. None of these

Handling of contaminated hides

Anthrax also called "woolsorter's disease" result from


A. Contact with contaminated soil


B. Ingestion of contaminated meat


C. Handling of contaminated hides


D. All of the choices are correct


E. None of the choices are correct

Varicella-zoster virus

-uses the respiratory epithelium as it's portal of entry



-becomes latent in dorsal root ganglia that serve specific dermatomes



-humans as it's reservoir


-causes chickenpox & shingles

Clostridium botulinum

Production of neurotoxin prevents acerylcholine release from motor neurons at neuromuscular junctions

Encephalitis

-fever, headace, rash


-coma, convulsions, paralysis in severe cases


-myalgia, & orbital pain


-muscle aches & joint stiffness


Sign of meningitis

WBCs in CSF

Yersinia pestis

Usually transmitted by a flea vector


High virulence: 3-50 cells

Brucellosis

Pasteurization of milk prevents

Lyme disease

-Early symptoms of fever, headache, stiff neck


-crippling polyarthristis & cardiovascular & neurological problems


-people having contact with wooded or forested area


-treatment with antimicrobics

Oral thrush

Candida albicans

Clostridium difficile

Enterotoxin

Vibrio cholerae

Enterotoxin virulence

Gummas

Syphilic tumors in liver, skin, bone, & cartilage during tertiary stage

Chancroid

Caused by Haemophilus ducreyi

Leptospirosis

Reservoir: dogs

Carbon dioxide

-removed from atmosphere during photosynthesis


-source of carbon


-returned to the atmosphere during respiration & fermentation


-used by marine organisms to make limestone for their hard shells

Chloronation

Final treatment if sewage treatment before release into the environment

Scarlet fever

Streptococcus pyongenes in homogenized form that makes erythrogenic toxin

Scalded skin syndrome

-skin peeling


-Staphylococcus aureus making an exfoliative toxin


Leprosy tuberculoid

-Shallow skin lesions with loss of sensation

Leprosy lepromatous

-Most disfiguring version


-organ failure


-skin nodules

Neisseria meningitides

Meningococcus (Gram-)


Acute meningitis


Fever, sore throat, headache, stiff neck, convulsions, vomiting


Meningococcemia-serious complication


Petechiae lesions


Streptococcus pneumoniae

Major cause of bacterial pneumonia


Also cause pneumococcal meningitis (community acquired meningitis)

Haemophilus influenzae

Acute bacterial meningitis


Severe


Fever, vomiting, stiff neck, neurological impairment

Listeria momnocytogenes

Gram + coccobacilli


Filamentous bacterium


Primary reservoirs: soil & water


Secondary sources of infection: animals, plants, & food

Listeriosis

-Mild or subclinical in normal adults


-Fever, diarrhea, sore throat


-Can cause meningitis & septicemia in immunocompromised patients, fetuses, & neonates

Clostridium tetani

Neurotoxin


Spastic paralysis


Puncture wounds

Clostridium botulinum

Neurotoxin


Flaccid paralysis


Food poisoning

Clostridium perfringens

Histolytic toxins


Gas gangrene


Necrotic tissue

Clostridium difficile

Enterotoxin


GI symptoms


Superinfection

Tetanus

Need immune globulin injection for passive immunity of vaccine/booster not current

Rabies

Long incubation period (1-2 months or longer)


Post-exposure vaccination

Spongiform encephalopathies

Caused by PRIONS (proteinaceous infectious particles)


Abnormal transmissible proteins that cause neurological disease (vacuolization of the brain tissue)



Scrapie


Mad Cow


Creutzfeld-Jakob


Kuru


Gertsmann-Straussler-Scheinker

Trypanosoma cruzi

American trypanosome


Chagas disease


Reduviid/kissing bugs

Trypanosoma brucei

African trypanosome


Sleeping sickness


Tsetse fly

Rubeola

Measles (3 weeks-months)


Can lead to pneumonia & encephalitis

Rubella

German measles (3 days)


Serious in pregnant women in first trimester

Malaria

Protozoan infection


Plasmodium


Complicated life cycle


RBCs damage causes symptoms

Tularemia

Francisella tularensis


Rabbits/rodents


Highly infectious: 10-50 organisms

Lyme disease

Borrelia burgdorferi


Spirochete


Deer ticks

Hemorrhagic fevers

Yellow fever


Dengue fever


Ebola


Marburg


Lassa fever

Non-hemorrhagic fevers

Brucellosis


Q-fever


Cat scratch


Trench fever


Ehrlichosis


Rocky Mountain fever

Legionellosis

Legionella pneumophila


Aerosolized water

Cholera

Vibrio cholera


Rice water stools


Fluid/electrolyte replacement

Gonorrhea

Discharge


Painful urination in men

Syphilis

Treponema palladium


Darkfield microscopy


Primary- chancre


Secondary- rash


Tertiary- gummas

Chlamydia

Chlamydia trachomatis


Most common infectious case of blindness


Nonginococcal urethritis- males


Cervicitis- females


Ocular trachoma


Congenital conjunctivitis

Chancoid

Hemophilis ducreyi


Soft chancre (painful in men)


Inguinal lymph nodes


Tropics & subtropics


Direct contact, sexually

Crytococcus neoformans

Fungus


Chronic meningitis


Headache, nausea, stiff neck


Primary reservoir: bird


Healthy humans are resistant


Symptoms in respiratory & CNS


Opportunistic


Amphotericin B & fluconazole

Coccidioides immitis

-True fungal infection with high virulence


-Pulmonary infection, can dissemate throughout body


-soil, aerosols of arthrospores


-immunocompromised can develop meningitis, osteomyelitis, skin granulomas

Viral meningitis (aseptic meningitis)

Milder


Resolves without Tx


Majority occur in children

Neonatal meningitis

Mother to child


Streptococcus agalactiae


Escherichia coli


Listeria monocytogenes

Poliomyelitis (infantile paralysis)

Acute enteroviral infection of spinal cord


Neuromuscular paralysis


Mild viremia, fever, headaches, nausea, sore throat, myalgia


Poliovirus in Picornaviridae family

Yellow fever

Aedes aegypti mosquitos


Bleeding, shock, oral hemorrhage, nosebleed, vomiting, jaundice, liver, & kidney damage

Dengue fever

-Aedes mosquito


-Less severe in initial infection: rash, fever, fatigue, & headache


-Subsequent infections: Dengue Hemorrhagic Fever aka "Breakbone Fever"

Ebola & Marburg

-Filoviridae


-Bleeding in orifices & mucus membrane (inc eyes), massive,internal bleeding, external bleeding

Lassa Fever

-Areavirus


-mostly asymptomatic


-20% develop hemorrhagic syndrome


-African rodent (multimammate rat)


-aerosolization or rat droppings & urine


-human transmission


-95% miscarriage rate

Brucellosis

-Brucella coccobacilli


-AKA Malta fever, undulant fever, Bang's disease


-via damaged skin or,mucus membranes (GI, conjunctiva, resp tract)


-can live inside phagocytes


-handling animals & livestock


-pasteurization


-

Q Fever

-Coxiella burretii pleomorphic cell


-abrupt fever, chills, head & muscle aches, & occasionally rash


-tick & occurs between wild & domestic animals (not humans)


-human transmission due to environmental contamination & airborne spread