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Bugs from food poisoning
- Bacillus cereus (reheated rice)
- S. aureus (meats, mayonnaise -- preformed toxin)
- Clostridium perfringes (reheated meat)
- C. botulinum (home-canned, honey)
- E. Coli (Jack-in-the-box)
- Salmonella (poultry, meat, eggs)
- Campylobacter (poultry, other)
-
Bugs causing bloody diarrhea
- Campylobacter
- Salmonella
- Shigella
- EHEC (O157:H7)
- EIEC
- Yersinia entercolitica
- C. Diff
- Entamoeba histolytica
-
Bugs causing Watery diarrhea
- Bacteria: ETEC, V. Cholerae, C. Perfringens
- Protozoa: Giardia, Cryptosporidium
- Viruses: Rota, Adeno, Norwalk
-
Bugs causing pneumonia in neonates
- (less than a month old)
- Group B Strep (agalactiae)
- E.Coli
-
Bugs causing pneumonia in Children
- (1 mo. to 18 yrs.)
- "Runts May Cough Sputum"
- RSV (other viruses)
- Mycoplasma
- Chlamydia pneumoniae
- Strep. pneumoniae
-
Bugs causing pneumonia in Young Adults
- (18-40 yrs)
- Mycoplasma
- Chlamydia pneumo
- Strep pneumo
(same as kids minus RSV)
-
Bugs causing pneumonia in older adults
- (40-65 yrs)
- Mycoplasma
- Strep pneumo
- H.Flu
- Anaerobes
- Viruses
- (like young adults minus Chlamydia plus bold)
-
Bugs causing pneumonia in Elderly
- (65+ yrs.)
- Strep pneumo
- H. Flu
- Anaerobes
- Viruses
- G- rods
- (like older adults minuse mycoplasma, plus G-rods)
-
Bugs causing pneumonia in hospital patients
-
Bugs causing pneumonia in immunocompromised
- Staph
- Enteric g -
- fungi (PCP with HIV; mucor with DM)
- viruses
-
Bugs causing pneumonia in aspiration
anaerobes
-
Bugs causing pneumonia in Alcoholics/IV drug users
-
Bugs causing pneumonia in postviral cases
-
Bugs causing atypical pneumonia
- Mycoplasma
- Legionella
- Chlamydia
- Coxiella (Q Fever)
-
Common causes of meningitis in newborn
- (up to 6 mos)
- Strep B
- E. Coli
- Listeria
- (Bold = also cause pneumonia in neonates)
-
Common causes of meningitis in Children
- (6mo - 6yrs)
- "from the time you start to walk (6mo-ish) until you go to school (6yrs), kids often fall and bump their SHiNs"
- SHiN (Strep, Neiserria, HFlu)
- +Enteroviruses (Echo, polio, coxsackie)
-
Common causes of meningitis in 6-60 yrs
- Neiserria Meningitidis
- S. Pneumo - most common
- Enteroviruses (PERC of picornaviruses)
- HSV
-
Common causes of meningitis 60+ yrs.
- Listeria (like neonates!)
- Strep pneumo
- G - rods (like pneumonia in elderly!)
-
Osteomyelitis in:
Most people
S. aureus
-
Osteomyelitis in:
Sexually active
Neisseria (rare) - septic arthritis more common.
-
Osteomyelitis in:
Diabetics and druge addicts
Pseudomonas
-
Osteomyelitis in:
Sickle Cell
Salmonella (because encapsulated??)
-
Osteomyelitis in:
Prosthetic replacement
-
Osteomyelitis in:
Vertebra
TB (Pott's disease)
-
Osteomyelitis in:
Cat and dog bites/scratches
Pasteurella
-
UTI bugs
- SSEEK PPStaph Saprophyticus
- Serratia marcescens
- E. Coli
- Enterobacter
- Klebsiella
- Proteus
- Pseudomonas
-
UTI diagnostic markers:
Leukocyte esterase positive?
Nitrite test positive?
