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Center for Biologic Counterterrorism
and Emerging Diseases CBC-ED
MedStar Health Group   Washington, DC     Cloud Updated Sunday, May 19, 2013 5:44 EST
Craig Feied, MD, FACEP, FAAEM   Jon Handler, MD, FACEP   Michael Gillam, MD
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Photos

CDC PCR Diagnostic Testkit Sml

[10/23/2010]
 

Gallery Zimbabwe Cholera 002

[10/23/2010]
 

Cholera Cartoon

[10/23/2010]
 

Woof

[2/11/2009]
 

D:/Inetpub/Wwwroot/Splash/Cbced/Pub/Docs/Photos/Tsunami
[2/11/2009]

Cdc Worker Takes Sample From Patient Exposed To Marburg Virus

[2/11/2009]
 

Avian Flu Jakarta Zoo

[2/11/2009]
 

AIMap20051007

[2/11/2009]
 

Anthrax Spores Cdc High Mag

[10/6/2008]
 

West Nile 2006

[1/4/2008]
 

Plague Skin Hemorrhages

[1/3/2008]
 

WHO Map of Human Cases of Avian Influenza

September 29, 2005 [10/3/2005]
 
Anthrax

Stages Of Cutaneous Anthrax

[2/11/2009]
 

Routes Of Anthrax Infection

[2/11/2009]
 

Inhalational Anthrax Chest X Ray

[2/11/2009]
 

Inhalational Anthrax Woolsorters Disease

[2/11/2009]
 

Cutaneous Anthrax

Progressive cellulitis and blistering in cutaneous anthrax. [2/11/2009]
 

Cutaneous Anthrax With Vesicular Ring Surrounding Ulcer

[2/11/2009]
 

Cutaneous Anthrax With Ulceration

[2/11/2009]
 

Cutaneous Anthrax With Ulcer On Gelatinous Base

[2/11/2009]
 

Cutaneous Anthrax With Malignant Pustule

[2/11/2009]
 

Cutaneous Anthrax Spreading Up The Arm

[2/11/2009]
 

Cutaneous Anthrax On The Hand

[2/11/2009]
 

Cutaneous Anthrax On Neck With Vesiculation And Eschar

[2/11/2009]
 

Cutaneous Anthrax Midstage With Ring Of Vesicles

[2/11/2009]
 

Cutaneous Anthrax Late With Eschar

[2/11/2009]
 

Cutaneous Anthrax In Late Stages

[2/11/2009]
 

Cutaneous Anthrax Eschar On Eyelid

[2/11/2009]
 

Bacillus Anthracis

[2/11/2009]
 

Bacillus Anthracis In Human Tissue

[2/11/2009]
 

Bacillus Anthracis In Blood

[2/11/2009]
 

Bacillus Anthracis From Aum Shinrikyo Rooftop Spraying

[2/11/2009]
 

Bacillus Anthracis 04

[2/11/2009]
 

Bacillus Anthracis 03

[2/11/2009]
 

Bacillus Anthracis 02

[2/11/2009]
 

Bacillus anthacis sprayed from Aum Shinrikyo headquarters building

In July 1993, a liquid suspension of Bacillus anthracis was aerosolized from the roof of an eight-story building in Kameido, Tokyo, Japan, by the religious group Aum Shinrikyo. (photographs taken July 1, 1993, by the Department of Environment, Koto-ward). [2/11/2009]
 

Anthrax Yellow

[2/11/2009]
 

Anthrax spores

Bacillis Anthracis. [2/11/2009]
 

Anthrax Purple

[2/11/2009]
 

Anthrax Pink

[2/11/2009]
 

Anthrax Molecule

[2/11/2009]
 

Anthrax Light Purple

[2/11/2009]
 

AnthraxBlue

[2/11/2009]
 

Anthrax

[2/11/2009]
 

Anthrax Spores

[2/11/2009]
 

Anthrax Scanning Microscopy

[2/11/2009]
 

Anthrax Scanning Microscopy 02

[2/11/2009]
 

anthrax in CSF

This is anthrax as seen on a slide of cerebrospinal fluid. [2/11/2009]
 

Anthrax Molecule In Lethal Form

This is the toxic conformation of the anthrax toxin. [2/11/2009]
 

Anthrax Envelope

Photo of the anthrax-containing envelope sent to Senator Daschle. Other anthrax-containing letters had a similar appearance. [2/11/2009]
 

Anthrax Day 12

[2/11/2009]
 

Anthrax Day 07

[2/11/2009]
 

Anthrax Day 05

[2/11/2009]
 

Anthrax Lesion on Wrist, 4th Day

This is an anthrax dermatologic lesion, seen on the patient's wrist, on the 4th day of hospitalization. [2/11/2009]
 

Mediastinal widening with inhalation anthrax (JAMA 1999:281:1735-1745)

CDC Slide0088 Image043 [11/23/2008]
 

Mediastinal widening and pleural effusion on Chest X-Ray in inhalation anthraxSlide0090 Image045

CDC Slide0090 Image045 [11/23/2008]
 

Anthrax Lesion Neck

[1/4/2008]
 

Inhalational Anthrax

This is a gross pathologic posterior oblique view of a chimpanzee's lungs that had contracted fatal inhalation anthrax. CDC PHIL [1/3/2008]
 

Bacillus Anthrax

Transmission electron micrograph of Bacillus anthracis. CDC PHIL [1/3/2008]
 

Anthrax Mediastinal Lymph Node

This is a micrograph of a mediastinal lymph node from a cynomolgus monkey, Macaca fascicularis with inhalation anthrax. CDC PHIL [1/3/2008]
 

