Micro Flashcards
(44 cards)
Mucormycosis (Rhisopus, Mucor, Absidia)
90 deg branching diabetic/ transpl/ neutropenic/Fe chel/ burn Rhinocerebral- necrotizing Disseminated Diagnosis: KOH Treatment: surgical, ampho B
Aspergillosis
A. fumigatus, A. flavus, A nigier
30 deg branching hyphae
Neutropenia assoc
ABPA, invasive pulm, invasive sinusiitis, disseminated (necrotic)
Diagn: KOH, mannitol, PCR
Treat: Voriconnazole, posaconazole (Prophylax), caspofungin- prophyl
Trichophyton (T. capitis, T coporis, T pedis, t cruris)
hair, skin, nails (onchomycosis) diagn: KOH prep Treat: T. cap- oral griseofulvine, terbinafine T ped: topical terbinafine, azole T. c: topical azole oncho: oral terbinafine or itraconaizole
Candida (C. albicans, C. tropicalis, C. parapilosis, C. glabrata, C. krusei)
thrush/esoph/ GI
Vaginitis/ diaper rash
UTI/ Cath
C. glab= diabetic; c. trop= neutropenic
Diagn: KOH, D-arabinitol, germ tube culture
Treat: azole (C. glab, kruz resist- casponfungin, voricon)
Cryptococcosis (C. neoformans, C. gattii)
antiphagocytic capsule
pulm, CNS, dissem (skin, bone)
Diagn: india ink/ gram stain, antigen
treat: amph B, fluconazole
Sporotrichosis (s. schenkii)
worldwide, gardeners
skin papule– bbone, lung, meninges
Diagn: culture, micro
Treat: itraconizole, other
Histoplasmosis (H. capsulatum)
worldwide, esp midwest
resembles Tb
Diagn: immunoassay
Treat: (not for normal), liposomal amph B, itraconizole
Blastomycosis (B. dermatidis) Incr severe CMI def granuloma-- pneumonia, skin ulcer Diagn: budding yeast in KOH Treat: itraconazole, liposomal Amph B
Cocciomycosis (C. immitus)
Cocciomycosis (C. immitus)
Valley Fever Sonoran Tcell, CMI imp asymptomatic, severe nec/ cav phenumonia; bone, joint, kidney, meninges; erythema nodosum (pretibial) Diagn: spherules in hist, Ab test Treat: flucon/ itrac, amph B
Paracoccioidomycosis (P. brasiliensis)
S. am, rural 30-60yo adult- pulm, progressive kids, <30- dissem, aplastic anemia, die Diagn: culture, microscopy (multiple buds) Treat: sulfonamide, amp B
P. jiroveckii
person- person and airborne
(HIV, steroid taper, malnourished infant)
Insidious pneuomnia, low pO2, diffuse bilat, ground glass
Dagn: sputum/ BAL
Treat: TMP-SMX, TMP-dapsone
(Proph- TMP-SXT)
P. falciparum
deadliest, infect all RBC
cerebral seq, hypoglycemia, pulm edema, marro supr
banana shaped- gamet
Treat: quinine tetracycline or clinda or pyramethane/ sulfa
P. vivax
not W afr
relapsing- latent liver
Treat: primaquine
P. malariae, P. ovale, P. knowlesi
malar: long incubation, prolonged, 72h cycle
ovale; tropical afr, latent liver
knowleesi: monkey, S. asia, more severe p. mal
Treat: choloroquine
Babesia
Ixodes vector, US NE prodrome+anemia, renal, HSM incr risk asplenic, HIV, >50 Diagn: Blood smear, serol/ pcr Treat: clindamycin/ quinine; atrovague/ azith
Giardia lambia
fecal oral spread of cyst kids 1-9, camping, swimming, daycare foul smelling, no blood diarrhea; flatulence and bloating Diagn: O&P, antigen det Treat: metronidazole
Cryptosporidium
obligate intracellular kids 1-9, 25-29; day care, nosocomial, swimming profuse, watery diarrhea cramping D:: direct micro, EIA/IFA Treat: nitrazoxonide
Cyclospora
Oocyte in stool, sporulate external (no person-person)
diarrhea, upper GI
Diagn: acid fast/ autoflor/ safranin
Therapy: TMP-SMX
Amebiasis (Entamoeba histolytica)
motile trophozoite causes disease, cysts spread- fecal-oral
trophozoite: kill epithel + inflam via proteinase, incr perm via tight jxn
flatulence + intermittend diarrhea to dysentery, hepatic abscess
D: O&P, antigen, serodiagnosis
ther: metranidazole, tinidazole
Microsporidia
obligate intracel agricultural GI (encephaltizoan, enteocytozoan) ocular (encenal, nosema, vittaforma) d: spores in stool treat: albendazole
Trichomonas vaginalis
vaginits// vaginosis
frothy discharge, itchy, dysuria
diagn: wet mount, culture
Treat: metronidazole
African Trypanosomiasis
T.. bruceii gambiense, T. bruceii rhodesiense
extracell, tsetse fly T. b. gamb: W, central Af Tb rhod: E, SE Af Triphasic: changre, LAD Hemolymphatic: F, LAD< prurits, cardiac, anemia/thrombocy weeks-years, fatal if not treated CNS- sleeping sickeness Diag: flagellates in sample Treat: gamb: pentamide, eflurothinm, melorsoprol rhod: suramin, pentamide, melorprol
Chaga- T. cruze
reduvid/ kissing bug
latin am, thatched roof housing
Chagoma, fever, LAD
chroncic: cardiomypathy, megacolon, megaesoph
D: microscopic (curved C shaped) in blood
chronic: serology, IFE/IEA
treat: NIfurtimox or benzinidazole
Leishmania
sandflies
cutaneous: ulcerating lesions S am, Middle east
visceral: india, sudan- HSM, anem, cytopen, darken + thin skin
Diagnosis: biops, smear, culture, molecular
Treat: viscera: lip, Amp B, pentavalent antimony; cutaneous: pentavlent, fluc/ dont treat