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47970
Plague and Non-enteric Pathogens
Descrição
Microbiology Mapa Mental sobre Plague and Non-enteric Pathogens, criado por maisie_oj em 16-04-2013.
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microbiology
microbiology
Mapa Mental por
maisie_oj
, atualizado more than 1 year ago
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maisie_oj
mais de 11 anos atrás
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Plague and Non-enteric Pathogens
Yersinia pestis
Cause of the plague
Transmitted via animals
Sylvatic plague - from wild animals
Urban plague - from domestic/semi-domestic animals or humans
Found in 200 species of animals (rodents) without causing disease
Fleas are vector
Bacteria replicates in gut
Coagulase causes blood clotting which blocks the oesophagus
Flea becomes ravenous
3-50 bacilli
Bubonic
Bacilli multiplies in flea bite
Bacteria enters lymphatic system
Causes swelling and necrosis in groin/axilla (a bubo)
Septicemic
Progression to massive bacterial growth
Virulence factors cause intravascular coagulation, subcutaneous haemorrhage and purpura
Black plague
Pneumonic
Infection localized to lungs
Highly contagious
Fatal without treatment
Diagnosis depends on patient history, symptoms and lab findings from bubo aspirate
Treated with streptomycin, tetracycline or chloramphenicol
Prevention of spread by quarantine and control of rodent population
Killed/attenuated vaccine available
Non-enteric Pathogens
Pasterurella multocida
Normal flora in animals
Opportunistic pathogen
Animal bites cause local abcesses that spread to bones, joints and lymph nodes
Immunocompromised are at risk of septicaemia and complications
Treated with penicillin and tetracycline
Haemophilus
Tiny, Gram -ve pleomorphic rods
Fastidious - sensitive to drying, temperature extremes and disinfectants
Grows on chocolate agar - require hemin, NAD or NADP
Some species are normal flora of upper respiratory tract/vagina
Other species are involved in conjunctivitis (H. aegyptius), childhood meningitis and chancroid (H. ducreyi)
H. influenzae - acute bacterial meningitis, epiglottitis, otitis media, sinusitis, pneumonia, bronchitis
Hib vaccine
H. parainfluenzae and H. aphrophilus - normal oral and nasopharangeal flora but can cause infective endocarditis
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