- Jun 2017
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sites.google.com sites.google.com
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Genomic Replication Cycle
Both the zika virus and the yellow fever virus are positive sense RNA viruses that use host cell machinery to replicate its own genomic material. Both of these viruses are also transmittd through Aedes aegypti mosquitos (vector).
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sites.google.com sites.google.com
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Part 3: Zika Replication
Both the zika virus and the yellow fever virus are positive sense RNA viruses that use host cell machinery to replicate its own genomic material. Both of these viruses are also transmittd through Aedes aegypti mosquitos (vector).
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- May 2017
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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production of hydrogen sulfide gas (H2S) on TSI slants
Main identifyer
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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Important differential characteristics between the two species include the ability of S. algae to produce mucoid colonies with beta-hemolysis on sheep blood agar, grow at 42°C and in 6% NaCl (w/v), reduce nitrite, and an inability to produce acid from maltose, all of which are in contrast to the characteristics of S. putrefaciens.
Characteristics of s. putrefaciens
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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only known non-fermentative gram-negative rod that produces hydrogen sulfide
Unique to s.putrefaciens
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onlinelibrary.wiley.com onlinelibrary.wiley.com
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Confirmation of a Campylobacteriosis Outbreak Associated with Chicken Liver Pâté Using PFGE and WGS
Recent outbreak
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microbewiki.kenyon.edu microbewiki.kenyon.edu
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Virulence Factors
Virulence factors
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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In Thailand and Spain, for example, up to 80% of Campylobacter isolates are fluoroquinolone-resistant
Antibiotic Resistance
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emedicine.medscape.com emedicine.medscape.com
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Medication Summary
Antibiotic treatment and resistance
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en.wikipedia.org en.wikipedia.org
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Azithromycin prevents bacteria from growing by interfering with their protein synthesis. It binds to the 50S subunit of the bacterial ribosome, thus inhibiting translation of mRNA. Nucleic acid synthesis is not affected.[18]
Mechanism of action
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www.cdc.gov www.cdc.gov
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The illness typically lasts about one week
How long symptoms last
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Azithromycin and fluoroquinolones (e.g., ciprofloxacin) are commonly used for treatment of these infections, but resistance to fluoroquinolones is common. Antimicrobial susceptibility testing can help guide appropriate therapy
Antibiotics used
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How do people get infected with this germ?
Where is this organism found
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www.canada.ca www.canada.ca
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Most people with campylobacteriosis develop the following symptoms two to five days after being infected (though symptoms can appear as late as one month after infection): diarrhea (often bloody or watery) abdominal pain fever nausea vomiting (sometimes)
Symptoms and timeline
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bacteria are found naturally in the intestines of poultry, cattle, swine, rodents, wild birds and household pets like cats and dogs. The bacteria have also been found in untreated surface water (caused by fecal matter in the environment) and manure.
Where it is found
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en.wikipedia.org en.wikipedia.org
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he bacteria must then adhere to the gut enterocytes and can then induce diarrhea by toxin release. C. jejuni releases several different toxins, mainly enterotoxin and cytotoxins, which vary from strain to strain and correlate with the severity of the enteritis.
Releases toxins that make us sick
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emedicine.medscape.com emedicine.medscape.com
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characteristic curved rods is specific
Shape of bacteria
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Campylobacter organisms are oxidase positive with C jejuni hydrolysing hippurate.
Lab tests
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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Significant loss of viable bacteria occurs when the bacteria are left at room temperature and atmosphere for only 10 min.
Other growth conditions
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www.merckmanuals.com www.merckmanuals.com
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Treatment is with 3rd-generation cephalosporins, cefepime, carbapenems, fluoroquinolones, piperacillin/tazobactam, or aminoglycosides.