Anthrax Bacteria

[1/3/2008]
 

Anthrax

[1/3/2008]
 

Anthrax2

[1/3/2008]
 
Avian Flu

Avian Flu Workers

[12/5/2009]
 

Images1

[5/10/2009]
 

Thailand Removal Sick Chickens

[2/11/2009]
 

Influenza A Late

[2/11/2009]
 

Influenza A Early

[2/11/2009]
 

Hanoi Burning Chickens

[2/11/2009]
 

Avian Influenza - Proventriculus At Necropsy

Hemorrhagic lesions in the proventriculus, seen at necropsy in fowl with avian influenza [2/11/2009]
 

Avian Flu Jakarta Zoo

[2/11/2009]
 

AI Edematous Wattle

[2/11/2009]
 

World: Affected areas with confirmed cases of H5N1 avian influenza since 1 January 2009, status as of 27.01.2009 (latest available update)

From the WHO Public Health Mapping and GIS Map Library. [2/5/2009]
 

Nations With Confirmed Cases H5N1 Avian Influenza

PandemicFlu.gov [2/5/2009]
 

World : Areas reporting confirmed occurrence of H5N1 avian influenza in poultry and wild birds since 2003, status as of 15.08.2008

WHO [8/25/2008]
 

World : Areas reporting confirmed occurrence of H5N1 avian influenza in poultry and wild birds since 1 July 2008, status as of 15.08.2008

WHO [8/25/2008]
 

World : Affected areas with confirmed cases of H5N1 avian influenza since 2003, status as of 19.06.2008

WHO [8/25/2008]
 

World : Affected areas with confirmed cases of H5N1 avian influenza since 1 January 2008, status as of 19.06.2008

WHO [8/25/2008]
 

South Korea Quarantine Officials About to Enter Poultry Farm

[4/17/2008]
 

Confirmed H5N1 In Birds Globally Since 2003

[1/4/2008]
 

Flu Lab

[1/3/2008]
 

Global H5N1Human 2006 FIMS 20070320

[1/3/2008]
 

Chicken Vaccination

[1/3/2008]
 

Avian Flu Virus Sfcdcp

[1/3/2008]
 

Virus Extraction Phil

This 2005 photograph of the Centers for Disease Control and Prevention’s Dr. Terrence Tumpey, one of the organization’s staff microbiologists and a member of the National Center for Infectious Diseases (NCID), showed him using an electronic pipetter to extract reconstructed 1918 Pandemic Influenza Virus from a calibrated vial containing a supernatant culture medium. [1/2/2008]
 

H5n1 Phil

This transmission electron micrograph (TEM), taken at a magnification of 108,000x, revealed the ultrastructural details of two avian influenza A (H5N1) virions, a type of bird flu virus, which is a subtype of avian influenza A. At this magnification, one may note the stippled appearance of the roughened surface of the proteinaceous coat encasing each virion. [1/2/2008]
 

Biological Safety Cabinet

This photograph was taken of Dr. Taronna Maines, a microbiologist in the Influenza Branch at the Centers for Disease Control and Prevention, while she was conducting an experiment inside a biological safety cabinet (BSC) within the Biosafety Level 3-enhanced laboratory. The airflow within the BSC helps prevent any airborne virus from escaping the confines of the cabinet, and as part of her personal protective equipment, she was wearing a powered air purifying respirator (PAPR), which was filtering the air that she was breathing. [1/2/2008]
 

Avian Flu Virus

[1/2/2008]
 

Global H5N1Human 2007 FIMS 20070122

[7/21/2007]
 

Ibsm07 Avianflu Graph3

[7/19/2007]
 

"How Avian Flu Infects" Graphic

[7/2/2006]
 

Global H5N1inHumanSINCE2006 20060530

[6/1/2006]
 
Botulinum

Cbotulin C

[12/5/2009]
 

Ventilator

The need for ventilators must be anticipated if botulism is used as a bioterrorist weapon because the botulism toxins paralyze the muscles required for breathing. [2/11/2009]
 

Intubation in botulism

The toxin of clostridium botulinum produces muscular paralysis that can require intubation. [2/11/2009]
 

Clostridium botulinum spores

Botulism is the "B" of BEPAST. These are Clostridium Botulinum Bacilli, caught in the process of forming spores. They look quite similar to their relatives, Clostridium Tetani (causative agent of tetanus) and Clostridium Perfringens (causative agent of clostridial myonecrosis). The "tennis racket heads" are spores that can survive in a dry environment for years. In the right setting, they "hatch" into live bacilli and grow rapidly to produce a deadly toxin. [2/11/2009]
 

Botulinum Purple

[2/11/2009]
 

Botulinum Orange

[2/11/2009]
 

Botulinum Blue

[2/11/2009]
 

Botulinum 02

[2/11/2009]
 

Wound Botulism

Wound botulism involvement of compound fracture of right arm. CDC PHIL [1/3/2008]
 

Infant Botulism

Six week old infant with botulism. CDC PHIL [1/3/2008]
 

Clostridium Botulinum

Clostridium botulinum growing on egg yolk agar showing the lipase reaction after 72 hours of incubation. CDC PHIL [1/3/2008]
 

Clostridium Botulinum Blood Agar

This is a Clostridium botulinum type A colony grown on a 72 hour blood agar plate; Magnification 5X. CDC PHIL [1/3/2008]
 

Botulinum

[1/3/2008]
 
CBCED Posters

Cholera In Bangladesh

[4/29/2009]
 

Tularemia Flowchart

[2/11/2009]
 

Bepast Poster 800

[2/11/2009]
 

