05 Gm Negative Respiratory Bacilli
Bordatella pertussis
_..
coughing: Transmitted by respiratory droplets
_..
red bow GI: pertussis toxin
EF Shield: like anthrax
Tractor: tracheal toxin
_..
red and blow strings: Filamentous hemagglutinin, pili used to attach to respiratory epithelium and release toxin
_..
bow and GI (military) in wheel chair: Pertussis toxin rirosylates Gi, disables Gi
army camp: Pertussis toxin increases cAMP
_..
popcorn overflowing: Lymphocytosis due to loss of chemotaxis
_..
EF shield: Adenylate cyclase toxin: acts like Anthracis EF toxin, increase cAMP
_..
tractor cleaves grass: Tracheal toxin, peptidoglycan wall, damages ciliated cell of respiratory epithelium
_..
Catarrhal phase: nonspecific, 1-2 weeks, conjunctival injection, lacrimation
whoop horn: Paroxysmal stage: Whooping cough
Victory banner: 100 day cough: convalescent stage can last for months, 3 months
_..
crow: Macrolide treatment
cell phone: DTaP vaccine has acellular Pertussis antigens
Haemophilus Influenza
_..
Phyllis: haemophilus
red color: gm negative
candy: Coccobacillary shape
chocolate on window: Grown on chocolate agar
5 cent, nickle: factor V (nicotinamide) (NAD) added to chocolate agar (staph aureus with sheep blood)
10 c: Factor X (hematin) added to chocolate agar
aerosol spray: Aerosol transmission
capsule with bee: encapsulated with type B
IgA protease
_..
child screaming and drooling: Epiglottitis, inflammed epiglottis, inspiratory stridor, drooling
chocolate covered cherries, kid with icecream and cherry: Cherry red epiglottis
stuffed ear: Otitis media
meningitis kid: Meningitis in children
capsule with bee: Strains with type B vaccine cause meningitis
_..
syringe: Vaccine for H. flu type B
Dip: Vaccine is polysaccharide conjugated to Diphtheria toxoid
$2.18: Vaccine for ages 2-18 months
_..
sickle: Increased risk of infection in sickle cell or asplenic patients
_..
3 axes: Ceftriaxone for meningitis or systemic disease
rifle: Rifampin prophylaxis for close contacts
Legionella pneumophila
_..
red color but silver on top: Gram negative but needs silver stain to be visualized
piles of coal: Grown on charcoal yeast extract
iron anchor with cysteine: Growth requires presence of iron and cysteine
girl with ring: Oxidase positive
_..
pontiac fever
legionnaire
Pontiac fever
_..
Legionella
Pontiac car steaming: Pontiac fever: self limited fever and malaise
Legionnaire's disease
[_](legionnaire's disease demographics, symptoms)..
sailor smoking: Legionnaires' disease more common in smokers
coal flame: High fever >40 or >104
confused sailor with hurt head: May present with headache and confusion
sailor with paint all around: Pneumonia with diarrhea suggestive of Legionnaires' disease "
_..
sailor urinating: Urine antigen test for rapid diagnosis
sailor wasting salt: Hyponatremia, <130
map: X-ray shows patchy infiltrate with consolidation of one lobe
[_](legionnaire's disease treatment)..
flower: Fluoroquinolone may also be used for treatment
crows: Macrolides for fever
Last updated
