Bartonella henselae
Gram
Negative
Bartonella henselae
What do you use to visualize it?
Wartharin starry silver stain
Bartonella henselae
Disease
Cat scratch fever
Bacillary angiomatosis
Bartonella henselae
Cat scratch fever
Regional lymph nodes in axilla in immunocompetent
Bartonella henselae
Bacillary angiomatosis
Raised vacular lesions
Immunocompromised
Larges highly vascular lesion
Bartonella henselae
Differential diagnosis
Kaposi’s sarcoma
Bartonella henselae
Treatment
Doxycycline
Azithromycin
Brucella
Characteristic
Gram, O2, shape, urease, H2S
Gram (-)
Aerobic
Cocobacillus
Urease (+)
H2S (+)
Facultative intracellular
Brucella
Reservoir
Farm animals
Cows, pigs, goats
Brucella
Transmission
Indirect contact with milk or cheese (unpasteurized)
Brucella
Where does it survives?
Survives in macrophages in the reticuloendothelial system
Brucella
Clinical presentation
Undulant fever
Night sweats
Enlargement of spleen, liver and lymph nodes
Osteomyelitis
Brucella
Treatment
Doxycycline + rifampin or streptomycin
Francisella telarensis
Characteristics
Gram, shape
Gram (-)
Cocobacilli
Facultative intracellular
Francisella telarensis
Vector
Dermacenter tick
Francisella telarensis
Clinical presentation
Painful ulcer
Regional lymphadenopathy
Enters through ulcer and into macrophages in the lymph system to reticuloendothelial organs and causes caseation necrosis
Francisella telarensis
Treatment
Streptomycin
Aminoglycoside
Pastuerella multocidida
Characteristics
Gram, catalase, oxidase, appareance
Gram (-)
Catalase (+)
Oxidase (+)
Bipolar/safety
Pastuerella multocidida
Transmission
Cats and dogs bites
Pastuerella multocidida
Disease
Cellulitis (24 hours)
Necrotizing fasciitis or osteromyelitis
Pastuerella multocidida
Main virulence factor
Capsule
Pastuerella multocidida
Grows in
5% sheep’s blood agar
Pastuerella multocidida
Treatment
Penicilin
Amoxicilin + clavulanic acid