Gi Micro (mostly diarrhea) Flashcards
Family: CMV
herpesvirus (HHV-5)
DNA/RNA Structure: CMV
DS linear with envelope
Treatment: CMV
ganciclovir
MOA: Ganciclovir
inhibits viral DNA polymerase
Family: Norwalk
Caliciviruses
DNA/RNA structure: Norwalk
SS positive-sense RNA virus (no envelope) - icosahedral
Treatment: norwalk
supportive
Most common cause of adult gastroenteritis
norwalk
How does norwalk resolve?
self-resolved in 12-24 hours
Family: Rotavirus
reovirus
DNA/RNA structure: rotavirus
ds linear RNA virus, no envelope, double icosahedral capsid
Treatment: rotavirus
oral hydration
most common cause of childhood diarrhea
rotavirus
Type of diarrhea produced: rotavirus
watery
Type of diarrhea produced: norwalk
watery
gram stain: b. cereus
gram positive rod
Reheated fried rice
b. cereus
Treatment: b. cereus
none - self limited
gram stain: c. jejuni
curved or S-shaped gram negative rod
oxidase +
grows at 42 degrees C
Type of diarrhea: c jejuni
invasive and secretory (dysentery with crypt abscesses)
Where do you get c. jejuni?
poultry, meat, unpasteurized milk
Treatment: c. jejuni
Erythromycin
MOA: erythromycin
inhibits 50S ribosome
Gram stain: c. difficile
gram positive rod
Type of diarrhea: c. diff
secretory
Most common nosocomial diarrhea
c. diff
Antibiotic induced diarrhea…
c. diff