Chapter 2 (Based on Erin's SI Notes) Flashcards
Folliculitis, Carbuncles
Staph aureus
Pseduomonas aeruginosa “hot tob buns”
*outpatient
Impetigo
Staph aureus (almost always)
Strep pyogenes
*outpatient
DEIs/Pressure sores
Staph aureus
strep pyogenes
Pseudomonas aeruginosa
Strep agalactiae (with DEIs)
Human bite wounds
Eikenella corrodens Staph aureus Strep Less likely: Bacteroides fragilis Corynebacterium
Osteomyelitis
Staph
Strep
Enterbacteriaceae
Osteomyelitis with DEI
Everything (G+, GNB, anaerobes)
Osteomyelitis with IV drug abuse and puncture wounds
Pseudomonas aeruginosa Staph Sometimes: Serratia marcescens Some GNB
Osteomyelitis in immunocompromised
Aspergillosis
Candida
Septic arthritis
Neisseria gonorrhoeae
Staph aureus
Strep
Pseudomonas
Erysipelas, St Anthony’s, Lymphangitis, Cellulitis
Strep pyogenes
Staph aureus
*outpatient
**cellulitis is almost always s. pyogenes
Myonecrosis (gangrene)
Clostridium prefringens
*inpatient
Necrotizing Fasciitis I
Bacteroides
Strep pyogenes
Vibrio
*inpatient
Necrotizing Fasciitis II
Strep pyogenes (flesh eating) *inpatient
Burn wounds
Psedumonas aeruginosa
Enterobacteriaceae
Staph aureus
Strep
Animal Bite wounds
Pasturella multocida
Staph aureus
Strep
Bacteroides fragilis (maybe)
Osteomyelitis with implanted foreign bodies
Staph epidermidis Staph aureus Strep Enterococci Enterobacteriaceae Pseudomonas aeruginosa
Osteomyelitis with bite wounds
Pasturella multocida
E. corrodens
Osteomyelitis in patients with TB (Pott’s Disease)
Mycobacterium tuberculosis
Osteomyelitis in patients with Sickle Cell Anemia
Salmonella
Otitis Media, Pharyngitis
#1=viral! Then: Strep pneumoniae Haemophilus influenza M. catarrhalis Possible: Strep pyogenes Staph aureus E coli Pseudomonas mycoplasma C. pneumonia C. diphterieae
Epiglottitis
Almost always bacterial
Haemophilus influenzae
*medical emergency
Laryngitis (croup)
Usually viral: Parainfluenza or RSV Maybe bacterial: staph strep H. influenzae M. catarrhalis
Community acquired pneumonia (CAP)
MSSA/MRSA Anaerobes Legionella GNB Pseudomonas aeruginosa Viruses: influenza RSV
Hospital Acquired Pneumonia (HAP)
GNB (Klebsiella in alcoholics) Pseudomonas aeruginosa Staph aureus Legionella Anaerobes Stenotrophomonas maltophilia Acinetobacter
Pneumonia in Immunocompromised
Fungi: Aspergillus Blastomycosis Histoplasmosis Cryptococcus Candida albicans Parasites: PCP Toxoplasma Cryptosporidia Strongyloides
Encephalitis
usually caused by virus (s/s: somnolence, seizures, focal findings, weak limbs) Herpes (main cause) Sometimes fungal Maybe Listeria
Shunt Infections
MRSA/MSSA MRSE Strep Enterococci Neisseria meningitidis Haemophilus influenza GNB
Sinusitis
Big 3 Bacteria
Viruses=#4
some strep pyogenes, staph aureus, maybe anaerobes
Acute Bronchitis
usually viral
If bacterial, caused by big 5 bugs (mycoplasma and chlamydia, then big 3)
Chronic bronchitis
Big 3 Neisseria meningitidis Klebsiella Serratia Pseudomonas
Aspiration pneumonia
Peptostreptococcus
Prevotella
Meningitis
s/s: fever, HA, stiff neck, photophobia, abnormal CSF (presence of glucose, protein and PMNs in lumbar puncture) Usually caused by bacteria S. pneumonia Strep agalactiae Staph (MSSA/MRSA) Neisseria meningitidis Haemophilus influenza Listeria monocytogenes E. coli Pseudomonas M. catarrhalis
Brain abcess
Usually bacteria MSSA/MRSA Strep pneumonia Haemophilus influenzae GNB Pseudomonas Bacteroides fragilis
Venous Sinus Thrombosis
MSSA/MRSA MRSE Haemophilus influenzae GNB Anaerobes
Native Valve Endocarditis
Almost always Gram+ cocci
Strep
Viridans
S. bovis
Prosthetic valve endocarditis
MRSE
MSSA/MRSA
GNB
GNB Endocarditis
Really rare
enterobacteriaceae or pseudomonas
Primary peritonitis
E. coli
Klebsiella (alcoholism)
Streptococci
Peptic Ulcer Disease
Helicobacter pylori
Acute cystitis (bladder)
E. coli (90%)
Staph saprophyticus
UTI: ureaplasma urealyticum
Catheter-Associated UTI
MRSE MSSA/MRSA Enterococcus E. coli Proteus mirabilis Pseudomonas Stenotrophomonas Enterobacteriaceae Serratia Candida
Prostatitis Acute, Cervicitis, PID, Urethritis
Neisseria gonorrhea
Chlamydia (OIP=hard to treat)
Maybe GNB, trichomonas, ureaplasma/mycoplasma
Herpes
HSV1-mouth
HSV2-genital
Lymphogranuloma venereum
Chlamydia
Gonorrhea
Neisseria gonorrhea
Vaginosis/Vaginalis (non-STD)
G. vaginalis Bacteroides Peptostreptococcus Mycoplasma hominis Candida Trichomonas vaginalis
Clean surgeries (heart, ortho, neuro, eye, vascular, head, neck, breast)
Staph
Strep
IV drug user endocarditis
MSSA/MRSA
Enterococcal endocarditis
E. faecalis (nosocomial)
Fungal endocarditis
Candida
Aspergillus
GI infections (biliary tract, gallbladder, etc)
Enterbacteriaceae
Enterococci
Anaerobes
Community pyelonephritis
E. coli
Proteus mirabilis
Enterobacteriaceae
Hospital pyelonephritis
E. coli Enterobacteriaceae Pseudomonas Stenotrophomonas maltophilia Enterococcus
Chronic prostatitis
Enterobacteriaceae
Pseudomonas
Enterococcus
Chancroid
H. ducreyi
Syphilis
Treponema pallidum
Epididymitis
Neisseria gonorrhea
C. trachomatis
E. coli
Genital warts
HPV (viral, vaccine)
Dirty Surgery (GI, GU)
Enterbacteriaceae
Enterococci
Anaerobes
*must cover all three
Eye infections
Herpes simplex Adenovirus Cytomegalovirus Staph aureus Neisseria Chlamydia