csv micro Flashcards
Mollaret’s meningitis
Recurrent aseptic meningitis with HSV-1 or HSV-2
India ink
Cryptococcus neoformans
Swimming + bloody diarrhoea + anaemia + thrombocytopaenia
Traveller’s diarrhoea: Enterobacteriaecae = EHEC
Lymphogranuloma venereum
Chlamydia trachomatis L1, L2, L3 serovars
Argyll Robertson pupils
Treponema pallidum: tertiary syphilis
Firm painless chancre
Primary syphilis: treponema pallidum
Diarrhoea + shock + BBQ + superantigen
Staphylococcus aureus: exotoxin TSST-1
Painful penile ulcer + culture on chocolate agar
Haemophilus ducreyi (Gram negative coccobacillus)
meningism + microscopic agglutination test
Leptospira interrogans
Clue cells + fishy discharge
Bacterial vaginosis
Uncomplicated UTI
Trimethoprim
Pneumocystis jiroveci treatment
Co-trimoxazole
MRSA drug of choice
Vancomycin
Gomori’s methenamine stain
Penumocystis jirovecii
Watery diarrhoea + rods with fast movements
Vibrio Cholerae
Zidovudine
NRTI
Efavirenz
NNRTI
Treatment of Hep B
Interferon-alpha + Lamuvidine
Peg-interferon alpha
Treatment of Hep C
Viral neuraminidase inhibitor
Oseltamivir
Prophylaxis for CMV in BMT patients
Gancyclovir
India ink reveals yeast with halo
Cryptococcus neoformans
Hyperpigmentation (pale skin) + ‘spaghetti with meatballs’
Pityriasis versicolor
SOB + spherical opacity on CXR
Aspergillus flavus
Rose gardener’s disease
Sporothrix schenckii
Diagnosis on Castaneda medium
Brucella species
Flu-like symptoms + diarrhoea + microscopic agglutination test
Leptospira interrogans
Rocky Mountain spotted fever
Rickettsiae
Cytoplasmic inclusions on Giemsa/fluorescent staining of sputum or biopsy
Psittacosis
3 week baby with meninigitis + Gram negative rods
Listeria monocytogenes
Koplik spots
Measles
Complication of measles
Subacute pan-sclerosing encephalitis
4 month old unvaccinated baby with meningitis + Gram negative rod on CSF
Haemophilus inluenzae
Tumbling motlity
Listeria monocytogenes
Pear-shaped organisms on stool microscopy
Giardia
Lowenstein-Jensen medium
Mycobacterium tuberculosis
Alcholic + high fever + blood-stained sputum
Klebsiella pneumoniae
Drug acted upon by viral thymidine kinase
Acyclovir
Pink MacConkey agar
Lactose fermenting organsims
Novy-MacNeal-Nicolle medium
Leishmania major
Flu-like illness + rash with central fading
Borrelia burgdorferi
Kala-azar
Visceral leishmaniasis
Most common cause of septic arthrtisi in young, sexually active adults
Neisseria gonorrhoea
treatment of septic arthritis with N. gonorrhoea
IV cefotaxime 4-6 weeks
Treatment of C. diff.
Oral metronidazole 14 days
Gold standard for detection of C. diff
Detection of C. diff toxin in stool sample
Indications for oral vancomycin use in C. diff
3rd or subsequent episodes, severe infection, infection not responding to metronidazole, patients who can’t tolerate metronidazole
Sudden decline in cognitive function + myoclonic jerks + negative Ix
Sporadic Creutzfeldt-Jakob disease
Aim of LP in CJD
Analyse CSF for 14-3-3- protein
Definition of SBP
Form of peritonitis in the absence of a contiguous source of infection
Most common organisms in SBP
E. coli, Gram-positive cocci and enterococci
Antibiotic of choice in SBP
Cefotaxime IV
Most important facotr influencing chance of clearing Hep C
virus genotype
Best diagnostic test for Hep C
Hep C RNA PCR
Location & features of Trypanosoma brucei gambiense
West and Central Africa, >95% of cases, chronic infection - g for gradual infection
Location & features of Trypanosoma brucei rhodiense
South and East Africa, <5% of cases, R for rapid infection
Chagas disease
Trypanosoma cruzi transmitted by reduviid bugs
Romana’s sign
Purplish swelling of eyelids
Long history of undulating fevers + arthralgia + myalgia + weight loss + fatigue + lymphadenopathy + sacroiliitis + depression + Hx of being on a farm
Brucellosis
Current guidelines in Uk for treatment of pulmonary TB
Isoniazid and rifampicin for 6 months + pyrazinamide + ethambutol for first 2 months
Brown granular colonies on Lowenstein-Jensen medium
Mycobacterium tuberculosis
Two anti-tuberculous drugs to avoid in patients with renal impairment
Streptomycin + Ethambutol
Acute inflammatory demyelinating polyradiculopathy
Gullain-Barre
Most common trigger of Guillain-Barre-syndrome
Campylobacter jejuni
Fever in 3-4 day intervals
Plasmodium malariae
Malaria form that infects erythrocytes
Merozoite
Uncomplicated falciparum malaria treatment
Admit + oral quinine and doxycycline
Maurer’s cleft under microscope
Disc-like granulations at edge of cell using EM in Plasmodium falciparum infection
Most common cause of acute infective endocarditis
Staphylococcus aureus