Organism - University of Kentucky
Organism |Gram |Shape |Capsule |Aero-Type |Enzymes |Virulence |Treatment |Disease |Other | |Listeria monocytogenes |+ |Coccobaccillus | |Aerobic to microaerophilic |Catalase
Lysteriolysin O
|Internalin A: E Cadherin on GI Epithelium
Internalin B: uptake into hepatocytes
PI-PLC; PC-PLC & Zn Metalloprotease
ActA, PrfA |Ampicillin & Aminoglycoside (Gent) |Stillbirth (crosses placenta)
Menigitis
Sepsis
Encephalitis
An STD! |Grows at 3º, survives salt
Motility (tumbling) @ 25º
β-Hemolytic - Immunity
Facultative Intracellular
Epidemics in milk & cheese | |Staphylococcus aureus |+
Ribotol TA |Cocci-Clusters |Most (75%) |Facultative Aerobe |Catalase & Endonuclease
Coagulase
Staphylokinase
Hyaluronidase
Hemolysin
Exfoliatin Protease |Protein A
Leukocidins & α Toxin
Toxic Shock Syndrome Toxin
Enterotoxin (SEA most common) |DOC = Vancomysin
(for resistance)
|Abscesses & Skin Infections
Scalded Skin Syndrome
Toxic Shock
Vomiting & Diarrhea (enterotoxin)
Pneumonia & Acute Endocarditis |β-Hemolytic
Acid from Mannitol
| |Staphylococcus epidermidis |+ |Cocci-Clusters | |Facultative Aerobe |Catalase | |DOC = Methicillin & Oxacillin
Substitute = Cephalosporins
If resistant, use vancomycin |Shunt & Device Infections |Novobiocin Sensitive | |Staphylococcus saprophticus |+ |Cocci-Clusters | |Facultative Aerobe |Catalase
Urease | |DOC = Methicillin & Oxacillin
Substitute = Cephalosporins
If resistant, use vancomycin |UTI in ♀
| | |Corynebacterium diphtheriae |+ |Pleomorphic Rods
Often “Club-Shaped”
Chinese Charecters |Yes?
K antigen |Aerobic |Catalase & Oxidase |Diphtheria Toxin
Protein K Antigen
Polysaccharide O Antigen |Erythromycin (DOC)
Antitoxin Available
Vaccine Available (DPT) |Diphtheria |Forms Pseudomembrane
Grey on Tellurite Plate
Babes-Ernst Granules
Toxin from Phage | |Sterptococcus pyogenes
(Group A Strep) |+
Glycerol TA |Cocci-Chains |Yes
Hyaluronic Acid |Aerotolerant
(Microaerophillic?) |Hemolysin
Streptokinase
DNAse
C5a Peptidase
Streptolysin O&S |M Protein, Finronectin Binding Proteins
Collagen Binding Protein, SiC
Pyrogenic Exotoxin
Lipoteichoic Acid |Bacitracin sensitive
Penicillin G/Erythromycin
Clindamycin (for exotoxin)
1st Generation Cephalosporins |Pharyngitis, Impetigo (Pyoderma)
Toxic Shock Like Syndrome
Rheumatic Fever Glomerulonephritis
Necrotizing Fasciitis |β-Hemolytic
| |Streptococcus agalactiae
(Group B Strep) |+ |Cocci |Yes
Sialic Acid |Aerotolerant |C5a Peptidase | |Penicillin & Aminoglycoside
|Neonatal Meningitis, Pneumonia
Neonatal Spesis
UTI in ♀
Invasive Disease |β-Hemolytic
Developing vaccine | |Streptococcus equisimilis
(Group C Strep) |+ |Cocci | |Aerotolerant | | | |UTI, endocarditis
brain abcesses, puerperal sepsis
wound infections |β-Hemolytic
Immunocompromised Patients | |Group D Strep |+ |Cocci | |Aerotolerant | | | |Nosocomial Infection
