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LECOM Micro CND infections

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Question
Answer
Virus(3) that can invade CNS via peripheral nerves   HSV, VZV, Rabies  
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CSF: +lymphocytes(T-cell predominant)+monocytes CLEAR   Virus Aseptic meningitis  
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CSF: +PMNleukocytosis, ++proteins Turbid   pyogenic bacteria septic meningitis  
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Gram- diplococcus polysaccharide capsule, pili, IgA protease, endotoxin, droplet spread   N. Men  
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N. meningitidis Serotypes in America   B, C, Y  
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N. Meningitidis serotypes in poor countries   A & W135  
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N. meningitidis serotype there is no vaccine for   B  
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Petichial, maculopapular rash on extremities, fever, sore throat, photophobia   N. meningitidis  
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N. Meningitidis treatment and post treatment/family   Pen/ampicillin then rifampin  
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Gram – coccobacillus hard to see in stain capsul, IgA protease, pili, endotoxin   H.I.b  
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H.I.b treatment – prophylaxis   Ampicillin or ceftriaxone HIb polysaccharide vaccine  
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Gram + cocci, capsule, IgA protease, no pili,   Strep. Pneumococci  
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Strep. Pneumococci treatment   Vancomycin AND ceftriaxone or cefotaxime  
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Gram + coccobaccillus, infecting immunocompromised & neonate   Listeria Monocytogenes  
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L. monocytogenes treatment   Amp/gent  
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Common bogs of neonatal meningitis   Group B hemolytic Streptococci & E.coli  
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Capulate yeast, India Ink stained, in immune suppressed or AIDS, +culture   C.neoformans  
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Treatment of Cryptococcus neoformans meningitis   Amphotericin B AND Flucytosine  
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SW/Mexico/South America, no CSF or culture, serum compliment-fixing antibodies   Coccidiodes  
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Well person, acute onset, after opening dirty pool, CSF slow motile amebae   Naegleria  
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Immunocompromized, encephalitis, only in brain biopsy   Acanthamoeba  
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Naegleria treatment   Amphotericin B, miconazole, Rifampin  
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Ss RNA virus, HA, F, spasms, paralysis, death, Negri bodies   rhabdo virus Lyssavirus Rabies  
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Eye damage, hydrocephalus, intracerebral calcifications   Toxoplasm Gondii  
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Convulsions, coma, fever, African children   Plasmodium Falciparum  
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Granuloma in the eye or brain, has cat or dog, + ELISA Ab   Toxocara  
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Sheep hearderliver, lung brain, kidney cyst   Echinococcus granulosus  
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Uncooked pork, cysts in muscle, brain or eye   Cysticercosis  
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Muscle spasm ridged paralysis, sympathetic overdrive, sweating   C. tetani  
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Descending weakness and paralysis, vertigo, respiratory failure   C. botulinum  
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