pyomyositis
purulent infection deep within striated muscle, often manifesting as an abscess
define septic shock
sepsis with persisting hypotension requiring vasopressors to maintain MAP >65mmJg
+
serum lactate >2mmol/l despite adequate volume resuscitation
presentation of cryptococcus/ cryptococcosis infection
- pulmonary infection from asymptomatic –> pneumonia
- meningoencephalitis in HIV/ AIDS
aspergillosis investigations in non-neutropenic patients
- cultures of sputum +/- bronchealvelolar lavage +/- biopsy
- aspergillum specific IgG and IgE
management campylobacter gastroenteritis in a normally healthy individual
rehydration (IV or oral)
pyrexia of unknown origin history
- travel
- occupation
- hobbies
- FH
- PMH
- drug history
- pattern
- working abroad
management chronic Hep B infection
treat if symptomatic; without cirrhosis need 2/3 of:
- > HBV DNA >2,000
- > raised ALT
- > significant inflammation/ fibrosis
presentation primary HIV/ seroconversion
- abrupt onset (2-4 weeks post exposure)
- flu-like
- fever
- malaise and lethargy
- pharyngitis
- lymphadenopathy
- toxic exanthoma
AIDS CD4 count
<200
management of traveller returning with something
isolation PPE supportive measures empirical therapy antimicrobial therapy based on likely diagnosis
management carbuncles
admission to hospital, surgery and IV antibiotics
zika virus complications
- in pregnancy can cause microcephaly and other neurological problems
- Guillain-barre
management of any condition associated with viral haemorrhagic fever
- high security infection unit
- supportive treatment
presentation IV catheter associated infection
- local inflammation
- cellulitis
- tissue necrosis
- vein is swollen and hard
what happens in acute disease phase of schistosomiasis infection
- 6-8 weeks
- egg deposited in bowel or bladder
presentation katakana fever stage of schistosomiasis
15-20 days
- fever
- urticaria
- lymphadenopathy
- splenomegaly
- diarrhoea
- eosinophilia
how is shigella spread
direct spread with bacteria in the stool
management rickettsiosis
tetracycline
define hep D superinfection
person with chronic hep B infection becomes infected with D
risk factors mucocutaneous candidiasis
- antibiotic use
- moist areas
- inhalation steroids
- neonates <3 months
define staphylococcal scalded skin syndrome
infection due to particular strain of staph aureus producing the exfoliative toxin A or B
mortality rates strep vs staph TSS
strep - 50%
staph - 5%
