Zoonoses Flashcards
Leeches
Aeromonas hydrophila
Bears
trichinella spiralis
Rodents
leptospira
monkeypox
spirillum minus
streptobacillus monilformis
yersinia pestism
monkeypox associations
imported rodents (Gambian rats) and prairie dogs
two treatments for monkeypox
tecovirimat or brincidofovir
biopsy findings in bartonella henslae
stellate abscess, necrotic area with neutrophils surrounded by palisading histiocytes
special stain for bartonella henslae
warthin starry stain
diagnosis of bartonella henslae
serology, PCR or DFA on pus
presentation of bartonella henslae
acute suppurative lymphadenitis proximal to bite, scratch or lick of young cat
treatment of cat scratch disease
if does not drain spontaneously can aspirate
Azithromycin x 5d
(Bactrim, cipro or rifampin alternatives)
bartonella on gram stain
weakly gram negative rod
Bacillary angiomatosis seen in
HIV with CD4 <100
Bacillary peliosis presentation
presents with fever, chills, HSM
Multiple liver and splenic masses
treatment of bartonella endocarditis
Doxycycline x 6 weeks + Gentamicin for initial 2 weeksp
describe appearance of cutaneous anthrax
pruritic papule on skin, small vesicles around ulcer with surrounding edema
Features of anthrax
aerobic, encapsulated, sporulating GPR
treatment of anthrax
penicillin
features gram stain of francisella
gram negative coccobacillus
vectors for tularemia
ticks or deer flies
special media for francisella
chocolate agar or BCYE
treatment for tularemia
Gentamicin or Streptomycin
FQs
Doxycycline
Tularemia ppx
doxycycline
features of yersinia pestis on gram stain
Gram negative coccobacillus
bipolar staining (Safety pin)
treatment of plague
streptomycin
doxy
Cipro
where was large outbreak of plague in 2017?
madagascar
leptospirosis treatment for outpatients
Doxycycline
leptospirosis treatment for inpatients
Penicillin
lab feature of leptospirosis
bili is high out of proportion to transaminase elevation
clinical features of brucellosis
Lesions in bone
Lesions in liver
Epididymo-orchitis
Endocarditis
Sacroilitis
Tenosynovitis
Meningitis
Bad smelling sweat
treatment of brucellosis
Doxycycline plus rifampin or strep/gentamicin
treatment of brucellosis in pregnant or young children
TMP-SMX
unique pathology feature of Q fever
granulomatous hepatitis
donut granulomas
treatment of acute Q fever
doxycycline
Levofloxacin
Azithromycin
Treatment of Chronic Q fever
Doxycycline Plus HCQ
gram stain of streptobacillus moniliformis
gram negative facultative anaerobe
Rat bite fever but in Asia
spirillum minus