Tx dox圜YCLING unicycle - later presentation may require cefTRIAXone.īoth STAPH SAPRO and EPIDERMIDIS catalase (+), urease (+) (ammonia spray bottle), Coag (-) jello is not clottedīRUCELLA BRUCE farms. Lyme disease: 3 stages - 1st is bulls eye rash with fever (embarresed his arrow was split), 2nd is heart block from myocarditis and a bilateral facial palsy (bells), 3rd is migratory arthritis of large joints (arrow in moving target's knee) and some subtle CNS effects like encephalopathy (arrow in head). This is big enough to see on light microscopy - wright or giemsa stain (sir wright and sir giemsa) - all in green for Lyme disease. larvae feeds on white foot mouse and is the resorvoir, the obligatory host is the white tailed deer where adult tick lives. transmitted by ixodes scapulares tick (robin of ixides archer). spreads by resp droplets)īORRELIA BURGDORFERI Spirocheetes. (ps: Bordet Genu medium, may cause seizure or hearing loss, charcoal blood agar, can tx before paroxysmal stage, not after. Acellular (cell) vaccine is purified antigens of the bacteria and is given as dtap (diptheria and tetanus also included). Used to be called the 100 day cough b/c it lasts so long. in Catarhal stage cunjuctiva injection and lacrimation, paroxysmal stage is coughing with whooping, then convalescent stage is gradual reduction in syptoms. Tracheal toxin damages ciliated cells in resp tract (tracheal tractor mowing grass). Adenylyl cylcase toxin acts like AC and causes an increase in cAMP, also (the same way EF toxin in anthrax did, sheild is on the wall). Doesn't invade and causes massive lymphocytosis, popcorn WBCs. Persussis toxin riBOWsilates Gi (GI in a bow, it disables the inhibitor) and it increases cAMP (camp outside). highly contagious, attaches to mucosa by fimbrae hemagglutanin pilli (streamers). Tx is dox圜YCLINE wheel, maCROWlides can also be used.īORDETELLA PERTUSSIS G(-)coccobacilli.
In immunecompromised you get bacillary angiomatoses (cane) with raised red vascular lesions all over skin (spotted robe) hard to tell this from Kaposis sarcoma, do starry silver stain. Cat scratch fever causes swelling of lymph nodes (she has lymph nodes balling in her pits) and this happens in immune compotent people. G(-) but visualized on wartharin starry silver stain (starry night painting). reheating rice over fire and vomiting - food poisoning.īARTONELLA HENSLAE cat scratch fever, BART the leopard. Tx is flouroquinolone (flower), next is doxycycline (cycling).īACILLUS CERUS G(+) rod, also spore forming - walnuts. Ax: pulmonary hemorrhage - on imaging looks like widenened mediastinum - wide mast on ship. Wool sorters disease from spores - sheep. two toxins: lethal factor (exotoxin, cleaves map kinase, tissue necrosis - black eschar) and edema factor shield (increases cAMP, tents). Encapsulated in armor - unique features of the capsule is made of poly D protein and so is the leather armor. Large bacilli in 'boxcar like' chains - chain of boats. Standing in a black eschar with erythematous ring. Tx is penicillin pencil.īACILLUS ANTHRAXIS G(+) rod, King Anthra's AX. natural flora in mouth - jaw trauma (jaw wrap) starts as painless lump then invades as sinus tracts drain through skin(drain) with sulfur yellow granules (yellow rocks). G(+) branching filamentous rod (tree branches).