Microbiology Flashcards

(31 cards)

1
Q

list some causes for bacterial conjunctivitis in neonates

A

staph aureus
neisseria gonorrhoaeae
chlamydia trachomatis

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2
Q

list some causes of bacterial conjunctivitis in adults/children

A

staph aureus
strep. pneumonia
haemophilus influenza

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3
Q

what is the treatment of bacterial conjunctivitis

A

topical antibiotics usually chloramphenicol

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4
Q

when should chloramphenicol drops be avoided

A

history of aplastic anaemia

allergy

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5
Q

what are the common causes of viral conjunctivitis

A

adenovirus
herpes simplex virus
herpes zoster virus

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6
Q

how does viral conjunctivitis differ to bacterial conjunctivitis

A

viral - red eye usually with watery/no discharge

bacterial - red eye with very purulent discharge

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7
Q

how does herpes zoster conjunctivitis present

A

shingles in the ophthalmic division of the trigeminal nerve

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8
Q

swollen inner eyelid with swelling + grains of rice appearance is likely to be which type of conjunctivitis

A

chlamydial conjunctivitis

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9
Q

what are the complications of chlamydial conjunctivitis

A

scarring of the eyelid

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10
Q

what is keratitis

A

inflammation of the cornea

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11
Q

who typically gets bacterial keratitis

A

someone with pre-existing eye condition eg contact lens wearers

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12
Q

what presents with a dendritic ulcer on fluoroscopy

A

herpetic keratitis

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13
Q

herpetic keratitis is treated with steroids true/false

A

false - can cause corneal melt and perforation

instead treat with acyclovir

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14
Q

acanthamoeba infection usually affects which type of person? what gets cultured

A

usually people who wear contact lenses in swimming pools - should culture contact lenses

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15
Q

how does periorbital cellulitis present

A
painful eye movement 
proptosis 
pyrexia 
previous sinusitis infection 
eye closed over and very swollen
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16
Q

what is the investigation for periorbital cellulitis

A

CT scan of head to look for orbital abscesses

17
Q

what is the difference between preseptal and orbital cellulitis

A

preseptal cellulitis will not compress the optic nerve and therefore does not require surgery

18
Q

what organisms typically cause periorbital cellulitis

A
staph 
strep
haemophilus influenza 
coliforms 
anaerobes
19
Q

what is endophthalmitis

A

infection of the vitreous and aqueous fluids

usually following ocular surgery

20
Q

what usually causes endophthalmitis

A

usually conjunctival coliforms such as staph epidermidis

21
Q

describe chorioretinitis and what organisms cause it

A

inflammation of the choroid
caused by CMV in immunocompromised
toxoplasma gondii
toxocara canis

22
Q

what type of organism is toxoplasmosis gondii and where can it be picked up

A

protozoan infection

acquired from cats or undercooked mear

23
Q

if sight threatening toxoplasmosis gondii requires what treatment

A

clindamycin/azithromycin with steroids

24
Q

what type of infection is toxocara and where can it be picked up

A

parasitic infection - roundworm

affects cats and dogs

25
toxocara infection is usually self-limiting and requires no treatment true/false
true
26
what type of eye infections are swabbed for culture
bacterial, chlamydial and viral infections
27
what types of eye infections require corneal scrapes for diagnosis
bacterial keratitis
28
what types of eye infections require aqueous/vitreous humour for culture
endophthalmitis
29
what types of infection require serology for diagnosis
toxoplasma and toxocara
30
what is ofloxacin used in ophthalmic infection
gram negative organisms eg coliforms, H. influenzae and pseudomonas
31
what is the treatment for chlamydial conjunctivitis
topical oxytetracycline