Etiologies
This is the most common cause of botulism in infants.
Honey
What is the most common presenting symptom of Tetanus?
Trismus (lockjaw)
Vancomycin-resistant Enterococci (also MRSA)
What is the definitive method of diagnosis for chlamydia and gonorrhea?
NAAT via first catch urine or genital swab
What is the antibiotic treatment for Rocky Mountain Spotted Fever?
Doxycycline
Acute rheumatic fever is a complication of this illness.
Group A Strep Pharyngitis
Recent antibiotic treatment, recent hospitalization or LTC placement, >65yo, PPI, comorbid conditions...
What GI illness discussed today may lead to severe hypovolemia and dehydration?
Cholera
What is the definitive method of diagnosing Rocky Mountain Spotted Fever?
Serum PCR tests for IgM and IgG titers (but won't be positive until second week of illness)
What is first line treatment for Cat Scratch Disease?
Azithromycin
This bacteria leads to Cat Scratch Disease
Bartonella henselae
What physical exam finding should raise suspicion for Acute Rheumatic Fever following a sore throat?
New heart murmur
Describe three complications of untreated chlamydia or gonorrhea infection.
PID; reactive arthritis; lymphogranuloma venereum; preterm labor or low birth weight or SAB (pregnancy); neonatal conjunctivitis; neonatal pneumonia; disseminated gonorrhea
How is Cat Scratch Disease typically diagnosed?
Clinical diagnosis with regional lymphadenopathy and exposure to cat/flea
What are three antibiotics typically prescribed for MRSA soft tissue infection?
Bactrim, Clindamycin, Doxycycline
Antibiotic treatment with this antibiotic is more likely to result in C.diff
Clindamycin (also fluoroquinolones)
Your ill patient has a thick gray coating on their oropharynx. What illness are you concerned about?
Diphtheria
What infectious GI illness may precede Guillain-Barre Syndrome?
Campylobacter Jejuni
What are the historical components of a clinical diagnosis of Rocky Mountain Spotted Fever?
Seasonality, travel to an endemic area in the past two weeks, at least one relevant symptom, AND a known tick bite or tick exposure
What is the antibiotic treatment for PID?
Doxycycline + Ceftriaxone + Metronidazole
What illness is caused by Rickettsia rickettsii and explain its method of transmission
Rocky Mountain Spotted fever, transmitted via tick bite
What are common presenting symptoms of botulism?
Descending weakness (flaccid paralysis), diplopia, dysphagia, dysphonia, respiratory failure, flobby baby syndrome
Describe PID and two of its associated risks.
Ascending infection of upper genital tract that can lead to infertility, ectopic pregnancy, chronic pain
Describe the requirements for diagnosing Acute Rheumatic Fever.
Recent history of GAS infection + 2 major or 1 major and 2 minor of JONES criteria
What are three important treatments for Tetanus infection?
Antibiotics (metronidazole or PCN), tetanus immune globulin (antitoxin), TDaP vaccinations