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74 Cards in this Set
- Front
- Back
What is the dominant normal flora of the skin?
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Staphylococcus epidermidis
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What is the dominant normal flora of the nose?
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S. epidermidis; colonized by S. aureus
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What is the dominant normal flora of the oropharynx?
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Viridans group streptococci
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What is the dominant normal flora of dental plaques?
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Streptococcus mutans
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What is the dominant normal flora of the colon?
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Bacteroides fragilis > E. coli
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What is the dominant normal flora of the vagina?
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Lactobacillus, colonized by E. coli and group B strep
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What bacteria is usually found in contaminated seafood?
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Vibrio parahaemolyticus and Vibrio vulnificus
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What bacteria is found in reheated rice?
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Bacillus cereus
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What bacteria is found in meats, mayonnaise, and custard? What causes the sickness?
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S. aureus. preformed toxin causes sickness
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What bacteria can be found in reheated meat dishes?
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Clostridium perfingens
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What bacteria can be found in improperly canned foods (bulging cans)?
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Clostridium botulinum
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What kind of diarrhea does the Norwalk virus produce?
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Watery diarrhea
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What shape is Campylobacter and what type of diarrhea does it produce?
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Comma or S-shaped; Bloody diarrhea
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What are the three most common causes of diarrhea in the world?
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Campylobavter, ETEC, and Rotavirus
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What is Traveler's diarrhea caused by and what toxins does it produce?
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Enterotoxigenic E. Coli (ETEC); ST and LT toxins
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What causes gas gangrene and what type of diarrhea does it cuasE?
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Clostridium perfringens; watery diarrhea
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What are the most common causes of pneumonia in neonates?
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Group B strept, E.coli
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What are the most common causes of pneumonia in children (4 wks-18 yrs)?
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Viruses (RSV), Mycoplasma, Chlamydia pneumoniae, Streptococcus pneumonia. Runts May Cause Sputum
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What are the most common causes of nosocomial pneumonia?
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Staphylococcus, enteric gram-negative rods
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What is the most common cause of pneumonia in alcoholic/IV drug users?
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S. pneumoniae, Klebsiella, Staphylococcus
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What is the most common cause of pneumonia in cystic fibrosis patients?
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Pseudomonas
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What is the most common cause of pneumonia postviral?
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Staphylococcus, H. influenzaef
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What are the most common causes of atypical pneumonia?
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Mycoplasma, Legionella, Chlamydia (C. Pneumoniae and C. Psittaci)
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What are the viral cause of meningitis?
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Enteroviruses (esp. coxsackievirus), HSV, HIV, West Nile virus, VZV
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What causes meningitis in HIV?
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Cryptococcus, CMV, toxoplasmosis (brain abscess), JC virus (PML)
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What shape is Campylobacter and what type of diarrhea does it produce?
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Comma or S-shaped; Bloody diarrhea
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What are the three most common causes of diarrhea in the world?
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Campylobavter, ETEC, and Rotavirus
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What is Traveler's diarrhea caused by and what toxins does it produce?
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Enterotoxigenic E. Coli (ETEC); ST and LT toxins
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What causes gas gangrene and what type of diarrhea does it cuasE?
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Clostridium perfringens; watery diarrhea
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What are the most common causes of pneumonia in neonates?
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Group B strept, E.coli
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What are the most common causes of pneumonia in children (4 wks-18 yrs)?
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Viruses (RSV), Mycoplasma, Chlamydia pneumoniae, Streptococcus pneumonia. Runts May Cause Sputum
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What are the most common causes of nosocomial pneumonia?
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Staphylococcus, enteric gram-negative rods
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What is the most common cause of pneumonia in alcoholic/IV drug users?
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S. pneumoniae, Klebsiella, Staphylococcus
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What is the most common cause of pneumonia in cystic fibrosis patients?
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Pseudomonas
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What is the most common cause of pneumonia postviral?
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Staphylococcus, H. influenzaef
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What are the most common causes of atypical pneumonia?
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Mycoplasma, Legionella, Chlamydia (C. Pneumoniae and C. Psittaci)
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What are the viral cause of meningitis?
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Enteroviruses (esp. coxsackievirus), HSV, HIV, West Nile virus, VZV
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What causes meningitis in HIV?
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Cryptococcus, CMV, toxoplasmosis (brain abscess), JC virus (PML)
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What are the CSF findings in bacterial meningitis?