3 Flu Vaccine Types

[2/11/2009]
 

BEWARE_OF_GERMS(pdf) 1
A Guide to the Diagnosis and Management of 17 CDC Category B Bioterrorism Agents [8/27/2008]

BEWARE_OF_GERMS(pdf) 2
A Guide to the Diagnosis and Management of 17 CDC Category B Bioterrorism Agents [8/26/2008]
Chikungunya

GlobalSubnationalMaster 20090505 0800[1]

[5/5/2009]
 

Chikungunya T Shirt

[8/14/2008]
 

Model of Chikungunya envelope protein E1

Three dimensional model of envelope protein E1 in Chikungunya virus in position 226, indicated by the white star, could explain specific adaptation to the vector mosquito, Aedes albopictus. [7/19/2008]
 

Chikungunya Virus

Original source: http://microbiologybytes.wordpress.com/ Copyright information at: http://www.flickr.com/photos/ajc1/1257163357/ [7/19/2008]
 

Chikungunya Vectors

Original Source: www.eelamhealths.com [7/19/2008]
 

Chikungunya Patients

Original source: http://www.rense.com/general80/freeemd.htm [7/19/2008]
 

CDC - Chikungunya Distribution and Global Map

[7/19/2008]
 
Cholera

Cholera In Haiti 2010 PAHO Report
PAHO Report [11/19/2010]

Nurse checking IV - Zimbbabwe cholera oubreak 2008

WHO/Paul Garwood [2/19/2009]
 

Vibrio Comma Asiatic Cholera

[2/11/2009]
 

Rice Water Stool

[2/11/2009]
 

Rice Water Stool
[2/11/2009]

Rehydration

[2/11/2009]
 

Death'S Dispensary

[2/11/2009]
 

Cholera

[2/11/2009]
 

Cholera in Equador

CDC This slide shows a slum in Ecuador that was heavily affected by cholera due to its proximity to unsafe water sources. [2/6/2009]
 

Wide Zimbabwe Cholera Waterline

[2/6/2009]
 

Vibrio Cholerae

This scanning electron micrograph (SEM) depicted a number of Vibrio cholerae bacteria of the serogroup 01; Magnified 22371x. CDC PHIL [1/3/2008]
 

Cholera In Iraq 2008

[1/3/2008]
 

Cholera Bacterium2

[1/3/2008]
 

Cholera In Bangladesh

[1/3/2008]
 

Crab

Crabs have been a repeated source of cholera in the United States and elsewhere, even though they are rarely eaten raw. CDC PHIL [12/27/2004]
 
Dengue

Structure of the envelope protein from dengue virus

[3/6/2010]
 

NIH poster

[12/4/2009]
 

Positive Tourniquet Test

CDC: This slide demonstrates what a typical positive result from a tourniquet test may look like. This patient has more than 20 petechiae per square inch. [11/23/2008]
 

Rash on thigh caused by dengue fever

Source : Division of Infectious Diseases Korea University Medical Center. [1/31/2008]
 

Map Dengue Western Hemisphere

CDC [1/31/2008]
 

Map Dengue Eastern Hemisphere

CDC [1/31/2008]
 

Dengue Virus TEM Micrograph

Source: Wikipedia - public domaine [1/31/2008]
 

Dengue Symptoms

[1/31/2008]
 

Mature Dengue Virus Particle

[1/31/2008]
 

Immature Dengue Virus Particle

[1/31/2008]
 

Dengue Wideweb 470x328,0

Desperate measures: a slum area of Jakarta is sprayed with pesticide by a health [1/30/2008]
 

Dengue Fever Mosquito Eggs

CDC PHIL - Aedes aegypti mosquitos deposit their eggs in any container in or around houses, which can hold water. [1/30/2008]
 

Aedes Albopictus Female Feeding

CDC PHIL - There is a small, but significant, risk for dengue outbreaks in the continental United States. Two competent mosquito vectors, Aedes Aegypti and A. albopictus, are present and, under certain circumstances, each could transmit dengue viruses. [1/30/2008]
 
Disaster

Troops In Gas Masks

During a chem-bio attack alert, gas masks must be worn continuously. These US troops try to get some rest in the desert during a prolonged chem attack alert (First US Gulf war). [2/11/2009]
 

Hindenburg exploding

[2/11/2009]
 

Hindenburg (first explosion)

The 804-foot German zeppelin Hindenburg exploded at Lakehurst Naval Air Station on May 6, 1937. This photograph is after the first explosion but before the second and third explosions. Note the two human figures atop the mooring mast. [2/11/2009]
 

Hindenburg

The explosion of the Hindenburg put a damper on commercial investment in rigid lighter than air devices for many years. [2/11/2009]
 

Hindenburg (final moments)

[2/11/2009]
 

Crude Decontamination Station

This basic decontamination system illustrates many common flaws of poorly thought-out decontamination plans. Among other problems, the illustrated approach is slow and labor-intensive, cannot handle a mass incident, does not accomodate families, offers no provision for undressing or dressing in clean garments after decontamination, is cold, forces potentially clean patients to stand in contaminated water, and collects a small amount of runoff for no reason. [2/11/2009]
 

Chernobyl Robotic Inspector

The Pioneer mobile inspection robot, developed in the United States, was designed specifically in order to explore the interior of reactor No. 4 at Chernobyl after the reacter exploded in 1986. [2/11/2009]
 

Chernobyl

The world's worst nuclear disaster occured at the Chernobyl nuclear power station in 1986, when reactor # 4 exploded and burned. The event released massive amounts of radioactive material. The damaged reactor is seen at the right. [2/11/2009]
 
Ebola

MSF medical staff in protective gear work outside an isolation unit for people suspected of having Ebola, near Kaluamba, Western Kasai province.

