MI: Zoonoses Flashcards
List some examples of new emerging infectious diseases that are zoonoses.
- Viral haemorrhagic fever
- Respiratory diseases (MERS)
- Novel influenza virus (pH1N1)
List three ways in which zoonoses are transmitted.
- Everyday contact with animals (scratches and bites from pets)
- By-products (faeces/urine) leading to contaminated soil
- Foodstuffs (undercooked meats, milk)
List examples of:
- Farm/Wild Animals
- Companian Animals
Farm/Wild Animals
- Cattle
- Poultry
- Goats
- Pigs
Companion Animals
- Cats and dogs
- Reptiles and amphibians
- Fish
Give examples of zoonoses in the UK that are transmitted by:
- Farm/wild animals
- Companion animals
Farm/wild animals:
- Campylobacter
- Salmonella
Companion animals:
- Toxoplasmosis
- Bartonella
- Ringworm
- Psittacosis
Give examples of zoonoses in tropical countries that are transmitted by:
- Farm/wild animals
- Companion animals
Farm/wild animals:
- Brucella
- Coxiella
- Rabies
- VHF
Companion animals:
- Rabies
- Tick-borne diseases
- Spirilum minus
For Campylobacter, describe the following:
- Reservoir
- Transmission
- Clinical presentation
- Investigations
- Management
- Reservoir = poultry, cattle
- Transmission = contaminated food
- Clinical presentation = bloating, diarrhoea, cramps
- Investigations = stool culture
- Management = supportive
For Salmonella, describe the following:
- Reservoir
- Transmission
- Clinical presentation
- Investigations
- Management
- Reservoir = poulrty, reptiles/amphibians
- Transmission = contaminated food, poor hygiene
- Clinical presentation = diarrhoea, vomiting, fever, no flatus
- Investigations = stool culture
- Management = supportive, ciprofloxacin, azithromycin
Types of Enteric Pathogen
Campylobacter
Shigella
Salmonella
Types of Shigella
Shigella dysenteriae: Big outbreaks, think Refugee camps / Africa - poor sewage
- *Shigella flexneri**: Severe, Diarrhoea, Fever, ABx resistance
esp. west europe - ongoing epidemic in GB MSM
Shigella sonnei: Watery poo, primary school/ Nursery - BAD
For Bartonella henselae, describe the following:
- Reservoir
- Transmission
- Reservoir = Kittens > cats
- Transmission = Scratches, bites, licking of open wounds, fleas
Largley in Immunocomprimised PAtients
Clinical features of Bartonella Henselae infection (blood results)
Liver and spleen - Deranged LFTs / Clotting / Hypoalbumin -
Spleen - Megaly/ Palpable, Reduced PLTs, Increased reticulocytes, fragments
Which two diseases are caused by Bartonella henselae?
- Cat scratch disease
- Baciliary angiomatosis
For Cat Scratch Disease, describe the following:
- Presentation
- Investigations
- Management
-
Presentation:
- Macule at site of inoculation
- Becomes pustular
- Regional adenopathy
- Systemic symptoms (FLAWS)
-
Investigations:
- Serology
-
Management:
- Erythromycin
- Doxycycline
For bacillary angiomatosis, describe the following:
- Presentation
- Investigations
- Management
-
Presentation
- Skin papules
- Disseminated multi-organ and vasculature involvement
- Leads to bursting of blood vessels in various organs and tissues
- Can be FATAL
-
Investigations
- Histopathology
- Serology
-
Management
- Erythromycin
- Doxycyclie
- Rifampicin
For Toxoplasmosis, describe the following:
- Reservoir
- Transmission
- Clinical presentation
- Investigations
- Management
-
Reservoir
- Cats
- Sheep
-
Transmission
- Infected meat
- Faecal contamination
-
Clinical presentation
- Fever
- Adenopathy
- Stillbirth
- Infants with progressive visual, hearing, motor and cognitive issues
- Seizures
- Neuropathy
-
Investigations
- Serology
-
Management
- Spiramycin
- Pyrimethamin + sulfadizine