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Inc. pressure, Inc. PMNs, Inc. protein, Dec. sugar
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What are the CSF findings in fungal/TB meningitis?
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Inc. pressure, Inc. lymphocytes, Inc. protein, Dec. sugar
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What are the CSF findings in viral meningitis?
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Normal/inc pressure, Inc lymphocytes, Normal/inc protein, Normal sugar
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What is the most common cause of osteomyelitis?
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S. aureus
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What is the most common cause of osteomyelitis in drug addicts and diabetics?
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Pseudomonas aeruginosa
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What is the most common cause of osteomyelitis in sickle cell disease pts?
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Salmonella
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What is the most common cause of osteomyelitis in prostetic replacement pts?
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S. Aureus and S. epidermidis
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What is the most common cause of osteomyelitis in the vertebra? What is another name for this disease?
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Mycobacterium tuberculosis - Pott's disease
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What is the most common cause of osteomyelitis in cat and dog bites or scratches?
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Pasteurella multocida
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What is the most common cause of Urinary tract infections (ambulatory)?
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E. coli (50-80%)
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What is the 2nd most common cause of UTI in young, sexually active, ambulatory women?
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Staphylococcus saprophyticus
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What organisms are responsible mainly for nosocomial UTIs?
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E. coli, Proteus, Klebsiella, Serratia, Pseudomonas
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What are predisposing factors to UTIs?
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Flow obstruction, kidney surgery, catheterization, gynecologic abnormalities, diabetes, and pregnancy
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What UTI bug produces a red pigment and is often nosocomial and drug resistant?
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Serratia marcescens
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What UTI bug colonies show metallic sheen on EMB agar? What is EMB agar?
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EMB agar: eosin methylene blue. E. Coli
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What are three significant features of Enterobacter clocae?
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Often nosocomial and drug resistant. Common UTI bug
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What UTI bug has a large mucoid capsule and viscous colonies?
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Klebsiella pneumoniae
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What UTI bug has motility that causes "swarming" on agar?
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Proteus mirabilis
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Where does Proteus mirabilis fall in the Gram negative lab flowchart?
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Rod; Oxidase negative. With Salmonella and Shigella
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What UTI bug produces urease and is associated with struvite stones?
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Proteus mirabilis
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What does a positive leukocyte esterase int he urine show?
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UTI is bacterial
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What does a positive nitrite test in the urine show?
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UTI is gram negative
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Name the ToRCHeS infections. What is their significance?
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Toxoplasma gondii, Rubella, CMV, HIV, HSV type 2, Syphilis; Transmitted in utero or during vaginal birth
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What are other important congenital infections that are not ToRCHeS infections?
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Listeria, E. coli, and group B strept
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Classic triad present in neonate toxoplasma gondii infection
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Chorioretinitis, intracranial calcifications, and hydrocephalus
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What are the clinical manifestations of neonatal rubella infection?
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Deafness, cataracts, heart defects (PDA, pulmonary artery stenosis), microcephaly, and mental retardation
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What neonatal infection presents with petechial rash, intracranial calcifications, mental retardation, hepatosplenomegaly, microcephaly, jaundice but 90% are asymptomatic at birth?
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CMV
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HIV neonatal infection presents with
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Hepatosplenomegaly, neurologic abnormalities, frequent infections.
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HSV type 2 neonatal infection presents with and is transmitted by
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Encephalitis, conjunctivitis, vesicular skin lesions. Often asymptomatic at birth. Most infections transmitted during birth through an infected maternal genital tract
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How do Chlamydia trachomatis and Neisseria gonorrheae differ in presentation?
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C. trachomatis: subacute, often undiagnosed. N. gonorrhea: acute, high fever
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What is the chandelier sign?
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Cervical motion tenderness
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What complications can PID lead to?
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Salpingitis, endometritis, hydrosalpinx, and tubo-ovarian abscess
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What complication can PID lead to involving the liver?
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Fitz-Hugh-Curtis syndrome: infection of the liver capsule and "violin string" adhesions of parietal peritoneum to liver
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Respiratory therapy equipment exposure and burns are risk factors for what bacterial infection
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Pseudomonas aeruginosa
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Branching rods in an oral infection are indicative of
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Actinomyces israelii
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Traumatic open wound can lead to
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Clostridium perfringes infection
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