First line antibiotics
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rarediseases.info.nih.gov rarediseases.info.nih.gov
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Symptoms
Symptoms listed below
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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On an agar medium which included ornithine, raffinose, and Koser citrate, K. pneumoniae strains grew as yellow mucoid colonies at 24 h and there was some increase in colony size at 48 h.
selective media
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Ampicillin is an acceptable alternative, but penicillin is preferred because it has a narrower spectrum of antimicrobial activity and may be less likely to select for resistant organisms.
penicillin vs ampicillin
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www.microbiologybook.org www.microbiologybook.org
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Serious group B strep infections in adults can be fatal. On average, 8% of adults with invasive group B strep infections (infections where the bacteria have entered a part of the body that is normally not exposed to bacteria) die. Risk of death is lower among younger adults, and adults who do not have other medical conditions.
Mortality rate of GBS
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Neurologic sequelae include sight or hearing loss and cerebral palsy. Death occurs in 5% of infants and adults.
GBS sequelae
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www.cdc.gov www.cdc.gov
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gastrointestinal tract (the part of your body that digests food, including the stomach and intestines) of men and women and may be a source of some infection.
Both men and women can carry the bacteria
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Pneumonia(https://www.cdc.gov/pneumonia/index.html) (lung infection) symptoms include: Fever and chills Cough Rapid breathing or difficulty breathing Chest pain
Symptoms of GBS pertaining to case #2
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- Apr 2017
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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Antibiotic susceptibilities of GBS isolates
Vancomycin effectivness
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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group B streptococci (Streptococcus agalactiae) have been reported to cause necrotizing fasciitis in only 4 instances (2 involving neonates) over the past 4 decades
prevalence
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journal.frontiersin.org journal.frontiersin.org
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It has been speculated that exposure to oral vancomycin is an important contributor to propagation of VRE in the healthcare setting, as it drives prolonged colonization with VRE from a myriad of sources (36, 37).
Oral vancomycin may cause the development of VRE's which are "vancomycin-resistant enterococci" (Google Search).
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Vancomycin and the above mentioned compounds inhibit cell wall synthesis in its later stages thus affecting dividing bacteria.
This is how we discussed the effect of vancomycin on bacteria in lecture.
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emedicine.medscape.com emedicine.medscape.com
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Antimicrobial therapy should continue for 48-72h after fever resolves
Nec Fac treatment time line
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contemporaryobgyn.modernmedicine.com contemporaryobgyn.modernmedicine.com
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The current gold standard after inoculation is to use selective enrichment broth (that is, Lim Broth, TransVag Broth or Carrot Broth) and incubate for 18 to 24 hours. That is followed by a subculture using selective media for another 18 to 24 hours. If colonies are present, they undergo extraction to determine if Group A or B streptococcus is present and, if necessary, susceptibility testing for antibiotics (another 12 to 24 hours).
Lab Test for GBS
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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Regulation of virulence factor expression.
Virulence factors here
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www.cdc.gov www.cdc.gov
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penicillin, ampicillin, and first-generation cephalosporins
antibiotics used to fight GBS
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www.cdc.gov www.cdc.gov
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People who hunt animals may also be at risk
Have you been hunting recently?
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www.cdc.gov www.cdc.gov
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malaise
"a general feeling of discomfort, illness, or uneasiness whose exact cause is difficult to identify" (Google)
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Initial symptoms can include:
What are the symptoms and how many from this list does the patient have?
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www.cdc.gov www.cdc.gov
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infected include sheep, cattle, goats, pigs, and dogs, among others.
Have you had any contact with any of these animals?
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emedicine.medscape.com emedicine.medscape.com
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Clinically, identification to the genus level is sufficient to warrant initiation of therapy.
If diagnosed with any strain within the genus, begin therapy.
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www.cnn.com www.cnn.com
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Jacqueline Howard,
The author has had many appearances on popular news sites such as CNN, the HuffPost, and MSNBC (https://jacqueline-howard.com/biography/). She works as a writer and "on-air talent" through these media sources (https://jacqueline-howard.com/biography/). She received a bachelor's degree in Communications studies from the University of Michigan-Ann Arbor and a master's degree in journalism from the University of Southern California’s Annenberg School for Communication & Journalism (https://jacqueline-howard.com/biography/).
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