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88 Cards in this Set
- Front
- Back
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How do I know if it's Gram + or - ?
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Exposed to 02 => gram +
Ex: Staph aureus on skin • Exposed to 02, yet hiding=> Gram+ anaerobe Ex: Pr. acnes in hair follicle • Not exposed to 02 => gram negative (most are anaerobic) Ex: E. coli in small intestine |
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Clues for Anaerobes:
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• gas
• Bad odor |
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Facultative Aerobe:
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prefers O2, can survive without
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Facultative Anaerobe
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prefers no 02, can survive with
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Adequate Sputum Sample:
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<10 Epithelial cells/ low power field
>25 Leukocytes/ low-power field |
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How did that bug get a new infectivity?
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Transduction
Transformation Conjugation Transposon |
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Transduction
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in the wild=> virus gives plasmid to bacteria (bacteriophage vector)
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Transformation, where does this happend?
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in hospital=> 1 bacteria dies, another bacteria picks up its plasmid
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Conjugation
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bacteria w / pili have sex
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Transposon
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"jumping gene"
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Skin Bugs (4)
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Staph aureus
Strep pyogenes Staph epidermidis Propionibacterium acnes |
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Clues: Staph aureus
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Cellulitis
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Clues: Staph epidermidis
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Central lines or catheter infections
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Clues: Propionibacterium acnes
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Acne
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Clues: Strep pyogenes
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"LINES"
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Eye Bugs: (6)
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Staph aureus
Hemophilus aegyptus Francisella tularensis Pseudomonas Chlamydia Bacillus cereus |
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Eye Clue(s): Staph aureus
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Stye
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Eye Clue(s): Hemophilus aegyptus
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Swollen eyeball w / pus
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Eye Clue(s): Francisella tularensis
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Red eye, swollen glands, rabbits, deer
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Eye Clue(s): Pseudomonas
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Contact lens keratitis
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Eye clue(s): Chlamydia Retina
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cotton exudate
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Eye clue(s): Bacillus cereus
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drug user proptosis, eye ring abscess
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Ear Bugs:
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Pseudomonas aeruginosa
Strep pneumoniae |
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ear Clue(s): Pseudomonas aeruginosa
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Otitis externa
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ear Clue(s): Strep pneumoniae
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Otitis media
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Mouth Bugs:(6)
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Actinomyces
Fusobacterium Strep mutans Strep viridans Strep salivarius Eikenella |
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Clue(s): Actinomyces
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Sulfur granules
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Clue(s): Fusobacterium
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Painful ulcers, gum pus
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Clue(s): Strep mutans
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Dental cavities
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Clue(s): Strep viridans
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Subacute bacterial endocarditis
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clue(s): Strep salivarius
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Cold agglutinin test
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clue(s) and tx: Eikenella
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Human bite (Tx: Augmentin)
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Throat Bugs: (4)
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Strep pyogenes
Group C N. gonorrhea Corynebacterium diphtheriae |
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Clue(s), location: Strep pyogenes
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Throat Bug
Rheumatic fever |
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Clue(s)and location:Group C strep
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Throat Bugs
Pharyngitis |
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Clue(s) and NF: N. gonorrhea
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Throat Bugs
Pharyngitis w / oral sex |
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Clue(s) and NF:Corynebacterium diphtheriae
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Throat Bugs
Chinese letters, gray pseudomembrane, suffocation |
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Lung Bugs: (12)
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"name the top 3, the atypicals and 3 outliers"
Strep pneumonia H. influenza B N. catarrhalis Chlamydia psittaci Chlamydia Mycoplasma Legionella Pnemnocystis jirovecii Clostridium botulism Bordetella pertussis Bacillus anthracis |
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Clue(s) and NF: Strep pneumonia
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Lung Bug
Gram + diploccoci |
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Clue(s) and NF: H. influenza B
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Lung Bug
Thumb sign epiglottitis |
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Lung Bugs: (12)
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Strep pneumonia
H. influenza B N. catarrhalis Chlamydia psittaci Chlamydia Mycoplasma Legionella Pnemnocystis jirovecii Clostridium botulism Bordetella pertussis Bacillus anthracis |
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NF and Clue(s): N. catarrhalis
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Lung Bug
Mucus |
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NF and Clue(s): Chlamydia psittaci
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Lung Bug
Parakeets, parrots |
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NF and Clue(s): Bordetella pertussis
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Lung Bug
whooping cough |
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Lung Bug and Clue(s): Chlamydia
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Staccato coughing, elementary and reticulate bodies