Drs Without Borders [12/4/2009]
 

GlobalSubnationalMaster 20090505 0800[1]

[5/10/2009]
 

Em Ebola

[2/11/2009]
 

Ebola Yellow

[2/11/2009]
 

Ebola Reston Tissue Culture

[2/11/2009]
 

Ebola Protein

[2/11/2009]
 

Ebola In Monkey Hepatocyte

[2/11/2009]
 

Ebola Green

[2/11/2009]
 

Ebola Green Flourescent

[2/11/2009]
 

Ebola Virus

[2/11/2009]
 

Ebola Rainbow

[2/11/2009]
 

Ebola On A Cell

[2/11/2009]
 

Ebola Microscopy

This is the classic ebola virus, with curled payload at the head. [2/11/2009]
 

CDC biosafety decontamination booth

In this 2007 image, Centers for Disease Control microbiologist Dr. Thomas Stevens, Jr. was showering inside a Biosafety Level 4 (BSL-4) laboratory decontamination booth, prior to exiting the sealed confines of the BSL-4 lab. The process consists of a 4 minute, 5% Microchem wash, which is followed by a 3 minute rinse with water. See PHIL 10729 for another view of this activity. [9/22/2008]
 

CDC Biosafety Suit

This 2007 image depicted Centers for Disease Control microbiologists Dr. Thomas Stevens, Jr., and Dr. Amy Hartman, as they were in the process of suiting up in order to access the interior of the organization’s Biosafety Level-4 (BSL-4) laboratory. Dr. Stevens was attaching his supportive air hose, which would provide a supply of filtered, breathable air, as well as maintain positive air pressure inside his air tight orange suit. [9/22/2008]
 

Isolation Unit

[1/4/2008]
 

Ebola Testing

[1/4/2008]
 

Ebola Thin Section

This micrograph shows human liver tissue infected with the Ebola virus, the cause of Ebola hemorrhagic fever. CDC PHIL [1/3/2008]
 

Ebola SEM

This scanning electron micrograph (SEM) depicts a number of Ebola virions. CDC PHIL [1/3/2008]
 

Ebola Micrograph

This negative stained transmission electron micrograph (TEM) depicts a number of filamentous Marburg virions, which had been cultured on Vero cell cultures, and purified on sucrose, rate-zonal gradients. Note the virus’s morphologic appearance with its characteristic “Shepherd’s Crook” shape; Magnified approximately 100,000x. CDC PHIL [1/3/2008]
 

Ebola Liver Tissue

This micrograph shows human liver tissue infected with the Ebola virus, the cause of Ebola hemorrhagic fever. CDC PHIL [1/3/2008]
 

Ebola Disinfection

This local Red Cross team is disinfecting a body bag of an Ebola patient in Kikwit, Democratic Republic of the Congo, 1995. CDC PHIL [1/3/2008]
 
H1N1 Flu 2009

Reassortment Events: 2009 Influenza A (H1N1) Virus

[12/4/2009]
 

GlobalSubnationalMasterGradcolour 20090813 20090819

[8/19/2009]
 

Map 20090701 1100

[7/1/2009]
 

B00526 H1N1 Flu Med

This image of the newly identified H1N1 influenza virus was taken in the CDC Influenza Laboratory [5/10/2009]
 

Kissing Pig

[5/10/2009]
 

GlobalSubnationalMaster 20090509 0805

[5/10/2009]
 

Worldmap Swineflu 584

[4/29/2009]
 

Swin Flu Masks

[4/29/2009]
 

Swineflu

[4/29/2009]
 
Influenza 2004 2005


[4/29/2009]

Usmap40 Small

[2/11/2009]
 

Influenza Map 2007

[1/4/2008]
 
Lassa Fever

Lassa Fever Map West Africa

British Medical Journal: Lassa fever: epidemiology, clinical features, and social consequences, BMJ 2003;327:1271-1275 (29 November), doi:10.1136/bmj.327.7426.1271 [2/11/2009]
 

Lassa virus host: Mastomys rodent, also known as the "multimammate rat". Note the hairless tail.

CDC photo [10/23/2008]
 

Lassa virus electron micrograph.

Image courtesy, C.S. Goldsmith and M. Bowen (CDC) [10/23/2008]
 

Lassa Particles

[1/3/2008]
 

Map Lassa Fever

[1/3/2008]
 

Lassa Fever Cycle

[1/3/2008]
 
Malaria

Mefloquine-Resistant Malaria Distribution

CDC Travellers Health [2/20/2009]
 

Malaria Endemic Countries Western Hemisphere

CDC Travellers Health [2/20/2009]
 

Malaria Endemic Countries Eastern in the Eastern Hemisphere

CDC Travellers Health [2/20/2009]
 

P. vivax trophozoite

This thin film micrograph depicts a growing P. vivax trophozoite with conspicuous pigment granules, Magnified 1125X. [2/11/2009]
 

P. vivax schizont

P. vivax schizont This thick film micrograph depicts 3 mature Plasmodium vivax schizonts, 12 merozoites, and a ring trophozoite; Magnified 1125x. [2/11/2009]
 

P. ovale trophozoite

This thin film micrograph depicts two P. ovale ring form trophozoites; one in rounded RBC, and one in oval RBC. [2/11/2009]
 

P. ovale schizont

This thin film shows an immature schizont of the parasite P. ovale along with four chromatin masses, and rounded RBCs. [2/11/2009]
 

