Zoonoses I Flashcards

1
Q

pathogens shared with animals count for what percentage of infections in human

A

greater than 60%

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2
Q

zoonoses pathogen classes

A

helminths: taenia solium
protozoa: toxoplasma gondii
bacterial: campylobacter jejuni
virus: influenza
prions: BSE and v CJD

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3
Q

how does a zoonosis become an epidemic

A

interaction between pathogen, vector, host

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4
Q

the worst route of transmission of zoonoses and why it is such a problem

A

inhalation because pulmonary symptoms tend to be the deadliest

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5
Q

causative agent of anthrax and characteristics of this agent

A

bacillus anthracis

large, box-car, gram negative rod, aerobic and spore forming

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6
Q

is person to person transmission common in anthrax

A

no

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7
Q

virulence factor of anthrax

A

toxins and its polypeptide capsule (poly-D-glutamic acid)

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8
Q

toxins in anthrax

A

three proteins on large plasmid pXO1: lethal factor (LF), edema factor (EF), and protective antigen (PA) make up the toxins

PA + EF = edema toxin
PA + LF = lethal toxin

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9
Q

what is so significant about the capsule of anthrax

A

it is an amino acid capsule made from three genes (CapA, CapB, CapC) from plasmid pXO2 - only one serotype

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10
Q

function of the virulence factors of anthrax

A
  • capsule - inhibits phagocytosis of replicating cells
  • edema toxin - cAMP allows accumulation of fluid in tissue
  • lethal toxin - stimulates macs to release TNFalpha, IL-1B and other inflammatory toxins
  • both toxins inhibit host innate immunity
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11
Q

what is the pathogenesis of cutaneous anthrax

A

begins at primary site of infection as papule then progresses through vesicular stage to a depressed black necrotic ulcer called eschar

without antibiotics there is an increased chance from 1% to 20% chance of death

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12
Q

clinical manifestation of anthrax

A

cutaneous - least life threatening
septicemic - higher mortality
pulmonary - highest mortality –> “wool sorter disease”

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13
Q

clinical manifestation of inhalation anthrax

A

flu like symptoms so myalgia, fatigue, fever but then they get dyspnea and hypoxia

half of people get meningitis

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14
Q

diagnosis of anthrax

A

culture or biopsy then do PCR

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15
Q

agent that causes brucellosis and its characteristics

A

brucella

gram neg non motile short rod that is facultatively intracellular hence requires complex artificial media in vitro

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16
Q

4 types of brucella found in human and animals they are found in

A

b. melitensis - goats, sheep, camel
b. abortus - cattle
b. suis - pig
b. canis - dog

17
Q

reservoir of brucella and its transmission to humans

A

animals make milk, their urine, feces

drinking the milk, access through skin breaks, mucosal membrane, aerosols, splashes

organism is killed by pasteurization

18
Q

pathogenesis of brucella

A
  • once skin or mucosal membrane is penetrated it is carried to lymphatics by PMNs
  • cells multiply within mac by inhibiting phagosome lysosome fusion
  • humoral response ineffective since hidden inside macs
  • T cell response required but if it fails it multiplies within RES
  • waves of bacteria from these sites are released –> recurrent infections
19
Q

symptoms in acute infection with brucellosis

A
  • brucella melitensis is most severe
  • brucella suis causes abscess formation
  • sweating, high fever, swinging fever, headaches, scrotal pain
  • lymphadenopathy and splenomegaly
20
Q

symptoms in chronic infection with brucellosis

A

night fever, sacro ileitis, weight loss, depression

21
Q

how do you diagnose brucellosis

A

blood culture which show brucella melitensis most of the time

22
Q

epidemiology of leptospirosis

A
  • leptospira interrogans is most common

- shed in rat urine/rodent urine

23
Q

characteristics of leptospira interrogans

A

tight spiral
sensitive to heat, drying, and most chemicals
enters host by penetrating skin or mucous membrane

24
Q

disease that one can acquire from leptospira interrogans and its description

A

weils disease and it is leptospira multiplying and damaging endothelium of small blood vessels

25
where can leptospira be isolated
blood and CSF then later on in disease it can be isolated in urine
26
clinical feature of leptospirosis
conjunctival congestion, viral like meningitis, icteric symptoms, and pulmonary ARDS
27
how is leptospirosis diagnosed
increased PMNs, liver enzymes rise, viral pattern of meningitis, decreased platelets, serology and PCR
28
pathogen in tularemia aka rabbit fever and its characteristics
francisella tularensis | gram neg short rods that is nutritionally fastidious because it is facultative
29
agar used for tularemia
cysteine glucose blood agar
30
pathogens that use thayer martin
both tularemia and neisseria gonorrhea
31
animals and vectors associated with tularemia
rabbits and ticks
32
clinical manifestations of tularemia
ulcero-glandular (from injection - lowest mortality) typhoidal (from ingestion - higher mortality) pneumonia (from inhalation - highest mortality)
33
what should be seen on serodiagnosis of tularemia
1:40 to 1:320 in 1 to 2 weeks
34
treatment of tularemia
aminoglycoside