Bacteria + Fungal Infections Flashcards

(57 cards)

1
Q

Impetigo

A

superficial scabbing on skin
S. pygenes and S. aureus
prevalence in HIV, type II pts

Nonbullous: on legs
red macules then crusting vesicles

Bullous: on extremities, fluid filled then purulent then crust

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2
Q

Erysipelas (st anthonys fire)

A

superficial raised skin infection
S. pyogenes or B-hemolytic strep

Rare, painful, red, well circumscribed lesions

swollen, orange peel surface, high fever

cheek, eyelid, nose bridge, leg, trauma areas

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3
Q

Strep tonsillitis pharyngitis

A

B-hemo strep
common in children

sore throat, fever, dysphagia, tonsillar hyperplasia, red,

palatal petechiae, tonsillar exudate

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4
Q

Strep Tonsillitis Pharyngitis Transmission/Risks/Tx of

A

contagious resp droplet or oral

tx: pen

risk for rheumatic fever

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5
Q

Erysipelas Tx

A

tx: penicillin

spreads lymphatically

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6
Q

Impetigo Risks/Tx

A

contagious, spread in crowds in spring
postpone dent tx

tx: ABX

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7
Q

Scarlet Fever

A

B-hemolytic strep

erythrogenic toxin skin rash, strawberry tongue, usually in children

tonsils erupt

pharynx, soft palate and tongue=red

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8
Q

Scarlet Fever tx

A

tx: oral pen, ibuprofen

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9
Q

Tonsillar Concretions

A

convoluted crypts on tonsils, collect bacteria

enlarged and malodorous

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10
Q

Tonsillolithiasis

A

calcified tonsillar concretion, painful, miniscule to massive, older people

visible on XRAYS

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11
Q

Diphtheria

A

C. diptheriae

exotoxin necrosis of nasal tonsillar, pharyngeal areas

gray pseudomembranous on tonsils
cervical lymphadenopathy

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12
Q

Transmission/risk/tx Diptheria

A

contagious resp droplets

tx: antitoxin and ABX

risk of airway obstruction

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13
Q

Syphilis

A

Treponema Pallidum
epidemic in wpg

3 phases: primary, secondary, tertiary

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14
Q

Primary syphilis

A

Solitary chancre/papular painless lesion on lip/site of inoculation

transmitted to mom/fetus, sexual contact, infective lesion

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15
Q

Secondary Syphilis

A

ulcer, yellow-gray mucus patches rash on face, palms, feet

infective saliva

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16
Q

Tertiary Syphilis

A

30% develop gumma indurated hard mass then ulcerates

tx: pen

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17
Q

Gonorrhea

A

Neisseria Gonorrohoeae

oral lesion on tongue
tonsillar pustular lesions

can produce pelvic inflammatory disease in women

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18
Q

Gonorrhea transmission

A

mother to fetus during birth

sexual contact

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19
Q

TB

A

mycobacterium TB
painful non healing oral ulcers on mucosa and tongue

weight loss, cough, fever

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20
Q

TB transmission/risks

A

resp precaution if active
direct contact
crosses placenta

dental: N95, filter in room

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21
Q

Leprosy

A

Mycobacterium leprae

2 types:
tuberculoid and lepromatous

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22
Q

Tuberculoid Leprosy

A

small well circumscribed pigmented skin lesions

nerve involved and parasthersia

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23
Q

Lepromatous Leprosy

A

many ill defined macules, thickened oral papules
face common site

hair loss, skin enlarged, nerve involved, similar to geographic tongue

24
Q

Noma

A

opportunistic polymicrobial prevotella, fusobacterium

begins as ANUG, spreads to cheek/face

blue/black discolor of skin

follow recent viral infection

25
Noma tx
tx: pen, debride wound
26
Actinomycosis
Actinomyces israelii enters trauma area (surgery, exo, root canal) abscess forms, drains yellow pus in lower face tonsillar hyperplasia and salivary gland involved
27
Actinomycosis tx
tx: with pen, drain abscess, excise sinus tracts
28
Cat scratch disease
Bartonella henselae papule along scratch fever, malaise submandibular lymphadenopathy single node!
29
Cat scratch tx
tx: analgesics, ABX only if severe
30
Sinusitis
S pneumonia, H influenza, S aureus, S pyogenes, Moraxella, maybe fungal inflammation of lining of paranasal sinuses headache, fever, pain near affected sinus confused with tooth infection discharge
31
Sinusitis tx
Abx
32
Bacterial sialadenitis
older population bacteria block salivary glands=swelling, trismus, inflammation, exudate bacterial version of mumps
33
Bacterial sialadenitis tx
ABX and analgesics
34
Candidiasis
Candida albicans on commissures and dentures 3 types: pseudomembranous erythematous hyperplastic
35
pseudomembranous candidiasis
raised white curd-like removable plaque, leaves erythema when wiped aka thrush
36
erythematous candidiasis
denture wearers and HIV+
37
hyperplastic candidiasis
rare white plaque does not come off, premalignant
38
Candidiasis risk/tx
re-infection via tooth brushes, partners, dentures tx: systemic antifungals
39
Histoplasmosis
dimorphic mid west US | indurated oral ulcers with rolled borders covered with grey membrane (pseudomembranous)
40
Histoplasmosis transmission
inhale bird/bat droppings
41
Blastomycosis
dimorphic fungus in kenora B dermatitis causes uncommon pulmonary infection irregular ulcers with firm borders
42
Blastomycosis transmission
inhale spores from soil
43
Paraccidioidomycosis
dimorphic fungus in S america paracocciddiodes brasiliensis lesions on tongue, palate ging papules vesicles then ulcers
44
Paraccidioidomycosis transmission
inhale spores
45
Coccidioidomycosis
dirmorphic fungus in South US cocciddiodies immitis large ulcers, skin lesions
46
Coccidioidomycosis transmission
inhale dust containing spores
47
Crypotococossis
Cryptococosis neoformans yeast serious in HIV non-specific ulcer, non healing nodules
48
Crypotococossis transmission
spread from inhaling spores from soil or bird/bat droppings
49
Zygomycosis
Absidia, Mucor | palatal ulcerations, necrotic fistulas
50
Zygomycosis transmission
bread mold
51
Aspergilllis
necrotic ulcers covered with black coat
52
Aspergilllis transmission
mold found in soil and water vegetation
53
Toxoplasmosis
protozoa: toxoplasmosis gondii
54
Toxoplasmosis transmission/risk
risk to fetus, HIV pt lymphadenopathy transmitted thru undercooked pork, rodents, sheep, goats, sine, cattle, cats
55
Congenital Hutchinson triad
associated with primary syphilis mulberry molars, notched incisors, inflammation of 8th cornea nerve
56
Leprosy tx
depends on type but rifampin, dapsone, clofazimine
57
NOMA risk factors
malnutrition, children, viral infections, underdeveloped countries