152 - Haemophilus and Moraxella Infections Flashcards

1
Q

Haemophilus influenzae is a G(_) that can grow in __and __ environment.

A

-
aerobic
anaerobic

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2
Q

When growing in an anaerobic environment H. influenzae needs factor __ and __

A

X

V

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3
Q

H. influenzae transmission is via __ or __.

A

droplets

direct touch

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4
Q

__ to influenzae has greatly influenced the rate of infections

A

vaccination

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5
Q

HIb causes __ disease by hematogenic spread to distant organs: 3

A

systemic
meninges
bones
joints

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6
Q

Nontypeable can cause:2

A

chronic otitis media

recurrent LRTI in adults with COPD/chronic bronchitis

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7
Q

HIb clinical manifestations include: 4

A

meningitis
epiglottitis
cellulitis
pneumonia

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8
Q

Most of the patients with H. influenzae bacteremia have chronic disease such as: 3. Remember also people dealing with __

A

HIV
cardiopulmonary
malignancy
alcoholism

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9
Q

__ is the best way to diagnose HIb

A

cultures

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10
Q

Treating HIb is done with cephalosporines (__/__)

A

ceftriaxone/cefotaxime

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11
Q

HIb meningitis treatment should last for - weeks with / or +. __ is recommended to reduce neurological symptoms.

A

1-2
ceftriaxone/cefotaxime
ampicillin+ chloramphenicol
dexamethasone

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12
Q

HIb epiglottitis treatment should include __ or __. This is considered as an __ situation and airway must be kept open.

A

ceftriaxone
cefotaxime
emergency

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13
Q

The recommended ABx for treating nontypable are:

A

amoxicillin/clavulanic acid
cephalosporins
macrolides (clarithromycin/azithromycin)
fluoroquinolones (not for pregnant women)

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14
Q

H. influenzae is only against __

A

HIb

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15
Q

Haemophilus ducreyi is an __ and may cause __.

A

STD

chancroid

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16
Q

H. ducreyi requires __ factor and increases the risk to contract __

A

X

HIV

17
Q

The DDx for H. ducreyi are:

A

syphilis (primary/secondary)

herpes

18
Q

Diagnosis of H. ducreyi is based on __ of the finding/LN

A

culture

19
Q

The criteria for diagnosis include:4

A

> 1 painful ulcer in the genitalium area
no T. pallidum/syphilis
chancroid
no HSV

20
Q

Treating H. ducreyi is based on one of 4 options:

A

azithromycin
erythromycin
ceftriaxone
ciprofloxacin