Rickettsial or Vector-Borne Flashcards

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1
Q

Which rickettsial diseases tend to cause rashes?

A

Rickettsiae ricketsii, Rickettsia typhi, R. prowazekii.

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2
Q

What is the vector for Rickettsiae ricketsii?

A

Tick

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3
Q

What is the vector for R. typhus?

A

Fleas.

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4
Q

What is the vector for R. prowazekii?

A

Human body louse.

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5
Q

Where does RMSF commonly occur?

A

South Atlantic states, especially North Carolina.

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6
Q

Where does the RMSF rash occur? What are the other sx?

A

Ricketsii starts at wRists and ankles, spreads to trunk, palms, soles. Fever, conjunctival infection, severe headache.

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7
Q

Where does the R. typhus rash occur?

A

Typically Typhus starts on the Trunk.

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8
Q

Which Rickettsiae is associated with epidemics?

A

R. prowazekii proWOKES an epidemic.

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9
Q

Which closely related to rickettsia genus species is NOT vector borne?

A

Coxiella burnetti has no arthrpod vector or rash.

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10
Q

How is coxeilla burnetti transmitted?

A

Spores inhaled as aerosols from cattle/sheep/amniotic fluid.

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11
Q

What is the presenation of coxiella burnetti?

A

Q fever - pneumonia, culture negative endocarditis.

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12
Q

What is hte vector for ehrlichiosis?

A

Tick.

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13
Q

How does Ehrlichiosis appear histologically?

A

Monocytes with morulae - berry like inclusions in cytoplasm.

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14
Q

What is the presentation of Ehrlichiosis

A

Similar to RMSF but no rash - fever, conjunctival infxn, severe headache.

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15
Q

What is the reservoir of ehrlichiosis?

A

deer, dogs, coyotes

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16
Q

What is the reservoir of anaplasmosis?

A

deer, white-footed mouse

17
Q

What is the vector of anaplasmosis?

A

Tick.

18
Q

How does anaplasma appear histologically?

A

Granulocytes with morulae (berry like inclusions) in cytoplasm.

19
Q

What is the treatment for all these ricketsial and vector borne diseases?

A

Doxy.