Bacteriële infecties Flashcards

1
Q

Verwekker van Scarlatina?

A

Groep A beta-hemolytische staphylococ

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2
Q

Transmissie scarlatina?

A

Aerogeen

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3
Q

Kliniek scarlatina?

A
  • Koorts
  • Tonsilopharyngitis
  • Rash ontstaat 12-48 u na koorts: schuurpapier, voornamelijk in huidplooien, teken van pastis (enkel op lichaam)
  • Rode wangen met periorale pallor
  • Aardbeientong

Typisch: desquamatie van de huid 7-10 dagen na resolutie rash

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4
Q

Wat is het teken van Pastia?

A
  • Lineaire petechiaal voorkomen van rash in liezen, oksels en elleboogplooien
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5
Q

Diagnose van scarlatina?

A

= KLINISCH

  • Pathogeen detectie: keelculturen, snelle antigen detectie (raid strep test)
  • Antistreptolysine O (ASO) bepaling
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6
Q

Behandeling van scarlatina?

A

Penicilline Po.

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7
Q

Complicaties van GABHS?

A
  • Glomerulonefritis

- Acuut gewrichtsreuma

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8
Q

Wat is de belangrijkste verwekken van epiglottis?

A

Haemofillus influenza

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9
Q

Verwekker van pertussis?

A

Bordetella pertussis

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10
Q

Kliniek van bordetella pertussis?

A
	Rhinitis
	Koorts 
	Hoestbuien afgewisseld met gierende inademing 
	Cyanose 
--> Hoest houdt zeer lang aan!
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11
Q

Waarom is pertussis gevaarlijk bij jonge zuigelingen?

A
  • Apneu
  • Voedingsmoeilijkheden
  • Desaturatie

–> opname aangewezen

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12
Q

Verwekker difterie?

A

Corynebacterium diphtheria

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13
Q

kliniek van difterie?

A
  • Grijs-wit pseudo membraan over posterieure poharynx en/of tonsillen
  • Afschrapen van membraan –> bloedingen
  • Lymfadenopathie
  • Systemische klacthen: myocarditis, arritmie, polyneuropathie
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14
Q

Diagnose van Difterie?

A

Pharynx swab

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15
Q

Complicaties van difterie?

A
  • Myocarditis
  • Neuritis
  • Nefritis
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16
Q

Behandeling van difterie?

A
  • Difteria antitoxine

- Antibiotica: penicilline

17
Q

Synoniem difterie?

A

Kroep