Clinical Conference Parasitology

Question 1

What is the most common immune deficit that results in pneumocystis pneumonia?

Answer 1

HIV

Question 2

What is the most common opportunistic infection found in newly diagnosed HIV patients?

Answer 2

pneumocystis pneumonia

Question 3

What objective finding is always present with PCP?

Answer 3

hypoxia

Question 4

What is the best way to get a specimen when PCP is suspected?

Answer 4

Brochialveolar lavage

Question 5

What is the drug of choice for pcp?

Answer 5

trimethoprim sulfate

Question 6

What is the difference between primary and secondary prophylaxis?

Answer 6

primary prevents initial infection

secondary prevents reinfection

Question 7

what tests do you perform if you are concerned about Bubesiosis?

Answer 7

blood smear and cbc

Question 8

What do you see on a blood smear if your patient has bubesiosis?

Answer 8

A ring within the RBC and a tetrad

Question 9

What 3 organisms can be transmitted by the Ixodes tick?

Answer 9

Borrelia burgdorferi, Ehrlichia, and Anaplasma

Question 10

What is the Shwartzman Phenomenon?

Answer 10

Biopsy of purpural hemorrhage shows thrombosis and infiltrate of vessels and interstitum