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Bacillus Anthracis
Aerobic, gram-positive, spore-forming bacterium that causes anthrax.
Transmission of Anthrax
Direct contact with endospores
Treatment for Anthrax
Penicillin and ciprofloxacin
Prevention of Anthrax
Avoid contact with infected livestock and animal products.
Clostridium tetani
Gram-positive anaerobic rod that causes tetanus.
Symptoms of Tetanus
Muscle stiffness in jaw and neck, also known as trismus.
Transmission of Tetanus
Direct contact with spores through wound.
Tetanus Treatment
Tetanus antitoxin and penicillin.
Tetanus Prevention
Immunizing with the toxoid vaccine.
Clostridium perfringens
Bacterium that causes gas gangrene, associated with foul odor and intense pain.
Gas Gangrene Prevention
Cleaning the wound and debridement.
Leptospira interrogans
Bacterium that causes leptospirosis.
Symptoms of Leptospirosis
Acute headache, muscle ache, vomiting, fever, and chills.
Transmission of Leptospirosis
Contaminated food, water, or soil by diseased animal urine.
Leptospirosis Treatment
Penicillin and doxycycline.
Inhalation Anthrax Symptoms
Resembles a common cold; respiratory distress and may be fatal without treatment.
Cutaneous Anthrax
Skin infection; develops itchy bumps that become painless black ulcers.
Symptoms of Cutaneous Anthrax
Blackened eschar surrounded by edema, painless, starts like an insect bite.
Anthrax Lethality Factors
Antiphagocytic polysaccharide capsule and anthrax toxin secretion.
Antiphagocytic Polysaccharide Capsule
Prevents immune cells from killing Bacillus Anthracis.
Anthrax Toxins
Includes Protective Antigen (PA), Edema Factor (EF), Lethal Factor (LF).
LeTx (LT)
Lethal toxin that induces apoptosis of activated macrophages.
Trismus
A condition of clenched teeth and jaw, also known as 'fixed smile'.
Opisthotonus
Arched back position; reduces ventilation and can lead to death.
Exotoxins of Tetanus
Tetanospasmin and tetanolysin.
Tetanospasmin
Prevents the release of glycine and GABA, blocking muscle relaxation.
Tetanolysin
Cytotoxin that causes tissue damage.
Intestinal Anthrax Symptoms
Intense inflammation of the GI tract, abdominal pain, vomiting, severe bloody diarrhea.
Lethal Dose of Tetanus
130 ng.
Mild Tetanus
Features mild trismus, general spasticity, and no severe respiratory embarrassment.
Moderate Tetanus
Moderate trismus, rigidity, and short spasms with moderate respiratory involvement.
Severe Tetanus
Severe trismus and prolonged spasms with significant cardiovascular symptoms.
Very Severe Tetanus
Grade 3 symptoms plus severe autonomic disturbances.
Burkholderia Pseudomallei
Gram-negative bacilli that causes melioidosis.
Melioidosis
A condition that can remain dormant for years; 100% fatal if untreated.
Acute Melioidosis Symptoms
Pneumonia and septicemia.
Melioidosis Treatment
Ceftazidime and doxycycline.
Yersinia Pestis
Bacterium that causes plague, transmitted through infected flea bites.
Symptoms of Bubonic Plague
Sudden onset with fever, chills, muscle aches, and swollen lymph nodes (buboes).
Xenopsylla cheopis
Flea that transmits plague.
Septicemia Plague Symptoms
Abdominal pain, bleeding, fever, diarrhea, low BP, organ failure.
Gangrene
Death of tissue causing blackening of extremities.
Francisella tularensis
Causes tularemia, transmitted from tick bites and through rabbit skinning.
Glandular Tularemia Symptoms
Swollen glands from tick bites.
Inhalation Tularemia
Respiratory disease caused by Francisella tularensis.
Pneumonic Plague Symptoms
Headache, lung hemorrhaging, cardiovascular collapse.
Borrelia burgdorferi
Spirochete that causes Lyme disease.
Lyme Disease Transmission
Caused by bites from ixodes scapularis or ixodes pacificus ticks.
Stage 1 Lyme Disease Symptoms
Erythema migrans rash; bulls-eye pattern.
Stage 2 Lyme Disease Effects
Disease spreads to nervous system and heart, causing meningitis and muscle pain.
Stage 3 Lyme Disease Symptoms
Chronic arthritis, swelling of large joints, encephalopathy.
Lyme Disease Treatment
Amoxicillin or doxycycline, and vaccination (LYMErix).
Relapsing Fever
Caused by Borrelia hermsii; transmitted by ticks and lice.
Acknowledged Relapsing Fever Symptoms
Fever, chills, headaches, muscle and joint pain.
Treatment for Relapsing Fever
Doxycycline antibiotic based on blood smear presence.
Rickettsial Diseases
Obligate intracellular parasites transmitted through insects.
Rocky Mountain Spotted Fever Symptoms
Begins with rash, fever, nausea, and abdominal pain.
Epidemic Typhus Transmission
Spread by body lice (Pediculus).
Endemic Murine Typhus Symptoms
Abdominal pain, extremely high fever, nausea, deep malaise.
Scrub Typhus
Caused by Orientia tsutsugamushi, carried by chigger mites.
Trench Fever
Caused by Bartonella quintana, vectored by lice.