any surgical foreign body must be reomved.
always tx with IV antibiotics - except occult bactremia with Strep. Pneumonia
Unasyn.
Genta. Tubra.
2th. 3th. Ceftriaxone. Cefotaz. Ceftax.
Eryhromycine can cause transit hearing loss
only for tularemia or TB
Staph. Strep. Pneumonia. Strep B. H. Flu. Always treat Mengitis: Dexa for 2 ds Prophylaxis: Riafa. Myconbacteria. Citrobacter. cause menegitis. need CT head to r/o abcess. Tularemia. only in Arkansas: skin ulcer and lymphadenitis: can mimic cat scrath disease. Ecoli. Shigella. Always treat can cause SZ Prolapse rectum. Moraxella. Causes OM Amoxicllin does not work; lactamase producer.. Neisseria. Bacilius cerues. Diphteroid. Enterococcus. Ehrlicihia. Tick borne Flu like disease with neutropenia; no rash or lymphadenities.. Ricketsia. Rocky mountian fever: distal ext rash, petechia from tick bite. Dx: serology Tx: Doxy or chloramphenicol. Chlamydia. Bartonella. Cat scratch disease; lymphadenitis improves spontaneusly but Eryrthro can speed it up,. Klebiella. Pencillinsresistant. Yersinea. Leptospirosis. MRSA. MRSA is never a contamination. Treat always.. Staph Epidermidis. most common cause of cath and foreign body related bactremia. mild or high res. to PNC. Menengitis. Occult bactremia. early < 7 d. late 7d- 3ms. atypical. causes lymphadenitis no responsive to abx tx: excesion. Marinum. Fish tank bacilus: skin ulcers along lymphatic tracts.. TB. initial pulmonary ds: in lower lobes later activated dis: in upper lobes Pericaridal effusion is neg for the organism; Menengitis: casue tuberculmoa: mimic brain tumor. skin test: nor reliable in baby under 6 ms. can take 10 w after exposure to turn Po if skin test PO do CXR and sputum to r/o active dis. if both neg: tx with INH for 9 ms. O57:H7. NO antibiotics!! it increases the risk for HUS. N. Menegitis. Prophylaxis for immates or oral secretion exposure (intubation) Rifa, Cirpo or One shot Ceftriaxone. N. Gonorrhea. GI tox. Bactremia. IV cath; Penetrating wounds. Listeria. Diphteria. comp: cardiomoypathy. ampt/gen OR vanco. VRE. Pneumonia. Trachomatis. newborn Pneumonia up to 4 ms. not preventable. pestis. Enterocolitis. Pseudo appendisits. Bactremia in SSD. dx. contact with infected animal; swimming with a dog Dx: early: blood c/s; late: urine c/s. tx. PCN or Doxycyline. Outpt. Bactremia. for endocarditis: add Rifampin,. NICU or ill. not ill. CTX. Vanco + CTX. no tx. Pneumonia, bactremia. PNC: 10 ds. Menegitis, Osteo. Mengitis: PNC 15 ds Osteo: PNC 4 w. Newborn. eye infection: less than 2 ds: chemical reaction 2-7 ds: N. Gonorrhea < 7 ds Chlamydia - erythromycine eye ointoment does not prevent.. early vomit. late: diarrhea. Vanco. Amp. Erythro. anti tox. linezolid. Psittaci. Pneumonia + splenomegaly. Pneumoniae. wheezing. tx. Erythromycine OR Tetracycline. bubbionic. supporative lymphadinitis.. Pulmonary. hemorrhagic pneumonia, very contagious , unlike anthrax pneumonia Tetracycline, chlormaphinicol. Bactrim. clindamycine. Vacno. vanco. repeat culture. likely contamination..
Actinomyces. Sulfur granules discharges. Candida. Malassezia fufur. Tine pedia. clinical. cervicofacial swelling from dental source causes PID if IUD presents. tx. PNC or Tetracycline. Dx. inimmunocomprimised pt with central line or foley in dissiminated froms can have petechial like skin lesions. tx. remove the line or the cath need amphotericine for septicemia. dx. tx. the OTC tx with tolnaftate may not cure if there is candida coinfection; then it needs clontrimazole or Miconazole. adults. Tinea versiculur. newborns. invasive in premie with TPN Tx: amphotericine ; D/c TPN.
Cryptosporidium. Malaraia. 4 types Falciparum is the most fatal. Babesia. Amebia. Trypanosomiasis. worms. cause eosinophilia. dx. acid fast stain of stool. P. Vivax, Ovale, Malariae. Falciparum. Most malignant; causes cerebral malria. dx. causes febrile hemolytic anemia like malaria occur from tick bite intra RBC maltese cross.. tx. clindamycine + quinine exchange transfusion. dx. liver abcess. liver aspirate is neg. dx: serology. african. sleeping ds from tsetse fly. america. self limited can cause Cardiac, GI and CNS dx. chloroquine. P. Vivax, Ovale, Malariae. Primaquine. Vivax and Ovale to prevent relapses as those two can hide in liver. chloroquine. most are resistant.. Quinie + Doxycyline. Mefloquine.
VZV. adolecsents: need acyclovir transit cerebellar ataxia: benign and transit can complicate with skin bacterial infection: causes toxic shock synd. Pneumonia: in pregnant women in pregnant women: give VZIG but not the vaccine; VZ can cause intra uternie infection and skin scarring.. EBV. >10 atypical lymphcyte Amp/amox: cause rash if given with EBV. Mesles. worse in vit A deficiency. Robella. increased risk for IDDM. adeno virus. URI symptoms in summer URI + GI cystitis. Entero virus. Echo, Coxsaki, polio. zoster. vancyclovir: decrease neurolagia.