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314 Cards in this Set
- Front
- Back
Patient with blotchy hypopigmentation of skin |
Malassezia furfur
|
|
KOH scraping shows spaghetti and meatballs
|
Malassezia furfur
|
|
Patient with scaly, ringlike lesions of ski that may involved hair shafts or nails
|
Dermatophytes (Trichophyton - skin, hair, nails; Microsporum - hair and skin; Epidermophyton - nails and skin)
|
|
KOH scraping shows arthroconidia and hyphae
|
Dermatophytes (Trichophyton - skin, hair, nails; Microsporum - hair and skin; Epidermophyton - nails and skin)
|
|
Patient with subcutaneous/lymphocutaneous mycetoma
|
Sporothrix schenckii
|
|
Fardener, florist, basket weaver
|
Sporothrix schenckii
|
|
Cigar-shaped yeasts in pus
|
Sporothrix schenckii
|
|
Normal patient with acute pulmonary; immunocompromised patient with chronic pulmonary or disseminated infection
|
Histoplasma capsulatum
|
|
States following drainages of Great Lakes to Gulf of Mexico
|
Histoplasma capsulatum
|
|
Exposure to bird or bat excrement
|
Histoplasma capsulatum
|
|
Sputum or blood cultures with mononuclear cells packed with yeast cells
|
Histoplasma capsulatum
|
|
Normal patient with erythema nodosum or self resolving pneumonia
|
Coccidioides immitis
|
|
Immunocompromised patient with calcifying chronic pulmonary or disseminated infections
|
Coccidioides immitis
|
|
Pregnant female in third trimester, disseminated infection
|
Coccidioides immitis
|
|
Desert southwest
|
Coccidioides immitis
|
|
Sputum has spherule with endospores
|
Coccidioides immitis
|
|
Normal patient with acute pulmonary symptoms
|
Blastomyces dermatitidis
|
|
Immunocompromised patient with chronic pulmonary or disseminated infection
|
Blastomyces dermatitidis
|
|
North and South Carolina Sputum has broad-based, budding yeasts with double, refractile cell walls
|
Blastomyces dermatitidis
|
|
Sputum has broad-based budding yeasts with double refractile cell walls
|
Blastomyces dermatitidis
|
|
Patient with asthma allergies-growing mucous plugs in lung
|
Aspergillus fumigatus
|
|
Patient with cavitary lung lesions-fungus ball
|
Aspergillus fumigatus
|
|
Patient with burns-cellulitis invasion
|
Aspergillus fumigatus
|
|
Immunocompromised patient-penumonia, meningitis
|
Aspergillus fumigatus
|
|
Septate hyphae branch at acute angles (45-degrees)
|
Aspergillus fumigatus
|
|
Immunocrompromised patient, overuse of antibiotics-thrust,spread down GI tract, septicemia
|
Candida albicans
|
|
IV drug abusers-endocarditis
|
Candida albicans
|
|
Germ tube test demonstrates pseudohyphae and hyphae
|
Candida albicans
|
|
Pigeon breeder with acute pulmonary symptoms
|
Cryptococcus neoformans
|
|
Hodgkins/AIDS patient with meningitis
|
Cryptococcus neoformans
|
|
India ink mount of CSF with encapsulated yeasts
|
Cryptococcus neoformans
|
|
Ketoacidotic diabetic or leukemic patient with rhinocerebral infection
|
Mucor, Rhizopus, Absidia
|
|
Biopsy with nonseptate, irregular-width hyphae branching at 90-degree angles
|
Mucor, Rhizopus, Absidia
|
|
Premature infant or AIDS patient with atypical pneumonia
|
Pneumocystis jiroveci
|
|
Biopsy with honeycomb exudate and silver staining cysts
|
Pneumocystis jiroveci
|
|
X-ray: ground glass
|
Pneumocystis jiroveci
|
|
Coagulase (-); gram (+) cocci
|
Staphylococcus epidermidis
|
|
Novobiocin sensitive
|
Staphylococcus epidermidis
|
|
