GI infections - PATH Flashcards
Shellfish handler gets cellulitis
Vibrio vulnificus
Raw seafood
Vibrio parahaemolyticus
Rice water diarrhoea
Vibrio cholera
Mx of vibrio
Self limiting
Prodrome of fever and headaches, then abdo pain and bloody diarrhoea
Campylobacter jejuni
How long does camp last and what can you give and when
and what is this associated with
Lasts 10 days
If presentation within 5 days, give erythromycin or cipro
associated with GBS and reactive arthritis
Diarrhoea from eggs or meat
Salmonella enteritides
Fever, constipation, ROSE SPOTS, splenomegaly
Salmonella typhi/paratyphi
Mx of salmonella
Ceftriaxone (IV for salmonella typhi, then PO azithro)
Unpasteurised dairy
Listeria monocytogenes
Mx of listeria
Ampiciillin
Fever, pain and bloody diarrhoea + mx
Shigella - self limiting but can give ciprofloxacin
Post abx diarrhoea
C diff
Mx of c diff
Metronidazole
Reheated meat + watery diarrhoea
Clostridium perfringens
Canned food, descending paralysis + MOA
Clostridium botulinum - blocks Ach release from peripheral nerves
Mx of clostridium botulinum
anti toxin
Reheated rice
Bacillus cereus
Which E coli affects kids?
EPEC
MOA of bacillus cereus
more cAMP
Staph aureus enterotoxin triggers what
IL1 and 2
causes D and V
Liver cyst/abscess, dysentry, flatulence, tenesmus, flask shaped ulcer on histology
Entameoba histolytica
Mx of E histolytica
Metronidazole
Foul smelling dysentery
Giardia lamblia
What type of organisms are giardia and e histolytica?
Protozoa
Mx of E histolytica and giardia
Metronidazole
Which protozoa causes severe diarrhoea in immunocompromised people?
Cryptosporidium parvum
Mx of cryptosporidium parvum
Paromomycin
Which viruses cause diarrhoea in under 2s
Adenovirus
Which viruses cause diarrhoea in under 6s
Rotavirus
Which viruses cause diarrhoea in adults
Norovirus
