Yersinia pestis Flashcards

1
Q

Yersinia pestis

A

Black Plague

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2
Q

Structure

A

small, pleomorphis, facultatic anaerobe, gram-negative bacillus

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3
Q

Transmitted by

A

vector
-30 different fleas
-Xenopsylla cheopis(rat flea), Oropsylla montanus (squirrel flea) most common

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4
Q

Is it zoonotic

A

yes

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5
Q

How long does it last in the environment

A

<1hour

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6
Q

History

A

-Europe 1347-1351 from east china
-about 45 million people died
-spread by rats in chips
-lead to persecution of cats->made it worse

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7
Q

Transmission Cycle

A

-Naive animal/human bit by flea
-direct transmission
-inhalation

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8
Q

Reservoirs

A

No persistent reservoirs because it is deadly but prefers rodents
domestic cats and black-footed ferrets have high mortality

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9
Q

There are four classification

A

-rodent species that serve as enzootic reservoir
-rodent species that amplify infections beyond enzootic foci
-resistant non-reservoir hosts, birds, ungulates, and most carnivores
-susceptible non-rodent hosts that may promote some transmission but generally not involved in ecological maintenance

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10
Q

Pathogenesis

A

transferred through saliva-> phagocytosed by macrophages-> some bacteria killed others kill macrophage-> ruptured from cell-> now cannot be phagocytosed
Spread to draining lymph nodes->transported to liver, spleen, and lungs-> severe bacterial pneumonia-> causes hemorrhage and death

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11
Q

Incubation

A

1-7 days

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12
Q

Bubonic Clinical Signs

A

fever, lethargy, swollen, abscessed lymph nodes
-vomiting, diarrhea cellulitis

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13
Q

Pneumonic clinical signs

A

fever, chills, respiratory distress, coughing

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14
Q

Septicemic clinical signs

A

fever, lethargy, abdominal pain, anorexia, vomiting, diarrhea, tachycardia, pale mucous membranes

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15
Q

Pathologic lesions

A

hemorrhagic buboes
necrotic nodules in liver, spleen, and lungs
splenomegaly
suppurative pneumonia

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16
Q

Diagnostics

A

Culture, PCR, IFA

17
Q

Management

A

Always wear PPE when handling suspect plague cases
control measures for domestic and wild rodents
surveillance methods
vaccines