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II: microbial diseases of the cardiovascular system (BLACK DEATH, LYME DISEASE, TYPHUS)
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the plague is also known as..
black death
what is the mode of entry for the plague/black death?
rats carry yersinia pestis → fleas bite rat and jump from rats to humans → bite → infect humans with yersinia pestis
prairie dogs + squirrels infected with yersinia pestis → rodent flea bites prairie dog or squirrel, then human → infects humans with yersinia pestis
human sneezes or coughs → transfers yersinia pestis to another person
what are the reservoirs for yersinia pestis?
rat fleas
prairie dogs + squirrel fleas
humans infected with the microbe
what microbe causes the plague/black death?
yersinia pestis
what are the 3 types of black death?
1) bubonic
2) septicemic
3) penumonic
bubonic plague is the most common, causing _____
buboes → abscesses of lymph nodes
buboes are abscesses of the _____ ______
lymph nodes
bubonic plague, if left untreated, has what % mortality rate?
50%-75%
septicemic plague is _________
communicable
what is the mortality rate of septicemic plague?
90%
pneumonic plague is _________
communicable
what is the mortality rate of pneumonic plague?
100%
what are the symptoms of plague/black death?
dark blue + black areas of skin from hemorrhaging
is there a vaccine for the plague/black death?
yes
what is the treatment for the plague/black death?
streptomycin
tetracycline
what is the most common tick borne disease in the U.S.?
lyme disease
lyme disease is caused by what microbe?
borrelia burgdorferi
borrelia __________ causes lyme disease
borrelia burgdorferi
borrelia burgdorferi is a _________
spirochete
what are the animal reserviors of borrelia burgdorferi?
field mice + deer
what is the biological arthropod vector of lyme disease?
deer tick
what happens in the 1st stage of lyme disease?
75% chance of developing a bull’s eye rash in 2 weeks of being bit by a deer tick
flu-like symptoms after rash
what is the chance of developing a bull’s eye rash after 2 weeks of being bitten by a deer tick?
75%
what stage of lyme disease?
bull’s eye rash + flu like symptoms
1st
what happens in the 2nd stage of lyme disease?
heart irregularities
neurological impairment
facial paralysis
meningitis
encephalitis
what stage of lyme disease?
heart irregularities, neurological impairment, facial paralysis, meningitis, encephalitis
2nd
what happens in the 3rd stage of lyme disease?
arthritis as early as several months and up to a year after bite
requires large doses of antibiotics
resembles later stages of syphilis
how does the 3rd stage of lyme disease resemble later stages of syphilis?
both involve long-term inflammation and tissue damage
patients will experience neurological decline, joint pain, and cardiac complications with both diseases
what stage of lyme disease?
arthritis, requires large doses of antibiotics, symptoms involve long-term inflammation + tissue damage as well as neurological decline and cardiac complications
3rd
how is lyme disease diagnosed?
serological antibody tests
*many false positive and negatives
what is the treatment for lyme disease?
tetracycline
doxycycline
typhus is caused by what microbe?
rickettsia sp.
rickettsia sp. causes what disease?
typhus
rickettsia is an obligate _________ ________
obligate intracellular parasite
rickettsia sp. is transmitted by what biological arthropod vectors?
louse
fleas
ticks
mites
what happens as a result of being infected with typhus?
inflammation causes blockage of small blood vessels + rupture of blood vessels
what are the symptoms of typhus?
rash
high fever
stupod
severe headache
rash, high fever, stupor, and _____ _______ are symptoms of typhus
rash, high fever, stupor, and severe headache
what is the treatment for typhus?
tetracycline
chloramphenicol
what are the types of typhus?
epidemic typhus
rocky mountain spotted fever
epidemic typhus is transmitted by ____
lice
epidemic typhus is known as the disease of what?
war, filth, famine, poverty
is there a vaccine for typhus?
yes
what does typhus lead to if untreated?
death
in epidemic typhus, where is rickettsia sp. found?
found in louse feces → rubbed into wound when the bitten host scratches the bite
in epidemic typhus, rickettsia sp. is found in _____ feces, then they are rubbed into the wound when the bitten host ______ the bite
louse feces
scratches
what is the biological arthropod vector of rocky mountain spotted fever?
wood + dog tick
how are measles and rocky mountain spotted fever similar + different?
both involve a rash that looks similar to one another
→ however, rocky mountain spotted fever has a rash that appears on the palms + soles
what are the symptoms of rocky mountain spotted fever?
fever
severe headache
rash appears on palms and soles