Infections of catheters and shunts
|
Staphylococcus epidermidis
|
|
Coagulase (-); gram (+) cocci
|
Staphylococcus saprophyticus
|
|
Novobiocin resistant
|
Staphylococcus saprophyticus
|
|
"Honeymoon cystitis"
|
Staphylococcus saprophyticus
|
|
Coagulase (+), gram (+) cocci in clusters
|
Staphylococcus aureas
|
|
Gastroenteritis: 2-6 hours onset, salty foods, custards
|
Staphylococcus aureas
|
|
Endocarditis: acute
|
Staphylococcus aureas
|
|
Toxic shock syndrome: desquamating rash, fever, hypotension
|
Staphylococcus aureas
|
|
Impetigo: bullous
|
Staphylococcus aureas
|
|
Pneumonia: nosocomial, typical, acute
|
Staphylococcus aureas
|
|
Osteomyelitis: #1 cause unless HbS mentioned
|
Staphylococcus aureas
|
|
Catalase (-), Beta hemolytic, gram (+) cocci, bacitracin sensitive
|
Streptococcus pyogenes (Group A)
|
|
Pharyngitis: abrupt onset, tonsillar abscesses
|
Streptococcus pyogenes (Group A)
|
|
Scarlet fever: blanching, sandpaper rash, strawnerry tongue
|
Streptococcus pyogenes (Group A)
|
|
Impetigo: honey-crusted lesions
|
Streptococcus pyogenes (Group A)
|
|
Rheumatic fever
|
Streptococcus pyogenes (Group A)
|
|
Increased ASO titer
|
Streptococcus pyogenes (Group A)
|
|
Acute glomerulonephritis after skin or throat infection, hypertension, edema, smoky urine
|
Streptococcus pyogenes (Group A)
|
|
Bacitracin sensitive, gram (+) cocci
|
Streptococcus pyogenes (Group A)
|
|
Bacitracin resistant, gram (+) cocci
|
Streptococcus agalactiae (Group B)
|
|
Hydrolyze hippurate
|
Streptococcus agalactiae (Group B)
|
|
CAMP test (+)
|
Streptococcus agalactiae (Group B)
|
|
Catalase (-), Beta hemolytic, gram (+) cocci, bacitracin resistant
|
Streptococcus agalactiae (Group B)
|
|
MCC of Neonatal meningitis and septicemia: especially in prolonged labors
|
Streptococcus agalactiae (Group B)
|
|
Gram (+), catalase (-), alpha hemolytic, optochin sensitive, bile soluble
|
Streptococcus pneumoniae
|
|
Lancet shaped diplococci
|
Streptococcus pneumoniae
|
|
MCC of typical pneumonia, rusty sputum
|
Streptococcus pneumoniae
|
|
MCC pf adult meningitis - many PMNs, decreased glucose, increased protein in CSF
|
Streptococcus pneumoniae
|
|
MCC of otitis media and sinusitis
|
Streptococcus pneumoniae
|
|
Gram (+), catalase (-), alpha hemolytic, optochin resistant, bile insoluble
|
Viridans Streptococc (S. sanguis, S. mutans)
|
|
Plaque and dental caries
|
Viridans Streptococc (S. sanguis, S. mutans)
|
|
Subacute bacterial endocarditis - preexisting damage to the heart valves; follows dental work
|
Viridans Streptococc (S. sanguis, S. mutans)
|
|
Gram (+), catalase (-), variable hemolysis, hydrolyzes esculin
|
Enterococcus faecalis/faecium
|
|
Urinary and biliary tract infections - elderly males after prostate treatment
|
Enterococcus faecalis/faecium
|
|
Subacute bacterial endocarditis - elderly males, follows GI/GU surgery, preexisting heart valve damage
|
Enterococcus faecalis/faecium
|
|
Gram (+), spore forming aerobic rods
|
Bacillus antracis
|
|
Contact with animal hides or postal worker; eschar or life-threatening pneumonia
|
Bacillus antracis
|
|
Rapid-onset gastroenteritis
|
Bacillus cereus
|
|
Fried rice, Chinese restaurants
|
Bacillus cereus
|
|
Dirty puncture wound
|
Clostridium tetani
|
|
Rigid paralysis
|
Clostridium tetani
|
|
Home-canned alkaline vegtables
|
Clostridium botulinum
|
|
Floppy baby syndrome (infant with flaccid paralysis)