P. vivax schizonts

This thick film micrograph depicts 3 mature P. vivax schizonts, 12 merozoites, and a ring trophozoite; Magnified 1125x. [2/11/2009]
 

P. malariae trophozoite

This thin film micrograph shows a mature, pigmented P. malariae trophozoite, stretched chromatin and irregular cytoplasm. [2/11/2009]
 

Plasmodium falciparum rings

Plasmodium falciparum rings in erythrocytes. [2/11/2009]
 

Plasmodium falciparum schizont

This micrograph revealed an immature Plasmodium falciparum schizont (Cntr), and a ring form (Lower Rt). [2/11/2009]
 

Plasmodium falciparum macrogametocyte

This thin film blood smear micrograph depicts a Plasmodium falciparum macrogametocyte parasite. [2/11/2009]
 

P. falciparum trophozoite

This micrograph reveals both a growing Plasmodium falciparum trophozoite and ring form of this parasite. [2/11/2009]
 

Malaria

[2/11/2009]
 

Malaria1

[2/11/2009]
 

Malaria Trophozoites Schizonts

[2/11/2009]
 

Malaria LifeCycle Small

[10/23/2008]
 

Malaria Map Enlarged

[1/3/2008]
 

Malaria Cross Section

[1/3/2008]
 

Malaria Transmission Cycle

[1/3/2008]
 

Malaria Map

[1/3/2008]
 
Marburg

Uige

[2/11/2009]
 

Safe Injections Poster

[2/11/2009]
 

Personal Protection Equipment

[2/11/2009]
 

Negative Stain Image Of An Isolate Of Marburg

Negative stain image of an isolate of Marburg virus, showing filamentous particles as well as the characteristic "Shepherd's Crook." Magnification approximately 100,000 times. Image courtesy of Russell Regnery, Ph.D., DVRD, NCID, CDC. [2/11/2009]
 

Marburg Virus In Angola WHO Team Members Mask Before Entering A Home

[2/11/2009]
 

Marburg Virus In Angola Traditional Funeral Practices Must Be Modified

[2/11/2009]
 

Marburg Maculopapular Rash On Back

This type of maculopapular rash, which can appear on Marburg patients around the fifth day after the onset of symptoms, usually may be found on the patient’s chest, back and stomach. This patient’s skin blanched under pressure, which is a common characteristic of a Marburg virus rash. [2/11/2009]
 

Marburg Virus In Angola Special Handling Is Needed For Dead Bodies

[2/11/2009]
 

Marburg Virus In Angola Sample Testing At Uige Provincial Hospital

[2/11/2009]
 

Marburg Virus In Angola Mobile PCR Lab

[2/11/2009]
 

Marburg Virus In Angola Isolation Ward At Uige Hospital

[2/11/2009]
 

Marburg Virus In Angola Exposure To Dead Bodies Spreads Disease

[2/11/2009]
 

Marburg Virus In Angola CDC Worker Takes Sample From Exposed Patient

[2/11/2009]
 

Marburg Rash On Back

This type of maculopapular rash, which can appear on Marburg patients around the fifth day after the onset of symptoms, usually may be found on the patient’s chest, back and stomach. This patient’s skin blanched under pressure, which is a common characteristic of a Marburg virus rash. [2/11/2009]
 

Marburg Photomicrograph Histopathologic Changes in Liver Section

This image depicts bleeding into the hepatic sinusoids resulting from the Marburg virus. As with other hemorrhagic fevers, symptoms become increasingly severe, and may include liver failure, among other life threatening symptoms. [2/11/2009]
 

Marburg Histopathologic Changes Liver Section Q
[2/11/2009]

Marburg Photomicrograph of Cytoarchitectural Histopathologic Changes Lung Biopsy Tissue Sample

Note the necrotic changes indicated by the breakdown of the alveolar walls resulting in pulmonary edema. There is also the presence of numerous alveolar macrophages due to the Filovirus infiltrate. [2/11/2009]
 

Marburg Pphotomicrograph Cytoarchitectural Histopathologic Changes in Kidney Sample

This slide depicts findings indicative of acute tubular necrosis (ATN), and glomerular fibrin thromboses resulting from a Marburg disease infection. Both of these are symptoms of not only Marburg virus, but other viral hemorrhagic fevers as well. [2/11/2009]
 

Infection Avoidance Training

[2/11/2009]
 

Angola Uige Province Map

[2/11/2009]
 

Marburg Rash

[1/4/2008]
 
MDR Tuberculosis

Us Tb Map 1999

[2/11/2009]
 

Tuberculosis Chest X Ray With Hilar Adenopathy

[2/11/2009]
 

Tubercles On The Rib Cage

[2/11/2009]
 

Tb Cases 1979 1999

[2/11/2009]
 

TB Risk Evaluation

[2/11/2009]
 

Prevalence MDR TB 1996 1999

[2/11/2009]
 

Pediatric Tuberculosis

[2/11/2009]
 

Mycobacterium Tuberculosis

[2/11/2009]
 

Miliary Tuberculosis In A Cut Section Of Lung

[2/11/2009]
 

Crystal Structures Of RecA

RecA, an ubiquitous multifunctional protein, is a key component of the processes of homologous genetic recombination and DNA repair. Structural knowledge of MtRecA is imperative for a full understanding of both these activities and any ensuing application. [2/11/2009]
 

Tuberculosis Ward

[1/4/2008]
 

Red Cross Tuberculosis Poster

[1/4/2008]
 

Tuberculosis Incidence Rate

WHO 2007: Global Tuberculosis Control: Surveillance, Planning, Financing [1/3/2008]
 

AerosolTransmission

[1/3/2008]
 

