Podcast
Questions and Answers
Which symptom is commonly associated with Toxic Shock Syndrome caused by Staphylococcus aureus?
Which symptom is commonly associated with Toxic Shock Syndrome caused by Staphylococcus aureus?
- Petechiae (correct)
- Nausea and diarrhea
- High blood pressure
- Blistering of skin
What is the characteristic colony appearance of Staphylococcus aureus on NAM agar?
What is the characteristic colony appearance of Staphylococcus aureus on NAM agar?
- Greenish and slimy
- Pink and smooth
- Golden and convex (correct)
- White and flat
Which test differentiates Staphylococcus aureus from Staphylococcus epidermidis?
Which test differentiates Staphylococcus aureus from Staphylococcus epidermidis?
- Mannitol salt agar growth (correct)
- Thioglycolate test
- Catalase test
- Gram staining
What would indicate a non-fermenter in Staphylococcus epidermidis growth on mannitol salt agar?
What would indicate a non-fermenter in Staphylococcus epidermidis growth on mannitol salt agar?
Which molecular test is commonly used to amplify genes associated with bacterial strains like MRSA?
Which molecular test is commonly used to amplify genes associated with bacterial strains like MRSA?
What is the Gram stain result for both Staphylococcus aureus and Staphylococcus epidermidis?
What is the Gram stain result for both Staphylococcus aureus and Staphylococcus epidermidis?
Which condition is Staphylococcus epidermidis commonly associated with in at-risk patients?
Which condition is Staphylococcus epidermidis commonly associated with in at-risk patients?
Which test is NOT used to identify Staphylococcus epidermidis?
Which test is NOT used to identify Staphylococcus epidermidis?
What is the primary treatment for staphylococcal infections?
What is the primary treatment for staphylococcal infections?
Which of the following antibiotics is classified as a semi-synthetic penicillin?
Which of the following antibiotics is classified as a semi-synthetic penicillin?
What type of organism causes strep throat?
What type of organism causes strep throat?
Which of the following symptoms is commonly associated with Streptococcus pneumoniae infections?
Which of the following symptoms is commonly associated with Streptococcus pneumoniae infections?
How is Vibrio cholerae primarily diagnosed?
How is Vibrio cholerae primarily diagnosed?
What type of agar is used for culturing Vibrio cholerae due to its specificity?
What type of agar is used for culturing Vibrio cholerae due to its specificity?
What is a key symptom of Helicobacter pylori infection?
What is a key symptom of Helicobacter pylori infection?
What is a treatment option for food poisoning caused by Campylobacter jejuni?
What is a treatment option for food poisoning caused by Campylobacter jejuni?
What type of Gram staining result is expected for Treponema pallidum?
What type of Gram staining result is expected for Treponema pallidum?
Which stage of syphilis presents with a maculopapular rash?
Which stage of syphilis presents with a maculopapular rash?
Which of the following antibiotics can develop resistance when treating Helicobacter pylori?
Which of the following antibiotics can develop resistance when treating Helicobacter pylori?
What laboratory test confirms the presence of coagulase-negative Staphylococcus?
What laboratory test confirms the presence of coagulase-negative Staphylococcus?
What is the main causative agent of cholera?
What is the main causative agent of cholera?
Which of the following tests is used to differentiate between lactose fermenters and non-fermenters?
Which of the following tests is used to differentiate between lactose fermenters and non-fermenters?
What is the primary treatment for Herpes Zoster?
What is the primary treatment for Herpes Zoster?
Which symptom is characteristic of infectious mononucleosis?
Which symptom is characteristic of infectious mononucleosis?
What type of rash is typically seen in Varicella?
What type of rash is typically seen in Varicella?
In what age group is Herpes Zoster most likely to recur?
In what age group is Herpes Zoster most likely to recur?
What diagnostic method is most appropriate for detecting Cytomegalovirus?
What diagnostic method is most appropriate for detecting Cytomegalovirus?
Which treatment option is specifically recommended for prophylaxis in transplant patients against Cytomegalovirus?
Which treatment option is specifically recommended for prophylaxis in transplant patients against Cytomegalovirus?
What is a primary cause of malaria in sub-Saharan regions?
What is a primary cause of malaria in sub-Saharan regions?
What is the primary symptom sequence of a malarial paroxysm?
What is the primary symptom sequence of a malarial paroxysm?
What type of vaccine is Varilrix?
What type of vaccine is Varilrix?
What is the characteristic presentation of primary amoebic meningoencephalitis caused by Naegleria fowleri?
What is the characteristic presentation of primary amoebic meningoencephalitis caused by Naegleria fowleri?
