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30 Cards in this Set
- Front
- Back
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Trypanasoma cruzi
Chagas |
Tx: nifurtimox or benznidazole
note: severe SE, taken for extended time, used for acute illness Dx: acute - blood smear chronic - IFA or ELISA for Ab |
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visceral Leishmania
L. chagasi, L. donovasi |
Tx: pentavalent antimony, liposomal ampho B, miltefosine
SE of penta - nause, pancreatitis Dx: splenic aspiration, liver/bone marrow biopsy; serology for K39 |
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Old World Leishmania
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Tx: flucanazole, lipo ampho B, miltefosine
Dx: culture in NNN media |
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New World Leishmania
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Tx: pentavalent antimony, liposomal ampho B, miltefosine
Dx: culture in NNN media |
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Plasmodium
Malaria |
Tx:
kills infected RBC (not for Pfalc) chloroquine - retinopathy quinine/quinidine - HT, hearing loss, QT long kills merozoites in blood mefloquine - GI, neuropsych *used w/ artemisinin kills tissue form, gametocide primaquine - not for G6PD artemisinin - potent, expensive, used w/ mefloquine doxycycline - for prophylaxis, DDI Dx: blood smear for parasite, rapid Ag test |
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Babesia
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mild: atovaquone + azithromycin
severe: clindamycin + quinine note: also look for Lyme, HGA |
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Enterobius vermicularis
Pinworm |
mebendazole, albendazole
dx: scotch tape |
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Trichurias trichuria
Whipworm |
mebendazole, albendazole
dx: eggs in stool |
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Ascharias lumbricoides
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mebendazole, albendazole
dx: eggs in stool |
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Necator americanus
Ancylostoma duodenale Hookworm |
mebendazole, albendazole, +Fe supplement
dx: eggs and parasite in stool |
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Strongyloides stercoralis
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ivermectin, thiabenazole
dx: rhabitiform in stoo, string test, moving welt |
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Ancylostoma braziliense and caninum
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albendazole, ivermectin, topical thiabendazole
Dx: cutaneous larva migrans |
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Toxocaris canis and cati
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albendazole, thiabendazole
Dx: serology, ELISA |
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Loa Loa
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DEC
Dx: serology, parasite in smear |
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Onchocerca volvulus
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ivermectin
Dx: skin snip, serology |
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Wuchereria bancrofti
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DEC
Dx: blood smear, serology |
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Schistomsoma
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praziquantel
Dx: eggs in stool (Sjap, Sman) or in urine (Shaem), ELISA |
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Fasciola hepatica
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triclabendazole
Dx: eggs in stool, serology |
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Diphyllobothrium latum
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praziquantel
Dx: eggs in stool |
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Taenia solium and saginata
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praziquantel
Dx: eggs in stool saginata w/ 12 uterine branches solium with <10 branches |
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cysticercosis
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albendazole
Dx: radiography, serology |
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Echinococcus granulosus
cystic hydatid |
albendazole + drainage/surgery
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Echinococcus multilocularis
alveolar hydatid |
albendazole after surgery
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Entamoeba histolytica
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flagyl (metronidazole)/tinidazole, paromomycin, iodoquinol
PMITin Dx: parasite in stool, serum Ab |
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Giardia
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flagyl (metronidazole), albendazole, nitazoxanide
FAN Dx: parasite in stool, ELISA |
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Cryptosporida
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nitazoxanide in children and HIV pt.
Dx: oocytes in stool, biopsy |
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Cyclosporida
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bactrim (TMP-SMX), ciproflaxin
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Dientamoeba fragilis
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paromomycin, flagyl (metronidazole), iodoquinol, tetracycline
PFIT Dx: trophozoites in stool |
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Trichomonas vaginalis
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metrodinazole
Dx: wet mount, Whiff test |
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Toxoplasma gondii
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pyramethamine + sulonamide + folinic acid
fetal - spiramycin if hypersensitive to sulfa use clindamycin Dx: serology Ab, trachyzoites in tissue or fluid |