Rccm Tuberculosis Body

[1/3/2008]
 
Monkeypox

Micro Skin Biopsy Toluidine Blue

[2/11/2009]
 

Micro Skin Biopsy Toluidine Blue 02

[2/11/2009]
 

Micro Skin Biopsy 03

[2/11/2009]
 

Micro Skin Biopsy 02

[2/11/2009]
 

Micro Skin Biopsy 01

[2/11/2009]
 

Micro Prairie Dog Cell Culture 08

[2/11/2009]
 

Micro Prairie Dog Cell Culture 07

[2/11/2009]
 

Micro Prairie Dog Cell Culture 06

[2/11/2009]
 

Micro Prairie Dog Cell Culture 05

[2/11/2009]
 

Micro Prairie Dog Cell Culture 04

[2/11/2009]
 

Micro Prairie Dog Cell Culture 03

[2/11/2009]
 

Micro Prairie Dog Cell Culture 02

[2/11/2009]
 

Micro Prairie Dog Cell Culture 01

[2/11/2009]
 

Micro Human Cell Culture 03

[2/11/2009]
 

Micro Human Cell Culture 02

[2/11/2009]
 

Micro Human Cell Culture 01

[2/11/2009]
 

Marshfield Vesicles Expanding Beyond Biopsy Site

[2/11/2009]
 

Marshfield Umbilicated Vesicles

[2/11/2009]
 

Marshfield Umbilicated Vesicles On Erythematous Base

[2/11/2009]
 

Marshfield Resolving Disseminated Lesions Index Case

[2/11/2009]
 

Marshfield Mother Of Index Case Umbilicated Vesicles

[2/11/2009]
 

Marshfield Mother Of Index Case Disseminated Lesions

[2/11/2009]
 

Marshfield Mother Of Index Case Day 1

[2/11/2009]
 

Marshfield Lesions Following Fever And Malaise

[2/11/2009]
 

Marshfield Lesions Following Fever And Malaise 03

[2/11/2009]
 

Marshfield Lesions Following Fever And Malaise 02

[2/11/2009]
 

Marshfield Index Case Disseminated Lesions

[2/11/2009]
 

Marshfield Index Case Day 13

[2/11/2009]
 

Marshfield Index Case Acral Lesions

[2/11/2009]
 

Marshfield Crusted Primary Sites Mother And Daughter

[2/11/2009]
 

Monkeypox Virus

[1/3/2008]
 

Monkeypox Virus Magnified

[1/3/2008]
 

Monkeypox

[1/3/2008]
 
Nipah Virus

Nipahvirus

[2/11/2009]
 

Nipah Radiographs

[2/11/2009]
 

CDC Nipah Blood Sampling

[9/23/2008]
 

Nipah Virus

[1/4/2008]
 

Reservoirs Of Nipah Virus

[1/3/2008]
 

Nipah Virus

[1/3/2008]
 

Nipah Virus Map

[1/3/2008]
 
Plague

GlobalSubnationalMaster 20090505 0800[1]

[5/10/2009]
 

Yersinia 06

[2/11/2009]
 

Yersinia 05

[2/11/2009]
 

Green yersinia

This is a green picture of yersinia pestis. [2/11/2009]
 

yersinia in peripheral blood smear

The "safety pin" shape is typical of Yersinia pestis, the plague bacterium. Notice the small size of the bacteria relative to peripheral white blood cells. [2/11/2009]
 

yersinia fluorescent antibody test

This is a positive fluorescent antibody screen for Yersinia pestis, the plague bacterium. The classic "safety pin" shape of the bacteria can be observed even in this modality. [2/11/2009]
 

xenopsylla cheopsis - oriental rat flea 02

The oriental rat flea (Xenopsylla cheopis) is the primary vector of yersinia pestis (plague) in most large plague epidemics in Asia, Africa, and South America. This photo shows a large male, engorged with blood. [2/11/2009]
 

Yersina 03

[2/11/2009]
 

World Plague Map

[2/11/2009]
 

US Plague Map

[2/11/2009]
 

Septicemic Plague Blood Culture Stain

[2/11/2009]
 

Pneumonic Plague

[2/11/2009]
 

Plague1

[2/11/2009]
 

Plague Map

[2/11/2009]
 

Bubos in plague

These bubos (massively swollen lymph nodes) are characteristic of yersinia pestis, the etiologic agent of bubonic plague. The more lethal form of the disease is pneumonic. [2/11/2009]
 

2005 02 18 WHO Plague Congo

[2/11/2009]
 

Ulcerated Cervical Lymph Node

[1/3/2008]
 

Plague Gangreneous Foot

[1/3/2008]
 

Plague Smear

Bubonic Plague smear demonstrating the presence of Yersinia pestis bacteria. Bipolar staining of a plague smear prepared from lymph aspirated from an adenopathic lymph node, or bubo, of plague patient. CDC PHIL [1/2/2008]
 

Plague Skin Hemorrhages

Seen here are small hemorrhages on the skin of a plague victim. Capillary fragility is one of the manifestations of a plague infection, evident here on the leg of an infected patient. CDC PHIL [1/2/2008]
 

Axillary Bubo

An axillary bubo and edema exhibited by a plague patient. CDC PHIL [1/2/2008]
 
Rift Valley

Rift Valley Fever Home > Rift Valley Fever Distribution Map January 2007

Countries with endemic disease and substantial outbreaks of RVF: Gambia, Senegal, Mauritania, Namibia, South Africa, Mozambique, Zimbabwe, Zambia, Kenya, Sudan, Egypt, Madagascar, Saudi Arabia, Yemen Countries known to have some cases, periodic isolation of virus, or serologic evidence of RVF: Botswana, Angola, Democratic Republic of the Congo, Congo, Gabon, Cameroon, Nigeria, Central African Republic, Chad, Niger, Burkina Faso, Mali, Guinea, Tanzania, Malawi, Uganda, Ethiopia, [10/22/2008]
 

