Zoonoses Flashcards

(31 cards)

1
Q

What are zoonoses?

A

Infections that pass between living animals and humans

source of disease is from the animal

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2
Q

Why are the following NOT considered zoonoses?

  • Malaria
  • Schistosomiasis
  • Oncoceriasis (river blindness)
  • Elephantiasis (lymphatic filariasis)
A

Because they depend on the human host for part of their life cycle

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3
Q

What are Anthroponosis?

A

‘reverse zoonoses’ in that humans transfer a disease to animals

Examples:
Influenza
Strep throat
Leishmaniasis
Chytridiomycosis
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4
Q

What type of pathogen can zoonoses be?

A

Virus, bacteria, parasites or fungi

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5
Q

What examples of bacterial zoonoses are there?

A
Salmonella
Campylobacter
Shigella
Anthrax
Brucella
E Coli
Leptospirosis
Plague
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6
Q

What examples of viral zoonoses are there?

A
Rabies
Avian influenza
Ebola virus disease
West Nile Fever
Yellow fever
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7
Q

What examples of parasitic zoonoses are there?

A

Toxoplasmosis
Visceral larva migrans
Echinococcosis

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8
Q

What examples of fungi zoonoses are there?

A

Dermatophytoses

Sporotrichosis

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9
Q

What examples of other (prions) zoonoses are there?

A

CJD virus

note- creutzfeldt-jakob disease

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10
Q

What zoonoses are common in the UK?

A

Salmonella
Campylobacter
Toxoplasma
Ringworm

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11
Q

What are uncommon zoonoses in the UK?

A

Anthrax
Rabies
Bubonic plague
Acute brucellosis

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12
Q

What is rabies?

A

A viral infection transmitted form the bite of an infected animal e.g. dogs, bats

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13
Q

What are the features of rabies?

incubation + route of infection

A

Incubation period = 2 weeks to several months

Virus travels to the brain via peripheral nerves

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14
Q

What are the symptoms of rabies?

A
Causes an acute encephalitis, symptoms include:
- malaise, headache, fever
- Mania, lethargy, coma
- over production of saliva
- unable to swallow
Death by respiratory failure
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15
Q

How do you diagnose rabies?

A

PCR of saliva or CSF

Note- Often confirmed post mortem on brain biopsy

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16
Q

What is the treatment for rabies?

A

Immediate post-exposure prophylaxis
- human rabies immunoglobulin
Give 4 doses of rabies vaccine over 14 days

Note- always fatal if untreated

17
Q

What is Brucellois?

What is the incubation period?

A

A small, gram negative coccobacilli

It is rare

Incubation period 5-30 days, up to 6 months

18
Q

How are humans infected by Brucellois?

What risks are there?

A

Humans are infected:

  • during milking of infected animals (organisms are excreted in the milk)
  • during parturition
  • handling carcases of infected animals
  • consumption of unpasteurised dairy products

Therefore occupational risks:
Farmers
Vets
Slaughterhouse workers

19
Q

What are the symptoms from Brucellois?

A
  1. Acute: high fever, weakness, sweats, splenomegaly
    (1-3 wks)
  2. Subacute: fever, joint pains
    (> 1 month)
  3. Chronic: flu-like, malaise, depression, chronic arthritis
    (months-years)
  4. Subclinical: most common, 50% of exposed have positive serology
20
Q

What is the treatment for Brucellois?

A

Long acting doxycycline (for 2-3 months)
plus
Rifampicin or IM gentamicin (for 1st week)

21
Q

What is Leptospirosis?

also known as Weil’s disease

A

Thin, highly mobile spirochaetes

Penetrates abraded skin/ mucous membranes

Causes systemic illness

22
Q

What are the symptoms from Leptospirosis?

A

Flu-like symptoms, fever, myalgia, jaundice, renal failure

Severe disease in ~10%

  • pulmonary haemorrhage (>50% fatality)
  • Weil’s disease: jaundice
23
Q

What are the causes for spread of Leptospirosis?

A

Contact with environment (water) contaminated with urine of infected animal
or
from direct contact with the infected animal

24
Q

How is Leptospirosis diagnosed?

A

Think: fever in a cattle farmer, exposure to water or rats

  • ELISA serology- suboptimal
  • PCR
  • Culture- take at least one week on special media
25
How is Leptospirosis treated?
Antibiotics: Doxycycline for mild disease IV penicillin - severe early Tx, painkillers
26
What is Lyme Borrelios? | Lyme disease
-Spirochaete found in wild deer -Transmitted by tick -Commonest in summer months Bacterial cause= Borrelia burgdorferi
27
What skin condition is seen during Lyme disease?
Erythema migrans Rash occurs 3-90 days after bite single/ multiple lesions
28
What 2 uncommon skin condition can occur in late stage of Lyme disease?
Acrodermatitis Chronica Atroficans (ACA) =Discolouration occurs on distal limbs Lymphocytoma = painless nodule
29
What is Neuroborreliosis? (NB)
Is a neurological manifestation of Lyme disease Triad of facial nerve palsy, radicular pain + lymphocytic meningitis occurs ~15% of patients
30
How do you diagnose Lyme disease?
Clinical diagnosis by erythema migrans or ACA and lymphocytoma + serology or High serology indication from PCR of synovial fluid or Neurological symptoms from Neuroborreliosis
31
What is the treatment for Lyme Disease?
Oral doxycycline or amoxicillin or IV ceftriaxone treat for 21 days