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Comprehensive Bacteria - Clinical Present. (Chad's Charts)
Creighton University School of Medicine
88
Medical
Professional
08/17/2013

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Term
S. aureus
Definition
-INFECTIONS: impetigo, cellulitis, folliculitis, furuncles, carbuncles, ACUTE ENDOCARDITIS, OSTEOMYELITIS (1st), bacteremia, UTI, etc.

-TOXIN-MEDIATED: food poisoning, Toxic Shock Syndrome, Scalded Skin Syndrome
Term
Staph. epidermidis
Definition
"Infection of indwelling medical devices or within 60d of valve replacement"
Term
Staph. saprophyticus
Definition
UTI (2nd) due to sexual acitivity
Term
Strep. pneumoniae
Definition
MOPS:
-Meningitis (1st in elderly)
-Otitis Media (1st)
-Pneumonia (1st in ADULTS AND ELDERLY)
-Sinusitis
Term
Vididians Group (Strep. Sanguis, S. anginosus, S. mutans, S. bovis)
Definition
-SBE (1st)
-COLON CANCER ASSOCIATED WITH S. bovis
-Dental caries (S. mutans)
-Brain/liver abscess (S. sanguinosus)
Term
Strep. pyogenes
Definition
-ANTIBODY-MEDIATED: Rhematic Fever (ashhoff bodies), Glomerulonephritis (lumpy-bumpy)
-TOXIN MEDIATED: Scarlet Fever, TSS, necrotizing fasciitis
-INFECTIOUS: PHARYNGITIS (1st), impetigo
Term
Strep. agalactiae
Definition
-NEONATAL PNEUMONIA, SEPSIS, MENINGITIS (1st) -> culture maternal genital tract at 35 wks
-non-pregnant adults: endocarditis, sepsis, SSTIs
Term
Enterococcus faecalis, E. faecium
Definition
-SBE
-UTI
-Biliary infections

all are resistant to cephs
Term
Cornyebacterium diptheriae
Definition
*RESP TYPE: pharyngitis/tonsillitis + fever
-*PSEUDOMEMBRANE FORMATION
-*myocarditis

*Cutaneous type: Chronic non-healing ulcers covered in gray membrane
Term
Listeria monocytogenes
Definition
- MENINGITIS IN NEONATAL/ELDERLY
-PREGNANCY ASSOCIATED BACERERMIA
-GRANULOMATOSIS INFANTISEPTICA- transplacental infection with abscess

-ONLY GRAM (+) WITH ENDOTOXIN LPS
Term
Bacillus anthracis
Definition
CUTANEOUS - malignant pustules

INHALATION ("WOOL SORTERS DISEASE"): spores to hilar lymph nodes -> ARDS with massive PE + MEDIASTINAL WIDENING

GI: RARE AND MOST DEADLY
Term
Bacillus cereus
Definition
FOOD POISONING: emetic -> w/i 1-6 hours seen with fried rice

DIARRHEAL w/l 10-14 hours seen with contaminated meat
Term
Clostridium botulinum
Definition
ADULT: FLACCID PARALYSIS 12-16 hours post ingestion, descending paralysis -> decreased swallowing -> respiratory failure

INFANT: 3-20 weeks of age; "floppy baby with weak cry and suck reflex"

WOUND: sports, contaminated wound (rare)
Term
Clostridium tetani
Definition
TETANUS: infection after traums -> SPASTIC PARALYSIS -> lock jaw and descending paralysis
Term
Clostridium difficile
Definition
PSEUDOMEMBRANOUS COLITIS: diarrhea with pseudomembranous plaques of WBC on clonic mucosa

SEEN WITH CLINDAMYCIN OR AMPICILLIN USE
Term
Clostridium perfringens
Definition
FOOD POISONING: w/I 7-15 hours from reheated, undercooked meat; watery diarrhea and cramps

GAS GANGRENE: w/I 1-20 days after trauma or surgery: rapid spread: CREPITATION with myonecrosis
Term
Actinobacterium israeli
Definition
HEAD AND NECK INFECTIONS AFTER DENTIST -> "LUMPY JAW"

DRAINING SINUSES are common with "sulfur granules

intrauterine device

"SNAP" -> Sulfa Nocardia, Actinomyces Penicillin
Term
Nocardia asteroides
Definition
PULMONARY INFECTIONS IN IMMUNOCOMPROMISED