Which of the following treatments is NOT associated with Plasmodium vivax?
Which of the following treatments is NOT associated with Plasmodium vivax?
Which herpesvirus is associated with causing oral hairy leukoplakia?
Which herpesvirus is associated with causing oral hairy leukoplakia?
Which of the following treatments is recommended for falciparum malaria that shows resistance to artemisinin?
Which of the following treatments is recommended for falciparum malaria that shows resistance to artemisinin?
What is the significance of the Dieterle stain in diagnosing certain infections?
What is the significance of the Dieterle stain in diagnosing certain infections?
Which bacterial treatment is recommended for early Lyme disease?
Which bacterial treatment is recommended for early Lyme disease?
What is the primary method of diagnosing influenzavirus infections?
What is the primary method of diagnosing influenzavirus infections?
Which of the following is NOT a symptom of Lyme disease?
Which of the following is NOT a symptom of Lyme disease?
What type of virus is the influenzavirus classified as?
What type of virus is the influenzavirus classified as?
What is the primary mode of transmission for herpes-simplex virus type 2?
What is the primary mode of transmission for herpes-simplex virus type 2?
Which diagnostic method is least sensitive for detecting treponemal infections?
Which diagnostic method is least sensitive for detecting treponemal infections?
For which condition is IV penicillin commonly administered?
For which condition is IV penicillin commonly administered?
Which of the following laboratory techniques is used for direct detection of adenovirus?
Which of the following laboratory techniques is used for direct detection of adenovirus?
What symptom is specifically associated with acute herpes simplex viral infections?
What symptom is specifically associated with acute herpes simplex viral infections?
What is a typical treatment approach for adenovirus-related conjunctivitis?
What is a typical treatment approach for adenovirus-related conjunctivitis?
What is the preferred method for confirming a current infection of herpes simplex in a symptomatic patient?
What is the preferred method for confirming a current infection of herpes simplex in a symptomatic patient?
What is the primary cause of secondary bacterial pneumonia during influenza infections?
What is the primary cause of secondary bacterial pneumonia during influenza infections?
What is the most significant complication associated with the treatment of fungal infections with Amphotericin B?
What is the most significant complication associated with the treatment of fungal infections with Amphotericin B?
Which symptom is commonly associated with Giardiasis caused by Giardia intestinalis?
Which symptom is commonly associated with Giardiasis caused by Giardia intestinalis?
What is the primary method of diagnosing Balantidiasis?
What is the primary method of diagnosing Balantidiasis?
Which treatment is effective against Ascaris lumbricoides infection?
Which treatment is effective against Ascaris lumbricoides infection?
What is a key characteristic of Acute Invasive Aspergillosis (AIA)?
What is a key characteristic of Acute Invasive Aspergillosis (AIA)?
Which treatment option is recommended for Trichinella spiralis infection?
Which treatment option is recommended for Trichinella spiralis infection?
Which diagnostic method is most important for confirming a diagnosis of Aspergillus species?
Which diagnostic method is most important for confirming a diagnosis of Aspergillus species?
Which factor contributes to the high mortality rate in patients with Acute Invasive Aspergillosis?
Which factor contributes to the high mortality rate in patients with Acute Invasive Aspergillosis?
Which of the following agents is used in the treatment of Taeniasis caused by Taenia solium?
Which of the following agents is used in the treatment of Taeniasis caused by Taenia solium?
What role does Lactobacillus spp. play in the new therapy investigations for Giardiasis?
What role does Lactobacillus spp. play in the new therapy investigations for Giardiasis?
What is a common diagnosis method for Non-invasive Aspergillosis?
What is a common diagnosis method for Non-invasive Aspergillosis?
Which parameter is not typically used in the diagnosis of Taenia infections?
Which parameter is not typically used in the diagnosis of Taenia infections?
What symptom characterizes allergic bronchopulmonary aspergillosis (ABPA)?
What symptom characterizes allergic bronchopulmonary aspergillosis (ABPA)?
Which of the following is true about the diagnostic approach for Giardia intestinalis?
Which of the following is true about the diagnostic approach for Giardia intestinalis?
What is a common treatment for mucosal candidiasis in immunocompromised patients?
What is a common treatment for mucosal candidiasis in immunocompromised patients?
Which factor is NOT a predisposing condition for skin candidiasis?
Which factor is NOT a predisposing condition for skin candidiasis?
Which method is used to confirm the presence of Candida albicans using culture?
Which method is used to confirm the presence of Candida albicans using culture?
In the case of invasive candidiasis, which symptom is least likely to be observed?
In the case of invasive candidiasis, which symptom is least likely to be observed?
