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14 Cards in this Set
- Front
- Back
Polymicrobial abscess: symptoms
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headache, drowsiness, confusion, hemiparesis, seizure, fever
Usuall NOT a stiff neck |
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Polymicrobial abscess: diagnosis
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CT scan FIRST
4-5 days: abscess surrounded with fibrous capsule Ring-enhancing appearance on CT |
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Polymicrobial abscess: E/P
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50% polymicrobial
Streptococcus most common AIDS pts: toxoplasma & cryptococcus |
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Cryptococcus neoformans: VF
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CHRONIC MENINGOENCEPHALITIS
FUNGAL Localized in lungs or disseminate capsule melanin: protects against macrophages phospholipase B: degrades host phospholipids Urease |
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Cryptococcus neoformans: E/P
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CHRONIC MENINGOENCEPHALITIS
FUNGAL Aquisition: inhalation distribution: pigeon poop, rotting wood |
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Cryptococcus neoformans: Clin ID
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CHRONIC MENINGOENCEPHALITIS
FUNGAL Gram positive yeast India ink positive Calcoflour White positive urease positive capsular Ag |
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Coccidiodes imitis: VF
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CHRONIC MENINGOENCEPHALITIS
FUNGAL Valley Fever Transform to spherule in lung Outbreaks occur after earthquakes, excavation, dust storms |
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Coccidiodes imitis: P/E
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CHRONIC MENINGOENCEPHALITIS
FUNGAL Valley Feve Acute resp infection 7-21 days afer exposure, resolves rapidly inhaled, person --> person flu-like symp 1% spread to CNS |
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Histoplasma capsulatum: P/E
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CHRONIC MENINGOENCEPHALITIS
FUNGAL North American Histoplasmosis Macroconidia from soil Can disseminate to CNS Found in bird and bat droppings Can be confused with TB |
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Trypanosoma cruzi: Clinical parameters
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CHRONIC MENINGOENCEPHALITIS
PARASITE From bit of triatome bug South America Sore--> fever& acute encephalitis |
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Plasmodium falciparum: Clin parameters
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CHRONIC MENINGOENCEPHALITIS
PARASITE Malaria From mosquito fever, chills, anemia can travel to CNS fatal fast |
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How do microbes transverese BBB or B-CSF barrier?
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Infecting cells of barrier
Passive transport in intracellular vacuoles Carried across by WBC |
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Most common cause of ring-enhancing lesions in AIDS pt?
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Toxoplasma gondii
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What causes most encephalitis?
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Viral infection of the brain
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