Lecture 3 highlights Flashcards
Give 3 examples of spirochetal diseases
Lyme disease, Rocky Mountain spotted fever, Syphilis
A 21 y/o female presents to your ER with the complaint of double vision, trouble swallowing, urinary retention and abdominal pain. Her partner states that normally she is healthy and spends her summer gardening and has canned several of her green beans this season.
What do you suspect?
Botulism
A 6 y/o M is seen in your clinic with a 3 month history of intermittent fevers, fatigue, migratory joint pain and weight loss. 3 months ago mom reports that he had a sore throat that he stayed home from school for a week for. You notice a new systolic murmur with a thrill at the mitral area with radiation to the axilla. Left knee is mildly swollen and warm. Painless nodules are noted over his ankles and elbows.
What is your suspected diagnosis?
Acute rheumatic fever
Mycobacterium Marinum requires how long of a Tx?
2-3 months (of antibiotics)
When does Mycobacterium Avium Complex (MAC) rarely appear?
CD4 count >50
What condition do you (most likely) gain lifelong immunity against after you contract it?
Rocky mountain spotted fever (Rickettsia rickettsia)
A rash on the palms and soles is characteristic of what?
Rocky mountain spotted fever
Lyme Carditis occurs in what phase?
Early disseminated
Most common complication of late lyme disease is what? Where?
Arthritis; knee
(usually, & usually only one knee)
1) How is early localized Lyme disease mostly diagnosed?
2) Are Lyme serologies likely positive or negative?
1) Clinically
2) Lyme serologies are likely to be negative this early
A painless ulcer on the lip or genitals is indicative of what?
Syphilis
Most common bacterial STI in the US is what?
Chlamydia
What is the typical presentation of Chlaymidia?
Usually asymptomatic
Lymphogranuloma venereum (LGV) is a Sx of what?
Chlamydia trachomatis
What two conditions should be cotreated?
Chlamydia and gonorrhea