What is the significance of a germ tube test in diagnosing Candida species?
What is the significance of a germ tube test in diagnosing Candida species?
Which treatment option may be considered potentially toxic for patients with Candida infections?
Which treatment option may be considered potentially toxic for patients with Candida infections?
Which of the following describes Cryptococcus neoformans infection?
Which of the following describes Cryptococcus neoformans infection?
Which laboratory technique is used for the diagnosis of pulmonary cryptococcosis?
Which laboratory technique is used for the diagnosis of pulmonary cryptococcosis?
Which population is most at risk for developing meningeal cryptococcosis?
Which population is most at risk for developing meningeal cryptococcosis?
What does the presence of white, creamy brown colonies on Sabouraud's agar indicate?
What does the presence of white, creamy brown colonies on Sabouraud's agar indicate?
Which symptom is commonly associated with vaginal candidiasis?
Which symptom is commonly associated with vaginal candidiasis?
What type of infections can invasive candidiasis lead to in immunocompromised patients?
What type of infections can invasive candidiasis lead to in immunocompromised patients?
What is the primary mode of acquiring Cryptococcus neoformans?
What is the primary mode of acquiring Cryptococcus neoformans?
Which therapeutic class does echinocandins belong to?
Which therapeutic class does echinocandins belong to?
Flashcards
Staphylococcus aureus causes
Staphylococcus aureus causes
SSTIs, conjunctivitis, impetigo, rashes, food poisoning, infective endocarditis, UTIs, toxic shock syndrome, osteomyelitis, and community-acquired pneumonia
Staphylococcus epidermidis causes
Staphylococcus epidermidis causes
Skin infections, biofilm on IV catheters, UTIs, and infective endocarditis, which is usually more of a risk for patients with IV drugs or any device that punctures skin.
Staphylococcus aureus colony appearance
Staphylococcus aureus colony appearance
Gold/yellow colored, convex, 2 micrometer colonies on NAM
Staphylococcus epidermidis colony appearance
Staphylococcus epidermidis colony appearance
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S.aureus Gram stain
S.aureus Gram stain
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S.epidermidis Gram stain
S.epidermidis Gram stain
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S.aureus Mannitol Salt test result
S.aureus Mannitol Salt test result
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S.aureus and S.epidermidis Catalase test result
S.aureus and S.epidermidis Catalase test result
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Time of Flight (TOF)
Time of Flight (TOF)
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Staphylococcal infections
Staphylococcal infections
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MRSA
MRSA
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Nosocomial MRSA
Nosocomial MRSA
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Streptococcus pyogenes
Streptococcus pyogenes
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Streptococcus pneumoniae
Streptococcus pneumoniae
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Vibrio cholerae
Vibrio cholerae
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Campylobacter jejuni
Campylobacter jejuni
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Helicobacter pylori
Helicobacter pylori
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Treponema pallidum
Treponema pallidum
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Gram Stain
Gram Stain
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Blood Agar
Blood Agar
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TCBS agar
TCBS agar
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Culture
Culture
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Antibiotics
Antibiotics
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Syphilis causative agent
Syphilis causative agent
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Syphilis stages
Syphilis stages
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Syphilis diagnosis
Syphilis diagnosis
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Spirochetes in syphilis
Spirochetes in syphilis
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Syphilis primary-latent treatment
Syphilis primary-latent treatment
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Lyme disease causative agent
Lyme disease causative agent
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Lyme disease symptoms
Lyme disease symptoms
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Lyme disease early treatment
Lyme disease early treatment
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Influenza causative agent
Influenza causative agent
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Influenza symptoms
Influenza symptoms
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Influenza diagnosis
Influenza diagnosis
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Influenza treatment
Influenza treatment
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Adenovirus causes
Adenovirus causes
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Adenovirus diagnosis
Adenovirus diagnosis
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Herpesvirus types and diseases
Herpesvirus types and diseases
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Balantidium coli
Balantidium coli
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Balantidiasis
Balantidiasis
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Giardia intestinalis
Giardia intestinalis
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Giardiasis
Giardiasis
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Ascaris lumbricoides
Ascaris lumbricoides
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Metronidazole
Metronidazole
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Aspergillosis
Aspergillosis
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Allergic Bronchopulmonary Aspergillosis (ABPA)
Allergic Bronchopulmonary Aspergillosis (ABPA)
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Non-invasive Aspergillosis (NIA)
Non-invasive Aspergillosis (NIA)
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Acute Invasive Aspergillosis (AIA)
Acute Invasive Aspergillosis (AIA)
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Sabouraud's Agar
Sabouraud's Agar
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Trophozoite
Trophozoite
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Praziquantel
Praziquantel
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Niclosamide
Niclosamide
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What causes chickenpox?
