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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

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

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.