Bordetella pertussis Bordetella pertussis Bordetella pertussis is a Gram-negative, aerobic, pathogenic, encapsulated coccobacillus of the genus "Bordetella", and the causative agent of pertussis or whooping cough. Unlike "B. bronchiseptica", "B. pertussis" is not motile. Its virulence factors include pertussis toxin, filamentous hæmagglutinin, pertactin, fimbria, and tracheal cytotoxin. The bacterium is spread by airborne droplets; its incubation period is 9–10 days on average (range 6–20 days). Humans are the only known reservoir for "B. pertussis". The complete "B. pertussis" genome of 4,086,186 base pairs was published in 2003. Pertussis is an infection of the respiratory system characterized by a “whooping” sound when the
Dieterich's disease Dieterich's disease Dieterich’s disease, also known as avascular necrosis of the metacarpal hand, is an extremely rare condition characterized by temporary or permanent loss of blood supply to the metacarpal head of the metacarpal bone, resulting in loss of bone tissue. The five metacarpal bones are long bones located between the carpals of the wrist and phalanges of the fingers. Collectively, the metacarpals are referred to as the "metacarpus." The metacarpals are important in maintaining grip strength and mobility of the fingers. Dieterich's disease is often confused with Mauclaire disease, which is characterized by symmetrical flattening of all metacarpal heads.