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Ricketts

MedMicro 2006 UTHSCmed

QuestionAnswer
Rickettsia richettsii Shape Small baacillus
Rickettsia richettsii Aerobicity Aerobic
Rickettsia richettsii Reservoir Rodent + tick
Rickettsia richettsii Diseases Rocky Mt. Spotted Fever: classic triad (fever, headache, macular to petechial rash)
Rickettsia richettsiiLab diagnosis Serrology (Weil Felix)
Rickettsia richettsii Treatment Tetracycline or chloramphenicol
Rickettsia richettsii Prevention/Control Avoid/control vector
Rickettsia richettsii NOTES: Centripetal spread, acute; 20% mortality untreated. Obligate intracellular parasite. Notify CDC
R. akari Shape Small bacillus
R. akari Aerobicity Aerobic
R. akari Diseases Rickettsial-pox, classic tread (fever, headache, papulovesicular rash)
R. akari Reservoir Mouse + mite
R. akari Treatment Tetracycline or Chloramphenicol
R. akari Prevention/control Avoid/control vector
R. akari NOTES: Biphasic infection mild disease. Obligate intracellular parasite. Notify CDC
R. prowazekii Shape Small bacillus
R. prowazekii Aerobicity Aerobic
R. prowazekii Reservoir Humans + louse
R. prowazekii diseases Epidemic typhus: acute treak w/maculopapular rash
R. prowazekii Lab Diagnosis IFA, agglutination
R. prowazekii Treatment Tetracycline or chloramphenicol
R. prowazekii Prevention/Control Avoid/control vector; vaccine in epidemic
R. prowazekii NOTES: Acute onset, can redrudesce (Brill-Zinsser), Obligate intracellular parasite, Notify CDC
R. typhi Shape small bacillus
R. typhi Aerobicity Aerobic
R. typhi reservoir rodents + flea
R. typhi diseases Endemic typhus: NO RASH, not acute, mild
R. typhi Treatment tetracycline or chloramphenicol
R. typhi Prevention/control Avoif/control vector
R. typhi NOTES: Obligate Intracellular parasite, Notify CDC
Coxiella burnetii Shape small bacillus
Coxiella burnetii Aerobicity Aerobic
Coxiella burnetii Virlrlence Factors spores
Coxiella burnetii Pathophysiology Inhalation, dairy (unpasteurized)
Coxiella burnetii Reservoir Animals, soil
Coxiella burnetii Diseases Q Fever; acute or chronic; no rash; subacute endocarditis
Coxiella burnetii Traetment Tetracycline (acute), rifampin + tet or TMP-SXT (chronic)
Coxiella burnetii Prevention/Control Avoid/control vector; vaccine for high-risk
Coxiella burnetii NOTES: Spore-forming; survives in macrophages. Obligate intracellular parasite, can surviveoutside of cell. Notify CDC
Enrichia Chaffeensis shape Small bacillus
Enrichia Chaffeensis Aerobicity Aerobic
Enrichia Chaffeensis Reservoir Unknown + tick
Enrichia Chaffeensis Disease ehrlichiosis: NO RASH, Decreased WBC and platelets; mono-or granulocytic
Enrichia Chaffeensis Specimen blood
Enrichia Chaffeensis Lab Diagnosis PCR, serology, blood smear
Enrichia Chaffeensis Treatment Tetracycline or doxycycline
Enrichia ChaffeensisPrevention/control Avoid/ control vector
Enrichia Chaffeensis NOTES: Infects WBC's, Obligate intracellular parasite, Notify CDC
Bartonella henselae Shape Short Bacillus
Bartonella henselae Aerobicity Aerobic
Bartonella henselae temperature body (37 C)
Bartonella henselae Reservoir Cats + cat flea?
Bartonella henselae Diseases Cat-Scratch disease: pustule, adenopathy, fever; angioproliferative
Bartonella henselae Lab Diagnosis Culture, serology, histology, PCR
Bartonella henselae Treatment No set treatment, long-term: rifampin, cipro, TMP-SXT, gentamicin
Bartonella henselae Prevention/control Avoid/control vector
Bartonella henselae NOTES: Lymphadenopathy/angioproliferation, Free-living, Notify CDC
B. quintana Shape short bacillus
B. quintana Aerobicity Aerobic
B. quintana Reservoir Humans-louse
B. quintana diseases Trench fever: fever, headache
B. quintana Lab diagnosis Serology
B. quintana treatment tetracycline or chloramphenicol
B. quintana prevention/control Avoid/control vector
B. quintana NOTES: free living, Notify CDC
Created by: Garzilla
 

 



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