Random ID Flashcards
Plasmodium falciparum tx severe? regular?
Artesunate/chloroquine
Plasmodium chloroquine resistant?
atovaquone, dapsone
plasmodium ovale and vivax tx?
chloroquine, primaquine
yersinia pestis bug?
GN coccobacillus
yersinia reservoir? transmitter?
rodents/fleas
yersinia diagnosis?
gram and wayson stain
yersinia treatment?
gentamicin
treatment of pseudomonas?
combination therapy is used to reduce antibiotic ressitance and has been shown to not induce future resistance
meds for pseudomonas?
B lactam plus aminoglycoside
cause of myocarditis in HIV?
toxoplasma
where can people get toxoplsma?
lamb, pork, rabbit in France
mechanisms of pseudomonas resistance to B lactam?
Amp c B lactamases, efflux pumps, outer membrance porin alterations
resistant pseudomonas tx?
ceftalazone/tazobactam
resistant Klebsiella tx?
ceftazadime/avibactam
capnocytophagia bug?
GNR
tx for capnocytophagia?
penicillin or cephalosporin
cause of capnocytophagia and sx?
dog bite, can develop purpura fulminans
fungal infection that has a lot of resistance and is seen in HAI? tx?
candida auris/echinocandin
risk factors for severe pneumococcal infection?
HIV, asplenia, lymphoma, alcoholism
Brucellosis presentation?
sputum, undulating fever, arthralgias, leukopenia, transaminitis
geographic location of brucellosis?
mediterranian
lung biopsy of brucellosis?
noncaseating granuloma
tx for brucellosis?
doxycycline plus aminoglycoside
strongiloydes life cycle?
larvae penetrate the intestinal mucosa then travel to through bloodstrem to lungs and into alveoli and ascend to glottis which is then swallowed and creates autoinfection
risk of other issues with strongiloydes?
disrupts intestinal mucosa therefore at risk for bacteremia with typical GI organisms
sx of strongiloydes?
immunocompromised person with travel with pulmonary infiltrates and abominal pain, shock, meningitis with hypereosinophilia
3 mechanisms of pseudomonas resistance?
ampC B lactamases, efflux pumps, outer membrane porin alterations
medication for pseudomonas with B lactamases?
cetolazone tazobactam
best B lactamase inhibitor for klebsiella?
ceftazadime avibactam
best IV meds for MRSA?
Vancomycin, Linezolid, Daptomycin
TOC for emphysemetous pyelonephritis?
nephrectomy
candiduria, who to treat?
severely immunocompromised. Regular people can just have catheters replaced
what to monitor when treating with daptomycin?
CK levels weekly
treatment for carbapenem resistant E coli?
colistin
tx for acenitobacter baumanni?
carbapenem but also add colistin for lung penetration and decrease side effects
abx for whipples?
penicilin, or doxy
anemia in malaria?
normocytic normochroic
common complicatioon of malaria?
pulmonary edema, ARDS
treatment for schistosomiasis?
praziquantel, spread through contaminated water
Can be symptomatic GI or urogenital
tx for neurocysterocosis?
albendazole
tx for amoebic liver dz/
metronidazole
bug that can cause amoebic liver disease?
entamoeba histolytica
treatment for severe plasmodium falciparum?
artesunate
parotid or prevertebral coverage?
need to cover staph and anaerobe, but in IC think MRSA
anterior neck infection considerations?
think less staph but need anaerobic coverage
Tx for strongiloides
Ivermectin