05 Gm Negative Respiratory Bacilli

Bordatella pertussis

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• coughing: Transmitted by respiratory droplets

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• red bow GI: pertussis toxin

• EF Shield: like anthrax

• Tractor: tracheal toxin

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• red and blow strings: Filamentous hemagglutinin, pili used to attach to respiratory epithelium and release toxin

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• bow and GI (military) in wheel chair: Pertussis toxin rirosylates Gi, disables Gi

• army camp: Pertussis toxin increases cAMP

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• popcorn overflowing: Lymphocytosis due to loss of chemotaxis

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• EF shield: Adenylate cyclase toxin: acts like Anthracis EF toxin, increase cAMP

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• tractor cleaves grass: Tracheal toxin, peptidoglycan wall, damages ciliated cell of respiratory epithelium

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• Catarrhal phase: nonspecific, 1-2 weeks, conjunctival injection, lacrimation

• whoop horn: Paroxysmal stage: Whooping cough

• Victory banner: 100 day cough: convalescent stage can last for months, 3 months

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• crow: Macrolide treatment

• cell phone: DTaP vaccine has acellular Pertussis antigens

Haemophilus Influenza

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• Phyllis: haemophilus

• red color: gm negative

• candy: Coccobacillary shape

• chocolate on window: Grown on chocolate agar

• 5 cent, nickle: factor V (nicotinamide) (NAD) added to chocolate agar (staph aureus with sheep blood)

• 10 c: Factor X (hematin) added to chocolate agar

• aerosol spray: Aerosol transmission

• capsule with bee: encapsulated with type B

• IgA protease

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• child screaming and drooling: Epiglottitis, inflammed epiglottis, inspiratory stridor, drooling

• chocolate covered cherries, kid with icecream and cherry: Cherry red epiglottis

• stuffed ear: Otitis media

• meningitis kid: Meningitis in children

• capsule with bee: Strains with type B vaccine cause meningitis

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• syringe: Vaccine for H. flu type B

• Dip: Vaccine is polysaccharide conjugated to Diphtheria toxoid

• $2.18: Vaccine for ages 2-18 months

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• sickle: Increased risk of infection in sickle cell or asplenic patients

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• 3 axes: Ceftriaxone for meningitis or systemic disease

• rifle: Rifampin prophylaxis for close contacts

Legionella pneumophila

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• red color but silver on top: Gram negative but needs silver stain to be visualized

• piles of coal: Grown on charcoal yeast extract

• iron anchor with cysteine: Growth requires presence of iron and cysteine

• girl with ring: Oxidase positive

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• pontiac fever

• legionnaire

Pontiac fever

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• Legionella

• Pontiac car steaming: Pontiac fever: self limited fever and malaise

Legionnaire's disease

[_](legionnaire's disease demographics, symptoms)..

• sailor smoking: Legionnaires' disease more common in smokers

• coal flame: High fever >40 or >104

• confused sailor with hurt head: May present with headache and confusion

• sailor with paint all around: Pneumonia with diarrhea suggestive of Legionnaires' disease "

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• sailor urinating: Urine antigen test for rapid diagnosis

• sailor wasting salt: Hyponatremia, <130

• map: X-ray shows patchy infiltrate with consolidation of one lobe

[_](legionnaire's disease treatment)..

• flower: Fluoroquinolone may also be used for treatment

• crows: Macrolides for fever