UTI
Subacute Endocarditis |α or β-Hemolytic
Enterococci can grow in bile & 6.5% NaCl | |Viridans Strep
(S. mitis & S. mutans) |+ | | | | | | |Dental Caries
Endocarditis
Wound Infections
Subacute Endocarditis | α-Hemolytic
Normal Flora | |Streptococcus pneumoniae |+ |Diplococci |Yes |Aerotolerant
(Microaerophillic?) |Pneumolysin
|PspA1&2, Autolysin, Neurminidases, Hyalurinate Lyase, Choline Binding Protein |Optichin
Penicillin + Vancomycin
Penicillin, Amoxacillin
Macrolides, Quinolones, Doxycycline, Sulfa/Tri
Vaccines Available
|Meningitis
Pneumonia
Otitis Media |α-Hemolytic
Soluble in bile salts
Vaccines Available | |Haemophilus influenza |- |Rods/Coccobacilli |Yes
Ribotol Phosphate |Facultative
Anaerobe ? |Catalase
IgA Protease |LOS
OMP
|(Type B = Rifampin &
3rd Gen. Cephalosporins)
(NTHi = augmentin, sulfa/tri, macrolides, cephalosporins)
Vaccine Available (DPT) |Type B = Meningitis, Epiglotitis, Arthritis, sepsis & pneumonia)
(NTHi = OM & Sinusitis,) |Unique Capsule
Grows on CAP w/ V & X
Fever is disease hallmark | |
Organism |Gram |Shape |Capsule |Aero-Type |Enzymes |Virulence |Treatment |Disease |Other | |Neisseria meningitidis |- |Diplococci |Yes
Sialic Acid |Facultative Anaerobe |Catalase
Oxidase
IgA Protease
|LOS & OMP
Pili
Transferrin Binding Protein
Capsule is critical to virulence! |IV Ampicillin
3rd Gen. Cephalosporin
Vancomycin
Vaccines Available |Meningitis
Fulminant Sepsis |Non-motile
Can utilize maltose | |Bordatella pertussis |- |Coccobacilli | |Aerobe | |Filamentous Hemagglutinin
Pertussis Toxin
Soluble adenylcyclase
Tracheal cytotoxin |None – supportive only
Vaccines Available |Whooping Cough
Bacteremia & Pneumonia rare |3 Phases (CPC) Catarrhal, Paroxysmal
Convalescent
Lymphocytosis | |Mycoplasma pneumonia |No
wall |Pleomorphic | |Prefer
Aerobic
Conditions | |Cytadhesion Protein |Tetracycline
Erythromycin & Clarithromycin |Waslking Pneumonia |Cause Neutropenia
Cold Agglutinins
Very Small
Quick Doubling Time | |Mycoplasma hominis |No
wall |Pleomorphic | | | | | |Pos-Partum & Abortion Fever |Erythromycin Resistant
| |Ureaplasma urealyticum |No
wall |Pleomorphic | |Prefer
Aerobic
Conditions |Urealase | |Tetracycline |Urethritis |Causes alkaline urine | |Legionella pneumophila |- |Rod shaped? | |Aerobic |Metalloprotesase
Acid Phosphatase
Lipase, Phospholipase A
Nuclease |Type IV Pilus
Type II Secretion system |Erythromycin (DOC)
Rifampin
Tetracycline |Legionnaire’s Pneumonia
Watery Diarrhea
Pontiac Fever |Motile (flagellated)
Facultative Intracellular
Use amoeba as host
Grows at high temps | |Chlamydiae pneumonia |-
(No wall) |Cocci?
(Rounded) | |Aerobic? | |Type III Secretion System |Erythromycin
Tetracycline |Walking Pneumonia
Atherosclerosis? |Obligate Intraceullular
Dimorphic: EB & RB
Use amoeba
Glycogen Inclusions | |Chlamydiae psittaci |-
(No wall) |Cocci?
