Zoonotic infections Flashcards
What organism is the cause of cat scratch disease
Bartonella henselae
What is the morphology of bartonella henselae
slightly curved gram - rods
Describe the presentation of cat scratch disease
papules and pustiles around a scratch or bite
non-healing wound
lynphadenopathy proximal to wound
What is Parindaud’s oculoglandular syndrome
ocular granuloma or conjunctivitis and preauricular
LN’opathy; following inoculation of B. henselae into the conjunctiva
seen in kids
Children are more likely to develop complications of B hensalae infection including:
fevers of unknown origin
Parinaud’s oculoglandular syndrome
encephalitis
In addition to CSD, what other syndromes may develop from bartonella hensaleae infection?
bacillary angiomatosis peliosis hepatis endocarditis osteomyelitis uveitis persistent fever breast abscess neurologic manifestations
_____ may transmit bartonella between cats
fleas
What drug may be effective in accelerating recovery from symptomatic signs of bartonella infection
azithromycin
How can bartonella infection be prevented in humans
avoid rough play with kittens wash bites/ scratches flea control immunocompromised people adopt only seronegative adult cats vaccination of cats
What is the morphology of yersinia pestis
gram negative bipolar rod
Where in the US is plague most commonly seen
Colorado, New Mexico, Arizona, California, Nevada
How is yersinia pestis transmitted?
fleas to rodents to small carnivores
List the three clinical forms of plague
- bubonic: acute febrile lymphadenitis, may see meningitis
- septicemic: hematogenous spread, leading to shock/ DIC
- Pneumonic: inhalation as route of infection or hematogenous spread, extremely fatal form
Yersinia pestis can easily be mistaken for a ______ on culture/ stain
diplococcus
What antibiotics are used to treat infection with Yersinia pestis?
- streptomycin/ gentamici
- tetracyclines/ fluoroqinolones/ chloramphenicol if there is meningitis, pleuritis, myocarditis
- levlofloxacin
susceptible to penicillin and ampicillin in vitro but not in vivo