|
Clostridium botulinum
|
|
Reversible flaccid paralysis
|
Clostridium botulinum
|
|
Contamined wound
|
Clostridium perfringens
|
|
Pain, edema, gas, fever, tachycardia
|
Clostridium perfringens
|
|
Food poisoning: reheated meats, noninflammatory diarrhea
|
Clostridium perfringens
|
|
Hospitalized patient on antibiotics
|
Clostridium difficile
|
|
Develops colitis, diarrhea
|
Clostridium difficile
|
|
Gram (+), beta hemolytic bacilli, facultative intracellular
|
Listeria monocytogenes
|
|
Foodborne (deli foods)
|
Listeria monocytogenes
|
|
Transplacental - granulomatosis infantiseptica
|
Listeria monocytogenes
|
|
Neonatal septicemia and meningitis (third most common cause)
|
Listeria monocytogenes
|
|
MCC of meningitis in renal transplant or cancer patients
|
Listeria monocytogenes
|
|
Gram (+), aerobic, non-spore forming rods
|
Corynebacterium diphtheriae
|
|
Bull neck, myocarditis, nerve palsies
|
Corynebacterium diphtheriae
|
|
Gray pseudomembrane → airway obstruction
|
Corynebacterium diphtheriae
|
|
Toxin produced by lysogeny and ribosylates EF-2; heart, nerve damage
|
Corynebacterium diphtheriae
|
|
Mycetoma on jaw line or spread from IUD
|
Actinomyces israelii
|
|
Sulfur granules in pus grow anaerobic, gram (+), non-acid fast branching rods
|
Actinomyces israelii
|
|
Gram (+) filamentous bacilli, aerobic, partially acid fast
|
Nocardia asteroides and brasiliensis
|
|
Cavitary bronchopulmonary disease, mycetomas
|
Nocardia asteroides and brasiliensis
|
|
High-risk patient (low SES, HIV+, IV drug user)
|
Mycobacterium tuberculosis
|
|
Chronic cough, weight loss
|
Mycobacterium tuberculosis
|
|
Ghon complex
|
Mycobacterium tuberculosis
|
|
Auramine-rhodamine staining, acid fast bacilli in sputum, faculative intracellular
|
Mycobacterium tuberculosis
|
|
Produce niacin, heat-sensitive catalase
|
Mycobacterium tuberculosis
|
|
Positive DTH test (PPD)
|
Mycobacterium tuberculosis
|
|
Acid fast bacilli in punch biopsy
|
Mycobacterium leprae
|
|
Immigrant patient with sensory loss in extremities
|
Mycobacterium leprae
|
|
Armadillos in Texas and Louisana
|
Mycobacterium leprae
|
|
Hansen's disease
|
Mycobacterium leprae
|
|
AIDS patients, cancer, chronic lung disease with pulmonary, GI, disseminated symptoms, atypical mycobacteria
|
Mycobacterium avium intracellulare, Mycobacterium kansasii
|
|
Fish tank granuloma - cutaneous granulomas
|
Mycobacterium marinum
|
|
Solitary cervical lymph node in kids, lymphadenitis, atypical mycobacteria
|
Mycobacterium scrofulaceum
|
|
Gran (-) diplococcus in CSF
|
Meningococcal meningitis
|
|
Young adults with meningitis, abrupt onset with signs of endotoxin toxicity
|
Meningococcal meningitis
|
|
Sexually active patient
|
Neisseria gonorrhoeae
|
|
Urethral/vaginal discharge (leukorrhea)
|
Neisseria gonorrhoeae
|
|
Arthiritis possible
|
Neisseria gonorrhoeae
|
|
Neonatal opthalmia
|
Neisseria gonorrhoeae
|
|
Gram (-) diplococcus in neutrophils
|
Neisseria gonorrhoeae
|
|
Gram (-) diplococcus causes otitis media, sinusitis, bronchitis, bronchopneumonia in elderly patients with COPD
|
Moraxella catarrhalis
|
|
Gram (-), oxidase (+), aerobic bacillus
|
Pseudomonas aeruginosa
|
|
Blue-green pigments, fruity odor
|
Pseudomonas aeruginosa
|
|
Burn infections - blue-green pus, fruity odor
|
Pseudomonas aeruginosa
|
|
Typical pneumonia - Chonic granulomatous disease or Cystic fibrosis
|
