06 Gm negative zoonotic bacilli
- red pillow: gm negative
- starry night and silver color: Warthin-Starry stain, a silver stain
- cat scratch fever
- bacillary angiomatosis
- princess: Cat scratch fever occurs in immunocompetent patients (healthy young princess)
- scratched arm: Cat scratch fever transmitted by cat scratches
- balls around arm: Axillary lymphadenitis. Noncaseating granuloma
- cane: Bacillary angiomatosis affects immunocompromised patients (HIV)
- scratched arm: Bacillary angiomatosis also transmitted by cat scratches.
- red dots: Raised red vascular lesions in bacillary angiomatosis
- mistaken for Kaposi but has neutrophils. Kaposi has lymphocytic infiltrate
- bicycle: Doxycycline treatment for bacillary angiomatosis
- crows: Macrolides can be used to treat either disease
Brucella
- red farm house: Gram negative
- Survive in macrophages, travel to different reticuloendothelial systems and causes enlargement
- open gate: Facultative intracellular organisms
- cow and pig: Direct contact reservoirs: cow, pig
- milk bucket on ground: Ingestion of unpasteurized dairy products
- farmer: Fever and anorexia, primary symptoms
- undulating hills: Undulant fever
- liver/spleen spots: Liver and splenic involvement/enlargement
- fish bone: chronic symptoms, Osteomyelitis
- rifle: Rifampin used for adjunctive therapy, not for contact
- bicycle wheel: Doxycycline
Francisella Tularensis
- red raddish: Gram negative, coccobacilli
- open cage: Facultative intracellular organism, recovery depends on cell mediated immunity
- Rabbits are main reservoir
- ticks from rabbit: Transmitted by dermacentor tick
- can also be aerosolized, as biological weapon
- enters at site of ulcer, gets inside macrophages, travels through lymph nodes, to reticuloendothelial organs
- rabbit hole ulcerating: Painful ulcer at the site of infection
- rotting radish: Granulomas with caseating necrosis in reticuloendothelial organs (i.e. lymph nodes)
- mud pushing up: Regional lymphadenopathy
- sai: Aminoglycosides for treatment
Pasteurella Multocida
- cat: Catalase positive, spread by cat bites as well
- blue ring: Oxidase positive
- capsule: Capsule is important virulence factor
- sheep blood: Grows on 5% sheep agar
- safety pin: Demonstrates double staining, described as a "safety pin"
- cat: cat bite
- dog bit: Transmitted by dog bites
- red bite location: Cellulitis may occur within the first 24 hours
- fish bone: Infection may spread to bone and cause osteomyelitis
- pencil: Empiric treatment is penicillin
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