(Rounded) | |Aerobic? | | |Erythromycin
Tetracycline |Psittacosis pneumonia
(splenomegaly & hepatomegaly) |Obligate Intraceullular
Dimorphic: EB & RB
Use amoeba
From Birds | |Shigella |- |Rod | | | |Shiga Toxin
Ruffles! |3rd Generation Cephalosporins & Quinonlones |Shigellosis
(diarrhea w/blood,pus,mucus)
Hemolytic Uremic Syndrome (HUS)
Cramps,Pain,Fever,Malaise |Non Motile & Lactose -
Facultative Intracellular
Acid Resistant-Low # ID
Caspase 1(ICE) activation
Antibiotic Resistance | |Escherichia coli (ETEC) |- |Rod |Yes? | | |Type I Pili
Colonization Factors = CFA I,II & III
Bundle Forming Pilus
Heat Labile Toxin (LT)
Heat Stable Toxin (ST) |Sulfa/Tri’s or Quinolones |Traveler;s Diarrhea
(Watery Diarrhea)
Vomiting | Motile (Flagella); Lactose +
ST,LT, CFA on plasmid
No fever
Immunity
Leading COD in children | |Escherichia coli (EPEC) |- |Rod |Yes? | | |Bundle Forming Pilus
Locus of enterocyte effacement (LEE)
Translocated Intimin Receptor (TIR)
No Toxins! |Sulfa/Tri’s or Quinolones |Watery Diarrhea w/ fever
Chronic Diarrhea in children |Motile (Flagella); Lactose +
LEE induced by quorum
LEE = Intimin & Contact Secretion System
Intracellular Invasion? | |Escherichia coli (STEC/EHEC) |- |Rod |Yes? | | |LEE (with intimin)
Translocated Intimin Receptor (TIR)
Shiga Like Toxin (SLT) | |Watery→Bloody Diarrhea
Hemolytic Uremic Syndrome (HUS)
|Motile (Flagella); Lactose +
SLT on Phage
Serotype O157:H7 common
beef (90% contaminated)
Raw Milk | |Escherichia coli (EIEC) |- |Rod |Yes? | | |Toxin similar to Shiga Toxin |Sulfa/Tri’s or Quinolones | Less severe type of Shigellosis
(diarrhea w/blood,pus,mucus)
|Motile (Flagella); Lactose +
Close relative of Shigella | |
Organism |Gram |Shape |Capsule |Aero-Type |Enzymes |Virulence |Treatment |Disease |Other | |Escherichia coli (EAEC) |- |Rod |Yes? | |Hemolysin |Thin Pili
Shiga Like Toxin (EAST)
PET Serine Protease
| |Watery Diarrhea
Mucus Gel on intestinal mucosa
Persistent Diarrhea in children |Motile (Flagella); Lactose +
Serine Protease on Plasmid | |Escherichia coli (UPEC) | | |Yes
Most P-sac
Some Protein | |Hemolysin |Siderophores (ex. aerobactin)
Cytotoxin (break down epithelium)
P Fimbrae (pili) | |85% Community Acquired UTIs
Acsending or Descending Septicemia
|Motile (Flagella); Lactose +
Plasmids | |Campylobacter jejuni |- |Curved Rod |Yes
Polysaccharide |Microaerophillic | |Pili
Cytolethal Distending Toxins
LPS resembles ganglioside |Erythromycin
Tetracycline
Aminoglycosides |Lower abdominal pain
Diarrhea w/ blood & pus
Fever
Guilian-Barre Syndrome (GBS)
Autoimmune Disease |Motile - Flagella
Chicken Water & Milk
Causes 30% inf. Diarrhea
Intracellular Invasion
Penicillin Resistant | |Campylobacter fetus |- |Curved Rod | | | | | |Systemic gastroenteritis |Motile - Flagella
| |Helicobacter pylori |- |Curved to spiral rods
&
Cocci | |Microaerophilic |Urease |Adhesins (BabA, LPS?)
Neutrophil activating Protein (NAP
Vacuolating Protein (VacA)
Contact Secretion
(effacement, pedestal, MAP Kinase) |Two weeks of 2 antibiotics & antacid |Gastritis & Ulcers (Type 1 only)
Adenocarcinoma & Lymphoma |Rods = flagella; Cocci = not
Infected in childhood
Type 1 = CagA+, VacA+
Type 2 – CagA-, VacA-
ELISA & Breath Tests | |Vibrio cholerae |- |Curved Rod |Some
(ex. El Tor – O:139) | |Oxidase |Toxin Co-Regulated Pilus (TCP) from VPIθ
Cholera Toxin (CT) from CTXθ
Zonula Occludens Toxin
Metallo Protease
Acf, Ace, Vac |Tetracycline
Vaccine Available (ineffective) |Vomiting & Watery Diarrhea
“Rice Water Diarrhea” |Motile - Flagella
Acid Sensitive
Raw crabs & shrimp
TCP & CT from 2 Phages
Immunity | |Vibrio vulnificus |- |Curved Rod | | | | |Immediate antibiotics |Serious Septicemia (50% mortality)
Fever, Chills, Hypotension
Wound Infections |Motile - Flagella
Halophillic – Requires salt
Raw Oysters
Intracellular Invasion | |Vibrio parahemolyticus |- |Curved Rod | | | | |None – self limiting |Cholera Like - Vomiting & Diarrhea
(Less severe)
Possible Septicemia |Motile - Flagella
Raw fish, shellfish, oysters | |Salmonella typhimurium |- |Rod | | | |2 Type 3 Secretion Systems
SPI-1 = Epithelial Cell Invasion
SPI-2 = Blocks NADPH Oxidase Killing
Ruffles! |Ampicillin |Gastroenteritis
Vomiting & Diarrhea (bloody, No WBCs!)
