10.12.18 Ehrilichiosis/Anaplasmosis Flashcards
(45 cards)
What are bacteria diseases and vector?
Ehrlichiosis, Anaplasmosis
Tick
What are protozoa diseases and vectors?
Leishmaniasis, Trypanosomiasis
Sand fly, Tsetse fly/Reduvlid bug
Human diseases with an animal reservoir
Zoonoses
What is the cycle of vector-borne transmission?
- Infected host
- Intrinsic incubation period
- Infectious host
- Vector
- Extrinsic incubation perion
- Infectious vector
- Grace period
- Humans
Infects monocytes and causes human monocytic ehrlichioisis (HME)
Ehrlichia chafeensis
infects granulocytes and causes human granulocytic anaplasmosis (HGA)
Anaplasma phagocytophilum
Infect red blood cells and liver cells
Malaria species
Infects RBC
Babesia microti
Infects monocytes and macrophages
Trypanosoma species
Infect macrophages and reticuloendothelial cells
Leishmania species
Which obligate intracellular pathogen infects monocytes?
Ehrlichia
Which obligate intracellular pathogen infects neutrophils?
Anaplasma
What family do Ehrlichia and Anaplasma belong to?
Rickettsiae
infects endothelial cells and causes Rocky Mountain Spotted Fever
Rickettsia Rickettsii
Where does Ehrlichia chaffeensis infect, when, and what are the risk factors?
- Southeast to South central US
- Spring and Summer
- Hiking, Exposure to Wildlife
What is the vector, animal reservoir, and other routes of transmission for ehrlichia chaffeensis?
- Tick
- White tail deer, dogs, coyotes
- Maternal child, blood transfusion, contact with slaughtered deer
What would you see in blood smear with human monocytic ehrlichiosis?
Monocyte with characteristic morulae
How would you diagnose human monocytic ehrlichiosis?
- Indirect fluorescent antibody (IFA)
- Peripheral blood
- PCR
- Immunochemical staining in tissues
What does anaplasma phagocytophillium infect?
PMNs
Where does anaplasma phagocytophillium infect, when, and what are the risk factors
- Upper midwest and northeast US
- Spring and summer (can be all year)
- Hiking, Exposure to wildlife
Which bacteria has a high seroprevalence so its likely there are lots of asymptomatic transmission?
Anaplasma phagocytophillium
What is the vector, animal reservoir, and other routes of transmission for anaplasma phagocytophillium?
- Tick
- Deer, Rodents/small mammals
- Person-to-person, blood transfusion, Nosocomial
How would you diagnose human granulocytic anaplasmosis?
- Morulae in PMN
- PCR
- Serology
What are the clinical signs and symptoms of ehrlichioisis and anaplasmosis?
- Asymptomatic to chronic infection
- Typically acute febrile illness