Zoonotic Infections Flashcards

(42 cards)

2
Q

zoonosis

A

an animal disease that is transmissable to humans, who are usually an accidental host

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3
Q

how is anthrax an animal reservoir?

A

we come in contact with the spores in the environment

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4
Q

emerging infectious disease

A

infection that has newly appeared in the population, or has existed but is rapidly increasing in incidence or geographic range

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5
Q

name 5 ways that zoonoses can be transmitted

A

direct skin penetration (micro-breaks in the skin), bites and scratches, inhalation, ingestion, vector-borne

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6
Q

name 2 zoonotic infections transmitted by direct skin penetration

A

anthrax, tularemia

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7
Q

microbiology of leptospirosis

A

spiral shaped aerobic spirochete seen by dark-field microscopy or culture (takes a long time)

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8
Q

how prevalent (generally) and in what part of the world is leptospirosis usually found?

A

most common bacterial zoonosis wordwide, usually in tropical countries

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9
Q

what are the two major sources of leptospirosis acquisition?

A

recreational exposure & traveling

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10
Q

name 4 risk factors for leptospirosis

A

fresh water swimming, hiking, rafting, fishing, poor sanitation, flooding, urban overcrowding (infected rats), farming

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11
Q

what are the common symptoms of leptospirosis?

A

abrupt onset fevers, rigors, myalgia, and headache, some get GI symptoms and cough, some are asymptomatic

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12
Q

how do you diagnose leptospirosis?

A

blood and CSF cultures are positive for the first 10 days of illness, urine becomes positive after that until day 30; can also identify by serology

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13
Q

name a bacterial and a viral zoonotic organism that is transmitted by animal bites and scratches

A

Pasteurella multocida (GNR - cats, dogs) & rabies virus (bats, skunks, raccoons, etc.)

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14
Q

what organism is responsible for cat scratch disease/fever?

A

bartonella henselae (fastidious, slow growing GNR)

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15
Q

epidemiology of cat scratch disease

A

found worldwide, effects more children, usually transmitted by kittens, fall/early winter, 13% of head/neck masses

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16
Q

what are the clinical manifestations of cat scratch disease?

A

wide variation; local infection with swollen regional lymph nodes, fever of unknown origin, skin papule at site of inoculation

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17
Q

how to diagnose cat scratch disease

A

culture requires specific media, histo can be helpful, PRC not very sensitive

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18
Q

microbiology of pasteurella multocida

A

gram-negative coccobacilli that are small, non-motile, and non-spore forming; aerobic and facultative; grow on blood agar; catalase, oxidase, indole, and sucrose POSITIVE

19
Q

clinical manifestations of pasteurella

A

soft tissue infections (painful, swollen), bone and joint infections from cat claws, respiratory infections

20
Q

how to diagnose and treat pasteurella

A

culture blood or body fluid on sheep blood agar, treat with penicillin

21
Q

rabies virus

A

neurotropic bullet-shaped segmented negative strand RNA virus that binds to nicotinic ACh receptors

22
Q

pathogenesis of rabies

A

retrograde passage up local motor and sensory nerves to DRG and CNS, spread back to organs, saliva from the CNS

23
Q

why does rabies have such a long incubation period?

A

because its retrograde migration is very slow

24
Q

what animals transmit the rabies virus worldwide? In the US?

A

worldwide usually dogs, wild animals in the US because we vaccinate our pets (raccoons on the east coast)

25
Q

what happens once symptoms of rabies appear?

A

progressively worsening encephalopathy, come, and death

26
how can we diagnose rabies?
viral PCR of saliva, skin biopsy; can find antibodies in serum/CSF
27
what can be seen in a brain biopsy of someone who died of rabies?
negri bodies: eosinophilic inclusion bodies in cytoplasm of nerve cells
28
how to prevent rabies pre- and post-exposure
pre-exposure: 3 IM vaccine injections; post-exposure: wound care, immunoglobulin to the site, 5 doses of vaccine over one month
29
zoonotic infections transmitted primarily by inhalation
plague, Q fever, tularemia
30
what is the agent responsible for tularemia?
francisella tularensis (gram neg coccobacilli -- requires time and cysteine to grow, but hardy in nature)
31
pathogenesis of tularemia
small inoculum, replicates in macrophages, capsule protects against serum-mediated lysis, type IV pili, LPS does NOT have classic endotoxin
32
what animals are the host for tularemia?
LOTS, including rabbits, ticks, deer flies, mosquitos, voles
33
where in the US is tularemia particularly prevalent?
Martha's Vineyard, midwest
34
clinical manifestations of tularemia
2-10 day incubation, abrupt onset of fever, chills, headache, and malaise with swollen LN being the most common sign (6 major clinical syndromes, but most have ulcerogladular ds which has papulo-ulcerative lesion)
35
microbiology of plague bacteria
enterobacteriaceae family, non-motive, non-spore forming gram negative coccobacillus; microaerophilic
36
how to do humans acquire the plague?
bites by rodent fleas, infected domestic cats, aerosols, humans with plague
37
how to dx the plague
culture, serology, rapid diagnostic test
38
Q fever is caused by what organism?
coxiella burnetii (short pleomorphic strict intracellular rod -- host cell is macrophage)
39
mammals infected with Q fever shed large amounts of organism is their?
milk and birth products
40
how is Q fever acquired?
contaminated aerosol, bioterrorism, transplacental, sexual, soil and standing water (SO BASICALLY EVERYTHING)
41
clinical presentation of Q fever
looks like pneumonia, flu, or hepatitis; can become chronic
42
diagnosis of Q fever
serologic: 90% have antibodies by week 3 (IgM and IgG for acute, high levels of IgG for chronic)
43
treatment for Q fever
14 days of doxycycline (acute) or 18 months if chronic