| Term | Characteristics | Dx / Tx |
| Toxocara canis | -Helminth, Nematode
-Dog feces / fur
-Fecal-oral route
-Uncooked lamb / rabbit
Visceral larval migrans
Visual blindness
Myocarditis
-Seizures, coma | -Albendazole
-ELISA testing |
| Pseudomonas Aeruginosa | -Gangrene
-Grape odor | -Use Ciprofloxacin, Cefepime
-resistant to Augmentin & Clindamycin |
| SBI | -gram negative bacteria
-E. Coli
-GBS | |
| Anthrax | | |
| Smallpox | | |
| Yersinia pestis | Pneumonia fatal in 24hrs | DFA test
ELISA test |
| Tularemia
-Francisella tularensis
-Rabbit fever | -deer fly, dermacentor Tick
-ulceroglandular
-lymphadenitis
-gram negative coccobacillus | -Gentamicin (aminoglycoside) |
| Botulism | | |
| Viral hemmorhagic fever | | |
| RMSF | -Ticks: Amblyoma americanum, Dermacentor andersoni , Rickettsia rickettsia
Triad: Low platelet / WBC / sodium
-Rash on ankles / wrists | |
| SSSS | -fever, flaccid bullae, desquamation / exfoliation
-Nikolsky sign | -Clindamycin |
| Serratia marcescens | | |
| Trichophyton tonsurans | | -Griseofulvin |
| Lyme Dz
-Borrelia burgdorferi, mayonii (spirochete)
-Bell Palsy
-Ixodes scapularis tick | -Early EM rash (most common symptom)
-non-Painful, non-Pruritic
-bull’s Eye | Rx (2-4 wks for arthritis)
-Doxycycline
-Ceftriaxone (Neuro)
-Amoxicillin (for pregnancy)
Test:
-ELISA
-IFA |
| Yersinia enterocolitica | -Chitterlings
-mimic IBDz
-thick distal ileum | |
| Tularemia
-Francisella tularensis | -Anaerobic gram negative coccobacillus
-atypical Lymphadenitis
-Tick bite, deer fly
-animal tissue, water, meat
-ulceroglandular (painful)
-Rabbit Fever
-bioterrorism
-high mortality | -Gentamicin |
| Burkholderia Cepacia | -🩻 of pt with Cystic Fibrosis
-Lung transplant contraindicated
-gram neg rod
-causes pneumonia | -multi-drug resistance |
| Measles | -Encephalitis | |
| Cryptosporidium | -Protozoa
-Pool poop
- | |
| Coxsackie B | -enterovirus
-myocarditis | |
| Giardia | -steatorrhea
-stream | |
| Botulism
-Clostridium botulinum | -gram positive rod
-anaerobic
-descending muscle weakness
-urinary retention and constipation
-feeding difficulties
-floppy baby | |
| Ludwig angina
-Staph, Strep, Bacteroides
-mixed aerobic & anaerobic | -sublingual abscess due to dental caries
-displacement of tongue and oropharynx
-rapidly progresses to acute airway compromise from obstxn at oropharynx
-Mediastinitis, Pneumonia, Pericarditis, sepsis | |
| CLABSI | PICC
-change infusion tubing qD if lipids given
-double lumen = risk | |
| Septic shock
SIRS
-Septic inflammatory response syndrome
-abnormal temp or WBC
-tachycardia, tachyonea | | |
| Clostridiodes difficile | -toxic megacolon | -PO Vanc and Metronodazole
-PR Vanc enema |
| -Latrodectism
-Black widow bite 🕷 | -diaphoresis at bite site | |
| CMV | -Sensorineural hearing loss
-NB testing up to 3wks
-IUGR, Retinitis, H/Smegaly, j
-Jaundice, petechiae, purpura,
-Thrombocytopenia, transaminitis, microcephaly
-Intracerebral calcification, periventricular echogenicity, cerebellar malformation | -urine, saliva, resp secretions, blood, CSF
-Valganciclovir x6 mo
-follow ANC |
| Syphilis
-Spirochete | -repeat LP in Six months | |
| HSV | | -repeat LP in 3wk
-IV Acyclovir x3wk, PO Acyclovir x6mo
-watch for neutropenia |
| Rhabdomyolysis | -infxn is most common cause | -CK |
| Non-tuberculous lymphadenitis | -violaceous hue
-non-tender, non-fluctuant | -complete surgical excision
-prolonged abx |
| Toxic Shock Syndrome | | -Vancomycin
-Clindamycin |
| Chikungunya
-Togavirus
-mosquito | -joint pain & fever
-rash, headache, muscle pain
- | |