Rickettsia, Coxiella, Ehrlichia, Anaplasma Flashcards
Rickettsia general characteristics
Gram - bacteria
Obligate intracellular of vasc. endothelium
Stain with Giema
R. rickettsii is the causative agent of …
Rocky Mountain Spotted Fever
Rickettsia distribution
Throughout US (south central states), southern Canada, Central America, South America (New world)
R. rickettsii
Humans and dogs show clinical illness (petechiae)
Cats resistant to RMSF
R. felis
Not pathogenic to cats
Zoonotic
Rocky Mountain Spotted Fever
Most severe and reported rickettsial illness of humans in the US
Reportable, 90% in april- sep
Rocky Mountain Spotted Fever transmission
Ticks, fleas, mites and lice
20 Ixodid tick species → mostly Demacentor spp.
Transovarial and transstadial
Rickettsia exposure
1-3% ticks carry agent
6-20 h of attachment and feeding required
Dogs are _______ for the presence of RMSF
Sentinels
Rickettsia pathogenesis
On vascular endothelial and smooth muscle cells causing necrotizing vasculitis (escape from phagosome and cytosolic replication by binary fission) → rashes
Rickettsia diagnostics
Isolation (BSL 3 contaminent)
Immunofluorescent assay and ELISA
PCR assays (with tick with possible)
Rickettsia are sensitive to _________
tetracyclines
Coxiella burnetii is the causative agent for ________
Q fever
zoonotic, bioterrorism
Coxiella general characteristics
Small pleomorphic rods, intracellular
MZN (modified Ziehl Neelson) stain
Small cell variant (SCV) or vegetative large cell variant (LCV)
Coxiella transmission
Aerosol, ingestion
Limited transmission by ticks
Wind-borne over long distances