Gram Negative Cocci Flashcards
Habitat of Neisseria meningitidis?
Upper respiratory tract
Gram negative diplococci that ferments maltose and glucose?
Glucose only?
M and G - N. meningitidis
G - N. gonorrhoeae
What is Neisseria meningitidis’ antiphagocytic factor?
Large polysaccharide capsule
Insignificant capsule in gonorrheae
What medium used to culture Neisseria meningitidis?
Chocolate agar
Neisseria meningitidis has a high carriage rate in what group of people?
Living in close quarters
Neisseria meningitidis infection is an effect of what complement deficiency?
C5 to C9
Unable to form MAC
Most common cause of meningitis from 2-18 years old?
Fever, HA, stiff neck
Neisseria meningitidis
Dissemination of meningococci into bloodstream leads to?
Meningococcemia
With characteristic purpura fulminans
Most severe form of meningococcemia?
Waterhouse Friederichsen Syndrome
Bilateral adrenal hemorrhagic destruction
DOC for Neisseria meningitidis infection?
Ceftriaxone
Primary prevention for Neisseria meningitidis?
Meninogococcal vaccine
A C Y W-135
Chemoprophylaxis for close contacts of people with Neisseria meningitidis?
Rifampin
What medium is used to culture Neisseria gonorrheae?
Thayer Martin Agar
With VCN
Vancomycin, Calistin, Nystatin
Habitat of Neisseria gonorrheae? Transmitted via?
Genital tract
Only by sexual contact and passage thru birth canal
Neisseria gonorrheae is usually co-infected with?
Chlamydia trachomatis
Give doxy if nonpregnant (discoloration of teeth and chelates calcium)
Give azith if pregnant
What prophylaxis to avoid ophthalmia neonatorum?
Crede’s prophylaxis
Erythromycin ointment on both eyes
Not silver nitrate!
Neisseria gonorrheae is the most common cause of what genital tract infection in men?
Urethritis
Very painful purulent urethral discharge
(Endocervicitis in females, asymptomatic)
vs. Trichomonas - asympt males
Neisseria gonorrheae infection in women that presents with fever, abnormal bleeding, cervical motion tenderness?
PID
A complication of Neisseria gonorrheae PID that scars the fallopian tube?
Sterility
A complication of Neisseria gonorrheae PID after salpingitis?
Ectopic pregnancy
A complication of Neisseria gonorrheae PID described as violin string adhesions surrounding the liver that cause RUQ pain?
Fitz Hugh Curtis Syndrome
Perihepatitis
Acute joint pain and swelling in sexually active adults?
Septic arthritis by Neisseria gonorrheae
Staph in nonsexually active
Important consideration in treating Neisseria gonorrheae infections?
Always treat the partner!
