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Rickettsia and Related Diseases
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How does Epidemic Typhus spread?
Through
louse
feces or blood into wounds
What are the transmission methods for Murine Typhus?
Direct contact
via
fleas
Inhalation of
feces
or dust
How are Rickettsial diseases primarily spread?
By
arthropods
such as
ticks
and
fleas
How does O. tsutsugamushi transmit from one host to another?
Transovarian
transmission (from adult to egg)
What could be the possible cause of this skin condition?
Allergic reaction
Viral or
bacterial
infection
Skin irritation
How long after exposure do symptoms of Murine Typhus typically start?
After 1-2
weeks
In which regions is Epidemic Typhus mainly found?
Africa
and
South America
How can Q fever be contracted?
By inhaling dust or aerosols from
urine
or milk
What organism causes Epidemic Typhus?
R
.
p
r
o
w
a
z
e
k
i
i
R. prowazekii
R
.
p
ro
w
a
ze
kii
What type of skin condition is shown in the image?
The image shows a skin condition with red
spots
or bumps on the skin.
How should this skin condition be treated?
Topical creams
or ointments
Oral
antihistamines
Avoiding
irritants
Seeking
medical advice
What happens to engorged larvae in the life cycle of O. tsutsugamushi?
They transform into
nymphs
and adults
What is the animal source of Murine Typhus?
Rodents
What is the normal food source for the larva (chigger) of O. tsutsugamushi?
Small mammals
or
ground-feeding birds
What is the significance of the rash in Murine Typhus cases?
It occurs in over
half
of cases
When may Brill-Zinsser disease occur?
Years after recovery from
typhus
What conditions are often associated with Epidemic Typhus?
High population
density
and poor hygiene
What are the larvae of O. tsutsugamushi called?
Chiggers
What is the effect of early treatment with doxycycline for Epidemic Typhus?
Leads to
rapid
recovery
What is the purpose of Dip-S-ticks in Scrub typhus diagnosis?
They
offer
quick
bedside
detection
What do ELISA, PCR, and immunofluorescence provide in Scrub typhus diagnosis?
Accurate
antibody
or
DNA detection
What type of infection is Murine Typhus?
Flea-borne
bacterial
infection
Where do nymphs and adults of O. tsutsugamushi live?
Free
in
soil
What bacteria causes Scrub Typhus?
tsutsugamushi
What are the key features of the different life stages of O. tsutsugamushi shown in the image?
Larva (
chigger
): Feeds on small mammals or ground-feeding birds
Engorged
larva: Enlarged after feeding
Nymph
&
Adult
: Free-living in the soil
What are the limitations of the Weil-Felix test?
It has low
sensitivity
and
specificity
What are the potential complications if this skin condition is left untreated?
Worsening of
symptoms
Spread of infection
Scarring or discoloration of the skin
Secondary skin infections
Why are humans considered accidental hosts for the larva (chigger) of O. tsutsugamushi?
Humans are
not
the
normal
food
source
for the larva
What tests are involved in diagnosing Scrub typhus?
Rapid
immunochromatographic
flow assays
Dip-S-ticks
Weil-Felix
test
ELISA
PCR
Indirect immuno-peroxidase
Immunofluorescence
Cultivation on L929 cells
What do rapid immunochromatographic flow assays detect?
IgM/IgG antibodies
What are the common symptoms of Murine Typhus?
Headache
Muscle pain
Cough
Rash (in over half of
cases
)
If you wanted to observe the detailed surface features of a cell, which type of microscope would you use?
Scanning electron microscope
What is the life cycle of O. tsutsugamushi?
Adults transmit bacteria to eggs via
transovarial
transmission
Eggs develop into larvae (
chiggers
)
Larvae feed on small animals or humans
Engorged
larvae transform into nymphs and adults in soil
What is Brill-Zinsser disease?
A mild, latent reactivation of
typhus
What type of infection is Epidemic Typhus?
Louse-borne
infection
What does the Weil-Felix test use for diagnosis?
Cross-reactivity with
Proteus OX-K
How is Murine typhus transmitted?
By
fleas
from
rodents
What is the significance of humans in the life cycle of O. tsutsugamushi?
They serve as temporary
feeding hosts
What transmits Indian tick typhus?
Ticks
from animals
What type of cells are used for cultivation in laboratories for Scrub typhus?
L929
cells
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