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24 Cards in this Set
- Front
- Back
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native valve endocarditis with no catheters - more common = _________
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strep viridans
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Diagnosis for Endocarditis:
______________ are key T/F Don't start ANTIBIOTICS until you get cultures |
Blood Cultures are KEY
Don't start ANTIBIOTICS until you get cultures |
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Blastomycosis; 3 things happen
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skin
bone lung |
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Mycoplasma pneumoniae occurs more commonly in what age group?
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Kids
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Which fungus is known for spherules or endospores?
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Coccidiomycosis
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Drug of choice of Coccidiomycoses
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Itraconazole
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Echinocandins used only for: (2)
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Candida and Aspergillus
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Enterovirus can cause
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aseptic meningitis and encephalitis
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Cytomegalovirus does NOT likely cause encephalitis in what patients?
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in normal patients, it only presents in immunocompromised and HIV patients
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Difference between actinomyces and nocardia?
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Gram+, Branching, filamentous, that are NOT acid fast = actinomycosis
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Cryptococcus
CMV Histoplasmosis |
has a thick mucocarmine capsule
big cell, big inclusion small organisms within a macrophage |
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CMV treatment of choice
HSV/VZV treatment of choice |
Ganciclovir OVER acyclovir for CMV
Acyclovir for HSV/VZV |
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Nocardia treatment:
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TMP/SMX
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Cryptococcus treatment
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Fluconazole
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Voriconazole treatment of chioce for (2)
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Aspergillus and for Candida (non albicans species)
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Treatment for acid fast in NON-HIV patients (it's most likely TB)
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INH, rifampin, PZA, ehtambutol [NEED TO KNOW THIS]
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FEVER IN ADVANCED HIV
Common conditions are (6) __________less likely, seen in transplants and immunocompromosed hosts Workup of fever in advanced HIV should include: (5) |
Common conditions are disseminated MAC, cryptococcal infection (esp. meningitis), disseminated histoplasmosis, reactivation of CMV with viremia, and lymphoma
Nocardia less likely, seen in transplants and immunocompromosed hosts Workup of fever in advanced HIV should include mycobacterial blood cultures, serum (CSF), cryptococcal antigen, urine histoplasma antigen, serum CMV PCR |
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Fast growing Mycobacteria
Treatment? |
MAC - mycobacteria avium complex
Clarithromycin and ethambutol (+ rifampin) |
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Prophylaxis for immunocompromised patients?
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TMP-SMX (bactrim) daily to prevent pneumocystis pneumoniae
Azithromycin weekly for (mac prophylaxis for CD4 < 50) |
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Broad based buds =
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blastomycoses
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Narrow based buds =
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Crypto
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If there is a CNS infection what do you use instead of itraconazole?
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Fluconazole
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Doxycycline + gentamicin
Cipro + genta Azithromycin |
Tularemia
Anthrax Azithromycin = Bartonella |
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banana shaped gametocyte
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plasmodium falciparum
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