Microbio - GI infections Flashcards

1
Q

*What presentation is associated with Bacillus cereus?

A

Vomiting 4hrs after eating reheated rice (Chinese takeout)

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2
Q

What presentation is associated with Staph. aureus?

A

Vomiting and watery diarrhoea - spread by hands

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3
Q

*What presentation is associated with Clostridium boutlinum?

A

Descending paralysis after canned foods/honey

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4
Q

What presentation is associated with Clostridium perfringens?

A

8-16hrs after reheated meat, watery diarrhoea lasts 24hrs

Gas gangrene

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5
Q

*What presentation is associated with Clostridium difficile?

A

Pseudomembranous colitis after antibiotics

3Cs: cephalosporins, ciprofloxacin, clindamycin

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6
Q

What presentation is associated with Vibrio cholera?

A

Rice water stool, shellfish

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7
Q

What presentation is associated with Salmonella enteritides?

A

Poultry and eggs, non-bloody diarrhoea

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8
Q

What presentation is associated with Shigella?

A

Bloody diarrhoea, outbreak in MSM

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9
Q

*What presentation is associated with Campylobacter jejuni?

A

Poultry (chicken at a BBQ), bloody foul-smelling diarrhoea

Associated with GBS, reactive arthritis

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10
Q

What are the 3 types of E. Coli?

A

Enterotoxigenic (ETEC), Enterohaemorrhagic (EHEC), and Enteroinvesive (EIEC)

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11
Q

*What presentation is associated with ETEC?

A

travellers diarrhoea

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12
Q

What presentation is associated with EHEC?

A

bloody diarrhoea, O157 (PETTING FARMS), outbreaks

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13
Q

What presentation is associated with EIEC?

A

bloody diarrhoea

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14
Q

*What presentation is associated with Norovirus?

A

Adult outbreaks, hospitals, no long-term immunity

Secretory diarrhoea

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15
Q

What presentation is associated with Rotavirus?

A

Children <6yo
Secretory diarrhoea
Oral vaccine

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16
Q

What presentation is associated with Adenovirus?

A

Children <2yo

Secretory diarrhoea

17
Q

*What presentation is associated with Giardia?

A

(prolonged and later onset) Steatorrhoea, weight loss, MSM

18
Q

What can be found on Ix of Giardia?

A

Pear-shaped trophozoites with 4 flagella and 2 nuclei

19
Q

Presentation amoebiasis

A

Gradual onset bloody diarrhoea, abdominal pain and tenderness
which may last for several weeks

20
Q

*Woman with constipation from abroad (sounded like salmonella typhoid?) - what abx do you give if she hasn’t been started on them already?

A

Ceftriaxone