08 Spirochetes

Borrelia Burgdorferi

_..

• green color shirt: lyme disease

_..

• North east sign: Primarily Northeastern United States

• tick on sign: Transmitted by bite of tick living in wooded areas

• Robin of Ixodes: Ixodes Scapularis species of tick

• Tick is the vector

• small mouse: White-footed mouse main reservoir (host of tick larvae)

• large deer: White-tailed deer obligatory host (host of adult tick)

_..

• Doesn't gram stain: walls too thin

• sir wright: Visualized by Wright's stain (lime green for lyme disease)

• sir giemsa: Visualized by Giemsa stain

_..

stage 1:

• "Bull's eye" rash

• splitting arrow: Spirochete

• sweating sir wright: Flu-like symptoms

stage 2:

• heart shield: Heart block caused by Myocarditis

• bells on both side: Bilateral Bell's palsy

stage 3:

• arrow in head, confused giemsa: Encephalopathy (memory difficulty, cognitive slowing, meningitis)

• arrow in knee, swinging strawman: Migratory polyarthritis, large joints and may move from joint to joint

_..

• bike wheel: Doxycycline treatment if caught in early stage

• axes: Ceftriaxone treatment if more severe or later presentation

Leptospirosis

_..

• scene: endemic in tropical regions

• yellow tide: Leptospira found in water contaminated with animal urine

_..

• spiral shape surface leash and question mark: Described as spiral shaped or question mark shaped

_

• Whale: Weil's disease.,

_..

• surfer dripping wet: Fever

• rose colored sunglasses, rubbing eye: Conjunctival suffusion. Redness of eye but no exudate/pus

• floating reds look like RBC all over place: Leptospira affects multiple different organs by hematogenous spread

• rubber red shaped like kidney: Leptospira can cause kidney dysfunction

• yellow surfer: Weil's disease can cause liver dysfunction and jaundice