ACID FAST

"SNAP" -> Sulfa Nocardia, Actinomyces Penicillin
Term
T. whipplei (actinobacetria)
Definition
WHIPPLES DISEASE: malabsorption, joint pain, weight loss, oculomasticatory myorhythmia
Term
Neisseria meningitidis
Definition
MENINGOCOCCEMIA: fever, arthralgia, and petchial rash

WATERHOUSE-FRIEDERICHSEN: bilateral necrosis of adrenals
Term
Neisseria gonorrhea
Definition
GONORRHEA - urethritis, cervicitis

SEPTIC ARTHRITIS - susceptible if lacking terminal complemnT

NEONATAL CONJUNCTIVITIS
Term
Moraxella catarrhalis
Definition
-OTITIS MEDIA
-SINUSITIS
-PNEUMONIA
Term
Enterobacteriaceae (general characteristics)
Definition
-UTI (1st) and PROSTATITIS (1st)
-NEONATAL MENINGITIS (2nd) - K1 strain
-SEPSIS (1st gram -)
Term
ETEC
Definition
TRAVELER'S DIARRHEA: copious watery diarrhea, NO fever
Term
EPEC
Definition
COPIOUS WATERY DIARRHEA with mucous and systemic signs: FEVER, vomiting
Term
EHEC
Definition
HEMORRHAGIC COLITIS: bloody diarrhea; NO PUS, NO FEVER

HUS
Term
EIEC
Definition
BLOODY DIARRHEA WITH PUS AND SYSTEMIC SIGNS, FEVER
Term
Salmonella typhi
Definition
SALMONELLOSIS:
-GASTROENTERITIS (2nd): nausea, vomiting, bloody diarrhea
-TYPHOID FEVER: temperature-pulse dissociation, ROSE SPOTS; fever, headache, diarrhea, HSM

OSTEOMYELITIS: sickle cell patients

ASYMPTOMATIC CARRIERS: chronic colonization in gallbladder -> can cause gallbladder disease
Term
Shigella (S. sonnei, S. flexneri, S. dysenteriae)
Definition
BACILLARY DYSENTERY:
-initial copious, watery diarrhea, then blood or pus
-tenesmus and fever
-*REITERS AND HUS SEQUELAE
Term
Klebsiella pneumonia
Definition
UTI (3rd), Sepsis

PNEUMONIA: currant jelly sputum

"contaminated IV fluids or pneumonia of alcoholics"
Term
Proteus mirabilus
Definition
UTI

STRUVITE KIDNEY STONES
Term
Vibrio cholera
Definition
CHOLERA: rice-water diarrhea, sever dehydration, acidosis, oliguria, altered mental status, death
Term
Vibrio parahaemolyticus
Definition
ASSOCIATED WITH CIRRHOSIS
Term
Vibrio fulnificus
Definition
DIARRHEA WITH BLISTER FORMATION

