Zoonoses

Question 0

Toxoplasma gondii

Answer 0

found in cat feces, usually acquired by eating raw meat
not spread just by contact w/cat
usually asx in healthy host
can&raquo_space; b/l nontender CERVICAL adenopathy

Question 1

Bartonella henselae (cat scratch)

Answer 1

Slow growing gram - rod
Often from kittens (carry dz while asx)
Sx 1-8wks after scratch/bite
*Fluctuant AXILLARY adenitis (regional) w/distal papule
*Parinaud oculoglandular syndrome
conjunctivitis, preauricular lad
*granulomas (liver, spleen), encephalitis
*BA: bacillary angiomatosis
immunocompromised
blood vessel proliferation&raquo_space; tumor- like masses (skin, elsewhere)
Dx: serology
Tx: self-limited
abx if severe systemic: azithro, erythro, bactrim, rifampin, gent

Question 2

Salmonella

Answer 2

iguanas, other lizards, reptiles

Question 3

Pasturella multocida

Answer 3

cat/dog bites
sx develop in <24hrs
Tx: PCN/Augmentin

Question 4

Campylobacter

Answer 4

fecal transmission

Question 5

Coxiella burnetii

Answer 5

respiratory secretions

Question 6

Bordetella bronchiseptica

Answer 6

respiratory secretions

Question 7

Rabies

Answer 7

bite/scratch w/infected saliva
skunk, raccoon, fox, coyote, woodchuck
ANY exposure to bats
dog, cat, ferret w/unknown vaccination
     prophylaxis if can't observe for 10d
Prophylaxis: RIG and vaccination