Pus Empyema Abscess
S aureus
Pediatric infection
H influenza including epiglotitis
Pneumonia in CF and burn
P aeruginosa
Branching rods in oral infection with sulfur granules
Actinomyces israelii
traumatic open wound
“Crackling” “crepitus” on palpation
clostridium perfinges
surgical wound
s aureus
dog or cat bite
pasteurella multicoda
positice PAS stain
tropheryma whipplei
fungal infection in DM or immunocompromised
mucor or rhizopus
asplenic patient
encapsulated microbes SHiN S pneumonia H influenza B N meningitidis
chronic granulomatous ds
cat positive microbes esp S aureus
White on MacConkey agar
Nonlactose fermenting bacteria SALMONELLA SHIGELLA
Light green colonies with black center on Hektoen
Salmonella
Lactose fermenters
E colia Klebsiella
Cuase of neonatal herpes
HSV 2
Gram positive anaerobe produces toxin A (diarrhea) and toxin B (cytotoxic)
C. difficile
Toxin A attaches to brush border of the gut then
Toxin B destroys cytoskeleton of enterocytes causing pseudo membranous colitis
Absence or near absence of tonsils and adenoids in child with recurrent bacterial infection suggests
Bruttons aggamaglobinemia
Child predisposed to viral infections and intracellular pathogens
di georgi syndrome catch 22
MOA metronidazole
In anaerobes
Inhibit nucleic acid synthesis
Eukaryote or prokaryote: membrane bound organelle
Eukaryotes
Grows on charcoal agar with iron and cysteine
Legionella.
Seen on silver stain
Grows on chocolate agar with factor V and X
H. Influenza
Beta hemolytic bacteria 4
Staph aureus
PbA pyogenes bacitracin ayaw agalactiae
Listeria monocytogenes - tumbling motility, newborn meningitis,
unpasteurized milk in adults
Bacterial Meningitis empiric tx
Ceftriaxone + vancomycin
Add ampicillin if listeria suspected