# 09 Gm Indeterminate

## Coxiella Burnetii

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/Coxiella%20gm%20stain,%20features/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/1VEb0cY.jpg)

* Originally rickettsia species, now its own
* red barn: Gram negative
* Ram inside barn with lock: Obligate intracellular organism
* Walnuts with poop: Contained in spore like structures in animal feces

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/Coxiella%20transmission/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/1VEb0cY.jpg)

* Walnuts with poop: Contained in spore like structures in animal feces
* Dust cloud: Transmitted to humans via aerosol transmission, farm animals are major reservoir&#x20;

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/Coxiella%20symptoms%20and%20treatment/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/1VEb0cY.jpg)

* White, clean sheep: No rash caused
* Q horn; Q-fever
* coughing farmer: Pneumonia
* hitting head: Headache
* sweating/red face:  Fever
* Liver spot: May cause hepatitis
* Self limiting

## Mycoplasma Pneumoniae

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/Mycoplasma%20pneumoniae%20features.%20PM%20features)..

![](https://f001.backblazeb2.com/file/wikiFiles/xO6jkMt.jpg)

* Outside, no walls: "No cell wall, can't appear on gram stain"
* cholesterol rings on goal net:  Cell membrane contains cholesterol, stabilize membrane and more flexible

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/mycoplasma%20pneumoniae%20demographics/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/xO6jkMt.jpg)

* military uniform: Common in military recruits living in close quarters
* <30: Commonly occurs in young adults

\[\_]\(mycoplasma pneumoniae labs and agar. What's so special about its symptom)..

![](https://f001.backblazeb2.com/file/wikiFiles/xO6jkMt.jpg)

* RBC on ground bound by IgM snow flakes: IgM cold agglutinins cause agglutination/lysis of red blood cells
* Don't eat on ice: "Eaton's agar"
* patchy sky: X-ray shows reticulonodular or "patchy" infiltrate, appears much worse than patients seem clinically
* referee walking: Walking pneumonia, pt not as sick as X ray shows
* target: Erythema multiforme. Target lesions

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/mycoplasma%20pneumoniae%20treatment/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/xO6jkMt.jpg)

* Crows: Macrolide for treatment because no cell wall

## Rickettsia species

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/Rickettsia%20species%20features,%20gm%20stain,%20shape,%20why%20is%20it%20intracellular?/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/5i3BWEy.jpg)

* Inside stadium: Obligate intracellular organism
* All white ppl: Poor gram staining. Giemsa stain for visualization
* pink tennis balls:  Weakly gram negative
* deflated tennis balls: Coccobacillary shape
* Coach shirt: Unable to produce CoA, gets it from eukaryotic cells
* NAD+ bottle:  Unable to produce NAD+, important for bacterial growth and reproduction, steal from eukaryotic &#x20;

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/Rickettsia%20lab%20test/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/5i3BWEy.jpg)

* Will and Felix: Weil-Felix agglutination test for Rickettsial infections, cross reaction between rickettsia and proteus vulgaris&#x20;

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/Rickettsia%20symptoms%20and%20treatment/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/5i3BWEy.jpg)

* Felix sweating/touching head: Headache and fever in early Rickettsial infection
* Rash may be associated with vasculitis&#x20;
* broken, bright red net and rackets: Vasculitis and inflammation/destruction
* Tires: Doxycycline for treatment

### Prowazekii

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/prowazekii%20demographics,%20transmission,%20and%20difference%20from%20rickettsii/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/noWgs3z.jpg)

* Coach with military hat: Affects military camp recruits and prisoners of war (close contact with poor hygiene
* football shaped like louse: Spread by louse, defecates near bite spread to blood by scratching.
* The outbreak board: Illness is called epidemic typhus (more widespread than endemic)

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/prowazekii%20symptoms/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/noWgs3z.jpg)

* football formation: Rash starts at trunk, and spreads outward towards extremities&#x20;
* players red except helmet, hands, feet: Rash spares hands, head, and feet
* Tackled player: Causes myalgia and arthalgia
* coughing from dirt: Causes pneumonia
* confused guy: Encephalitis, with and confusion. can cause coma if very serious

### rickettsii

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/rickettsii%20transmission,%20difference%20from%20prowazekii/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/d4np92F.jpg)

* Rock with legs, derma center arena: Transmitted by direct bite of Dermacentor ticks (sport center)
* Transmitted by direct bite of Dermacentor ticks

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Microbes/rickettsii%20symptoms/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/d4np92F.jpg)

* climber at bottom with no rash: Rash not immediate, incubation period between 2-14 days
* 1st climber: Rash begins at extremities. Wall = source of rash
* Rash spreads centrally from extremities&#x20;
* Climber on top grabbing head, sweating, sore from climb: Symptoms include headache, fever, myalgias&#x20;