Bacteremia in immunocomprimised |Motile - Flagella
Chickens & Raw Eggs
Produce H2S, Bile Resistant
Acid Tolerant
Facultative Intracellular
| |Salmonella typhi & paratyphi |- |Rod | | | |Invades & Kills M Cells; Invades Mθs
|Ciprofloxacin (DOC)
Ampicillin
Sulfa/Tri’s
Vaccine Available |1st Fever & Headache
2nd Rash on Abdomen & Chest
3rd Bacteremia w/ multiple organs
4th Hemorrhaging Peyer’s Patches
|Colonizes gallbader – stones
Cystic Fibrosis Carriers
Facultative Intracellular
Macrophage Replication | |Yersinia enterocolitica |- |Rod | | |Urease at 37º, but not at 25º |Adhesins: InvA, Ail, PH 6 Antigen, YadA
Invades M Cells
YopM = anti-inflammatory
Other Yops = induce apoptosis, NFKB, etc
Heat Stable Toxin (similar to E. coli)
|Tetracycline, Chloramphenicol
(only for systemic infection) |Fever, Pain, Diarrhea in children
Adenopathy in older children
Autoimune disease with HLA-B27
Septicemia |Motile @ 37º, Grows @ 4º
Scandanavia – Milk & Food
Facultative Intracellular
| |Yersinia pseudotuberculosis |- |Rod | | | | |Tetracycline, Chloramphenicol
(only for systemic infection) |Lymphadenitis
Mimics appendicitis |Facultative Intracellular
Similar to Ye, but more invasive & no diarrhea | |Klebsiella pneumoniae |- |Rod |Yes | | |Abundent Capsule
Pili
Heat Stable/Labile Toxins (like E. Coli) |3rd Generation Cephalosporins
(Ceftriaxone & Cefotaxime = DOC) |Burn Infections
UTI, Meningitis, bacteremia, wound infections |Non- Motile; Lactose +
β-Lactamase (R Plasmid)
Resist Amp & Carbenicillin | |
Organism |Gram |Shape |Capsule |Aero-Type |Enzymes |Virulence |Treatment |Disease |Other | |Enterobacter cloacae |- |Rod |Yes | | |Heat Stable/Labile Toxins (like E. Coli) |3rd Generation Cephalosporins
Anti-pseudomonal penicillin
Aminoglycoside | |Motile-Flagella, Lactose +
Most common hospital isolate
β-Lactamase (inducible) | |Serratia |- |Rod | | |Extracellular DNAse | | |Nosocomial: pneumonia, septicemia, UTI, & wound
IV Drug: endocarditis & osteomyelitis |Prodigiosin – Red on Plate
Colistin, Cephalothin, anti-Pseud & Amikacin Resistant
Motile-Flagella?, Lactose +/-
β-Lactamase | |Citrobacter |- |Rod |Yes? | | |Vi Antigen (similar to S. typhi)
OMPs (on virulent strains)
Heat Stable Toxin (ST) |Aminoglycosides, Tetracycline, Chloramphenicol |UTI & RTI in debilitated patients
Neonatal meningitis & abscesses |Citrate is sole energy source
H2S production
Motile-Flagella
β-Lactamase (resistant ones) | |Proteus mirabilis |- |Rod | | |Urease (Ni Metalloprotease)
