Spirochetes Flashcards
1
Q
Main clinical features of leptospirosis
A
Jaundice Pulmonary ARF Haemorrhage (myalgia, shin rash,CV, ocular, aseptic meningitis)
2
Q
Rx severe / mild-mod
A
Severe - CTX / pen 7/7 (doxy, STM)
Mild-mod - azithro, amox
3
Q
TB manifestations with HIV inf’n
A
CD4>300 CD4<200 PPD +ve -ve LAD Unusual common Pulm UL LL/ML Cavitation Common Rare Extra pulm 10-15% 50%+
4
Q
When to start ARVs in TB/HIV coinfection
A
CD4 50 - within 2 months
5
Q
RFs for MDR TB
A
smear / culture +ve during DOTS (>3/12) contact with known MDR contact with pt who died receiving DOTS AIDS DM HCWs
6
Q
Definition of XDR-TB
A
INH + RIF \+ Any quinolone \+ One injectible 2nd line drug (STM, kanamacin/amikacin, capreomycin)
7
Q
Lepto diagnostic triad
A
Hx water/animal contact +
conjunct suffusion +
severe myalgia
8
Q
Vector of Lyme disease
A
Ixodes tick
