160 - Salmonellosis Flashcards

1
Q

Factors that make the stomach less __, increase the risk for salmonella infection. Such factors include: 4

A
acidic
age <1
IBD
GI surgery
cytotoxic treatment
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2
Q

Patients in the incubation period are __. This period lasts for - days

A

asymptomatic

10-14

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3
Q

Typhoid Enteric fever is a __ disease with symptoms such as: __,__.

A

systemic
abdominal pain
fever

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4
Q

Typhus is caused by bacteria such as __ but not salmonella.

A

rickettsia

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5
Q

Enteric fever is a misnomer since although __% suffer from fever, only __% suffer from abdominal pain.

A

75

30-40

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6
Q

Enteric fever symptoms include: 5

A
headache
chilis
cough
night sweat
GI symptoms
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7
Q

Early signs for enteric fever will shoe “__” rash, __, __, and __ together with high __

A
rose spots
hepatosplenomegaly
epistaxis
bradycardia
fever
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8
Q

Rose spots = __

A

salmon color spots, mainly on the back and chest

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9
Q

In severe enteric salmonella other symptoms will occur: bloody __, intestine __, polymicrobial __.

A

diarrhea
perforation
peritonitis

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10
Q

Neurological symptoms are also possible: 3

A

Guillain Barre syndrome
neuritis
neuropsychiatric syndromes

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11
Q

Since the presentation of salmonella is nonspecific- we must suspect every __ with __, especially after having been in __ Asia/ __

A

traveler
fever
south east
south America

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12
Q

The only diagnostic tool is __

A

culture

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13
Q

Treating enteric fever is done with ___ as long as the pathogen is sensitive.

A

fluoroquinolones

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14
Q

Other lines of treatment for enteric fever include: 3

A

ceftriaxone

azithromycin

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15
Q

Prevention exist in the form of __

A

vaccine

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16
Q

What are the clinical presentation of nontyphoidal salmonellosis (NTS)?

A

gastroenteritis
bacteremia
local infections (splenic/hepatic abscesses, meningitis. pneumonia, UTI)

17
Q

What is the treatment for asymptomatic NTS?

A

no empiric treatment

18
Q

Preventive treatment for NTE should be given in __ for in risk patients.

A

AGE (acute gastroenteritis)

19
Q

Preventive empiric treatment can be given for NTE using ___. This is recommended in the cases of __, __, __

A

ciprofloxacin
AGE
endocarditis
arthritis