sis OF BACTERIAL IN sme.or Iwescrion Presenrie Sichs AND SYMPTOMS Srecivene ro CuLTune Bacteniat Srecies Porexmiatty ‘AssociaTeD ws INFECTION Respiratory Upper tract—nose and sinases Acute Streplocecs peumonise tract "Headache ‘Nesopharynges! swab Streptocoecus, f-heanolytic group A in and redness over malar area Sinus washings Stapylococes meus Rhinitis Chronic Hlarmoplusinfucnane Radiograph: sinus consolidation, Sinus washings Klebsiella spp. and other Enterboctevacone fluid leves, or membrane Surgical biopsy specimen Bacteroides app. and other anaerobes thickening ‘einus) Upper tract—throat and pharynx ‘Swab of posterior pharynx» Srepococos,pshemolytc group A Redness and edema of mucosa Swab of tonsils abscess) Corynebacterium diphtheriae -Bmudation of toils [Nasopharyngeal swab Nekera gonorrhose Peeudomembrane formation Bordetella persis. Edema of wvula Gray coating of tongue: ‘strawberry tongue” Enlargement of cervical nodes ‘Lower tract—Iungs and bronchi ‘Sputum (poor return) Strepococcs pueumoniae ‘Cough: bloody or profase Blood Haemophilus infuecne Chest pain Bronchoscopy secretions Staphylococcus aureus Dyspnea ‘Transracheal espirate “Klebsiella punning and olber Consolidation of ngs Lung aspirate or biopey Entercbctoricoar ‘ales and rhonchi ‘Mores cataralis Diminished breath sounds Legionella spp. Dales to pereussion Mycobacterium sp. Radiographic inflates ‘Eusoacterie nucleation, Prvotella Cavity lesions molonnagenicus, an other anaerobes Empyema Forde species Middlecsr _Serousor purulent drainage ‘Acute ‘Acute Deep pain in ear ana jaw ‘No culture ‘Shreptococens paewmonie and other “Throbbing headache Nacopharyngeal ewab steptococe! Red bulging tympanic membrane ‘Tympanic membrane aspirate Haemophilus infenaae Chronic: drainage of external Chonie ‘meats Peendomonasaerginesa rote spp. ‘Anaerobic bacteria GeeteointestinalUpper—stomach and duodenum ‘Gastric or ducdenal biopsy Helicobacter pert act ‘Gastritis and peptic uler disease Lower—small and large intestine Diarthes ‘Stool specimen Campyloucter en and other Dysentery “Rectal svrab or rectal mucus Canpylebecter pp. Parulent Blood culture (typhoid fever) Salmondlla spp. Mucous ‘Shigella spp. Bloody Enchercha cl (oxigen stains) (Cramping abdominal pain Vibe cholerae and other Vibrio spp. : Yersinia species Clesridivn die (demonstration of toxin) Urinary tet Urinary bladder infection ‘Clean-catch midstream urine Enfeobacteriaeceae Pyuria (Cathoterized urine Escherichia cli Dysuria ‘Suprapubic aspiration of urine Klebsiella spp, Hematuria Proteus spp. Pain and tenderness suprapubic Enterococcus spp. ‘oF lower abdomen eeudomonas aeruginosa Kidney infection. Stapylcoceus aureus, 8, epidermidis, and Back pain S-soprophyticus ‘Tenderness: costovertebral angle (vay Contin) 3smeor hwecrion PreseHTING Stans AND SYMPTOMS Seecimens To CULTURE BacreniaL Srecies POTsNTIaLLY ASSociATED wars INFECTIONS Genital tract Males Urethral discharge ‘eisseri gonorrhcase(N. meningitis) ‘Urethral discharge: serous or Prostatic secretions Herophis dcreys uralent ‘Treponema palin (yphilis) Burmning on urination “Mobius spp. and other anaerobes Terminal hematuria Garinerla vaginalis Females Uterine cervix Nonbactera: ‘Purulent vaginal digcharge Rectum (anal sphincter swab) ‘Trichomonas vaginalis ‘Buming on urination Urethral swab Candide albicans Lower abdominal pain, ‘Mycoplasa pp. ‘spasm, and tenderness Chlamydia trachomatis ‘Mucous membrane chancre Darfield amination Herpes simplex virus ‘orchancroid Central nervous Heeadackio Spinal id Naber meningitidis system Pain in neck and back Subdural spirate Haemophilus ifurncae Stiff neck Blood culture ‘Shrepocoecus prewonie ightleg rising: postive ‘Throat or sputum culture Shreptococus, hemolytic groups A and Kemig’ssign 8B (group Bin infants) Nausea and vomiting Enterobeterinene: debilitated patents, Stupor to coma, infants, and pesteraniotomy Petectial rach Listeria monceytogenes Bye Conjunctival discharge: serous oF Puruleat discharge Haemophus spp. purulent Lower cul-de-sac ‘Moraxlia spp. Conjunctival redness (hyperemia): Inner eanthus [Neisseria gnorehace Pinkeye Staphylococcus aurens (Ocular pain and tendemess Streptococus pono Streptococens pyngenes Pseudomonas aeriginasa report tat) Blood ‘Spiking fever Blood: three or fourcultures Streptococcus spp, hits per day at -h intervals or Group A—all ages (Cardizc murmur (endocarditis) longer S.irdans(endacarcitis) Petechiae: skin and mucous Any suspected primary site Groups A, B, D—neonates membranes of infection: 8, peumoniae “Splinter hemorrhages” of nails Cerebrospinal uid ‘Staphylococcus ares Makise [Respiratory tract Listeria manocytogenes Skin—umbilicus (Corynebacterium jek Skin—ear Haemophilus infencae Wounds HACK group (see Chap. 8) Urinary tract Echerchir elt and ther "coliforms" Salmon typ Prcudomona aruginose Bacteroides rags and other anaerobic bacteria Wounds Discharge: serous or purulent Aspirate of dcainage ‘Staphylococcus aureus Abscess: subcutaneous or submucosal Redness and edema Dep swab of purulent drainage Tissue biopsy Streptococcus pyogenes (Clostridium spp Bacteroides spp, ane CCrepitaton (ga formation) ‘other anaerobic bacteria Pain Enterobuctricene Uleeration or sinus formation, Pseudomonas aerugnoss Entrocceus species Bones and joints Jointewelling Stophylococus aurens Redness and heat Haemophilus influencae Pain on matin | Streptococeus puogenes Tenderness on palpation [Neisere goncrrhoete synovitis of osteomyelitis Streptococcus preumoine a ve Enterobacterierae Mycobacterium species m TULUUPUEOT TELL UL EE DEE EERE