Infectious Disease Flashcards
Distinguishing central, and peripheral causes of facial nerve palsy
Forehead, sparing, a facial weakness, suggest peripheral facial palsy
Testing for Lyme disease
Two-tier testing with Eliza followed by western blot
Ramsey hunt syndrome
Preceded by pain and associated with vesicular lesions of the ear canal or pharynx, varicella zoster virus reactivation
Guillain barre syndrome
Asending weakness or paralysis and bilateral facial palsy, diminished, or absent reflexes
Distinguishing features of Lyme disease
Tick exposure in high endemic area, unilateral, weakness or paralysis of the facial nerve involving for head rash arthralgia systemic symptoms, carditis
Features of mumps
Parotitis (94%) myalgia, anorexia, malaise, orchitis, headaches
Bartonella (cat scratch)
Presents with regional lymphadenopathy treatment is azithromycin
Complications of Bartonella infection
Dissemination to liver spleen eye or CNS
Add rifampin for disseminated infection
Disseminated gonnococcal infection
Pharyngitis
Skin lesions
Joint complaints
Treatment is ceftriaxone and azithromycin
Most common cause of culture positive septic arthritis
Staph aureus
Treatment of bacterial meningitis in children, one month of age and older
Vancomycin and ceftriaxone or cefotaxime
Causes of bacterial meningitis one month and older
Strap pneumo-
Neisseria meningitis
Group B strep
Bacterial meningitis in neonates causes
Group B strep
E. coli
Listeria
Chemoprophylaxis for close contacts of meningitis
Rifampin
Complications of EBV infection
Peritonsillar abscess
Sinusitis
Mastoiditis
Sialadenitis
Myocarditis
Pancreatitis
Pneumonia
Interstitial, lung disease
Common causes of osteomyelitis in children
MSsa
Kingella
Group a strep
Common bacterial source of UTI and children with catheters
Enterococcus
Treatment for uncomplicated erythema migrans
Empiric amoxicillin or doxycycline for 10 to 14 days
Symptoms of early localized Lyme disease
Erythema migrans
Malaise
Headache
Fever
Myalgias
Arthralgias
Symptoms of early disseminated, Lyme
Multiple erythema migrans lesions
Fatigue
Myalgia
Fever
Cranial nerve palsy’s
Headache
Meningitis
Myocarditis
Late symptoms of Lyme disease
Arthritis mono articular, and large joint
Central nervous system involvement
Leukocyte adhesion deficiency
Delayed separation of cord
Recurrent bacterial, Sino, pulmonary infections, skin infections, peridonitits, gingivitis, poor wound healing
Small stature
Abnormal face
Cognitive impairment
