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16 Cards in this Set
- Front
- Back
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Fever, arthralgia, carditis, polyarthritis, chorea, erythema
marginatum; elevated WBCs or ESR/CRP. Clinical Dx is confirmed by |
rising ASO titer
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Type II hypersensitivity due to molecular mimicry is the
mechanism of a immunological sequel of streptococcal infection, called |
Acute rheumatic fever
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Tx of ARF includes
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Benzathine penG.
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A man with IDU has flu-like symptoms;1-3 minor peripheral signs:
(conjunctival hemorrhage, Janeway lesions, Osler nodes, Roth spots). vegetation in tricuspid valve) Blood Cx (BC) should yield |
S. aureus
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A pt w/ hx of extraction of impacted tooth 3 weeks ago now has
subacute (native, mitral-valve) endocardits. BC should yield |
viridans streptococci.
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A pt w/ hx of St. Jude bypass 2 months ago has now subacute
bacterial endocarditis. BC should yield |
Staphylococcus epidermidis
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A pt with AIDS and recent hx of UTI has not subacute (native-
mitral valve) endocarditis. BC should yield |
Enterococcus faecalis (or
faecium) |
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Tx of acute endocarditis in patient with IDU due to S. aureus (MSSA).
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Nafcillin +gentamicin
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Tx of acute endocarditis in patient with IDU due to S. aureus
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(MRSA).Vanco + rifampin
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Tx of subacute (native, mitral-valve) endocarditits due to viridans streptococci.
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PenG + gentamicin
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Tx of subacute (prosthetic-valve) endocarditis due to
Staphylococcus epidermidis |
Vanco
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Tx of subacute (native mitral-valve) endocardits due to
Enterococcus faecalis (or faecium) |
Ampicillin (high dose) +
gentamicin |
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Patient with enterococcal bacteremia fails to respond to
vancomycin. MOR? |
D-Ala-D-Ala is changed to D-
Ala-D-lac |
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Hx of catheter-related endocarditis, involving prosthetic & native
valves. WBC >9,000. BC (+) for budding yeast. Pt does not respond to AmphoB or fluconazole. Tx now? |
Caspofungin
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Patient with colon cancer has bacteremia due to what?
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Streptococcus bovis
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Hx of febrile, malaise, arthralgia, dyspnea, edema, palpitations.
ST/T wave change, heart block, dysrhythmias. Imaging studies: chest XR w/ cardiomegaly. TOW? |
Coxsackievirus > echovirus >
Trypanosoma cruzi (Chagas) |
