Kategóriák: Minden - symptoms - treatment - bacteria - diagnosis

a ayood helo 11 éve

532

ID

The text provides an overview of various fungi, bacteria, and their associated conditions, as well as treatments and symptoms. It covers Candida, which can require amphotericin for septicemia, especially in immunocompromised patients.

ID

ID

viruse

Entero virus

  • Echo, Coxsaki, polio

    • adeno virus

  • URI symptoms in summer
  • URI + GI
  • cystitis

    • Robella

  • increased risk for IDDM

    • Mesles

  • worse in vit A deficiency

    • EBV

  • >10 atypical lymphcyte
  • Amp/amox: cause rash if given with EBV

    • VZV

  • adolecsents: need acyclovir
  • transit cerebellar ataxia: benign and transit
  • can complicate with skin bacterial infection: causes toxic shock synd.
  • Pneumonia: in pregnant women
  • in pregnant women: give VZIG but not the vaccine; VZ can cause intra uternie infection and skin scarring.

    • zoster

  • vancyclovir: decrease neurolagia

    • Parasite

    worms

  • cause eosinophilia

    • Trypanosomiasis
    america

  • self limited
  • can cause Cardiac, GI and CNS dx

    • african

  • sleeping ds
  • from tsetse fly

    • Amebia

  • liver abcess.
  • liver aspirate is neg.
  • dx: serology

    • Babesia

  • clindamycine + quinine
  • exchange transfusion

  • causes febrile hemolytic anemia like malaria
  • occur from tick bite
  • intra RBC maltese cross.

    • Malaraia

  • 4 types
  • Falciparum is the most fatal

    • Falciparum

  • Most malignant; causes cerebral malria

    • Mefloquine

    Quinie + Doxycyline

  • most are resistant.

    • P. Vivax, Ovale, Malariae

    Primaquine

  • Vivax and Ovale to prevent relapses as those two can hide in liver

    • chloroquine

    Cryptosporidium

  • acid fast stain of stool

    • Fungus

    Tine pedia

  • the OTC tx with tolnaftate may not cure if there is candida coinfection; then it needs clontrimazole or Miconazole

    • Malassezia fufur

    newborns

  • invasive in premie with TPN
  • Tx: amphotericine ; D/c TPN

    • adults

  • Tinea versiculur

    • Candida

  • remove the line or the cath
  • need amphotericine for septicemia

    • Dx

  • inimmunocomprimised pt with central line or foley
  • in dissiminated froms can have petechial like skin lesions

    • Actinomyces

  • Sulfur granules discharges

  • PNC or Tetracycline

    • clinical

  • cervicofacial swelling from dental source
  • causes PID if IUD presents

    • Bacteria

    Leptospirosis

  • PCN or Doxycyline

    • dx

  • contact with infected animal; swimming with a dog
  • Dx: early: blood c/s; late: urine c/s

    • Yersinea
    Enterocolitis

  • Pseudo appendisits.
  • Bactremia in SSD

    • pestis

    Pulmonary

  • hemorrhagic pneumonia, very contagious , unlike anthrax pneumonia
  • Tetracycline, chlormaphinicol

    • bubbionic

  • supporative lymphadinitis.

    • Klebiella

  • Pencillinsresistant

    • Bartonella

  • Cat scratch disease; lymphadenitis
  • improves spontaneusly but Eryrthro can speed it up,

    • Chlamydia
    Trachomatis

  • newborn Pneumonia up to 4 ms.
  • not preventable

    • Pneumonia

    tx

  • Erythromycine OR Tetracycline

    • Pneumoniae

  • wheezing

    • Psittaci

  • Pneumonia + splenomegaly

    • Ricketsia

    • Rocky mountian fever: distal ext rash, petechia from tick bite.

    • Dx: serology

    • Tx: Doxy or chloramphenicol

    Ehrlicihia

  • Tick borne
  • Flu like disease with neutropenia; no rash or lymphadenities.

    • Enterococcus
    VRE

    linezolid

    ampt/gen OR vanco
    Diphteroid
    Diphteria

    comp: cardiomoypathy

    anti tox

    Erythro

    Listeria

    Amp

    Bacilius cerues

    IV cath; Penetrating wounds

    Vanco

    GI tox

    late: diarrhea

    early vomit

    Neisseria
    N. Gonorrhea

    Newborn

  • eye infection: less than 2 ds: chemical reaction
  • 2-7 ds: N. Gonorrhea
  • < 7 ds Chlamydia - erythromycine eye ointoment does not prevent.

    • N. Menegitis

  • Prophylaxis for immates or oral secretion exposure (intubation)
  • Rifa, Cirpo or One shot Ceftriaxone

    • Moraxella

  • Causes OM
  • Amoxicllin does not work; lactamase producer.

    • Shigella

  • Always treat
  • can cause SZ
  • Prolapse rectum

    • Ecoli
    O57:H7

  • NO antibiotics!! it increases the risk for HUS

    • Tularemia

  • only in Arkansas: skin ulcer and lymphadenitis:
  • can mimic cat scrath disease

    • Citrobacter

  • cause menegitis. need CT head to r/o abcess

    • Myconbacteria
    TB

  • initial pulmonary ds: in lower lobes
  • later activated dis: in upper lobes
  • Pericaridal effusion is neg for the organism;
  • Menengitis: casue tuberculmoa: mimic brain tumor.
  • skin test: nor reliable in baby under 6 ms.
  • can take 10 w after exposure to turn Po
  • if skin test PO do CXR and sputum to r/o active dis. if both neg: tx with INH for 9 ms


    • Marinum

  • Fish tank bacilus: skin ulcers along lymphatic tracts.

    • atypical

  • causes lymphadenitis no responsive to abx
  • tx: excesion

    • H. Flu

  • Always treat
  • Mengitis: Dexa for 2 ds
  • Prophylaxis: Riafa

    • Strep B
    late 7d- 3ms

    Menegitis, Osteo

  • Mengitis: PNC 15 ds
  • Osteo: PNC 4 w

    • early < 7 d

    Pneumonia, bactremia

    PNC: 10 ds

    Strep. Pneumonia
    Occult bactremia

    no tx

    Menengitis

    Vanco + CTX

    mild or high res. to PNC

    CTX

    Staph
    Staph Epidermidis

    most common cause of cath and foreign body related bactremia

    not ill

    repeat culture

    likely contamination.

    NICU or ill

    vanco

    MRSA

    MRSA is never a contamination. Treat always.

    for endocarditis: add Rifampin,

    Vacno

    Outpt

    clindamycine

    Anibiotic

    Streptomycine

  • only for tularemia or TB

    • Tetracycline
    Clinda
    Bactrim
    Erythro/Azithromycine

  • Eryhromycine can cause transit hearing loss

    • Cirpo/quinolones
    Cephalosporines
    3th

    Ceftax

    Cefotaz

    Ceftriaxone

    2th
    Aminoglycoside
    Tubra
    Genta
    PNC
    Augmentin

    Unasyn

    AMP/Amox

    Tips

    Bactremia

    • always tx with IV antibiotics - except occult bactremia with Strep. Pneumonia

    Toxic shock syn. like
    lepto
    Rocky mountia fever
    Measles
    Toxic shock syn

    any surgical foreign body must be reomved.

    Blood c/s -

    Staph au.

    blood c/s +

    Strep.

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