By Gladwin M., Trattler B.

(Currently in 2004 revised printing) a short, transparent, thorough, and hugely relaxing method of medical microbiology, brimming with mnemonics, humor, precis charts and illustrations, from AIDS to "flesh-eating micro organism" to ebola, mad cow disorder, hantavirus, anthrax, smallpox, botulism, and so forth. first-class Board assessment.

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Cases have followed contact with goat hair products from Haiti, such as drums or rugs. Human-tohuman transmission has never been reported. Bacillus anthracis forms a spore which is very stable, resistant to drying, heat, ultraviolet light, and disinfectants, and can survive dormant in the soil for decades. Once it is introduced into the lungs, intestine, or a skin wound, it germinates and makes toxins. The germination and expression of plasmid encoded virulence factors (on plasmids pXOl and pX02) is regulated by an increase in temperature to 37°C, carbon dioxide concentration, and serum proteins.

B) Myocarditis (heart inflammation). c) Joint swelling (arthritis). d) Chorea (uncontrolled dance-like movements of the extremities) which usually begins 2-3 weeks after the pharyngitis. e) Subcutaneous nodules (rubbery nodules just under the skin). f) Rash, called erythema marginatum because it has a red margin that spreads out from its center. Necrotizing fasciitis can also be caused by Staphylococcus, Clostridium species, gram-negative enterics, or mixed infection with more than one of these bacteria ( Stevens, 1992).

Staphylococcus epidermidis is a frequent skin contaminant of blood cultures. Contamination occurs when the needle used to draw the blood passes through skin covered with Staphylococcus epidermidis. Drawing blood from 2 sites will help determine if growth of Staphylococcus epidermidis represents a real bacteremic infection or is merely a contamination. If only one of the samples grows Staphylococcus epidermidis, you can suspect that this is merely a skin contaminant. However, if 2 cultures are positive, the likelihood of bacteremia with Staphylococcus epidermidis is high.

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