+ CLUSTERED - scalded skin syndrome, causes boils, skin inflammation, osteomyelitis, toxic shock syndrome, impetigo - cause fomite
Staphylococcus aureus (MRSA)
+ anthrax, Woolsorters Dx, aerobic
bacillus anthracis
+ botulism, flaccid paralysis, 12-36 hours; boil 120C 20min
clostridium botulinum
+ tetanus (lock jaw), spastic paralysis, rusty nail”, 8days
clostridium tetani
+ wound, brown bubbles under skin, 24-72 hours, gas gangrene
clostridium perfringens
+ tuberculosis, TINE, mantoux, acid fast stain; lowenstein-jensen medium, leprosy (hansens Dx) lesions-FALL off (india-leprosy), rods
mycobacterium
+ rheumatic fever Jones criteria, SPECS, Rebecca lansfield, mitis salivarius agar, strep throat, scarlet fever, DICK test, strawberry tongue
streptococcus pyogenes (group A)
+ subacute bacterial carditis
streptococcus viridians
+ dental carries
streptococcus mutans “in our mouth”
+ milk and cheese borne disease
listeria monocyogene
+ aka babes ernst bodies, SCHICK test, metachromatic granules, gray pseudomembrane, DPT DTaP/DT/Td (new)
corynebacterium diptheria
SPECS Rheumatic fever jones critera
Syndenhams chorea Polyarthritis Erythemamarginatum Carditis Subcutaneous nodules
+ neonatal meningitis
occurs at birth
strep agalactiae (group B)
+ 2.3 mil carriers, Dx second only to HIV, begins skin scratch, lungs look like “swiss cheese”
CA-MRSA
- thayer martin chocolate agar, diploe cocci, gonorrhea, STD, infantile vagina, cervix
neisseria gonorrhea
- meningitis, bacteremia
neisseria meningitidis
- “hot tubs”, blue/green pus, burn infections, hospitalized
pseudomonas aeruginosa
- “travelers” metallic green sheen, UTIs, infantile diarrhea, symptoms occur after 2 days, EMB agar
E coli
- NO FEVER, bacillary dysentery, tenesmus, flies-vector
shigella
- Bubonic plague (black death), carried on rat fleas
yersinia pestis
meningitis (-)
haemophilus
- MC bacterial gastroenteritis, 2-5 days, contaminated beverages and food
camphylobacter jejuni
- whooping cough, DPT vaccine
bordetella pertussis
- brucellosis, meat, unpasteurized milk/cheese, acute/chronic phase
brucella abortis
- tularemia, rabbit fever, dangerous biological terrorist threat
francisella tularensis
- legionnaires disease, pneumophilia
legionella
- “pea soup” diarrhea, 2nd MC cause gastroenteritis, 12-72hrs, meat, poultry, eggs
salmonella
- pneumonia, red currant jelly sputum
klebsiella
- john snow, comma shaped, dehydration, rice water stools, death, 24-48hours
vibrio cholera
exotic bird importer with a fever, ornithosis, parrots and other birds, symptoms are flue like –> systemic complications - pneumonia [parrot SHITICA on hair
chlamydia psittaci
lymphogranuloma venereum (invades lympth tissue of genitalia), MC STD in US
chlamydia trachomatis
chlamydia causes this, pelvic inflammatory disease, lymphogranuloma verereum
trachoma reiters
acute febrile disease, severe HAs, chills, muscle pains, Rocky Mt Spotted Fever (tick fever/typhus) N&S America, Rash on palms and soles (ankles and wrists) - to neck face axilla trunk
rickettsia ricketsii
prolonged high fever, HA, maculopapular rash, worldwide, epidemic typhus - later Brill-Zinsser Dx - yrs after initial attack, louse feces
rickettsia prowazekii
SCRUB typhus, fever, primary lesion, macular rash, lymphadenopathy, CHIGGER
rickettsia tsutsugamushi
trench fever, louse - africa, mexico, europe
rochalimaea quintana
Q fever, acute sudden onset, fever, HA, malaise -milk, dried up/inhale it or you can drink infected milk, tick
coxiella burnetti
tick typhus
R. rickettsii
epidemic typhus
R. prowazeckii
murine typhus
R. typhi
scrub typhus
R. tsutsugamushi
syphilis, VDRL, FTA-ABS, Wasserman test, green
treponema pallidum
4-8 weeks, CHANCRE (on your wanker)
primary syphilis
12 weeks later, rash (contagious)
secondary syphilis
months later, gumma
tertiary syphilis
relapsing fever, lice, infection via mucous membranes –> blood
borrelia recurrentis
from a squirrel or chipmunk tick, can be fatal
borrelia hermsii
lyme disease, deer ticks, bulls eye rash (erythema migrans)
borrelia burgdorferi
primary phase - high fever, chills, HA, muscle aches, conjunctivitis and vomiting secondary - HA, kidney, hepatic, jaundice, anemia, neuro disturbances –> WEILs syndrome vector: rat urine
leptospira interrogans
yaws (ulcerations extremities), FTA
treponema pertenue