Strep. pyogenes Flashcards
Streptococcus is gram negative. True or false?
False - gram positive
What are the virulence factors of Strep?
Bacterial capsule
Exotoxin production
Strep is present in oral microbiota. True or false?
True
Impetigo can be caused by strep. True or false?
True
Scarlet fever is caused by strep. True or false?
True
Strep throat is usually transmitted in winter. True or false?
False - spring and autumn
What are the signs and symptoms of strep throat?
Swollen tonsils
Discomfort when swallowing
What are three ways in which strep throat can be diagnosed?
Physical examination
Throat swabs of affected tissue
Blood test - antibodies
Often no treatment is needed for strep throat. True or false?
True - give OTC analgesics and if no improvement can give ABs
Rheumatic heart disease is a complication of GAS. True or false?
True
What are some complications of GAS?
Necrotising fasciitis
Strep toxic shock syndrome
Acute rheumatic fever
What is cellulitis?
A bacterial infection of the skin
IV drug use can cause cellulitis. True or false?
True
Patients with chicken pox are prone to cellulitis. True or false?
True
Obese patients are not at risk of cellulitis. True or false?
False
GAS can be carried in the vagina and anus. True or false?
True
What are the signs and symptoms of cellulitis?
Skin becomes red, hot, swollen and tender
Commonly affects the legs
Blisters
Eczema is a form of cellulitis. True or false?
False
Lymphoedema is cellulitis. True or false?
False
Cellulitis patients need to be referred to hospital. Why?
Because they need I.V ABs
What are some danger eliminations of cellulitis that would indicate referral to hospital is needed?
Spreading of redness in an area High temp of 38+ Change in mental state - e.g. confusion Nausea/vomiting Rapid heart beat/breathing
What are the three ways in which cellulitis is diagnosed?
Blood test
Skin swab
Physical examination
How is a mild infection with cellulitis treated?
7-14 day oral AB at home
e.g. phenoxymethylpenicillin
How is an advanced infection of cellulitis treated?
Hospital admission for IV AB - benzylpenicillin
What are some complications of cellulitis?
Septicaemia
Necrotising fasciitis
Facial cellulitis