1: Infections of urinary tract - Fournier's, Schistomiasis, Urinary TB Flashcards
What is Fournier’s gangrene
Necrotising fasciitis of the perineum
What causes fournier’s gangrene
Mixed aerobic and anaerobic infection
Aerobic: Group A strep
Anaerobic: Bacteroids, Peptostreptococcus
Explain pathophysiology of fournier’s gangrene
Infection spreads along superficial fascia and then to cutaneous tissues
Explain initial presentation of fournier’s gangrene
- Pain out of proportion to findings
- Diffuse erythema
- Extreme tenderness
- Swelling
What are later findings of fournier’s gangrene
- Crepitus
- Purple discolouration
- Necrosis
- Fever
- Bullae
Explain management of patient’s with fournier’s gangrene
- Surgical debridement
- Immediate transfer to ITU
What are complications of fournier’s gangrene
- Sepsis
- AKI
- DIC
What is urogenital TB
TB infection of urogenital tract
What are symptoms of GU TB
Haematuria
Flank pain
Dysuria
low-grade fever
What is a key feature of GU TB
STERILE PYURIA
Negative culture
What can GU TB lead to
Urethral stricture
What Is schistosomiasis
parasitic infection
How is schistosomiasis transmitted
fresh water
how does schistosomiasis initially present
Swimmer’s rash: macule-papular rash where egg s entered
what is second-phase of schistosomiasis
Acute reaction (Katayama fever)
