Inflammatory acute diarrhea

Question 1

how do you treat CMV

Answer 1

ganciclovir

Question 2

how do you treat amebiasis

Answer 2

Metronidazole or tinidazole + luminal agent, like:
Diloxanide
Iodoquinol
Paromomycin

Alternate = tetracycline + chloroquine

Replace fluid and electrolytes

Surgical management of acute complications, including needle aspiration of large hepatic abscesses

Toxic megacolon and pancolitis require emergency colectomy

Question 3

DO NOT USE — with EHEC

Answer 3

antibiotics – can cause HUS

Question 4

How do you treat c dif

Answer 4

Contact precautions
Discontinue agent

Fidaxomicin or vancomycin

Fulminant disease = oral vancomycin + IV metronidazole + surgical consult

Question 5

With severe shigella, treat with

Answer 5

fluoroquinolones

Question 6

listeria is treated with

Answer 6

IV ampicillin

Question 7

how do you prevent listeria

Answer 7

avoid unpasteurized milk, raw cheese, smoked seafoods, cold cuts, hot dogs, meat spreads, THOROUGHLY cook everything, wash veggies