atypicals DOC Flashcards
mycoplasma pneumoniae
DOC: macrolide or doxy
second line: floroquinolone
chlamydia trachomatis
-NGU
doxycycline and azithromycin
chlamydia trachomatis
-neonatal conjunctivitis or pneumonia
erythromycin
chlamydia trachomatis
-LGV
doxycycline
second line: erythromycin
chlamydia trachomatis
-reactive arthritis (reiter syndrome)
NSAIDS
chlamydophilia pneumoniae
-atypical pneumonia
< 8 years old : macrocodes
> 8 years old: doxy
chlamydophilia psittaci
-parrot fever (atypical pneumonia)
doxy
second line: macrolide
when in doubt with chlamydia type infections: best guess _____
doxy
treponema pallidum
-primary or secondary
penicillin
second line: tetracyclines or macrolides or ceftriaxone (for penicillin allergy)
treponema pallidum
-neurosyphilis
penicillin G
ceftriaxone if penicillin allergy
borrelia burgdoferi
-lyme disease
doxycycline
if kid or pregnant: amoxicillin
leptospira
doxy
rickettsial disease
-RMSF
doxy (even in kids)
if pregnant: chloramphenicol
rickettsial disease
-other rickettsial disease
doxy
second line: chloramphenicol
recap:
(1) borelia burgdorferi, (2) leptospira, (3) rickettsial disease, and (4) chylamydia:
best guess for drug _____
doxy