Pseudomonas aeruginosa
|
|
UTI - catheterized patients
|
Pseudomonas aeruginosa
|
|
Elderly smoker, heavy drinker or immunosuppressed
|
Legionella pneumophilia
|
|
Exposure to aerosols of water
|
Legionella pneumophilia
|
|
Atypical pneumonia
|
Legionella pneumophilia
|
|
Pontiac fever
|
Legionella pneumophilia
|
|
Patient with ulceroglandular disease, atypical pneumonia, or gastrointestinal disease
|
Francisella tularensis
|
|
Arkansas/Missouri
|
Francisella tularensis
|
|
Exposure to rabbits/ticks
|
Francisella tularensis
|
|
Tularemia
|
Francisella tularensis
|
|
Unvaccinated child (immigrant family or religious objections)
|
Bordetella pertussis
|
|
Cough with inspiratory "whoop"
|
Bordetella pertussis
|
|
Whooping cough
|
Bordetella pertussis
|
|
Patient with acute septicemia
|
Brucella species
|
|
Exposure to animals or unpasteurized dairy
|
Brucella species
|
|
California/Texas or travel to Mexico
|
Brucella species
|
|
Patient with inflammatory diarrhea
|
Campylobacter jejuni
|
|
Gram (-), curved rod, microaerophilic, exidase (+), grows at 42 degrees C
|
Campylobacter jejuni
|
|
Patient with gastritis, ulcers, stomach cancer
|
Helicobacter pylori
|
|
Gram (-), helical bacilli, oxidase (+), microaerophilic, urease (+)
|
Helicobacter pylori
|
|
MCC of UTI
|
Escherichia coli
|
|
Neonatal septicemia (2nd MCC)
|
Escherichia coli
|
|
Gastroenteritis, Traveler's diarrhea
|
Escherichia coli (ETEC)
|
|
Infantile diarrhea (2nd MCC)
|
Escherichia coli (EPEC)
|
|
Hemorrhagic colitis, HUS
|
Escherichia coli (EHEC)
|
|
Lactose fermenter, gram-negative rod
|
Escherichia coli
|
|
Inflammatory diarrhea, similar to shigellosis
|
Escherichia coli (EIEC)
|
|
Patient with acute bloody diarrhea and fever
|
Shigella sonnei (MC in US), dysenteriae (most severe)
|
|
Gram (-) bacilli, which are nonmotile, nonlactose fermenters, do not produce H2S
|
Shigella sonnei (MC in US), dysenteriae (most severe)
|
|
Elderly patient with typical pneumonia currant-jelly sputum
|
Klebsiella pneumoniae
|
|
UTI - catheterized patients
|
Klebsiella pneumoniae
|
|
Septicemia: immunocompromised or nosocomial
|
Klebsiella pneumoniae
|
|
Gram (-) bacilli, oxidase (-), encapsulated, lactose fermenters
|
Klebsiella pneumoniae
|
|
Patient from Caribbean or New Guinea with subcutaneous genital nodules
|
Klebsiella granulomatis
|
|
Encapsulated gram (-) rods inside mononuclear cells
|
Klebsiella granulomatis
|
|
Patient with fever, abdominal pain with travel to endemic area
|
Salmonella enterica typhi
|
|
Gram (-), encapsulated, nonlactose fermenter, produces H2S gas
|
Salmonella enterica typhi / non-typhi
|
|
Widal test
|
Salmonella enterica typhi / non-typhi
|
|
Enterocolitis - inflammatory, follows ingestion of poultry products or handling pet reptiles
|
Salmonella enterica non-typhi
|
|
Septicemia - very young or elderly
|
Salmonella enterica non-typhi
|
|
Osteomyelitis - sickle cell disease
|
Salmonella enterica non-typhi
|
|
Gram (-) bacillus, motile, non-lactose fermenter, produces H2S gas
|
Salmonella enterica typhi / non-typhi
|
|
Widal test
|
Salmonella enterica typhi / non-typhi
|
|
Patient with high fever, buboes, conjunctivitis, pneumonia
|
Yersinia pestis
|
|
Exposure to small rodents, desert southwest
|
Yersinia pestis
|
|
Patient with inflammatory diarrhea or pseudoappendicitis
|
Yersinia enterocolitica
|
|
Cold climates
|
Yersinia enterocolitica
|
|
