vector-unharmed-human body louse; host-humans; geography-low incidence U.S. Africa S. America. Inc with crowding, infrequently changing/sharing clothes. Life cycle of louse (egg to adult) can occur on inanimate objects. Rare infection by direct contact of feces with eye (usually found in dust). Inhalation of dust can lead to respiratory infection (rare).Clinical: incubation 10-14 fever, chills, headache, muscle pain, generalized rash (trunk to extremities). Latency to Brill-Zinsser disease.
vector-hard ticks; host-various small mammals; geography-S.E./ Eastern seaboard. Heavy wooded areas. Use treezors and pull straight up; don't aggitate. Clinical: 2-4 incubation, followed by substained fever; chills, headache, muscular pain; spotted rash occurs 2-4 days after prodromium-rash starts wrist and ank;es, moves to arms and legs, converges to chest-covers entire body. appears mottled-blotchy; macular-raised; maculopapular-raised highter spots blister or petechial-pinpoint hemoraging;
Organism-Coxiella burnetii Illness-Q Fever
vector-ticks; host-domesticated farm animals, cattle, sheep, goats; geography-worldwide(highest in TX & CA); spore like forming; portals of entry lungs, skin, conjunctiva and GI tract. Clinical: skin rash usually not seen. Complication can include pneumontis, hepatitis and endocarditis. Not a true spore.
Organism-Bartonella quintana illness-Trench fever
vector-unharmed body louse;host-humans; geography-Africa Mexico, Europe; leg pain in shin bone; no (oip) obligatge intracellular parasite;