The not so Fun Guy
I am often a colonizer of sputum and urine, especially in an ICU patient who has been on broad spectrum antibiotics, but I am never a colonizer or contaminate when I am found in the blood.
What is candida?
I am the infectious agent that has lead to vomiting and diarrhea in 100 people on a cruise ship over the course of 5 days. Symptoms last from 1-3 days.
What is norovirus?
24 yr male on PrEP to prevent HIV presents to the ED with a diffuse macular papular rash. He is afebrile, A/O x 3. He denies any associated headache but on ROS he admits to some blurry vision. A stat ophtahlmolgic exam shows posterior uveitis. LP is normal. I am the treatment.
What is IV penicillin?
I have emerged as a new multi-drug resistant candida species, often causing invasive infections in health care facilities and sometimes outbreaks in healthcare facilities. I am pretty much always resistant to fluconazole and other azoles with varying resistance. Better check surveillance blood cx and monitor closely after starting antifungal treatment b/c I can develop resistance quickly.
What is candida auris?
I am the infectious agent in this 34 yr female with underlying IgA deficiency who presents with chronic diarrhea described as watery, “greasy”, floating, with abdominal cramping, nausea, steatorrhea, flatulence, and weight loss.
What is giardia?
A 55 yr male presents to the ED with 1 day high fever, headache, stiff neck, photophobia. On exam he has a temp 102.5, pulse 112, BP stable. He is mentating fine. While awaiting the results of a lumbar puncture, you start treatment with .....
What is dexamethasone, vancomycin, ceftriaxone, ampicillin
54 yr male with prolonged neutropenia from chemotherapy presents with fevers and cough. No response to community acquired pneumonia treatment. CT of chest shown.
Note: also need to name 2 other syndromes I cause
What is invasive aspergillosis?
2 other syndromes: ABPA (allergic bronchopulmonary aspergillosis) and aspergilloma (often in an old persistent TB cavity)
I love to cause diarrhea outbreaks in community swimming pools because I am resistant to chlorine.
What is cryptospridium?
23 yr old male with HIV living in New York presents to the ED with high fevers, headache, nucal rigidity. LP shows this gram stain. I am the treatment.
What is Ceftriaxone 2gm BID?
56 yr female with poorly controlled DM, hgba1c 16, presents with 2 weeks right maxillary sinus pain and now pain and swelling around right eye. She is febrile and ill appearing. Exam shows black eschar on right nasal mucosa. CT sinus shows boney erosion of the right maxillary sinus.
What is mucormycosis?
54 yr female with underlying alcoholic liver cirrhosis is admitted with a cough and SOB. CXR shows RLL infiltrate. She is started on ceftriaxone for CAP. Her other medications include carvedilol, lactulose, lasix and spironolactone. On HD#2 she has one soft stool overnight. A stool Cdiff PCR is sent and returns positive. I am the treatment.
What is none?
36 yr male presented with multiple episodes of sudden onset hemoptysis. No associated fevers or chills or other systemic symptoms. He recalls being diagnosed with pneumonia a few years ago when he was living in Arizona but recovered without event. CXR and CT chest are shown.
What is coccidioidomycosis?
46 yr male with underlying hemochromotosis is admitted with fevers, chills, crampy abd pain, diarrhea. He attended a wedding in Florida 2 days prior where he consumed raw oysters. His BP is 90/45 and HR 110. Blood cx show a curved shaped GNR.
What is Vibrio?