Microbiology Flashcards
What is the most common extraintestinal form of a parasite presenting with an anchovy like aspirate?
Amebic liver abscess
Dysentery without fever, flasked shaped ulcers, Charcot-Leyden crystals on fecal smears. What is the treatment of this pathogen?
Cyst: Diloxanide furoate
Trophozoites: Metronidazole
Entamoeba histolytica
This parasite has an acute and chronic phase. Acute: abdominal pain, diarrhea, flatulence, smelling like rotten eggs.
Chronic: Constipation, weight loss, and steatorrhea.
What is the motility pattern of this parasite
Giardia Lambia: Falling leaf motility
Treatment for this organism which presents with a foul-smelling greenish vaginal discharged accompanied by itching and burning. Strawberry cervix is a clinical feature.
Metronidazole
treatment for
Trichomonas Vaginalis
Recurrence of symptoms after a temporary abatement (2-4) weeks. What do you call this clinical outcome and which organism is it noted in?
Recrudescence could be cause by P. Falciparum and P. Malariae
Return of a disease after its apparent cessation (1-6 months) due to reactivation of hyponozoites is seen in which organisms?
Relapse is seen in P. ovale and in P. Vivax
What kind of stains and smear do you use for Malaria?
Thick smears to screen for the presence of organism. Thin smear is for species identification. Giemsa stain is the stain used.
Highest yield when blood samples are taken during fever or 2-3 hours after peak.
Punctate granulations present in red bood sell invaded by P. Ovale and P. Vivax
Schuffner dots
Coarse granulations present in red blood cells invaded by P. falciparum
Maurer dota
Fine dots present in red blood cells invaded by P. malariae
Ziemann dots
What is a finding seen in cerebral malaria?
Durke granuloma
Acute renal failure in malaria is called?
Blackwater Fever
High endemicity areas of malaria
Palawan, Kalinga-Apayao, Ifugao, Agusan del Sur
Areas of chloroquine-resistance in Malariae
Palawan, Davao del Norte, Compostela Valley
Immunocompetent individuals present with heterophil-negative mononucleosis, whereas immunocompromised patients will present with encephalitis with ring enhancing lesions.
Toxoplasma gondii
Periorbital edema and a nodule near the bite is seen in this disease.
Romana sign and Chagoma are both seen in acute Chagas disease by the Trypanosoma Cruzi.
Myocarditis, megacolon, megaesophagus (achalasia) are seen in the chronic form of this organism.
Chronic disease of Trypanosoma Cruzi
Indurated skin ulcer or chancre with intermittent weekly fever and LAD, excessive somnolence, Winterbottom sign, encephalitis, Hypersthesia or Kerandel sign are all seen in?
Trypanosoma Brucei complex
Species commonly associated with red tide poisoning?
Pyrodinium bahamense var. compresum
Shellfish poisoning syndromes that is paralytic is seen in which kind of toxin?
Saxitoxin
A neurotoxic presentation of shellfish poisoning syndrome which includes slurred speech, ataxia, facial paresthesia, and diarrhea are seen in which toxin?
Brevetoxin
Diarrhea, Nausea and vomiting, abdominal pain are seen in which toxin for the shellfish poisoning syndromes?
Okadaic acid
Shellfish poisoning syndrome which includes short-term memory loss, diarrhea and seizures are produced by which Toxin?
Domoic acid
Eating of undercooked pork presents with mild intestinal symptoms and could sometimes lead to seizures. In addition, it is possible to see worms in vitreous humor with these organisms. What is the organism?
Neurocysticercosis by Taenia Solium
Abdominal pain and diarrhea occurs and may sometimes lead to megaloblastic anemia due to vitamin B12 deficiency. What is the causative agent?
Diphyllobotrium latum
Ruptured hydatid cysts could lead to a life-threatening anaphylaxis. What is the treatment of this parasite prior to the anaphylaxis?
Albendazole to treat Echinococcus granulosus
What do you call systemic hypersentivity resembling serum sickness which is caused Schistosoma japonicum?
Katayama fever
Swimmer’s itch and Katayama fever are caused by this organism
Schistosoma japonicum
Chronic cough with bloody sputum, this parasite closely resembles TB and has a ring-shadowed opacity in the chest x-ray. What is the animal that harbors this organism?
Crabs are hosts for Paragonimus westermani
The chronic phase produced by this parasite could lead to hepatobiliary disease, pancreatitis, neurocirculatory dystonia, and cholangiocarcinoma.
Clonorchis Sinensis
Loeffler’s syndrome, acute intestinal obstruction, malabsorption syndrome. What are the two common drugs used against this parasite?
Albendazole (has more larvicidal)
Mebendazole
Serpiginous tracks, eosinophilic pneumonia during transpulmonary phase, chronic disease, microcytic anemia, hypoalbuminemia are seen in the acute phase of this parasite infection.
Necator and ancylostoma
Recatal prolapse from increased persistalsis to expel the worms are noted in this organism. It has a barrel shaped egg with bipolar plugs. What is the treatment for this organism?
Mebendazole for Trichuris trichura
Pruritus ani, eosinophilic enterocolitis, vulvovaginitis, appendicitis are seen in this parasite easily diagnosed with the Graham test.
Enterobius vermicularis
Treatment for a parasite which produces an eosinophilic pneumonia in its acute phase and serpiginous, duodenitis, paradoxical asthma, hyperinfection syndrome in its chronic phase.
Ivermectin
This parasite produces borborygmus in its acute disease. On its chronic disease, it produces a chronic watery diarrhea, protein-losing enteropathy, and hypogammaglobinemia. What is this organism?
Capillaria philippinensis
In filarial fever, what bodies are found in nocturnal wheezing (Tropical pulmonary eosinophilia)
Meyers-Kuvenaar bodisea
In Filariasis which species is linked to hydrocele and which species is seen presenting with elephantiasis.
Wuchereria (Water)
Brugia (Binti)
Fever, muscle pain, periorbital edema, eosinophilia, and hemorrhagic phenomena are seen in the acute phases of this parasite.
Myocarditis, encephalitis, pneumonia, respiratory myosits is seen in the chronic phase of this disease.
Teichinella spiralis
Hypopigmented areas
Spaghetti / meatballs appearance on 10% KOH
Malasezzia furfur