What causes chickenpox?
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What is a varicella rash like?
What is a varicella rash like?
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What is shingles?
What is shingles?
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What are the symptoms of shingles?
What are the symptoms of shingles?
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How is shingles diagnosed?
How is shingles diagnosed?
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What is a CMV infection?
What is a CMV infection?
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How is CMV diagnosed?
How is CMV diagnosed?
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What is Epstein-Barr Virus (EBV)?
What is Epstein-Barr Virus (EBV)?
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What is a classic symptom of infectious mononucleosis?
What is a classic symptom of infectious mononucleosis?
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How is infectious mononucleosis diagnosed?
How is infectious mononucleosis diagnosed?
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What is Malaria?
What is Malaria?
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What are the symptoms of malaria?
What are the symptoms of malaria?
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How is malaria diagnosed?
How is malaria diagnosed?
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What is Naegleria fowleri and what does it cause?
What is Naegleria fowleri and what does it cause?
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What is the common symptom of PAM?
What is the common symptom of PAM?
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Candida albicans: Opportunistic Commensal
Candida albicans: Opportunistic Commensal
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Candidiasis
Candidiasis
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Superficial Candidiasis
Superficial Candidiasis
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Oropharyngeal Candidiasis
Oropharyngeal Candidiasis
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Skin Candidiasis
Skin Candidiasis
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Vaginal Candidiasis
Vaginal Candidiasis
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Invasive Candidiasis
Invasive Candidiasis
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Cryptococcus neoformans/gatti: Pulmonary cryptococcosis/cryptococcal meningitis
Cryptococcus neoformans/gatti: Pulmonary cryptococcosis/cryptococcal meningitis
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Cryptococcal Meningitis
Cryptococcal Meningitis
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Titan Yeast
Titan Yeast
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Empirical Therapy
Empirical Therapy
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Voriconazole
Voriconazole
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IV Amphotericin B
IV Amphotericin B
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Echinocandins
Echinocandins
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Study Notes
Staphylococcus Species
-
Staphylococcus aureus causes skin and soft tissue infections (SSTIs), conjunctivitis, impetigo, rashes, food poisoning, infective endocarditis, UTIs, toxic shock syndrome, osteomyelitis, and community-acquired pneumonia. Symptoms vary depending on the infection, potentially including pus-filled lesions, skin rashes, eye inflammation, nausea, diarrhea, vomiting, fever, low blood pressure, petechiae, and heart murmurs.
-
Staphylococcus epidermidis causes SSTIs, forming biofilms on catheters, UTIs, and infective endocarditis. Patients with IV drug use or any skin-penetrating devices are high-risk.
Diagnosis of Staphylococcus Species
-
Staphylococcus aureus
- Sample collection from sterile or non-sterile sites, evaluating for common skin flora.
- Colony isolation on nutrient agar (NAM): Observe gold, convex 2µm colonies.
- Gram stain: Gram-positive cocci in clusters.
- Blood agar: Alpha or beta hemolysis.
- Mannitol salt agar: Mannitol fermenter (yellow).
- Thioglycolate: Facultative aerobe.
- Catalase test: Positive (bubbles).
- Latex agglutination test: Coagulase positive.
-
Staphylococcus epidermidis
- Sample collection from sterile or non-sterile sites, evaluating for common skin flora.
- Colony isolation on nutrient agar (NAM): Observe white, convex 2µm colonies.
- Gram stain: Gram-positive cocci in clusters.
- Blood agar: Gamma hemolysis.
- Mannitol salt agar: Non-fermenter (remains pink).
- Thioglycolate: Facultative anaerobe.
- Catalase test: Positive (bubbles).
- Latex agglutination test: Coagulase negative.
Molecular and Genotypic Testing
-
PCR/RT-PCR: Amplifies specific bacterial genes (e.g., 16S, MecA in MRSA) for identification and strain determination. Results can be analysed through Sanger sequencing and alignment to existing databases. Chromatogram quality can influence accuracy.
-
PFGE: Evaluates bacterial strain transmission and epidemiology.
-
MLST: Analyzes housekeeping and cell surface genes (e.g., spa) to identify bacterial strains.
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MALDI-TOF MS: Time- and cost-effective method: Allows identification of protein fragments. A spectrum of protein fragments is produced by zapping samples in a well with a laser. Time of Flight is recorded and analyzed, separating molecules based on size. alignment to pre-existing BLAST database sequences can be conducted.
Treatments for Staphylococcal Infections
-
General: Drain and clean infected areas (boils/SSTIs) with antimicrobials to decolonize. Autoclave patient bedding (Health-care-associated infections).
