Infectious diseases Flashcards
Appendectomy
Requires prophylactic antibiotics
Jarisch-Herxheimer reaction
Occurs in response to treatment of syphilis presenting as a fever, rash and tachycardia that requires paracetamol
Tatenus
If all 5 vaccines in last 10 years no further management is needed
Malaria
- fever on alternating days
- hepatomegaly
- muscle aches
- headache
Chlamydia
Manage with doxycycline
Bacillus cereus
Shortest incubation time and causes vomiting and diarrhoea within 6 hours
Asymptomatic bacteriuria
- in pregnant woman this needs immediate antibiotics
- in catheterised patients do not treat
HPV vaccine
Offered to girls and boys aged 12-13
Staphylococcal toxic shock syndrome
- nausea and vomiting
- collapse
- tampon use
- fever
- rash on palms of hands and soles of feet
Necrotising fasciitis
Immediate surgical debridement and IV antibiotics
TB
- consolidation of the upper lobe
- calcified granulomas
Meningococcal meningitis contacts
Should be given prophylactic ciprofloxacin or rifampicin
E.coli
Most common cause of travellers diarrhoea
NAAT
Used to diagnose chlamydia
Hookworms
Can cause iron deficiency anaemia and should be suspected with travel to endemic areas such as India
Hepatitis B
Increased risk of developing hepatocellular carcinoma
Herpes simplex
Causes painful genital ulcers, lymphadenopathy and malaise
Post splenectomy infection
- streptococcus pneumoniae
- haemophilus infleunzae
- meningococci
Lyme disease
In asymptomatic patients bitten by a tick there is no need to treat
Leptospirosis
Caused by spirochaete leptospira interrogans
- sewage workers at risk due to rat urine
- back pain, fever, jaundice, subconjunctival haemorrhage
- doxycycline
Croup
Causing barking cough in children and is due to parainfluenza virus
Pneumonia in HIV
Commonly pneumocystis jirovecci
Influenza virus
- headache
- fever
- malaise
- myalgia
- cough
Neisseria meningitis
Gram negative diplococci that commonly causes meningitis
Streptococcus pneumonia
Commonly causes meningitis and is a gram positive diplococci
Streptococcus pyogenes
- rheumatic fever
- scarlet fever
- cellulitis
- necrotising fasciitis
- tonsillitis
Mycoplasma pneumoniae
- worsening flu like symptoms
- dry cough
- erythema multiforme rash (pink ring with pale centre)
