05 Gm negative respiratory bacilli

  • coughing: Transmitted by respiratory droplets

  • red bow GI: pertussis toxin
  • EF Shield: like anthrax
  • Tractor: tracheal toxin

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

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

  • popcorn overflowing: Lymphocytosis due to loss of chemotaxis

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

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

  • 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

  • crow: Macrolide treatment
  • cell phone: DTaP vaccine has acellular Pertussis antigens

Haemophilus Influenza

  • 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

  • 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

  • syringe: Vaccine for H. flu type B
  • Dip: Vaccine is polysaccharide conjugated to Diphtheria toxoid
  • $2.18: Vaccine for ages 2-18 months

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

  • 3 axes: Ceftriaxone for meningitis or systemic disease
  • rifle: Rifampin prophylaxis for close contacts

Legionella pneumophila

  • 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

  • pontiac fever
  • legionnaire

Pontiac fever

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

Legionnaire's disease

  • 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 "

  • sailor urinating: Urine antigen test for rapid diagnosis
  • sailor wasting salt: Hyponatremia, <130
  • map: X-ray shows patchy infiltrate with consolidation of one lobe

  • flower: Fluoroquinolone may also be used for treatment
  • crows: Macrolides for fever