- 1) bacterial
- 2) gram negative
-
TORCHeS infections
- Toxoplasma gondii
- Other - Strep B, Listeria, E. Coli (meningitis in newborn)
- Rubella
- CMV
- HIV/HSV
- Syphilis
-
Nonspecific signs common in TORCHeS infections
- hepatosplenomegaly
- jaundice
- thrombocytopenia
- growth retardation
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what's the bug if you have a neonate with classic triad of:
chorioretinitis
hydrocephalus
intracranial calcifications
Toxoplasma gondii
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what's the bug if you have a neonate with:
PDA (or pulmonary artery hypoplasia)
cataracts
deafness
+/- "blueberry muffin" rash
Rubella
-
what's the bug if you have a neonate with
hearing loss
seizures
CMV
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what's the bug if you have a neonate with:
recurrent infections
chronic diarrhea
HIV
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what's the bug if you have a neonate with:
Encephalitis
vesicular lesions
HSV
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what's the bug if you have a neonate with:
stillbirth
hydrops fetalis
facial abnormalities (notched teeth, saddle nose, short maxilla)
- (also saber shins but that gives it away for me)
- Syphilis
-
8 red rashes of childhood
- Measles (Rubeola/Measles)
- Mumps (Mumps)
- Rubella (German Measles)
- VZV (Chickenpox)
- HHV-6 (Roseola)
- Parvovirus B19 (Erythema infectiosum)
- Strep. pyogenes (Scarlet Fever)
- Coxsackie A (Hand-foot-mouth)
-
what's the bug if you have a kid with:
rash starting at head and descending
postauricular lymphadenopathy
Rubella
-
what's the bug if you have a kid with:
rash starting at head and descending
rash preceded by cough, head cold, conjunctivitis
blue-white spots on buccal mucosa
Measles
-
what's the bug if you have a kid with:
parotitis
meningitis
orchitis/oophoritis
Mumps
-
what's the bug if you have a kid with:
rash that starts on trunk and spreads to face and extremities;
lesions at different stages
VZV - Chickenpox
-
what's the bug if you have a kid with:
macular rash over body after several days of fever
usually in infants
HHV6 - Roseola
-
what's the bug if you have a kid with:
"Slapped cheek" rash on face that later spreads to body in a reticular pattern
- Parvovirus B19
- (also can cause hydrops fetalis if pregnant woman infected)
-
what's the bug if you have a kid with:
erythematous, sandpaper-like rash
fever
sore throat
Strep pyogenes (Scarlet Fever)
-
what's the bug if you have a kid with:
vesicular rash on palms and soles
ulcers in oral mucosa
Coxsackie A (hand-foot-mouth)
-
painless chancre
primary syphilis
-
painful chancre
- Chancroid - Haemophilus ducreyi
- ("it's so painful, you "do cry")
- or
- HSV-2
-
genital ulcers, lymphadenopathy,rectal strictures
Lymphogranuloma venereum - Chlamydia trachomatis L1-L3
-
Vaginitis, strawberry-colored mucosa
Trichomonas vaginalis
-
Genital warts, koilocytes
Condylomata acuminata - HPV 6 and 11
-
Noninflammatory, malodorous discharge; positive whiff test, clue cells
Gardnerella vaginalis
-
top bugs for PID. How do they differ in presentation?
- Chlamydia - subacute, asymptomatic usually
- Neisseria - acute, high fevers
-
What can lead to Fitz-Hugh-Curtis syndrome and what is it?
- PID can progress.
- = infection of liver capsule and "violin string" adhesions of parietal peritoneum to liver.
-
Bug hints (if all else fails)
pus, empyema, abscess
S. aureus
-
Bug hints (if all else fails)
pediatric infection
H. flu
-
Bug hints (if all else fails)
Pneumonia in CF, burn infxns
Pseudomonas aeruginosa
-
Bug hints (if all else fails)
Branching rods in oral infection, sulfur granules
Actinomyces israelii
-
Bug hints (if all else fails)
Traumatic open wound
C. perfringes
-
Bug hints (if all else fails)
surgical wounds
S. aureus
-
Bug hints (if all else fails)
Dog or cat bite
Pasteurella multocida
-
Bug hints (if all else fails)
currant jelly sputum
Klebsiella
-
Bug hints (if all else fails)
positive PAS stain
Tropheryma whippelii (Whipple's disease)
-
Bug hints (if all else fails)
Sepsis/meningitis in newborn
Group B strep
-
Bug hints (if all else fails)
Health care provider
HBV (needle stick)
-
Bug hints (if all else fails)
Fungal infection in diabetic
Mucor or Rhizopus spp.
