Mi - Zoonoses

Question 1

define zoonoses

Answer 1

diseases that pass between people and animals

Question 2

what % of emerging infections are from animals

Answer 2

70%

Question 3

give 3 ways zoonoses can be spread from animals to humans

Answer 3

pets - scratches, bites
pee /poo
foodstuff - carcas processing, milking, raw meat

Question 4

diarrhoea, bloating, cramps, flatus after eating raw chicken. dx?

Answer 4

campylobacter

Question 5

Ix for campylobacter

Answer 5

stool culture

Question 6

mx for campylobacter

Answer 6

supportive

Question 7

diarrhoea, fever, vomitting after eating raw chicken or touching a pet snake then not washing hands. dx?

Answer 7

salmonella

Question 8

Ix and Mx for salmonella

Answer 8

stool culture
supportive

Question 9

how many types of salmonella are there and how many are zoonoses

Answer 9

200
198

Question 10

which 2 salmonella viruses are human

Answer 10

typhi and paratyphi

Question 11

tx for typhi

Answer 11

ciprofloxacin

Question 12

pustular macules at a cat scratch. regional adenopathy. Dx?

Answer 12

bartonella henselae

Question 13

Ix for bartonella

Answer 13

bite swab / serology

Question 14

mx for bartonella

Answer 14

erythromycin
doxacyclin
rifampacin

Question 15

sx of bartonella in immunocompromised

Answer 15

disseminated papules
organ invovlement

Question 16

name 3 types of shigella

Answer 16

soniae
flexneri
dysenteriae

Question 17

is shigella a zoonoses

Answer 17

NO

Question 18

severe diarrhoea, fever, ABx resistance, in gay men. Dx?

Answer 18

shigella flexneri

Question 19

watery poo in nursery school children. dx?

Answer 19

shigella soniae

Question 20

who gets shigella dysenteriae?

Answer 20

developing countries with poor latrines

Question 21

fever, adenopathy, seizures, sensory loss. from eating infected sheep meat or foecal contamination. dx?

Answer 21

toxoplasmosis

Question 22

when is toxoplasmosis a problem and why?

Answer 22

pregnancy - causes still birth if you get infected for the first time

Question 23

how prevalent is toxoplasmosis

Answer 23

1/3 of england are +’ve

Question 24

Ix and Mx of toxoplasmosis

Answer 24

serology
spiramycin (ABx)

Question 25

fever, back pain, orchitis, focal absecess in liver/psoas. from unpasteurised milk or uncooked meat. Dx?

Answer 25

brucellosis

Question 26

Ix and Mx for brucellosis

Answer 26

blood / pus culture, serology doxycycline and gentamicin / rifampacin

Question 27

fever, atypical pneumonia, hepatitis, endocarditis. from aerosolised goat faeces / milk from infected cattle. Dx?

Answer 27

coxiella burnetii - Q fever

Question 28

Ix and Mx of Q fever

Answer 28

serology doxacycline hydroxychloroquine

Question 29

seizures, excess salivation, agitation, confusion, fever, headaches. from infected dog / bat bites. Dx?

Answer 29

rabies

Question 30

Ix of rabies

Answer 30

clinica, serology

Question 31

what happens if you get rabies but have no vaccination

Answer 31

death

Question 32

fever, arthralgia, maculopapular rash, endocarditis. from rat bite / contact with infected urine or poo. Dx?

Answer 32

rat bite fever

Question 33

what bacteria causes rat bite fever

Answer 33

streptobacillius moniliformis spirillum minus

Question 34

Ix and Mx for rat bite fever

Answer 34

joint fluid MC&S, blood cultures penicillins

Question 35

fever, bleeding, myalgia after contact with fluid from infected person. dx?

Answer 35

viral haemorrhagic fever

Question 36

what causes viral haemorrhagic fever

Answer 36

lassa ebola marburg congo-crimean haemorrhagic fever

Question 37

Ix and Mx

Answer 37

DO NOT TOUCH serology, pcr supportive Mx, 50% die