URTI Flashcards
the common cold
40-60% rhinovirus/coronavirus
15-20% influenza/parainfluenza
influenza
paramyxovirus
usually influenza A or B
neuraminidase inhibitors
oseltamivir
given to patients with severe flu in intensive care
amantidine
only covers influenza A
pharyngitis
at risk groups of streptococcil infections should have antibiotics
causes of pharyngitis
adenovirus, coronavirus, parainfluenza, influenza, RSV
common bacterial causes of pharyngitis
strep progenies
arcanobacterium haemolytic
uncommon bacterial causes of pharyngitis
mycoplasma pneumonia
rare bacterial causes of pharyngitis
corynebacterium diphtheriae
EBV
causes exudative pharyngitis/tonsilitis fever, sore throat cervical lymphadenopathy hepatosplenomegaly chronic
streptococcal pharyngitis
group A haemolytic strep
abrupt onset sore throat and fever
tender cervical/tonsillar lymph nodes
scarlet fever - turn red due to toxin and strawberry tongue
types of investigations
throat swab
serology
bloods
serology
detect antibodies
complications of GAS pharyngitis
otitis media sinusitis peritonsillar obsess bronchopneumonia meningitis rheumatic fever glomerulonephritis
quinsy
peritonsillar abscess
unusually unilateral
often with mixed anaerobes
surgical drainage often required