brucellosislla Flashcards
moa
contact with infected animals
ingestion unpasteurised milk
exposure to infected bodily fluids - animals giving birth
most common is drinking the meat
but also can breathe in bacteria
mb
gram - intracellular coccobaccili
pathogens
gets taken up by macrophages survives inside and macrophages take it to the lymphatics to be cleared
symptoms
constitutional symptoms
fever - common cause of fever of unknown origin . the fevr is often worse at night !!!!
night sweats - charctaeirstic moldy odour
weight loss
and other flu like
in some patients inability to clear the organism causes granulomas to form (in lN)
physical signs
heptaosplenomegaly -
lympahdenopathy
the bug has a propensity to go to the heart so you may hear a heart murmurs
genitourinary symptomes - epididymitis, orhcitis
diagnosi
serology
serodiagnosis
tx
not pregnant - doxycycline + often combined with gentamicin or streptomycin
pregnant - rifampin
species
Brucella melitensis (goats)- high pathogenicity
• Brucella abortus (causes abortions in cows) • Brucella suis (pigs)- high pathogentiicty
• Brucella canis (dogs)
prophylaxis
pasteurisation of
protective gear for animal handlers gloves, goggles
there’s a vaccine for animals
which type is more virulent
B melitensis is thought to be the most virulent and causes the most severe and acute cases of brucellosis; it is also the most prevalent worldwide
whats the danger
bioloigcal warefare