Atypical Pneumonia Flashcards
Coxiella Burnetti:
What patients are prone to infections?
What is the treatment?
People in contact with sheep or other farm animals.
Tetracycline (doxycycline) or macrolide (clarithromycin)
Chlamydia Psittaci:
What individuals are at risk of infection?
What is the treatment?
People who work with exotic birds.
Tetracycline (docycycline) or macrolide (clarithromycin)
Mycoplasma pneumoniae:
What individuals are at risk of infection?
What is the treatment?
How frequent are epidemics?
Young people.
Tetracycline (doxycycline) or macrolide (clarithromycin)
Every 4 years
Legionella:
What must be done before treatment?
What is the treatment?
Must test urine for antigen.
Quinolone (ciprofloxacin) or macrolide (clarithromycin)
Klebsiella pneumonia:
What individuals are at risk of infection?
What are 2 distinctive features of presentation?
What is the treatment?
Alcoholics and COPD patients.
Cavitating pneumonia & red-jelly sputum
Ceftaximine
Pneumocystis Jirovecii pneumonia:
What individuals are at risk of infection?
What is the treatment?
Immunocompromised and HIV patients
Co-trimoxazole
Pseudomonas:
What individuals are at risk of infection?
CF and bronchiectasis patients
What is the treatment for primary and latent TB?
How long are the regimens?
Primary:
RIPE - 2 months, then continue RI for 4 more months
Latent:
Rifampicin & Isoniazid - 3 months
OR
Isoniazid - 6 months
What are side effects of the 4 TB drugs?
Rifampicin - orange secretions, hepatitis
Isoniazid - periphery neuropathy, hepatitis
Pyrozinamide - gout, myalgia, hepatitis
Ethambutol - optic neuritis
A patient is successfully treated for TB. What would a lung lesion that appeared as a rounded opacity with crescent sign on CXR indicate?
A fungal aspergilloma