Zoonotic Gm - Flashcards
Who is at increased risk for zoonotic infection?
- people who handle animals
- persons exposed to arthropods
- people exposed to unprocessed food
- travelers
What is the typical presentation of someone with a zoonotic infection?
- Systemic febrile illness, unknown origin
- skin or soft tissue infection
- pneumonia
- encephalitis
Why is pneumonic plague bad news?
- rapidly progressive pneumonia
- high rates of transmission
What are the symptoms of ulceroglandular Tularemia?
- Ulcer at site of infection
- followed by swollen, painful lymph nodes
What are the symptoms of Glandular Tularemia?
-swollen painful lymph glands
*no development of ulcers
What are the symptoms of Oropharyngeal Tularemia?
- Tonsillitis
- vomiting & diarrhea
- maybe some gland swelling in neck
What are the symptoms of Oculoglandular Tularemia?
- pain, redness, swelling, and discharge of eyes
- dev. of an ulcer on inside of eyelid in some cases
What are the symptoms of Pneumonic Tularemia?
- sore throat & swelling of pulmonary lymph nodes
- sudden fever, chills, headache, myalgia, joint pain, dry cough , and progressive weakness
What are the symptoms of Typhoidal Tularemia?
- systemic illness (fever, chills, etc.) without site of infection or localized symptoms
- possibly fatal
What are the symptoms of septic Tularemia?
- systemic illness
- patient appears toxic
- may develop confusion and coma
- w/o Tx: shock, ARDS, organ failure
How do we distinguish an Ehrlichia infection from a Rickettsia infection?
- Ehrlichia invades WBC’s, Rickettsia endothelial cells
- No rash in Ehrlichia
- Neutropenia more likely in Ehrlichia than Rickettsia
What organism causes Cat scratch fever?
-Bartonella henselae
What disease does Bartonella quintana cause?
-Trench fever
“homeless pt w/ a fever that lasts 4-5 days”
Bartonella quintana = trench fever
What disease does Brucella cause?
- Undulant fever
- Brucellosis (“the great imitator”)
- osteomyelitis