5/5 Quiz Review: TB, Fungi Flashcards
Active TB: how to diagnose?
DO NOT use TST/IGRA
Use sputum AFB and culture
Diabetes: risk for TB?
Risk for developing TB; not for increased exposure to TB
Galactomann Positive: characteristic of what?
Aspergillus
Cavitary lung lesion: think of what 4 bugs?
CATH:
Cocciodiodes
Aspergillus (cavitary lesions)
TB
Histoplasma
Sinusitis that burrows through the nasal cavity?
tx?
Mucormycosis
Posaconazole + surgery
Thrush, HIV, central venous catheter, dissemination:
Clues for what infection?
Tx?
Candida
Fluconazole (unless resistant)
Bone marrow transplant, cavitary lung lesion, sinusitis, Glactomannan positive: what bug? tx?
Aspergillus
Voriconazole, caspofungin or amphotericin (not fluconazole)
Meningitis in an AIDS patient, pneumonia in immunocompromised, CrAg (<–??)
Bug? Tx?
Cryptococcus
Ampho B + 5-FC, transition to fluconazole
Burrowing necrotic sinus lesion, diabetes, iron overload, biopsy
Bug? Tx?
Mucormycosis
Surgery + Posaconazole
Self-limited pneumonia, Mississippi & Ohio River Valley, urine antigen
Bug? Tx?
Histoplasma
Fluconazole
Self-limited pneumonia, pulmonary nodule, eosinophilia, AZ, CA
Bug? Tx?
Cocciodiodes
Fluconazole
Bilateral pneumonia, pulmonary nodule, histo region plus northward
Bug? Tx?
Blastomycosis
Fluconazole
Purulent discharge, dissemination (extensor surfaces, knee arthritis)
Bug, Tx?
Gonorrhea
Ceftriaxone (but some resistance!)
Asymptomatic to mild, NAAT urine test to dx
bug, tx?
Chlamydia
Azithromycin, Doxycyclin
Pain, vesicles
bug? tx?
Herpes
Acyclovir