-
Antibiotics:
- Semi-synthetic penicillins (Flucloxacillin, dicloxacillin)
- Cephalosporins (Clindamycin, lincomycin, erythromycin)
- MRSA Treatments (Clindamycin, minocycline, doxycycline, vancomycin - developing resistance)
- Nosocomial MRSA (Rifampicin and Fusidic acid)
- Newer (Linezolid, quinupristin/dalfopristin)
Streptococcus Species
-
Streptococcus pyogenes causes strep throat, SSTIs, necrotizing fasciitis, scarlet fever, and rheumatic fever. Associated symptoms include sore throat/pharyngitis, swollen tonsils, temperature changes, rashes (scarlet fever), skin itching, cellulitis lesions, and other conditions.
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Streptococcus pneumoniae causes pneumonia, bacterial meningitis, otitis media, and sinusitis. Characterized by respiratory distress, inflammation, earache, breathing obstruction, increased intracranial pressure, fever, and confusion.
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Diagnosis (Streptococcus spp): - Sample acquisition (sterile/non-sterile, evaluate skin flora) - Colony isolation on NAM: Observe white convex 2µm colonies - Gram stain: Gram-positive cocci in chains. - Blood agar: Alpha or beta hemolysis. - Mannitol salt agar: Non-fermenter (pink) (pyogenes) - Thioglycolate: Facultative aerobe. - Catalase test: Negative. - Latex agglutination test: Coagulase negative (pyogenes).
- Treat with Penicillin, amoxicillin, flucloxacillin
Vibrio cholerae, Campylobacter jejuni, Helicobacter pylori
- These pathogens cause various gastrointestinal infections, and the notes describe their respective causes, symptoms, diagnosis (including specific culture media and biochemical tests), and treatment procedures. The details are unique in terms of microbiology information, relevant aspects of diagnosis and treatments tailored for each causative pathogen.
Treponema pallidum (Syphilis)
-
Syphilis progresses through four stages:
- Primary: Chancre formation, usually self-limiting.
- Secondary: Skin rash, systemic symptoms.
- Latent: Asymptomatic, but infectious.
- Tertiary: Severe organ damage (gummas, neuro-syphilis, endocarditis).
-
Diagnosis is primarily based on visual symptoms, dark-field microscopy (Dieterle stain), and serological tests (FTA-ABS).
-
Treatment is typically penicillin IV, tailored to the stage and severity of infection.
Borrelia burgdorferi (Lyme Disease)
-
Lyme disease is characterized by a bullseye rash (erythema migrans), flu-like symptoms, and potential long-term complications (neurological, arthritic).
-
Diagnosed via blood tests (EIA, IFA, western blot), PCR, and possibly a blood smear.
-
Treatment typically involves antibiotics (long-term high dose for late-stage).
Influenza Virus (Type A, B, and C), Adenovirus
-
These viruses cause various respiratory and other symptoms
-
Diagnosis involves testing for viral antigens (IFA), viral isolation, and PCR. Treatment is typically supportive care, and vaccine is type-specific for prevention.
Herpesviruses (Alpha, Beta, Gamma)
- The notes provide detailed information on herpes simplex viruses (HSV-1, HSV-2), varicella-zoster virus (VZV), cytomegalovirus (CMV), and Epstein-Barr virus (EBV), including their subtypes, tropisms, causative diseases, symptoms, diagnosis, and treatment.
Protozoa (Malaria, Naegleria fowleri, Balantidium coli, Giardia intestinalis)
- These notes detail the causes, symptoms, diagnosis, and treatments of protozoan infections, differentiating between various Plasmodium species (Falciparum, Vivax, Ovale, Knowlesi, Malariae) , Naegleria fowleri, Balantidium coli, and Giardia intestinalis. Information relevant for diagnosis (microscopy, serology, PCR) and treatment is included.
Helminths (Ascaris lumbricoides, Trichinella spiralis, Taenia solium)
- These notes provide comprehensive information on roundworms and tapeworms, including causes, symptoms, diagnosis (stool samples, biopsies), and treatment (medication, potentially surgery).
Fungi (Aspergillus fumigatus, Candida albicans, Cryptococcus neoformans/gatti)
- These notes describe fungal infections, including allergic bronchopulmonary aspergillosis (ABPA), non-invasive aspergillosis, acute invasive aspergillosis (AIA), superficial (oropharyngeal, skin, vaginal) and invasive candidiasis, and pulmonary/meningeal cryptococcosis, covering causes, symptoms, diagnosis (cultures, microscopy, serology), and specific treatment strategies for each type.
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