Professional Documents
Culture Documents
1 - Infections PDF
1 - Infections PDF
. CEREBRAL TOXOPLASMOSIS:
. HIV pt with un-explained fever & cough with CD 4 count < 50.
. FEBRILE NEUTROPENIA:
. Mucormycosis:
. ASPERGILLOSIS:
. Pulm. symps.
. COCCIDIODIOMYCOSIS:
. Pulm. symps.
. BLASTOMYCOSIS:
. YEAST :)
. COCCIDIOMYCOSIS:
. ARIZONA.
. Any dog bite ... An attempt to capture the dog is tried 1st.
. If the dog is captured .. But doesn't show any features of Rabies: Observe for 10 days.
. If the bite involves the head & neck: Post exposure prophylaxis is indicated
IMMEDIATELY.
. Viral (HSV) Encephalitis:
. Fever + confusion.
. Hemiparesis + Hyperreflexia.
. Normal glucose.
. Dx: PCR.
. Tx: VANCOMYCIN.
. BABESIOSIS:
-- Serum complement.
++ ESR, ++ Lymphocytes.
. Any transplant pt. should have TMP-SMX for prophylaxis against (PCP) pneumo-cystis
carinii pneumonia.
. "AIHI" Auto-immune Hemolytic Anemia is one of the complications of INFECTIOUS
MONONUCLEOSIS.
. Should have INH (Isoniazid) & Vit.B6 (Pyridoxine) for 9 months as a prophylaxis.
. EHRILICHIOSIS:
. SPOTLESS RMSF.
. TICK BITE.
. Systemic symptoms.
. Tx: DOXYCYCLINE.
. ENTERO-HEMORRHAGIC E-COLI:
. Bloody diarrhea.
. Abd. pain.
. NO FEVER.
. No travel H/O.
. Start anti-retro-viral therapy with 3 drugs without delay while awaiting the results of HIV
serology.
. CRYPTO-COCCAL meningitis:
. Tx of primary syphilis:
. D.M. pt. with ear pain & granulation tissue at the auditory canal.
. Recall of a tick bite is not the main stay of the diagnosis of LYME disease caused by
BORRELIA BURGDORFERI !
. UTI INFECTION:
. TRICHINELLOSIS:
. GIT complaints.
. Actinomycosis:
. Lesion: Slowly progressive non tender indurated mass evolving into multiple abscesses
with draining sinus tracts with sulfur yellowish granules !
. Oral thrush.
. Tx: TMP-SMX.
. Use steroids if: PaO2 < 70 mmHg or A-a gradient > 35 mmHg.
. NOCARDIOSIS:
. Crooked, branching, beaded, gram +ve partially acid fast filaments on microscopy.
. Tx: TMP-SMX.
. Tx: AZITHROMYCIN.
. PSEUDOMONAS AERUGINOSA:
. Gram -ve bacilli in the sputum of an intubated ICU pt. + fever + leukocytosis.
. Valvular diseases:
. Lyme disease:
. Most pts with INFLUENZA are ttt with BED REST & SIMPLE ANALGESIA e.g.
ACETAMINOPHEN.
. But they are only effective if administered within 48 hours of the onset of illness. .
Amantadine & Rimantadine are only effective against type A.
. Anti-retroviral therapy.
. BACILLARY ANGIOMATOSIS:
. Any PID pt sh'd be routinely screened for $yphilis .. HIV .. HBV .. PAP smear.
. 2ry SYPHILIS:
. Spirochete infection.
. PNEUMONIAS:
. HIV: PCP.
. Aspiration: ANAEROBES.
. o"H"io----> "H"ISTOPLASMOSIS:
. Tx: ITRACONAZOLE.