Rickettsia!!! MICROM442 DECK 13 Flashcards

1
Q

GM?

A

GM-

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2
Q

type of organism?

A

intracellular and obligate

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3
Q

transmission via

A

arthropod vectors

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4
Q

genera

A

-spotted fever group -> Rickettsia rickettsii
-typhus group -> R. prowazekii, R. felis, and R. typhi
-ehrlichiacease -> E. chaffeensis, Anaplasma phagocytophilum

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5
Q

Rickettsia rickettsii
(Rocky Mountain Spotted Fever)

A

transmitted via tick bites, likes to live in dogs and ticks

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6
Q

Rickettsia rickettsii pathogenesis

A

¤ Enter circulation through tick bite
¤ Attach to and invade vascular endothelial cells
¤ Small genome, but capable of independent metabolism
¤ Intracellular motility and cell to cell spread via actin-based motility
¤ Injury to host cell results in increased vascular permeability

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7
Q

Rickettsia rickettsii Sx

A

-Fever, muscle pain, severe headache, nausea
and vomiting
-Maculopapular (raised, red) rash usually
appears on day 3-5

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8
Q

Typhus Group: R. prowazekii, R. typhi,
R. felis

A

transmitted by HUMAN body lice

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9
Q

R. prowazekii =

A

epidemic typhus

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10
Q

dx latent?

A

Patients remain latently infected after recovery
and reactivation of disease may occur years later

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11
Q

typhus group sx

A

Fever, rigors, severe headache, macular rash

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12
Q

R. typhi and R. felis = flea-borne disease

A

Cat fleas are the most common vector in US but dogs
are likely the primary reservoir

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13
Q

Ehrlichiosis = tick-borne and it infects?

A

Bacteria infect leukocytes
(monocytes, macrophages,
granulocytes/neutrophils)

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14
Q

Human monocytic

A

ehrlichiosis

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15
Q

Human granulocytic

A

anaplasmosis

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16
Q

sx of Ehrlichiosis

A

¤ Clinically similar to RMSF but
without the rash
¤ Leukopenia, Thrombocytopenia

17
Q

therapy for Ehrlichiosis?

A

Doxycycline

18
Q

Pathogenesis of Ehrlichiosis

A

¤ Obligate intracellular bacteria
¤ Replicate within inclusions
¤ Inhibit lysosomal fusion