Rvf Saudi Goats

[7/17/2008]
 

Rift Valley Cattle

[7/17/2008]
 

Rift Valley Fever Encephalitis - Rat

Replicating in an oligodendrogliocyte in the brain of a Lewis Rat that was just beginning to show signs of RVF encephalitis. [7/16/2008]
 

CDC - Rift Valley Fever Infected Tissue

This transmission electron micrograph (TEM) depicted a highly magnified view of a tissue that had been infected with Rift Valley fever (RVF) virus. [7/16/2008]
 

CDC - Rift Valley Fever Electron Micrograph

Electron micrograph of the Rift Valley Fever virus. [7/16/2008]
 
S A R S

SARS Hygiene Poster

[2/11/2009]
 

Viral Particles In Cytoplasm Of Pneumocytes2

[2/11/2009]
 

Viral Particles In Cytoplasm Of Pneumocytes1

[2/11/2009]
 

Glomeruloid organizing pneumonia

Squamous Metaplasia Of Bronchial Mucosa [2/11/2009]
 

SARS Headline May 4 2003

SARS can survive on surfaces for prolonged periods of time. [2/11/2009]
 

Sars Chest X Ray

The CXR of this health care worker shows bibasilar interstitial infiltrates and a hazy appearance in both lobes. These findings, together with high fever, respiratory distress, and a history of recent exposure to sick respiratory patients in Singapore, make this a probable case of Severe Acute Respiratory Syndrome (SARS). [2/11/2009]
 

Palm Civet

On May 23, 2003, Professor Yuen Kwok-yung of the University of Hong Kong microbiology department reported that he has found a coronavirus "very similar" to the SARS virus in the feces and secretions of civets found in an animal market in China's Guangdong province. Civets are captured for their fur, for their musk, and are considered a culinary delicacy in Southern China.
The common palm civet is found in temperate and tropical rainforests from Kashmir in the west to the Philippines, from China to the Sundas islands.
In Indonesia, the Palm Civet eats ripe coffee berries, and the beans within the berries are passed undigested with the feces. These coffee beans are recovered, washed, and used in coffee production. [2/11/2009]
 

Maskfashion

[2/11/2009]
 

Mask Chinese Flag

[2/11/2009]
 

Glomeruloid Organizing Pneumonitis (3)

Another view of organizing alveolar pneumonitis resembling a glomerulus (glomeruloid organizing pneumonitis). [2/11/2009]
 

Glomeruloid Organizing Pneumonitits in SARS (2)

Closer view of organizing alveolar pneumonitis resembling a glomerulus, hence called glomeruloid organizing pneumonitis. [2/11/2009]
 

Glomeruloid Organizing Pneumonitis in SARS (1)

When organizing pneumonitis involves an alveolus it somewhat resembles a glomerulus, hence has been called glomeruloid organizing pneumonitis. [2/11/2009]
 

Firefighters spraying SARS building

Firefighters attempting to disinfect a building where SARS transmission has occurred. [2/11/2009]
 

DL Masks

Masks being worn in Hong Kong market [2/11/2009]
 

Disinfection

[2/11/2009]
 

Covered Water Fountains: Hong Kong Airport May 2003

[2/11/2009]
 

Coronavirus

Particles of coronavirus seen via electron microscopy. [2/11/2009]
 
Smallpox

Smallpox Yellow

[2/11/2009]
 

Smallpox Orange

[2/11/2009]
 

Smallpox Orange1

[2/11/2009]
 

Smallpox On Leg

[2/11/2009]
 

SMALLPOX080 1024

[2/11/2009]
 

SMALLPOX079 1024

[2/11/2009]
 

SMALLPOX078 1024

[2/11/2009]
 

SMALLPOX076 1024

[2/11/2009]
 

SMALLPOX075 1024

[2/11/2009]
 

SMALLPOX074 1024

[2/11/2009]
 

SMALLPOX073 1024

[2/11/2009]
 

Smallpox Stages Of Rash

[2/11/2009]
 

Chickenpox Stages Of Rash

[2/11/2009]
 

Smallpox Vaccination

[1/4/2008]
 

Smallpox Slide Set

[1/3/2008]
 

Pattanayak Fig3

[1/3/2008]
 

800px Smallpox Tissue Section Containing Variola Orthopox Viruses TEM PHIL 2291 Lores

[1/3/2008]
 
Tsunami

WHO Tsunami Map

[2/11/2009]
 

Tsunami Wreckage

[2/11/2009]
 

Pacific Tsunami Warning System

[2/11/2009]
 

2004 Srilanka Before Tsunami

[2/11/2009]
 

2004 Srilanka After Tsunami

[2/11/2009]
 

2004 Indiaquake Search

[2/11/2009]
 

2004 Indoquake Aerial Ap

[2/11/2009]
 
Tularemia

Tularemia lesion

[12/7/2009]
 

US Tularemia Map

[2/11/2009]
 

US Tularemia Incidence

[2/11/2009]
 

Tularemia Green

[2/11/2009]
 

Tularemia Skin Lesion

[2/11/2009]
 

Tularemia Blue

[2/11/2009]
 

Hand Ulcer

Hassenpfeffer is a rabbit stew popular in Germany. This is a case of tularemia. This is often caught by the handling of animal pelts such as that of a rabbit. [2/11/2009]
 

