Infectious II Exam Flashcards
Most Common TB treatment
isoniazid (INH)
rifampin (RIF)
ethambutol (EMB)
pyrazinamide (PZA)
What drugs not to use with Multi-Drug Resistant TB
don’t use isoniazid (INH) and Rifampin
Leprosy Tx
Dapsone, rifampin, clofazimine
Two types of Leprosy
Tuberculoid: more nerve involvement, less skin lesions
Lepromatous: more skin, less nerve involvement
What disease is a AIDS defining disease
MAC (Mycobacterium avium complex )
What bacteria are the atypical cause of pneumonia?
Mycoplasma pneumonia
Legionairres’ disease
Chlamydia pneumoniae
How is mycoplasma pneumonia transmitted?
person-to-person via respiratory droplets
What is an appropriate antibiotic choice for empiric treatment in an assumed Mycoplasma pneumonia?
Azithromycin 500 mg on day 1, 250mg once daily on days 2-5
What is the drug of choice for Chlamydia pneumonia?
Doxycycline
How is Legionnaires’ Disease spread?
contaminated water
What test do you order to diagnose Legionella?
Urinary antigen test and sputum culture
What is the drug of choice for Legionnaire’s disease
Ciprofloxacin (Fluoroquinolone)
What step/chemical is the “mordant” in the gram stain?
iodine; fixes crystal violet
What does the result of a Catalase test tell you?
Pos: Staph
Neg: Strep
What does a Coagulase test tell you?
Pos: confirm Staph. aureus
Neg: Staph. epidermidis
What does a blood agar characteristic tell you?
Hemolysis;
Alpha-hemolytic: Strep. mitis
Beta: Strep. pyogenes
Gamma: Strep faecalis
What are the toxins produced by S. aureus?
enterotoxins, Exfoliatin, toxic shock syndrome toxin, alpha-toxin
How can you get Toxic Shock Syndrome?
extended tampon use; NOT BACTEREMIA
What can exfoliatin cause?
Staph Scalded Skin Syndrome (“Ritter’s disease”) –> usually pediatric
Toxic Shock Syndrome characteristics
- Temp ≥ 101 F BP<90
- Rash with desquamation (peeling skin)
- Involvement of three or more of the following organ systems: GI, Muscular, Renal, CNS, Liver
What antibiotics to treat S. aureus (non-resistant)?
PCN (Nafcillin, Oxacillin), Cephalosporins (1st, 2nd gen: Cephalexin, Cefazolin, Cefuroxime), Erythromycin
How to treat MRSA?
Bactrim, Clindamycin, Doxycycline x7-10 days
Vancomycin for inpatient (7-14 days)
What does Staph. saprophyticus cause?
UTI, esp young women
What is S. epidermidis associated with?
intravascular devices, osteomyelitis
break in skin from procedures, IV
What species of Strep is Group A, B-hemolytic and what infection does it cause?
Strep. pyogenes –> strep throat
What genus causes gamma hemolysis?
Enterococcus
What species causes alpha hemolysis?
S. pneumonia
What species of Strep is Group B, B-hemolytic?
Strep. agalactiae
What kind of membrane does Streptococcus live on?
mucous membrane
Where in the respiratory system does Streptococcus live on?
upper respiratory tract
What is the morphology of S. pneumoniae
encapsulated diplococci
What sequelae can accompany strep pharyngitis?
Scarlet fever
Patient presents with “strawberry tongue” and strep throat, what is the diagnosis
Scarlet fever
What organisms can cause toxic shock syndrome?
Staph. aureus
Strep. pyogenes
“Honey-color crust”
Impetigo
What is the leading cause of bacterial disease and death in newborns and in maternal infections?
Strep. agalactiae
Where does Strep. agalactiae reside?
vagina
also upper resp tract
What part of the body does Strep. pyogenes primarily affect?
Larynx
What part of the body does Strep. pneumoniae primarily affect?
Lungs (respiratory)
What enzyme does Strep. pneumoniae produce?
IgA protease
Who should be vaccinated for Strep. pneumoniae?
> 65, <5
What respiratory infections does Strep. pneumoniae cause?
Pneumonia
Otitis Media
Sinusitis
What bacteria can cause endocarditis?
Strep. Viridans, Strep. Bovis, Enterococcus
What does ASO titers test?
Antibody to Group A Strep –> tests for HISTORY of strep
What antibiotic to treat Streptococcal infection in PCN allergic patient?
Erythromycin
Enterococcus treatment
Ampicillin
Vancomycin-resistant Enterococci treatment
Linezolid
S. pyogenes and S. pneumoniae treatment
PCN
pneumonia: increased resistance
Gram positive bacilli bacteria
Clostridium tetani and botulinum
Corynebacterium diphtheriae (Diphtheria)
Listeria monocytogenes
Bacillus anthracis
What bacteria produces “Lockjaw”
Clostridium tetani (tetanus)
What are the characteristics of “Lockjaw”
spasms and rigidity of voluntary muscles
What infection does C. diff cause?
pseudomembranous colitis
Gas Gangrene
Clostridium perfringens
Pseudomembrane on tonsils is characteristic of what disease?
Diphtheria
What gram positive bacillus bacteria grows intracellularly?
Listeria monocytogenes (Listeriosis)
Listeriosis
food-borne illness
What gram positive bacillus bacteria is primarily a disease of domesticated and wild animals, cows, sheep
Anthrax
What cell structures are unique to gram negative bacteria
periplasmic space and lipopolysaccharide (LPS)
What is the most severe strain of E. coli?
Enterohemorrhagic E. coli
What severe pathology can Enterohemorrhagic E. coli cause?*
hemorrhagic colitis and hemolytic uremia syndrome
Which strain of E. coli causes Traveler’s Diarrhea
Enterotoxigenic E. coli
How to treat E. coli
nothing; usually self-limiting and goes away in a few days
only treat bloody, invasive infections
What’s the leading cause of bacterial gastroenteritis worldwide?
Campylobacter
What gram negative bacteria can survive at low temperatures?
Yersenia enterocolitica
What gram negative bacteria caused the plague?
Yersenia pestis
Which manifestation of Y. pestis has the highest mortality rate?
Pneumonic plague (90%) fast spread, respiratory failure
What gram negative bacteria live in coastal waters and can be transmitted through seafood?
Vibrio cholera
What gram negative bacteria causes Typhoid Fever?
Salmonella typhi