Phenylalanine Deaminase
Hemolysin |Fimbrae | |Nosocomial Infections
UTIs |Indole + (not P. mirabilis)
Motile – Flagella
Gent/Tobramycin Resistant
β-Lactamase (inducible)
H2S production
| |Providencia |- |Rod | | | | | |Bacteremia |Nursing Homes Catheters
β-Lactamase (inducible) | |Morganella |- |Rod | | | | | | |Opportunistic Pathogenβ-Lactamase (inducible) | |Pseudomonas |- |Rod |Yes
Alginate |Aerobic
& NO3
Respiration |Oxidase |Pyanocyanin & Pyochelin
Adhesins
Elastase (LasA & B)
Phospholipase C/rhamnolipid |Dermatitis, Burn Infections, Eye Infections, Lung Infections, Nosocomial septicemia, Nosocomial UTI |Fluoroquinolones
Aminoglycosides
Carbapenems (Imipenem)
4th Cephalosporins |Motile – Flagella
Very Antibiotic Resistant
Fruity Smelling & Biofilms
Problem with CF Patients
β-Lactamase | |Mycobacterium tuberculi |Acid
Fast |Rod | |Aerobic | |Cord Factor |Preventative = INH (9), Rif (4)
Treatment: 1) INH (6)
2) Rif (6) 3) Pyrazinamide (2)
4) Ethambutol or Streptomycin
Vaccine Available! |Tuberculosis:
Primary – lower lobes (Gohn Complex)
Reactivation – Apical lobes (cavitary)
Miliary - extrapulmonary |Latent vs. Active Infection
PPD = 5,10,20 mm
Use DOT to give drug
INH Resistance in KY
Facultative Intracellular
| |Mycobacterium leprae |Acid
Fast |Rod | |Aerobic | |Cord Factor |Dapsone & Rifampin |Tuberculoid (Pauci-Bacillary)
Lepromatous (Multibacillary)
Severe Disfigurement
Claw Hand & Drop Foot (nerve) |Doesn’t grow in media
Obligate Intracellular
Infects nerve tissue!
Colonize Liver & Spleen (with no destruction)
| |Mycobacterium avium & intracellulare |Acid
Fast |Rod | |Aerobic | |LPS (not very inflammatory)
Heat Shock Protein
Type III Secretion | |Variable
Fever, Fatigue & Weight Loss
Multiple Organ Involvement |Diffuse Interstitial Infiltrate
Acquired from environment | |Neisseria gonorrhea |- |Cocci
Kidney Bean Diplococcus |Sialic Acid
(If Disseminated) |Aerobic |Oxidase
IgA Protease |OMP1 (Endometrial Lutropin Receptor)
Opa Proteins PII (Pyruvate Kinase)
Rmp PIII (Invade Epithelial Cells)
LOS, Peptidoglycan & Pili (CD46) |3rd Generation Cephalosporins (Ceftriaxone)
Most are Pennicillin Resistant |Mouth: Pharyngitis & Adenitis
Anal: Irritation, Discharge, Bleeding
Male: Urethritis, Discharge, Spreading
Female: Cervicitis, PID, Endometriosis
Disseminated: Rash & Arthritis |Facultative Intracellular
Can’t Utilize Maltose
IgA Protease cleaves Lamp 1
If disseminated, no virulence
Inflammation & Destruction | |Chlamydia trachomatis |-
(No wall) |Cocci?
