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28 Cards in this Set

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  • Back
What is the morphology of Francisella tularensis
fastidious gram negative aerobic coccobacillus
why are there so many different disease presentations with Francisella tularensis ?
it depends on the method of getting the bug
how can you get Francisella tularensis ?
bug bites
direct animal contact
inhalation of aerosol**
ingesting contaminated meat
animal bite
Is there person to person transmission of Francisella tularensis?
no there is not
what is the most common type of Francisella tularensis infection?
ulceroglandular tularemia
What kind of cells does ulceroglandular Francisella tularensis infect?
macrophages, causes painful papule and then ulcer at about 96 hours
what does Francisella tularensis inhibit inside macrophages?
inhibits pahgosome-lysosome fusion
what happens regionally with ulceroglandular Francisella tularensis ?
severe lymphadenopahy in regional nodes, resembles bubonic plauge
how dangerous is pneumonic tularemia?
this has a high morality rate of up to 30%
what does pneumonic tularemia do?
this causes multiple necrotizing graunlomas that destroy alveolar septa
how do you treat tularemia?
streptomycin or gentamicin
what does tularemia serology cross react with?
brucella*
How many species of brucella are there?
four, depending on what the host organism in

cattle
dogs
swine
goats and sheep
what is the morphology of brucella?
small G-, coccobacillus
obilagte aerobe

catalase, oxidase, urease positive
what two stats is brucella most common?
texas and california
whos is most at risk for brucella?
drinking unpasturized milk

people in contact with infected animals

lab techs
what is the presentation of brucella infection?
fever- undulant fever* wild flucuations*

malaise, weight loss, arthralgias, non productive cough
what happens with chronic brucella infection?
abscesses and granulomas are seen

many different symptoms
what must you do before sending in a brucella sample?
lab notification is required
how do you treat brucella?
doxycycline with rifampin
what is the morphology of bartonella?
small gram negative aerobic bacilli
what is the host for bartonella henselae?
cats- causes cat scratch fever
How do you transmit bartonella in general?
bite by arthropod

or cat bite/scratch
where is bartonella bacilliformis common to?
brazil
what types of cells does bartonella bacilliformis affect?
RBC's causes Oroya fever when they breakdown
What is the chronic form of bartonella bacilliformis?
verruga- red/purple skin lesions in crops that appear/persistant for months to years
what are the symptoms of bartonella henselae?
severe lymphatic swellic
what causes bacillary angiomatosis in immunocompomised people in the US?
usually bartonella henselae

but can be bartonella quintana