ID
viruse
Entero virus
Echo, Coxsaki, polioadeno virus
URI symptoms in summerURI + GI cystitis Robella
increased risk for IDDMMesles
worse in vit A deficiencyEBV
>10 atypical lymphcyteAmp/amox: cause rash if given with EBVVZV
adolecsents: need acyclovirtransit cerebellar ataxia: benign and transitcan complicate with skin bacterial infection: causes toxic shock synd.Pneumonia: in pregnant womenin pregnant women: give VZIG but not the vaccine; VZ can cause intra uternie infection and skin scarring.zoster
vancyclovir: decrease neurolagiaParasite
worms
cause eosinophiliaTrypanosomiasis
america
self limitedcan cause Cardiac, GI and CNS dxafrican
sleeping dsfrom tsetse flyAmebia
liver abcess.liver aspirate is neg.dx: serologyBabesia
clindamycine + quinineexchange transfusioncauses febrile hemolytic anemia like malariaoccur from tick biteintra RBC maltese cross.Malaraia
4 typesFalciparum is the most fatalFalciparum
Most malignant; causes cerebral malriaMefloquine
Quinie + Doxycyline
most are resistant.P. Vivax, Ovale, Malariae
Primaquine
Vivax and Ovale to prevent relapses as those two can hide in liverchloroquine
Cryptosporidium
acid fast stain of stoolFungus
Tine pedia
the OTC tx with tolnaftate may not cure if there is candida coinfection; then it needs clontrimazole or MiconazoleMalassezia fufur
newborns
invasive in premie with TPN Tx: amphotericine ; D/c TPNadults
Tinea versiculurCandida
remove the line or the cathneed amphotericine for septicemiaDx
inimmunocomprimised pt with central line or foleyin dissiminated froms can have petechial like skin lesionsActinomyces
Sulfur granules dischargesPNC or Tetracyclineclinical
cervicofacial swelling from dental sourcecauses PID if IUD presentsBacteria
Leptospirosis
PCN or Doxycylinedx
contact with infected animal; swimming with a dogDx: early: blood c/s; late: urine c/sYersinea
Enterocolitis
Pseudo appendisits.Bactremia in SSDpestis
Pulmonary
hemorrhagic pneumonia, very contagious , unlike anthrax pneumoniaTetracycline, chlormaphinicolbubbionic
supporative lymphadinitis.Klebiella
PencillinsresistantBartonella
Cat scratch disease; lymphadenitisimproves spontaneusly but Eryrthro can speed it up,Chlamydia
Trachomatis
newborn Pneumonia up to 4 ms.not preventablePneumonia
tx
Erythromycine OR TetracyclinePneumoniae
wheezingPsittaci
Pneumonia + splenomegaly
Ricketsia
• Rocky mountian fever: distal ext rash, petechia from tick bite.
• Dx: serology
• Tx: Doxy or chloramphenicol
Ehrlicihia
Tick borneFlu 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 reaction2-7 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 CeftriaxoneMoraxella
Causes OM Amoxicllin does not work; lactamase producer.Shigella
Always treatcan cause SZProlapse rectumEcoli
O57:H7
NO antibiotics!! it increases the risk for HUSTularemia
only in Arkansas: skin ulcer and lymphadenitis: can mimic cat scrath diseaseCitrobacter
cause menegitis. need CT head to r/o abcessMyconbacteria
TB
initial pulmonary ds: in lower lobeslater activated dis: in upper lobesPericaridal 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 Poif skin test PO do CXR and sputum to r/o active dis. if both neg: tx with INH for 9 msMarinum
Fish tank bacilus: skin ulcers along lymphatic tracts.atypical
causes lymphadenitis no responsive to abxtx: excesionH. Flu
Always treatMengitis: Dexa for 2 ds Prophylaxis: RiafaStrep B
late 7d- 3ms
Menegitis, Osteo
Mengitis: PNC 15 dsOsteo: PNC 4 wearly < 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 TBTetracycline
Clinda
Bactrim
Erythro/Azithromycine
Eryhromycine can cause transit hearing lossCirpo/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.