(Rounded) | | | |Heat Shock Protein |Erythromycin & Tetracycline |Trachoma (A-C): #1 cause of blindness
GU Infections (D-K): #1 bacterial STD
Causes Urethritis & Cervicitis
Lymphogranuloma Venereum (L1-3)
Inclusion Conjunctivitis (D-K): pneumonia |Obligate Intracellular
Dimorphic: EB & RB
Inclusions get sphingolipids from Golgi-stops endocytosis | |Treponema pallidum |No Stain |Spirochete | | | |Very Few
OMPs bind lamini, collagen, fibronectin
Tromp1
12 Tpr’s – unknown fxn |Penicillin G |1º - Chancre (no pain & lymphadenopathy)
2º - Disseminated chancres & flu symptoms
Latent – Assymptomatic but infectious
3º - Neurologic Symptoms = PARESIS
Late Benign (gummas) & Congenital |2 Periplasmic Flagellae
Can’t culture – rabbit testis
Jarisch-Herxheimer Rxn | |
Organism |Gram |Shape |Capsule |Aero-Type |Enzymes |Virulence |Treatment |Disease |Other | |Treponema denticola
|No Stain |Spirochete | | |Protease Dentilysin | | |Periodontal Disease |2 Periplasmic Flagellae | |Trep3onema vincentii |No Stain |Spirochete | | | | | |Vincent’s Angina (Trench Mouth)
Periodontal Disease |2 Periplasmic Flagellae
AKA Borrelia vincentii | |Leptospira interrogans | | | | | | |Oral β Laactams or Tetracyclines |Infects Kidneys and Liver
90% have flu symptoms
10% have Weil’s Syndrome - Icteric |Shed in animal urine
Penetrates intact skin
Often in water sources
? Shape | |Clostridium perfringens |+ |Rod | |Aerotolerant |α toxin (lecithinase C)
Type C Toxin? | |None |Myonecrosis
Anaerobic Cellulitis
Clostridial Gastroenteritis
(fever, no vomiting, lasts longer, starts later) |Double layered β Hemolysis
Insoluble H2S,SO2,CH4
Rare to none spores
Toxins are heat labile | |Clostridium dificile |+ |Rod | |Anaerobic | |Toxin A & B |Discontinue Antibiotics |Antibiotic Associated Colitis
Pseudomembranous Enterocolitis |Insoluble H2S,SO2,CH4
| |Clostridium botulinum |+ |Rod | |Anaerobic | |Botulinum Toxin (neurotoxin)
blocks Ach release) |Antitoxin Available |Nausea & vomiting w/ no diarrhea or fever!
Weakness, Dizziness, Cranial Nerve Palsy
Death from respiratory paralysis
Floppy Baby Syndrome
Wound Botulism |Insoluble H2S,SO2,CH4
Most stable of all spores
Toxin is heat labile
Mortality of Type E>A>B | |Clostridium tetani |+ |Rod | |Anaerobic | |Tetanospasmin (neurotoxin) |Penicillin or Metroinidizole
Antitoxin Available
Vaccine Available (DPT) |Tetanus Neonatorum
Tetanus
(opistothonos, arms flexed, legs extended) |Insoluble H2S,SO2,CH4
Spores are ubiquitous | |Prevotella melaninogenica |- |Rod | | | | | | | | |Bacteroides fragiles |- |Rod |Yes | | | | | |95% of normal fecal flora
Secretes β-Lactamase | |Rickettsia ricketsii |- |Rod |Yes | | |OmpA |Tetracycline
Chloramphenicol |Rocky Mountain Spotted Fever
Starts with Flu Symptoms
Rash starts at extremities→trunk
Later non-blanching rash w/ petichiae
Death from organ failure in a week |Obligate Intracellular
From Tick Bites | |Rickettsia typhi |- |Rod | | | | | |Endemic Typhus (Flea Borne)
Flu like symptoms with rash
Pulmonary Involvement is common |Obligate Intracellular
Flea bite or inhaled feces
Don’t use Sulfas!→Death | |Rickettsia prowazekii |- |Rod | | | | |Vaccine Available |Epidemic Typhus
Rash starts at trunk→extremities
CNS abnormalities (stupor) & Cough
Brill-Zinsser
|Obligate Intracellular
Body Louse (Bad Hygeine)
Flying Squirrels | |Rickettsia akari |- |Rod | | | | | |Rickettsialpox (Flu & Rash) |Obligate Intracellular
Mouse Bites | |
Organism |Gram |Shape |Capsule |Aero-Type |Enzymes |Virulence |Treatment |Disease |Other | |Orietsia tsutsugamushi |- |Rod | | | | | |Scrub Typhus (Macropapular Rash) |Obligate Intracellular
Chiggers | |Ehrlichia chaffiensis | | | | | | | |Human Monocytic Ehrlichiosis
Flu Initially, rash rare
Leukopenia & Thrombopenia |Lonestar Tick | |Anaplasma phagocytophila | | | | | | | |Human Granulocytic Anaplasmosis
