Other Bacteria Flashcards
Transmission of tularemia
Dermacentor tick
Treatment of tularemia
Streptomycin
Most virulent bacteria
Bubonic plague
Safety pin staining
Flea bite
Yersinia pestis
Treatment of Yersinia
Streptomycin
Bipolar staining
Buttery colonies with musty odor
Reservoir cats and dogs
Pen G
Pasteurella multocida
Most important virulence factor of M. tuberculosis
Cord factor
Reservoir: armadillos
Mycobacterium leprae
Type of leprosy Many lesions Marked tissue destruction High likelihood of transmitting Reduced cell mediated response Negative lepromin skin test
Lepromatous leprosy
Negativr lepromin skin test for lepromatous leprosy is due to
Anergy
Type of leprosy with hypopigmented plaques and anesthesia
Tuberculoid leprosy
Treatment of leprosy
Dapsone
Anaerobe infection due to broken jaw or dental extraction
Hard nontender swelling with sinus tracts draining sulfur granules
Actinomyces israelii
Treatment of actinomyces israelii
Penicillin G
Aerobic gram positive rods with aerial hyphae from inhalation of particles in soil
Fungus ball
Nocardia asteroides
Treatment for nocardia
TMP SMX
Smallest free living organism
Mycoplasma pneumoniae
Most common infectious cause of stevens johnson syndrome
Mycoplasma pneumoniae
DOC for mycoplasma pneumoniae
Azith or erythromycin
Most important diagnostic test for primary syphilis
Dark field microscopy
Confirmatory test for secondary syphilis
FTA ABS
Influenza like symptoms few hours after receiving Pen G due to lysis of treponemes
Jarisch- Herxheimer reaction
Condyloma lata
Lymphadenopathy
Occurs after 1-3 months
Secondary syphilis
Painless lesion in primary syphilis occurring in 2-10 weeks
Chancre
Tabes dorsalis in the eyes
Argyll robertson pupil
Most common cause of death in congenital syphilis
Pulmonary hemorrhage
Treatment for syphilis
Pen G
Largest medically important bacteria
Borrelia burgdorferi
Weakly staining gram negative spirochete
Cultured on BSK medium
Borrelia burgdorferi
Transmission of lyme disease is through bite from
Ixodes tick
Lyme disease
BAKE a key lyme pie
Bells palsy bull’s eye lesion
Arthritis AV block
doKxycycline
Erythema chronicum migrans
Thin coiled spirochete with hooked ends (Shepherd’s crook)
Fletcher or EMJH medium
Leptospira interrogans
Gold standard for diagnosis of leptospirosis
Lepto MAT
What phase of leptospirosis manifests with fever chills calf tenderness conjunctival suffusion
Acute leptospiremic phase
Pulmonary involvement in leptospirosis would show this in CXR
Snow flake lesions
Triad of Weil syndrome
Jaundice
Bleeding
Uremia
Most common cause of death of Weil syndrome
Pulmonary hemorrhage
Treatment for leptospirosis
Doxycycline
Ampicillin or amox
Obligate intracellular bacteria
Cell wall lacks muramic acid
Chlamydia
Form of chlamydia:
Inactive
Enters cells by endocytosis
Elementary body
Metabolically active form of chlamydia
Reticulate body
Most common STD overall
Chlamydia
Most common cause of infectious blindness in the world
Trachoma (C trachomatis)
Cytoplasmic inclusion bodies in trachoma
Halberstadter Prowazek
Chlamydia trachomatis types
A-C: trachoma
D-K: genital tract, neonatal pneumonia
L1-L3: lymphogranuloma venereum
Staccato cough cause
Neonatal pneumonia caused by chlamydia trachomatis
Bacterial infection associated with atherosclerosis
Chlamydia pneumonia
Bird fancier’s disease
From bird exposure
Azithromycin
Psittacosis
Chlamydia psittaci
Cat scratch disease
Bartonella henselae
Can cause mesenteric adenitis
Transmitted oro fecal route
Gram negative rod
Yersinia enterocolitis
Small painless papule ulcerate with a beefy red ulcer
Pseudobuboe
Azithromycin
Donovan bodies- closed safety pins
Klebsiella granulomatis
Fungi that can cause liver necrosis
Amanita mushrooms
Ingestion of contaminated peanuts and grains
Can cause liver cancer due to aflatoxin
Aspergillus flavus
Inhalation of spores can cause allergic bronchopulmonary aspergillosis
Aspergillus fumigatus
Diagnostic test for fungi in general
KOH preparation
Sabouraud’s agar
Which group of antifungals belongs to a class of semisynthetic polypeptides that inhibit important constituent of fungal cell wall
Echinocandins
Primary mechanism of resistance of Candida albicans against azole antifungals
Mutations in the 14 alpha sterol demethylase enzyme
3 important Dermatophytoses
Microsporum canis
Trichophyton tonsurans
Epidermophyton floccosum
Inflammatory reaction to dermatophytosis at a cutaneous site distant to the primary infection site
Dermatophytid reaction
Tinea rash ca be described as
Annular with central clearing
Tinea versicolor is caused by this organism
Malassezia furfur
_________ appearance of tinea versicolor on 10% KOH
Spaghetti and meatballs
Treatment of malassezia furfur
Miconazole
What organism causes fungemia in premature infants on IV lipid supplements
Malassezia furfur
Dimorphic fungus that lives in vegetation
Occurs in gardeners
Thorn prick
Itroconazole or potassium iodide
Sprothrix schenckii
Granulomata in bones and CNS Dimorphic fungus Inhalation of arthrospores Spherules containing endospores Latin america and SW United States Amphotericin B
Coccidioides immitis
TB mimicker Dimorphic fungus Microcomidia Ohio and Mississippi River Bird droppings Starling bird
Histoplasma capsulatum
Dimorphic fungus
Mariners wheel configuration
Central and South america
Inhalation of conidia
Paracoccidioides brasiliesis
Candidial infection seen in immunocompromised patients
Esophagitis
Oval yeast with narrow based bud seen in India ink
Positive CALAS
Pigeon droppings
Inhalation of airborne yeast cells
Cryptococcus neoformans
Treatment of cryptococcal meningitis
Amphotericin B
Flucytosine
Exist only as molds
Septate hyphae that form acute angles v shaped branches
Aspergillus
DOC for aspergillus
Amphotericin B
Saprophytic molds with nonseltate hyphae without walls and branches at right angles
Mucormycosis
Rhizopus oryzae and mucor spp
Mucormycosis symptom
Rhino orbital cerebral infarction with eschar infection
Mucormycosis usually occurs in patients with
DKA
Burns
leukemia
Diffuse interstitial pneumonia with ground glass infilrates
Hat shaped cells
CD4 less than 200
Pneumocystis jiroveci
DOC for pneumocystis jiroveci
TMP SMX