Unpateurized milk, pork
|
Yersinia enterocolitica
|
|
Gram (-) bacilli, non-lactose fermenters, non-H2S producers
|
Yersinia enterocolitica
|
|
Patient with UTI or septicemia
|
Proteus mirabilis / vulgaris
|
|
Swarming motility
|
Proteus mirabilis / vulgaris
|
|
Staghorn renal calculi (struvite stones)
|
Proteus mirabilis / vulgaris
|
|
Gram (-), non-lactose fermenting, urease (+)
|
Proteus mirabilis / vulgaris
|
|
Female patient with thin vaginal discharge, post antibiotic or menses
|
Gardnerella vaginalis
|
|
Clue cells
|
Gardnerella vaginalis
|
|
Whiff test
|
Gardnerella vaginalis
|
|
Patient with noninflammatory diarrhea
|
Vibrio cholerae
|
|
Rice-water stool
|
Vibrio cholerae
|
|
Dehydration
|
Vibrio cholerae
|
|
Gram (-) curved rods, polar flagellae, oxidase (+), travel to endemic area
|
Vibrio cholerae
|
|
Patient with cat (animal) bite
|
Pasteurella multocida
|
|
Cellulitis / lymphadenitis
|
Pasteurella multocida
|
|
3 mo-2 year old unvaccinated child - meningitis, pneumonia, epiglottitis
|
Haemophilus influenzae
|
|
Smokers with COPD - bronchitis, pneumonia
|
Haemophilus influenzae
|
|
Gram (-) rod, requires factors X and V
|
Haemophilus influenzae
|
|
MCC of gram-negative endocarditis in non-IV drug users
|
HACEK group infections
|
|
Painful chancre
|
Haemophilus ducreyi
|
|
Patient with abdominal trauma, emergency abdominal surgery
|
Bacteroides fragilis
|
|
Septicemia, peritonitis, abscess
|
Bacteroides fragilis
|
|
Gram (-) bacilli, anaerobic
|
Bacteroides fragilis
|
|
Sexually active patient or neonate of IV drug-using female
|
Treponema pallidum
|
|
Primary disease - nontender indurated genital chancre
|
Treponema pallidum
|
|
Secondary disease - maculopapular, copper-colored rash, condylomata lata
|
Treponema pallidum
|
|
Tertiary disease - gumma in CNS and cardiovascular system
|
Treponema pallidum
|
|
Spirilar, gram (-) bacteria visualized by dark-field or fluorescent antibody
|
Treponema pallidum
|
|
FTA-ABS, VDRL
|
Treponema pallidum
|
|
Patient with influenza-like symptoms and erythema migrans
|
Borrelia burgdorferi
|
|
Spring/summer seasons, noreast, midwest, west coast
|
Borrelia burgdorferi
|
|
Later-neurologic, cardiac, arthiritis/arthralgias
|
Borrelia burgdorferi
|
|
Lyme disease
|
Borrelia burgdorferi
|
|
Patients with influenza-like symptoms +/- GI symptoms
|
Leptospira interrogans
|
|
Occupational or recreational exposure to water aerosols
|
Leptospira interrogans
|
|
Hawaii
|
Leptospira interrogans
|
|
Spirochetes with terminal hook
|
Leptospira interrogans
|
|
Patient with influenza-like symptoms and petechial rash that begins on ankles and wrists and moves to trunk
|
Rickettsia rickettsii
|
|
East coast mountainous areas
|
Rickettsia rickettsii
|
|
Sring/summer seasons, outdoor exposure, Weil-Felix (+)
|
Rickettsia rickettsii
|
|
Rocky Mountain spotted fever
|
Rickettsia rickettsii
|
|
Patient with fever, pneumonia, granulomatous hepatitis
|
Coxiella burnetii
|
|
Exposure to domestic animal breeding operation, gram (-) bacilli, diagnose serologically
|
Coxiella burnetii
|
|
Sexually active patient or neonate
|
Chlamydia trachomatis
|
|
Adult: urethritis, cervicitis, PID, inclusion conjunctivitis
|
Chlamydia trachomatis
|
|
Neonate: inclusion conjunctivitis / pneumonia
|
Chlamydia trachomatis
|
|
Immigrant from Africa/Asia, swollen genital lymphadenopathy
|
Chlamydia trachomatis
|
|
Cytoplasmic inclusion bodies in scrapings
