Anaerobes

Question 1

Ludwig’s Angina

Answer 1

= infection of submandibular space

etiology:

S:

• mouth pain
• drooling
• dysphagia
• respiratory distress
• “hot-potato” voice

Question 2

Anaerobic Pneumonia/Lung Abscess

Answer 2

epidemiology:
etiology:

• anaerobes
  
  • Peptostrep sp
  • Peptococcus sp
• aerobes

Question 3

Brain Abscess

Answer 3

predisposing factors:

• chronic OM, sinusitis, dental infection
• pneumonia
• abd or pelvic infection
• endocarditis (Staph aureus, strep)

etiology:

• primarily caused by oral flora
  
  • 85% have anaerobes

S/O:

• sxs may be subacute
• fever
• HA
• altered sensorium
• focal neuro defects
• increased intracranial pressure, papilledema (occassionally not always)

Question 4

Tetanus

Answer 4

P/TX:

• wound debridement
• ABX
• passive immunization: tetanus immune globulin
• active immunization: tetanus toxoid

Question 5

Botulism

Answer 5

S/O:

• incubation period 12-36 hrs
• V, xerostomia, dilated pupils (anticholinergic effects)
• CN paralysis
• descending flaccid motor paralysis