Tularemia Tiny Hand Lesions

[2/11/2009]
 

Ocular Tularemia

[2/11/2009]
 

Murine Peritoneal Cell With Attached Tularemia Microbes

[2/11/2009]
 

Amblyomma Americanum (lone star tick)

The Lone Star tick (Amblyomma Americanum) is a traditional vector for endemic Francisella tularensis, the etiologic agent of tularemia. This is one of the most infectious of the zoonoses, and can be acquired by casual exposure to infectious animal tissues or fluids, direct contact with or ingestion of contaminated water, food, or soil, and inhalation of infective aerosols. Aerosolization is common; infection and death have resulted from contact no closer than poking a dead rabbit with a walking-stick. [2/11/2009]
 

Tularemia lesion on the skin of the left third finger due to Francisella tularensis bacteria.

CDC - PHIL: Tularemia is caused by the bacterium, Francisella tularensis. Symptoms vary depending on how the person was exposed to the disease, and as is shown here, can include skin ulcers. [9/8/2008]
 

Francisella tularensis, Colonization on Cysteine Heart Agar after 72 hours.

CDC - PHIL: F. tularensis, Colony Characteristics when grown on Cysteine Heart Agar, colonies 2-4 mm, smooth, entire, greenish-white, butyrous with opalescent sheen at 48-72hrs. [9/8/2008]
 

Francisella tularensis, Colonies grown on Chocolate Agar, 72 hours.

CDC -PHIL: F. tularensis, Colony characteristics when grown on Chocolate, Martin Lewis or Thayer-Martin medium include colony size of 1-3 mm, grey-white at 48-72hrs. [9/8/2008]
 

Tularemia Incidence Utah And US

[1/3/2008]
 

Tularemia Flourescent Antibody Stain

[1/3/2008]
 

Tularemia Forehead

This Vermont muskrat trapper contracted tularemia, which manifested as a cutaneous lesion on his left lateral forehead. CDC PHIL [1/2/2008]
 

Tularemia Dorsal Skin

A Tularemia lesion on the dorsal skin of right hand. [1/2/2008]
 
West Nile

NIAID West Nile

[12/8/2009]
 

West Nile Virus Life Cycle

[2/11/2009]
 

West Nile Map as of June 2003

The distribution of verified avian, animal, or mosquito infections during 2003 with additional shading for human cases, by state. If West Nile virus infection is verified in any area of a state, that entire state is shaded accordingly. Verified cases of avian, animal or mosquito infections reported as of June 11, 2003 include: Alabama, Arkansas, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Tennessee, Wisconsin and Wyoming. [2/11/2009]
 

West Nile Map 2003 06 25

[2/11/2009]
 

West Nile Map 2002

[2/11/2009]
 

Social Crows In Tree

Crows appear to be the victims of the disease - not the critical hosts. A good host would need to maintain an intense viremia for 20-100 days, increasing the likelihood that the virus will be passed on to others. However, crows are intensely social birds, a behavior which makes them readily susceptible to infection. [2/11/2009]
 

Three major genera of mosquitos transmit West Nile Virus

[2/11/2009]
 

Mosquito Control

[2/11/2009]
 

Asian Tiger Mosquito - Aedes Albopicuts

More than 40 species of mosquitoes have been identified as vectors for West Nile Virus. Aedes Albopicuts, the asian tiger mosquito, is a recent arrival that has become established in ever-increasing ranges in the US. This is an aggressive biter that can attack through clothing and prefers to feed during the daylight hours. [2/11/2009]
 

West Nile Virus From Brain Tissue Of A Crow (1/2)

Electron Micrograph courtesy of Dr. Bruce Cropp from the Centers for Disease Control, Division of Vector-borne Infectious Diseases. [2/11/2009]
 

Equine West Nile Virus: Lymphocytic perivascular infiltration

H&E stain at 20X shows severe lymphocytic perivascular infiltration in the lumbar spinal cord of a horse who succumbed to West Nile Virus. [2/11/2009]
 

West Nile Virus From Brain Tissue Of A Crow (2/2)

Electron Micrograph courtesy of Dr. Bruce Cropp from the Centers for Disease Control, Division of Vector-borne Infectious Diseases. [2/11/2009]
 

Relative sizes of common blackbirds

All common blackbirds are susceptible to West Nile Virus. [2/11/2009]
 

CDC West Nile Map

Cumulative Data as of September 17, 2004. ** To ensure the confidentiality of West Nile Virus (WNV) patients in rural area, the departments of health of states indicated with this symbology have chosen not to release county level information on human WNV cases. [2/11/2009]
 

Kuhn Westnile Structure Surface Shading

[2/10/2009]
 

West Nile 2008

Map shows the distribution of avian, animal, or mosquito infection occurring during 2008 with number of human cases if any, by state. If West Nile virus infection is reported to CDC from any area of a state, that entire state is shaded. CDC [10/22/2008]
 

West Nile 2007

Map shows the distribution of avian, animal, or mosquito infection occurring during 2007 with number of human cases if any, by state. If West Nile virus infection is reported to CDC from any area of a state, that entire state is shaded. CDC [1/3/2008]
 

West Nile 2006

Map shows the distribution of avian, animal, or mosquito infection occurring during 2007 with number of human cases if any, by state. If West Nile virus infection is reported to CDC from any area of a state, that entire state is shaded. CDC [1/3/2008]
 

West Nile Virus2

[1/3/2008]
 

West Nile Virus

[1/3/2008]
 

[This site developed and operated by Craig Feied MD, Jon Handler MD, and Mike Gillam MD]