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NF and Clue(s): Mycoplasma
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pneumonia, Bullous myringitis, ground-glass CXR
Lung Bug |
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NF and Clue(s):
Legionella pneumonia |
Lung Bug
AC ducts, silver stains lung, CYEA |
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NF and Clue(s): Pnemnocystis jirovecii
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Lung Bug
AIDS, premies, silver stains |
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NF and Clue(s): Clostridium botulism
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Lung Bug
Canned food, honey, inhibits ACh release |
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NF and Clue(s): Clostridium tetani
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Lung Bug
Rusty nail wounds, inhibits Gly release |
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Stomach Bug and clue
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H. Pylori, Peptic ulcers
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Colon Bugs: (12)
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"BeaCH LoVerS in nY"
Bacillus cereus, Campylobacter jejuni, Clostridium perfringens, Hepatitis A, Listeria monocytogenes, Vibrio parahaemolyticus, Vibrio vulnificus, Salmonella, Shigella, Staph aureus, Yersinia enterolitica |
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Clue(s) and NF: Salmonella
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colon bug: Raw chicken&eggs, turtles, rose typhoid spots
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Clue(s) and NF: Campylobacter jejuni
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Colon Bug
Raw chicken & eggs, very bloody diarrhea |
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Clue(s) and NF: Clostridium perfringens
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Colon Bug
Holiday ham & turkey, DM gas gangrene |
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Clue(s) and Colon Bug: Bacillus cereus
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fried rice
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Clue(s) and NF: Listeria monocytogenes
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Colon Bug
Raw cabbage, hot dogs, spoiled milk, migrant workers |
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Clue(s) and NF (2): Staph aureus
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Colon Bug: Milk
skin: cellulitis |
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Clue(s) and NF: Vibrio parahaemolyticus
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Colon Bug
Raw fish |
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Clue(s) and NF: Hepatitis A
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Colon Bug
Shellfish |
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clue(s) and NF: Vibrio vulnificus
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colon bug
Oysters |
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Shigella
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colon bug
Day care outbreaks => seizures |
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clue(s) and NF: Vibrio cholera
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colon bug
Rice water diarrhea |
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clue(s) and NF: Clostridium difficile
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colon bug
Explosive diarrhea |
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clue(s) and NF: Yersinia enterolitica
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colon bug
Presents like appendicitis + Reiter's |
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clue(s) and NF: Clostridium septicum
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colon bug
Colon cancer |
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clue(s) and NF: Bacteroides fragilis
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colon bug
Post-op pelvic abscess |
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clue(s) and NF:Strep bovis
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colon bug
Colon cancer |
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Urinary tract Bugs: (5)
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E. coli
Proteus mirabilis Klebsiella pneumonia Staph saprophyticus Enterococcus |
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NF and Clue(s): E. coli
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raw hamburger
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NF and Clue(s): Proteus mirabilis
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urinary tract bug, Staghorn calculus
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NF and Clue(s): Klebsiella pneumonia
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urinary tract bug
Alcoholics, currant jelly sputum |
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NF and Clue(s): Staph saprophyticus
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urinary tract bug
Young girls/College girls UTis |
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NF and Clue(s): Enterococcus
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urinary tract bug
Nitrite negative |
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Blood Bugs (10)
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"Nesseria, Rickettsia, brucella, Pasturella"
N. meningitidis, N. gonorrhea, Brucella,Pasteurella multocida R. rikettsii, R. akari, R. typhi, R. prowazeki, R. tsutsugamushi Coxiella burnetii |
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NF and Clue(s): N. meningitis
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Blood Bug
DIC, Waterhouse-Friedrichson (adrenal hemorrhage) |
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NF and Clue(s): N. gonorrhea
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Blood Bug
Fitz-Hugh-Curtis (liver hemorrhage) |
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NF and Clue(s): Brucella
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Blood Bug
Farmers, veterenarians, spiking fever 5x/ day, butchers |
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NF, tx and Clue(s): Pasteurella multocida
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Blood Bug,Cat/ dog saliva
Tx: 1st: penicillin V 2nd: doxycyline, levofloxaxin and amoxicillin-Clavulanic Acid, extended spectrum cephalosporins |
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NF and Clue(s): R. rikettsii
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Blood Bug
Ticks=> Rocky mountain spotted fever |
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NF, vector and Clue(s): R. akari
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Blood Bug
Mites => Ricketsial pox, fleshy papules |
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NF, vector and Clue(s): R. typhi
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Blood Bug
Fleas, endemic typhus |
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NF, vector and Clue(s): R. prowazekii
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Blood Bug
Lice, ePidemic typhus |
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NF and Clue(s): R. tsutsumaguchi
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Blood Bug
Mites => scrub typhus |
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NF and Clue(s): Coxiella burnetii
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Blood Bug
Dusty barn = > Q fever, lung disease |
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Lymph Bugs
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Yersinia pestis
Bartonella henselae |
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NF, Tx and Clue(s): Bartonella henselae
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Lymph Bug
Cat scratch=> single painful lymph node in armpit (Tx:Bactrim or Erthythromycin) |
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NF and Clue(s): Yersinia pestis
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Rats, fleas => Bubonic plague
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