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8 Cards in this Set

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Vector for leishmaniasis?

3 major forms and geographic locations:

Clinical manifestations of cutaneous leishmaniasis:
sandfly

Visceral (kala azar) - L. donovani
Cutaneous (Oriental sore) - Mediterranean, Africa, Asia - L. tropica, mexicana
Mucocutaneous - Americas - L. braziliensis, pervuviana

firm painless papule --> large ulcer (>2 cm) --> large scar develops
DOC for leishmaniasis:

Serpiginous eruptions usually on skin of feet, butt, abdomen:

Caused by what organisms?

Why do the larva stay in the epidermis?

DOC?
Pentavalent antimony compounds - sodium stibogluconate, meglumine antimoniate, Ampho B and allopurinol

Cutaneous larval migrans

Hookworms from dogs, cats

lack the enzymes needed to penetrate basement membrane

albendazole, thiabendazole
Organism for head, body, and pubic lice:

Treatment?

Vagabond's disease:
Head lice - pediculus capitis
Body lice - pediculus humanus
Pubic lice - pthirus pubis

shampoo w/ 1% permethrin, lindane, G-benzene hexachloride, repeat in a week

generalized hyperpigmentation/skin thickening with long-standing lice infection
Relapsing fever:

Trench fever:

Treatment for scabies?

What are chiggers?

Organism for RMSF:
common in refugee camps, caused by B. recurrentis

B. quintana, transmitted by body lice

Elimite (5% permethrin) cream

larvae of Harvest (Red) mite - causes intense itching

R. rickettsii
Lyme disease:
Organism, characteristic rash:

Colorado tick fever:

4 classes of diseases caused by mosquitoes:

Some viruses transmitted by mosquitoes?
B. burgdorferi - erythema migrans rash

Transmitted by Dermacentor andersoni tick, biphasic fever (2-3 days, afebrile, then 2-3 days)

malaria, filariasis, viral encephalitis, yellow fever

WNV, SLEV, LCV, EEEV, WEEV
Major disease transmitted by fleas:

What organism?

Scorpion venom usually acts where?

Spider with violin mark near eyes, have six eyes, bite can cause tissue necrosis, "volcano lesions":
Bubonic plague

Y. pestis

CNS

brown recluse (Loxosceles reclusa)
Latrodectus mactans, shiny black spider, females have a red hourglass shaped mark on abdomen:

Clinical presentation of a bite?
black widow

local swelling, immediate pain (max in 1-3 hrs), fever, HTN, sweating, diarrhea
Human cutaneoes myiasis is caused by what?

Treatment?

What is maggot therapy?
maggots (larva from dipterous flies)

simple extraction of larvae under pressure, local anesthesia

use of disinfected maggots in non-healing wounds to clean out necrotic tissue, promote wound healing