Zoonoses

Q fever

Coxiella burnetii

Various wild and domestic animals

• Inhaled dust

• Animal contact

• Unpasteurised milk

Leptospirosis

Leptospira pomona

Various domestic animals

Infected urine contaminating cuts or sores

Brucellosis (undulant fever)

Brucella abortus

Cattle

• Contamination of cuts or sores by animal tissues

• Unpasteurised milk

Lyme disease

Borrelia burgdorferi

Marsupials (probable)

Tick bites

Psittacosis

Chlamydia psittaci

Birds: parrots, pigeons, ducks, etc.

Inhaled dust

Bovine tuberculosis

Mycobacterium bovis

Cattle

Unpasteurised milk

Listerosis

Listeria monocytogenes

Various wild and domestic animals

• Unpasteurised milk and cheese

• Contaminated vegetables

• Person to person

Plague

Yersinia pestis

Wild rodents

Fleas

Fever, rigors, myalgia, headache, dry cough

• PCR

• Serology

Doxycycline if endocarditis + clindamycin

Fever, myalgia, severe headache, macular rash, conjunctivitis

• PCR

• Serology ± culture

• Doxycycline or benzylpenicillin

• IV or IV ceftriaxone

Fever (undulant) sweats, myalgia, headache, lymphadenopathy

• PCR

• Blood culture

Tetracycline + rifampicin or gentamicin

Fever, myalgia, arthritis, backache, doughnut-shaped rash

• PCR

• Serology

• Remove tick

• Doxycycline or amoxicillin

Fever, myalgia, headache, dry cough

• PCR

• Serology

• CXR

Doxycycline or clarithromycin

Fever, sweats, weight loss, cough (as for human pulmonary TB)

Culture

As for pulmonary TB

• Mild febrile illness (in most)

• Meningoencephalitis in susceptible (neonates, pregnant, elderly, etc.)

• PCR

• Serology

Amoxicillin

Fever, myalgia, headache, prostration, lymphadenitis (bubo)

Smears, culture

Doxycycline + streptomycin