-
Bug hints (if all else fails)
Asplenic patient
Encapsulated microbes, esp. SHiN
-
Bug hints (if all else fails)
Chronic granulomatous disease
catalase-positive species (S. aureus, Nocardia spp., Serratia marcescens, Pseudomonas cepacia, Aspergillus spp.)
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Bug hints (if all else fails)
neutropenic patients
Candida albicans
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Bug hints (if all else fails)
Bilateral Bell's palsy
- Borrelia burgdorferi (Lyme disease)
- remember: BAKE a keyLYME pie = bell's palsy, arthritis, kardiac block, erythema migrans
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name the bug for an HIV+ adults if:
-low-grade fevers, cough, hepatosplenomegaly
-oval yeast cells within macrophages
Histoplasma capsulatum (causes only pulmonary symptoms in immunocompetent hosts)
-
name the bug for an HIV+ adults if:
-fluffy white cottage-cheese lesions
-often on buccal mucosa
Candida albicans (causes thrush)
-
name the bug for an HIV+ adults if:
-superficial vascular proliferation
-biopsy reveals neutrophilic inflammation
Bartonella henselae (causes bacillary angiomatosis)
-
name the bug for an HIV+ adults if:
-superficial neoplastic proliferation of vasculature
-biopsy reveals lymphocytic inflammation
HHV-8 (Kaposi's sarcoma)
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name the bug for an HIV+ adults if:
-chronic, watery diarrhea
-acid-fast cysts seen in stool
Cryptosporidium spp. (protozoa)
-
name the bug for an HIV+ adults if:
-meningitis
-India ink stain reveals narrow-based budding
Cryptococcus neoformans (may also cause encephalitis)
-
name the bug for an HIV+ adults if:
-Encephalopathy
-due to reactivation of a latent virus; results in demyelination
JC virus (cause of PML)
-
name the bug for an HIV+ adults if:
-neuronal abscesses
-many ring-enhancing lesions on imaging
Toxoplasma gondii
-
name the bug for an HIV+ adults if:
-retinitis
-cotton-wool spots on funduscopic exam
CMV
-
name the bug for an HIV+ adults if:
-Hairy leukoplakia
-Often on lateral tongue
EBV
-
name the bug for an HIV+ adults if:
-non-Hodgkin's lymphoma (large cell type)
-Often on oropharynx (Waldeyer's ring)
EBV
-
name the bug for an HIV+ adults if:
-squamous cell carcinoma
-often in anus (MSM) or cervix (females)
HPV
-
name the bug for an HIV+ adults if:
-Tuberculosis-like disease
-especially with CD4 < 50
MAC
-
name the bug for an HIV+ adults if:
-pneumonia
-esp. with CD4 , 200
PCP
-
name the bug for an HIV+ adults if:
-pleuritic pain, hemoptysis, infiltrates on imaging
Aspergillus fumigatus
-
name the bug for an HIV+ adults if:
-Interstitial pneumonia
-Biopsy reveals cells with intranuclear and cytoplasmic inclusion bodies
CMV
-
name the bug for an unimmunized child if:
-rash that starts at head and moves down
-rash proceded by cough, conjunctivitis
- -also coryza, Koplik spots (but those would give it away)
- = MEASLES
-
name the bug for an unimmunized child if:
-rash that starts at head and moves down
-postauricular lymphadenopathy
Rubella
-
name the bug for an unimmunized child if:
-meningitis
-sometimes myalgia and paralysis
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name the bug for an unimmunized child if:
-pharyngitis
-Grayish oropharyngeal exudate (pseudomembrane)
-painful throat
- Corynebacterium diphtheriae
- (elaborates toxin that causes necrosis in cardiac and CNS tissue)
-
name the bug for an unimmunized child if:
-Epiglottitis
-fever with dysphagia, droolin, difficulty breathing due to edematous "cherry red" epiglottis.
H. Flu B (also capable of causing epiglottitis in fully immunized children)
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