Rise of the Resistance
Photo Opps
Pick your Poison
You are not Immune
Down with the h-IP-e
100

Signature Tenofovir Resistance Mutation

K65R

100

This intraerythrocytic pathogen


Babesia spp.

(Maltese cross)

100

Name 2 causes of pre-formed toxin causing GI symptoms

Staph aureus

Bacillus cereus

Clostridium perfringens

100

Cause of recurrent Neisseria infections

Terminal complement deficiency (C5-C9)

100

Precautions for VRE

Standard

200

Name two bacteria intrinsically resistant to Vancomycin

Lactobacillus

Leuconostoc

Erysipelothrix

Pediococcus

200

Pathogen responsible for causing this liver abscess:


Klebsiella pneumoniae

(string sign)

200

GI symptoms wtihin 24h of eating shellfish followed by temporary memory loss resolving within hours to days

Amnesic Shellfish Poisoning

200

Cause of recurrent sinopulomary infections, enteric infections diagnosed by impaired response to new or recall immunization

CVID

(common variable immunodeficiency)

200

Name 3 diseases requiring airborne isolation

Smallpox, Measles, TB, SARS, Varicella, Mpox, COVID-19

300

Two ganciclovir resistance genes in CMV

UL97 & UL54

300

Cause of these lesions in a septic, cirrhotic patient


Vibrio vulnificus

300

Rash, diarrhea, flushing,& burning lips hours after eating reef fish


Scrombroid

(histamine fish poisoning)

300

Recurrent cutaneous and sinopulmonary infections, partial albinism, peripheral neuropathy diagnosed by giant blue granules in neutrophils

Chediak-Higashi Syndrome

300

The single most effective intervention in preventing health-care associated infection

Hand Hygiene

400

Echinocandin resistance is primarily mediated my mutations in this drug target gene

FKS1

400

Biopsy of ulceration shows AFB:


Mycobacterium ulcerans 

(Buruli ulcer)

400

Diarrhea, hemolytic anemia, & thrombocytopenia following infection with this organism

STEC 

(Shiga-Toxin producing E. coli)

400

Immunologic cause of invasive Aspergillosis or Nocardia in a young, otherwise normal host

Chronic Granulomatous Disease

400

Number of air exchanges needed for an effective negative pressure room

12 exchanges/hour

500

Besides A. terreus, name two fungi resistant to Amphotericin

Scedosporium spp

Candida lusitaniae

Chromoblastomycosis

Some Fusarium spp

500

Lactophenol cotton blue stain of blood showing “daisy-shaped” sporangia:

Prototheca wickerhamii 

(algae)

500

Numbness of lips, burning of extremities, vomiting, & temperature reversal 30 minutes after eating coral reef fish; may progress to respiratory failure

Ciguatera

(due to algae toxin)

500

Recurrent Staph aureus or GAS skin infections,invasive Aspergillosis, hypereosinophilia, eczema & delayed dental deciduation; diagnosed by mutations in STAT3

Hyper IgE Syndrome

 (Job’s)

500

The first step in an outbreak investigation

Establishing the existence of an epidemic

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