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39 Cards in this Set

  • Front
  • Back
what is the vector for rickettsial diseases?
arthropod borne
How are rickettsial diseases maintained in the arthopod population?
by transovarial transmission
is there person to person tx of rickettsial diseases?
no there is not
what is the general morphology of rickettsial diseases?
G- bacilli
obligate intracellular pathogens
what types of cells do rickettsial diseases go for?
endothelial cells
how do rickettsial diseases escape phagosomes?
by using PLD, and hemolysin C
what cells in the body do rickettsial diseases infect?
vascular endothelial cells
how do rickettsial diseases get into endothelial cells?
by binding receptors and stimulating actin mediated phagocytosis.
what are the symptoms of rickettsial diseases usually due to?
bursting and damage to endothelial cells
What are the symptoms of rickettsial diseases?
hemorrhagic rash,
VERY high fever,
severe head ache,

edema, hypovolemia, thrombocytopenia, reduced profusions
where is RMSF most common?
south eastern states
when is RMSF most common?
spring/summer
Who gets RMSF?
kids 5-9 years of age
what is the vector for RMSF?
ticks
how long does the tick need to feed for to get RMSF?
about 24-48 hours
what are the symptoms of RMSF?
high fever
severe frontal headache

rash on wrist/ankles, that then spreads to the trunk (centripetal spread)
What is the vector for rickettsia akari?
mouse mite
what disease does rickettsia akari causes?
rickettsialpox (looks like chicken pox)
What is the first phase of rickettsia akari infection?
a papule at bit site, within days 9-14

turns into an ulcer and eschar* (necrotic center)
what is the second phase of rickettsia akari infection?
abrupt onset of fever
severe headaches
chills, sweating, photophobia

then a couple days later a pox-like rash all over body
Where is Rickettsia conorri common?
mediterranean sea and parts of africa
what does Rickettsia conorri cause?
boutonneuse fever= mediterranean spotted fever
what is the complication of Rickettsia conorri infection?
severe neuro complications
what is the presentaion of Rickettsia conorri?
abrupt onset
HIGH fever
SEVERE HA
Eschar at bite site

then spotted rash
Where is Rickettsia parkeri common?
eastern/ southern usa
what two bugs transmit Rickettsia parkeri ?
gulf coast tick

lone star tick
what is the presentation of Rickettsia parkeri ?
this is just like all other spotted fevers
What is rickettia prowazerkii?
this is epidemic typhus
What is the vector for rickettia prowazerkii
human body louse

usually by FECES*
What is the presentation of rickettia prowazerkii infection?
1st phase: HIGH fever, Severe intractable HA

2nd phase: rash, centrifugal rash spread, spares face/palms/soles
Where is rickettsia typhi common?
in the gulf states, urban cities/costal ports

in warm humid locations
What is the reservoir for rickettsia typhi?
rat
what is the vector for rickettsia typhi?
rat flea Xenopsylla cheopis
what does rickettsia typhi cause?
murine or endemic typhus
Where is O. tsutsugamushi common?
E asia
asutralia
japan
west pacific islands
What is the reservoir for O. tsutsugamushi ?
rodents and mites
What is the vector for O. tsutsugamushi ?
chiggers
what disease does O. tsutsugamushi cause?
scrub typhus
how does the rash of O. tsutsugamushi move?
centrifugally