Strep And Staph Flashcards
What causes scarlet fever?
Group A beta-hemolytic streptococcal infection, erythrogenic toxin
Signs of early neonatal group B streP
Respiratory distress, lethargy, hypotension, pneumonia, Respirator distress, meningitis
Fever chills, HA, vomiting, pharyngitis, tongue Dortmund with a white exudate, projecting edematous papillae
Scarlet fever
What are the diagnostic criteria for TSS?
GI: vomiting or diarrhea Mus: myalgia or CK elevation Muc: vaginal, oropharyngeal, conjunctival erythema Renal: BUN/ creatinine x2 Hepatic: bilirubin/ transaminase x2 Hematologist: platelets <100,000 CNS: AMS
What causes toxic shock syndrome?
Staphylococcus a, or group a strep
Signs of late onset group B strep?
1 wk and 3 months, from mother/nursery, bacteremia w/o source, osteomyelitis, septic arthritis, facial cellulitis
What is the treatment for TSS?
Nafcillin or strep-pen G + clindamycin
What is the treatment for MRSA carrier?
Bactrian nares and wounds, chlorhexidine baths, 5 days course
Mental status changes occur with progression of infection, sepsis and organ failure, woody feel of sub q, crackles from air trapped in skin.
Necrotizing fasciitis
Rash: fine popular or puncate lesions in axillae, groin and neck. Generalized in 24 hrs. Flushed forehead and cheeks, but circum oral pallor?
Scarlet fever
What is the treatment for MRSA?
Outpatient treatment <5cm
- Trimethoprim sulfamethoxazole
- Doxycycline
- Clindamycin
Inpatient
1. Vanc
What is the treatment for group b strep infection?
Penicillin G
What is the treatment for scalded skin syndrome?
Supportive, IV nafcillin
What causes necrotizing fasciitis?
Group A hemolytic streptocci, staphylococcus, vibrio, aeromonas, bactericides, clostridium, peptostreptococcus
What are the forms of tetanus?
Spore (dormant) soil, dust and animal waste
Vegetative (active)
Fever, chills, anterior cervical lymphadenopathy, swollen tonsils +- exudate
Strep throat
Acute exfoliation of oral/nasal cavities, throat, umbilicus. Diffuse eyrthematous rash, w/ nikolsky’s sign?
Staphylococcal scalded skin syndrome
What is the treatment for necrotizing fasciitis?
Pen G and Clindamycin, HBO adjunct, early open and extensive debridement reduces moratlity, doripenem and vanc
What causes strep throat?
Group A beta-hemolytic streptococcus
Where is staph mostly?
Alaska, Ca, Georgia, TX
What is the treatment for strep throat?
Benzanthine penicillin IM, pen V 10 days, alternative clindamycin
What are the kinds of seizures?
Opisthotonos
- Flexion and abduction of the arms
- Clenching the fists
- Extension of the lower extremities
Looks like severe cellulitis w/ warmth, edema, erythema, but pain out of proportion.
Necrotizing fasciitis
Cellulitis, abscesses, septic arthritis, bursitis, pneumonia, in incarcerated person, sports, and military training?
MRSA
Pain, vomiting, N/V, influenza like, scarlet fever like rash. Desquamation on palms and soles. Hypotension<90, with orthostatic syncope
Toxic shock syndrome
What is the treatment for tetanus?
Seizure: diazepam
Disease: tetanus immune globulins
Peripartume fever in women and sepsis/meningitis in neonates.
Group B strep
What is the treatment for scarlet fever?
Pen V, erythromycin
What are some prolonged complications of TSS?
Refractory hypovolemia, bacteremia, DIC, ARDS
What are the types of tetanus?
- Generalized (all SKM)
- Local
- Cephalic (facial)
- Neonatal (neonates)