Human Monocytic Ehrlichiosis
Flu Initially, rash rare
Leukopenia & Thrombopenia
Morulae in leukocyte common |Ixodes Tick | |Coxiella burnetti | | | | | | |Vaccine Available |Q Fever
Flu-Like Illness
Cough & Pneumonia common
Thrombocytopenia common
Death is rare |Tick bite or spores (usually) | |Borrelia burgdorferi |No Stain |Spirochete | | | |Surface Proteins: DbpA, DbpB, p47,
Erp Proteins, H/FHL-1 (CRASPs), VIsE
BmpA & OspC |Oral β Laactams or Tetracyclines
Vaccine NOT Available - 2002 |Lyme Disease: Flu Like Symptoms
Erythema Migrans (Rash) = Diagnostic
Also Bell’s Palsy Arthritis & Cardiac Problems |Ixodes Tick (nymphs) Bite
Antibodies cross react with treponemes | |Borrrelia hermsii |No Stain |Spirochete | | | |Variable Membrane Protein | |Tick Born Relapsing Fever
Fever (periodic) & Malaise
Also caused by: B parkerii & duttonii |Ornithodoros Tick
Rat Infested Shelters | |Borrrelia recurrentis |No Stain |Spirochete | | | | | |Louse Born Relapsing Fever
Fever (periodic) & Malaise
Higher fatality rate than TBRF |Crushed Body Louse | |Bacillus anthracis |+ |Rod |Yes
Polypeptide |Aerobic | |Toxic Troika:
1) Protective
2) Edema Factor (EF) – activates cAMP
3) Lethal Factor (LF) –no cytokine release |Ciprofloxacin
Doxycycline
Penicillin
Vaccine (toxin) Available |Anthrax:
Malignant Pustule – black eschar
Inhalation - mediastinitis – no pneumonia
Enteritis – need lots of spores for death
IV – heroin users |Large Rods
| |Erysipolothrix rhusiopathiae |+ |Rod | | | | |Penicillin |Erysiploid
Cutaneous infection from abrasion
Can cause arthritis, meningitis & endocarditis |From Meat & Fish | |Yersinia pestis |- |Rod |Yes | | |Antigen expressed only at 37º C |Streptomycin (DOC)
Tetracycline
Vaccine Available |Bubonic Plague – gangrene & bubo
Pneumonic Plague – high fever, pneumonia, hemoptysis – also septic symtoms |Bipolar Staining (safety pin)
| |Francisella tularensis |- |Cocci (young)
Rod (older) | | | | |Streptomycin
Doxycycline or Cipro = Prophylaxis
Vaccine Available |Tularemia
Ulceroglandular Form – bubo from bug bite
Typhoidal – eating raw rabbit meat
Occuloglandular – rubbing eyes
Inhalation – pneumonia (rare) |Facultative Intracellular
Vaccine Available | |Brucella melitensis |- |Coccobacillus | | | |Brucellergen |Tetracycline or Rifampin |Brucellosis |Goats & Sheep | |Brucella abortus |- |Coccobacillus | | | |Brucellergen |Tetracycline or Rifampin |Brucellosis |Cows | |
Organism |Gram |Shape |Capsule |Aero-Type |Enzymes |Virulence |Treatment |Disease |Other | |Brucella suis |- |Coccobacillus | | | |Brucellergen |Tetracycline or Rifampin |Brucellosis |Pigs | |Streptobacillus moniliformis |- |Pleomorphic | | | | |Penicillin |Rat Bite Fever
Bite heals→3-10 days later: inflammation, adenitis & fever; acute arthritis |More common of 2
Rat Bite Fevers | |Spirillum minus |- |Spiral Shaped | | | | |Penicillin |Rat Bite Fever
Bite heals→1-3 weeks later chancre like ulcer, adenitis, relapsing fever |Polar Flagella
Soduko Fever | |Bartonella henselae | | | | | | | |Cat Scratch Fever
Papule at scratch site, lymphadenopathy, malaise & low grade fever
Bacillary Angiomatosis in AIDS patients | | |Pasteurella multocida |- |Coccobacillus | | | | | |Cat Bite Fever
Lymphadenitis, septisemia
Meningitis, Endocarditis, Osteomyelitis rare | | |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- university of kentucky report card
- university of kentucky employee email
- university of kentucky football ranking
- university of kentucky softball schedule
- university of kentucky graduate school
- university of kentucky construction companies
- university of kentucky graduate apply
- university of kentucky core requirements
- university of kentucky master programs
- university of kentucky apply
- university of kentucky masters degree
- university of kentucky graduate program