|
Chlamydia trachomatis
|
|
Atypical pneumonia, sputum with intracytoplasmic inclusion
|
Chlamydia pneumoniae
|
|
Atypical pneumonia, exposure to parrots
|
Chlamydia psittaci
|
|
Young adult with atypical pneumonia (MCC)
|
Mycoplasma pneumonia
|
|
Mulberry-shaped colonies on media containing sterols
|
Mycoplasma pneumonia
|
|
Positive cold agglutinin test
|
Mycoplasma pneumonia
|
|
Adult patient with urethritis, prostitis, renal calculi
|
Ureaplasma urealyticum
|
|
Alkaline urine
|
Ureaplasma urealyticum
|
|
Non-Gram-staining, urease (+)
|
Ureaplasma urealyticum
|
|
Amebiasis: dysentery
|
Entamoeba histolytica
|
|
Liver abscesses (protozoa etiology)
|
Entamoeba histolytica
|
|
Inverted flask shaped lesions
|
Entamoeba histolytica
|
|
Fatty, foul-smelling diarrhea leading to malabsorption
|
Giardia lamblia
|
|
Fecal (human, beaver, muskrat), water , food, day care
|
Giardia lamblia
|
|
Trophozoites with "falling leaf" motility
|
Giardia lamblia
|
|
Transient diarrhea in healthy, severe in immunocompromisted hosts, acid fast round oocysts in stool
|
Cryptosporidium species
|
|
Undercooked meat, water - no killed by chlorination, cysts
|
Cryptosporidium species
|
|
Frothy vaginal discharge, motile trophozoites with corkscrew motility, sexual transmission
|
Trichomonas vaginalis
|
|
Chills, fever spike, and malarial rigors, relapses
|
Plasmodium vivax
|
|
Irregular fever spikes, causes cerebral malaria, multiple ring forms and crescent-shaped gametes
|
Plasmodium falciparum
|
|
Chagas diseases, Romana sign (swelling around eye), cardiac muscle, liver, brain often involved, reduviid bug
|
Trypanosoma cruzi
|
|
African sleeping sickness, tsetse fly, antigenic variation
|
Trypanosoma brucei, gambiense, rhodesiense
|
|
Viseral Leishmaniasis, sandfly, amastigotes in macrophages in bone marrow, liver, spleen
|
Leishmania donovani
|
|
Cutaneous Leishmaniasis, sandfly, amastigotes in cutaneous lesions
|
Leismania species
|
|
Malaria-like Babesiosis, NE, N Central, California, and NW U.S., Ixodes tick, co-infection with Borrelia
|
Babesia
|
|
Cat is definitive host, raw meat in US #1 = pork, contact with cat feces, deadly in pregnant patients
|
Toxoplasma gondii
|
|
Intestinal schistosomiasis
|
Schistosoma mansoni, japonicum
|
|
Skin penetration, mature in veins of mesentery, eggs cause granulomas in liver
|
Schistosoma mansoni, japonicum
|
|
Vesicular schistosomiasis
|
Schistosoma haematobium
|
|
Skin penetration, bladder carcinoma in Egypt and Africa
|
Schistosoma haematobium
|
|
Chinese liver fluke
|
Clonorchis sinesis
|
|
Raw fish ingestion, serum-like sickness
|
Clonorchis sinesis
|
|
Lung fluke
|
Paragonimus westermani
|
|
Raw crabs, crayfish, mimics pulmonary TB
|
Paragonimus westermani
|
|
Pork tapeworm
|
Taenia solium
|
|
Cysticercosis, calcified larva in brain, eye, heart, lung, IH: pigs
|
Taenia solium
|
|
Raw pork containing cysticerci ingested by humans, DH: humans - intestinal tapeworm, proglottids in feces
|
Taenia solium
|
|
Raw pickled fism containing a sparganum, intestinal tapeworm, megaloblastic anemia (B12 deficiency)
|
Diphyllobothrium latum
|
|
Fish tapeworm
|
Diphyllobothrium latum
|
|
Hydatid cyst disease
|
Enchinococcus granulosus
|
|
Pinworms, large intestine, perinal itching
|
Enterobius vermicularis
|
|
Scotch tape test
|
Enterobius vermicularis
|
|
Most frequent helminth parasite in U.S.
