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7 Cards in this Set

  • Front
  • Back
Most common cause of human bites?

What type of microbial infection?

2 y/o boy bitten by a dog: Considerations?

Usual bacteria in dog/cat bites:
fistfight - closed fist vs teeth

usually polymicrobial

Any medical conditions/allergies? UTD w/ vaccinations? Rabies prophylaxis?

Pasteurella, Capnocytophaga canimorsus, Staph, Strep (avg. 5 microbes per wound)
Pasteurella appearance on slide?

Complications more common in cat bites?

G- fusiform bacilli, requires CO2 for growth:
G- coccobacillus, non-motile

osteomyelitis, septic arthritis (sharper teeth)

capnocytophaga canimorsus
G- slender bacilli/coccobacilli, normal flora of upper respiratory tract/GI:

Most common?

How does it survive in O2?

G+ bacilli, fialamentous, slow growers:

G- pleomorphic, normal respiratory/GI flora:
Bacteroides sp.

B. fragilis

produces superoxide dismutase

Actinomyces

Fusobacterium
Commonly seen in IV users who lick needles before injection, HACEK group of endocarditis:

Histological appearance?

Anaerobic G+ cocci, normal flora in mouth, seen with human bites, inherent Abx resistance:
Eikenella corrodens

fastidious G- pleomorphic, facultative anaerobe, produces bleach-like odor

Peptostreptococci
Management of dog/cat bites?

Organism in cat scratch fever, major reservoir in cats, most common cause of unilateral lymphadenitis in kids:

Appearance on slide?
Cx, irrigation/debridement, wound closure, Abx

Bartonella henselae

small, aerobic, pleomorphic, short G- bacilli; difficult to culture/Gram stain
G- bacillus, string bead appearance, fastidious, rat bite fever:

G- bacillus, spiral shaped, darting motility, "sodoku" clinical appearance: (recurrent fever, longer incubation):
Streptobacillus moniliformis

Spirillum minor
Rhabdovirus, -ssRNA virus, bullet shaped:

Two types of rabies?

Detection post-mortem?
Rabies virus

Furious - aggressive, agitation, confusion, salivation
Dumb - weakness, dysphagia, salivation, choking

Ag in brain, Negri bodies