Infectious Diseases Flashcards
Schizonts on blood film Parasitaemia Hypoglycaemia Acidosis Pyrexia Severe anaemia
Falciparum malaria: features
Falciparum malaria: complications (5)
Cerebral malaria Acute renal failure ARDS Hypoglycaemia DIC
Falciparum malaria: Mx
IV artesunate
Non-falciparum malaria: causes
P. vivax
P. ovale
P. malariae
P. vivax location
Central america and Indian subcontinent
P. ovale location
Africa
P. knowlesi location
South east asia
fever, headache, splenomegaly
Non-falciparum malaria: features
P. vivax / P. ovale features
Cyclical fever every 48 hours
P. malariae features
Cyclical fever every 72 hours and nephrotic syndrome
Gram-positive cocci
Staphylococci
Streptococci
Gram negative cocci
N. meningitides
N. gonorrhoeae
Moraxella catarrhalis
Gram positive rods
ABCD L Actinomyces Bacillus anthracis Clostridium Diphtheria Listeria
Gram negative rods (6)
E. coli HiB Pseudomonas Salmonella Shigella Campylobacter
Trypanosoma gambiense: location
West Africa
Trypanosoma rhodesiense: location
East Africa
Trypansoma chancre
Intermittent fever
Enlargement posterior cervical LN
CNS involvement
Sleeping sickness/African trypanosomiasis: features
Trypansoma chancre: what?
painless SC nodule at site of infection
Sleeping sickness/African trypanosomiasis: management
IV pentamidine
Trypanosoma cruzi: location
America
American trypanosomiasis / Chagas: early features
Chagoma
Periorbital oedema
American trypanosomiasis / Chagas: late features
Dilated cardiomyopathy
Arrhythmias
Megaoesophagus / megacolon
American trypanosomiasis / Chagas: Mx
Benznidazole
Chikungunya: what?
Alphavirus disease caused by mosquitoes
Chikungunya: where?
Africa, Asia and Indian subcontinent
Chikungunya: features
Severe joint pain
High fever
Flu like illness
Chlamydia: features
cervicitis, dysuria
urethral discharge
Chlamydia: complications
Epididymitis PID Endometritis Infertility Reactive arthritis Perihepatitis
Chlamydia: Ix
Nuclear acid amplification test
Chlamydia: Mx
Doxycycline
Gonorrhoea: features
Urethral discharge, dysuria
Cervicitis
Rectal and pharyngeal infection
Gonorrhoea: Mx
IM ceftriaxone 1g
Features of disseminated gonococcal infection
Tenosynovitis
Migratory polyarthritis
Dermatitis
Diphtheria: where?
Eastern Europe / Russia / Asia
Diphtheria: features
Sore throat with grey covering
Cervical LN
Neuritis
Heart block
Diphtheria: Mx
IM penicillin
Diphtheria antitoxin
Tellurite agar or Loefflers media
Diphtheria medium
Prolonged dysentry
Amoebiasis
Entamoeba histolytica causes..
Amoebiasis
Amoebiasis: microscopy
Trophozoites if examinated within 15 minutes
Amoebiasis: Mx
Metronidazole
Luminal amoebicide
Cryptosporidiosis: features
Watery diarrhoea, abdominal cramps, fever, immunocompromise
Cryptosporidiosis: Ix
modified Ziehl-Neelsen stain
Red cysts
Cryptosporidiosis: Mx
Supportive
PCP: features
Dyspnoea, dry cough, fever
PCP; stain
silver stain
PCP; Mx
Co-trimoxazole
IV pentamidine in severe
Most common cause traveller’s diarrhoea
E coli
E coli diarrhoea
Travellers
Watery stool
Abdo cramps and nausea
Giardiasis
Prolonged non-bloody diarrhoea
Cholera
Profuse watery diarrhoea
Severe dehydrations
Shigella
Bloody diarrhoea
Vomiting and abdo pain
Staph aureus
Severe vomiting
Campylobacter
Flu like prodrome
Crampy abdo pain, fever and diarrhoea
Complications inclide GBS
Bacillus cerus
Vomiting
Diarrhoea
Related to rice
Borrelia burgdorferi causes
Lyme disease
Lyme disease; early features
Erythema migrans
Generally unwell
Lyme disease; later features
Heart block, myocarditis
Neurological signs
Lyme disease: Ix
ELISA antibodies
Immunoblot
Lyme disease: Mx
Doxycyline or amoxicillin
Ceftriazone in disemminated disease