|
Enterobius vermicularis
|
|
Ascariasis
|
Ascaris lumbricoides
|
|
MC helminth worldwide
|
Ascaris lumbricoides
|
|
Largest roundworm, may obstruct intestine or bile duct
|
Ascaris lumbricoides
|
|
Visceral Larva Migrans - larvae wader aimlessly until they die, cause inflmmation, from hangling puppies or eating dirt (pica)
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Toxocara canis or cati
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Hookworm, larva penetrates intact skin of bare feet, penumonitis, anemia, occult blood fecal may be +
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Necator americanus
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Threadworm, early: pneumonitis, diarrhea, abdominal pain later: malabsorption, ulcers, bloody stools, larva penerates intact skin
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Strongyloides stercoralis
|
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Trichinosis, variable encysted larvae in meat, wild game meat, in muscle, fever, myalgia, splinter hemorrhages, eosinophilia
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Trichinella spiralis
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Elephantiasis, mosquito
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Wucheria bancrofti
|
|
Pruritus, calabar swelling, chrysops mango fly, African eye worm
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Loa loa
|
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River blindness, itchy leopard rash
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Onchocerca volvulus
|
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Creeping eruptions, ulcerations, rash, remove with stick, fiery serpant
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Dracunculus medinesis
|
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School-aged child with fever and indurated facial rash, slapped cheek fever
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B19 - Parvoviridae
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Pregnant woman with flu-like symptoms, hydrops fetalis or spontaneous abortion
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B19 - Parvoviridae
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Warts
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HPV - Papovaviridae
|
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Cervical intraepithelial neoplasia (CIN)
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HPV - Papovaviridae
|
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Biopsy or pap smear reveals koilocytic cells
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HPV - Papovaviridae
|
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Cold sores / gential vesicles
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HSV-1 and HSV-2 - Herpesviridae
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Keratoconjunctivitis
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HSV-1 and HSV-2 - Herpesviridae
|
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Meningoencephalitis / encephalitis
|
HSV-1 and HSV-2 - Herpesviridae
|
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Neonatal disseminated / encephalitis
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HSV-1 and HSV-2 - Herpesviridae
|
|
Tzanck smear, Cowdry type A inclusion bodies
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HSV-1 and HSV-2 - Herpesviridae
|
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Latency in trigeminal ganglion
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HSV-1 - Herpesviridae
|
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Latency in sacral ganglion
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HSV-2 - Herpesviridae
|
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unvaccinated child with asynchronous rash
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VZV - Herpesviridae - Chickenpox
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Elderly with unilateral vesicular rash that follows dermatome
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VZV - Herpesviridae - Shingles
|
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Tzanck smear, Cowdry type A inclusion bodies, and synctia intranuclear inclusions
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VZV - Herpesviridae
|
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Latency in DRG
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VZV - Herpesviridae
|
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Young adult with fever, lymphadenopathy, splenomegaly
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EBV - Herpesviridae
|
|
Downey type II atypical T lymphocytes reach 70% in blood
|
EBV - Herpesviridae
|
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Heterophile (monospot) positive mononucleosis
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EBV - Herpesviridae
|
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Latency in B cells
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EBV - Herpesviridae
|
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Kissing disease
|
EBV - Herpesviridae
|
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Heterophile-negative mononucleosis in children and adults
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CMV - Herpesviridae
|
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Neonate with jaundice, hepatosplenomegaly, thrombocytic purpura
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CMV - Herpesviridae
|
|
Owl-eye inclusion bodies in biopsy
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CMV - Herpesviridae
|
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Infant with fever leading to lacy body rash
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HHV-6 - Herpesviridae
|
|
AIDS patient with sarcoma
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HHV-8 - Herpesviridae
|
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Kaposi sarcoma
|
HHV-8 - Herpesviridae
|
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Latency in mononuclear cells
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EBV, CMV - Herpesviridae
|
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Young adults with ARDS, spring and winter peak
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Adenovirus - Adenoviridae
|
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Swimmers and shipyard workers: nonpurulent conjunctivitis
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Adenovirus - Adenoviridae
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Daycare: viral gastroenteritis
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Adenovirus - Adenoviridae
|
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Young adult (wrestling, swim team), umbilicated warts, Eosinophilic cytoplasmic inclusion bodies
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Molluscum Contagiosum - Poxviridae
|
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Virus extinct
|
Variola - Poxviridae
|
|
Syncronous rash begins in mouth goes to face and body
|
Variola - Poxviridae
|
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Guarnieri bodies (intracytoplasmic inclusions)
|
Variola - Poxviridae
|
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Smallpox
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Variola - Poxviridae
|
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Dane particle, infectious
|
HBV - Hepadnaviridae
|
|
Fecal oral, infectious
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HAV - Picornavirus
|
|
Parenteral, sexual, serum, infacts chronic carriers, primary HCC, cirrosis
|
HBV - Hepadnaviridae
|
|
Parenteral, sexual, post-transfusion, 80% chronic carriers, primary HCC, cirrhosis
|
HCV - Flavivirus
|
|
Parenteral, sexual, superinfection, cirrhosis, fulminant hepatitis
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HDV - Defective
|
|
Fecal oral, enteric, pregnant patients severly affected
|
HEV - Calcivirus
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