Microbiology: General Micro questions

Question 1

What is this?

Answer 1

Aspergilloma. Aspergillus invades TB granulomas

Question 2

Features:

flu-like symptoms including fever (present in > 95% of patients)

dry cough

relative bradycardia

confusion

deranged liver function tests

pleural effusion: (seen in around 30% of patients)

+

lymphopaenia

hyponatraemia

Diagnosed by urinary antigen

Most likely diagnosis?

Answer 2

Legionella pneumophilia

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Not to be confused with mycoplasma pneumonia

Question 3

flu-like symptoms including fever (present in > 95% of patients)

dry cough

deranged liver function tests

+

Haemolytic anaemia,

Erythema Multiforme

Encephalitis

Answer 3

Mycoplasma pneumonia

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Not to be confused with Legionella pneumophilia

Question 4

rapid intravenous infusion vancomycin, redness, pruritus, burning sensation predominantly in upper body. Obs, namely BP,normal,

Answer 4

Red Man Syndrome

Question 5

What is Vancomycin used for?

Answer 5

the treatment of Gram-positive infections, particularly methicillin-resistant Staphylococcus aureus (MRSA).

Question 6

nephrotoxicity

ototoxicity

thrombophlebitis

red man syndrome

These adverse effects are from which drug?

Answer 6

Vancomycin

Question 7

Main complication of Chagas’ disease?

Answer 7

Cardiomyopathy

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is the most frequent and most severe manifestation of chronic Chagas’ disease

Question 8

What do you always offer patients with Chronic Hepatitis?

Answer 8

One-off pneumococcal vaccine