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Meningococcal meningitis
Neisseria meningitidis: college students, droplet spread, fever + stiff neck + photophobia, nonblanching rash, can progress very fast.
Hib meningitis
Haemophilus influenzae: mainly young children, droplet spread, headache + fever + stiff neck; Hib vaccine.
Listeriosis
Listeria monocytogenes: deli meats/unpasteurized foods, especially important in pregnancy; can cause meningitis and fetal complications.
Cryptococcal meningitis
Cryptococcus neoformans/gattii: yeast, pigeon/bird-dropping environment, especially immunocompromised patients; severe headache, confusion, possible CNS disease.
PAM
Naegleria fowleri: warm freshwater enters the nose, rapidly fatal CNS disease over days.
GAE
Acanthamoeba/Balamuthia: soil/freshwater, slower CNS disease over weeks to months, especially immunocompromised people.
Tetanus
Clostridium tetani: soil-contaminated wound, lockjaw + rigid/spastic muscles, opisthotonus.
Botulism
Clostridium botulinum: improperly canned food, no fever, blurred/double vision, flaccid paralysis.
Polio
poliovirus: fecal-oral, can destroy motor neurons and cause paralysis; IPV vaccine.
Rabies
rabies virus: animal bite/saliva, tingling at bite site, abnormal behavior, difficulty swallowing, hydrophobia.
African trypanosomiasis
Trypanosoma brucei: tsetse fly, chancre + lymph nodes + later confusion/personality change and daytime sleepiness.
CJD
prion: rapidly progressive dementia, myoclonus, poor coordination, fatal neurodegeneration.
West Nile
West Nile virus: Culex mosquito, usually mild/asymptomatic, but severe cases cause meningitis/encephalitis, tremor, seizures, weakness.
Malaria
Plasmodium: Anopheles mosquito, liver then RBCs, cyclical fever/chills.
Babesiosis
Babesia: Ixodes/deer tick, infects RBCs, malaria-like illness.
Brucellosis
Brucella: cattle/goats/sheep + unpasteurized milk, undulating fever and heavy sweating.
Leishmaniasis
Leishmania: sandfly, painless ulcer at bite site; visceral form can enlarge liver/spleen.
Chagas disease
Trypanosoma cruzi: kissing bug, Romaña sign, later cardiomegaly, megaesophagus, megacolon.
Plague
Yersinia pestis: rat flea, swollen lymph nodes/buboes, dark skin changes; pneumonic form spreads by droplets.
Tularemia
Francisella tularensis: rabbit/deer fly/tick exposure, skin ulcer + painful lymph nodes.
RMSF
Rickettsia rickettsii: tick bite, fever/headache, rash starts on wrists and ankles and spreads inward.
Epidemic typhus
Rickettsia prowazekii: body louse.
Murine typhus
Rickettsia typhi: rat flea.
Lyme disease
Borrelia burgdorferi: Ixodes tick, spirochete.
Staph food poisoning
S. aureus: very rapid vomiting/diarrhea, no fever, creamy foods; intoxication.
Shigellosis
Shigella: fecal-oral, fever + cramps + dysentery/bloody diarrhea, very low infectious dose.
Salmonellosis
Salmonella enterica: poultry, eggs, reptiles; fever + cramps + diarrhea.
Typhoid fever
Salmonella typhi: human-only reservoir, high fever, headache, later diarrhea; chronic carrier state.
Cholera
Vibrio cholerae: contaminated water, rice-water stool, extreme dehydration, no fever.
EHEC
E. coli: undercooked ground beef, severe cramps + bloody diarrhea + HUS, little/no fever.