Gram - Bacilli (Respiratory)

Question 1

Bordatella Pertusis

Answer 1

-Whooping cough, can last months
-Via resp. droplets, PILLI

Toxins
-Ribosylate Gi, increase CAMP
-Adenyl cyclase toxin, EF, increase CAMP
-Tracheal toxin, X resp epi

TX: Macrolides

VAC: DTAP (acellular)

Question 2

Haemophilus Influenza

Answer 2

-Gram - / Cocusbilliary / CHOC AGAR (F5-NAD / F10-Hemotin)
-Aersoal trans: Pneumonia, Meningitis, Epiglottis (cherry tongue/drool), Otitis Media
-Vaccines: for Type B, poly=DIP, 2-18 months

TX: Ceftriaxone, RIF PRO, Beta lactin AB

Question 3

Legionella

Answer 3

-Gram - but need SILVER stain
-Agar: Charcoal yeast: Iron/Cyestine
-OX POS

SX: Pontiac fever (malaise) and Legionairre’s (smoker, PIXR, HYPO NA, DIA, Neuro/HA/Conf)

Rapid urine antigen test

TX: FQ (better option), Macrolides