MYONECROSIS
Term
Campylocater jejuni
Definition
Infectious diarrhea (1st): bloody diarrhea with pus and "villous bluting and crypt abscess". GUILLAIN BARRE AND REACTIVE ARTHRITIS SEQUELAE.
Term
Bacteroides fragillis
Definition
Peritonitis. Pelvic abscess
Term
H. pylori
Definition
Peptic ulcers. Gastritis. Increased risk of gastric carcinoma, MALT lymphoma -> treating H.pylori will cure local MALT
Term
Y. pestis
Definition
Bubonic plague: fever, chills, lymphadenopathy (bubo) at 2-7d. Pneumonic plague: headache, fever, cough, dyspnea, hemoptysis, sepsis
Term
Y. enterocolitica
Definition
Bloody diarrhea. MIMICS APPENDICITIS
Term
Pseudomonas aeruginosa
Definition
"Be PSEUDOmonas": (B)urn wound infections. (P)neumonia in CF(#1). (S)epsis. (E)cthyma gangrenosum. (E)xternal otitis(1st). (U)TI. (D)iabetic (O)steomyelitis
Term
Burkholderia cepacia
Definition
Wound infections, pneumonia is CF
Term
M. influenzae
Definition
"haEMOPhilus". (E)piglottis. (M)eningitis (infants). (O)titis media. (P)neumonia
Term
H. parainfluenza
Definition
Same as H.flu but also causes endocarditis
Term
H. ducreyi
Definition
Chanchroid: painful vesicle. Rule out syphilis (painless), Herpes (systemic signs)
Term
Pasturella multicida
Definition
Animal bite wounds
Term
Brucella spp.
Definition
Caseating granulomas and abscess with undulating fever
Term
Francisella tularensis
Definition
Tulermia: ulceroglandular (MOC): skin oral lesion with painful lymph node. Inhailed -> pneumonic form
Term
HACEK's group
Definition
5-15% of all native bacterial endocarditis
Term
B. pertussis
Definition
Pertussi: WHOOP. 1: Catarrhal: 1-2wks cold-like symptoms (highly contagious). 2: Paroxysmal: 1-6wks the WHOOPing cough stage. 3: Convalescence stage: wks-months
Term
Legionella pneumophilia
Definition
Legionaires Disease: nonspecific signs, abnormal LFT and hyponatremia. "GI symptoms and pulmonary symptoms". Pontiac fever: acute, less severe
Term
C. psittaci
Definition
"Parrot Fever". Psittacosis: atypical pneumonia (pharyngitis and nose bleeds), DIC, erythema, CNS effects. Hepatitis
Term
C. pneumoniae
Definition
Atypical pneumonia
Term
C. trachomatis
Definition
Chlamydia or LGV. Neonatal conjunctivitis or pneumonia. Reiters syndrome (nongonnococal urethritis)
Term
M. pneumonia
Definition
Atypical pneumonia. Hemolytic anemia. Erythema multiforme. Myocarditis
Term
M. tuberculosis
Definition
Primary TB: asymptomatic (Ghon complex) -> caseous granuloma in lower lobes w/ hilar lymph node involvement. Reactivation TB: fever, night sweats, wt loss, hemoptysis -> cavitary lesion in lung apex. Miliary (diffuse seeding). -CNS meningitis or tubercle; vertebrae: POTTS dz; kidney: STERILE PYURIA; lymph nodes: swollen, matted, SCROFULA; PSOAS abscess: decreased flexion and ext. rotation of hip
Term
M. leprae
Definition
HANSEN'S DISEASE. LEPROMATOUS (LL) -> TH2 induced; antibody ineffective; most disfiguring (saddle-nose deformity, sensory loss). TUBERCULOID -> TH1 induced; macrophages wall of with localized well defined lesion (flat blanched)
Term
M. avium intracellulare (MAI or MAC)
Definition
PULMONARY-MOC -> mimics TB clinically. DISSEMINATED -> AIDS pts with CD4<50, fever, anorexia, HSM, LAP; "foamy macrophages in the lamina propria"
Term
M. kansasii
Definition
MIMIC TB OR MAI, most important photo-chromagen, ASSOCIATED WITH HAIRY CELL LEUKEMIA
Term
N. gonorrhea
Definition
Urethritis (dysuria with purulent discharge), PID (cervicitis, salpingitis), POSITIVE CHANDELIER SIGN. Complications: dissemination, Fitz-Hugh-Curtis -> "violin string attachments" of liver peritoneum
Term
C. trachomatis
Definition
Urethritis (1st NGU) -> dysuria with clear discharge; PID, Epididymitis. Complications: Fitz-Hugh-Curtis or Reiters. LGV: initial genital ulcer, bubo -> fistulas
Term
T. pallidum
Definition
Primary: (1-3 wk) non-painful chancre with firm raised border, non-tender LAP. Secondary: (4-10wk) maculopapulo rash on palms and soles; condylomata lata; alopecia. Latent: asymptomatic, detect with VDRL, early latent w/in 1 year, late latent >1 yr. Tertiary: (3-15yr) late late late; neurosyphillis, ascending aortic aneurysm w/ linear calcifications, gummas of bone, skin, liver
Term
Herpes simplex
Definition
Genital herpes: painful vesicles on genitals 2-7d incubation; LAP; achieves latency in DRG for reactivation later
Term
Human papilloma virus
Definition
Condylomata accumulata: flesh/grey papules. CIN. CERVICAL AND ANAL CANCER, SCC OF HEAD AND NECK (POST. PHARYNX), LARYNGEAL PAPILLOMA
Term
Trichomonas vaginalis
Definition
Trichomoniasis: copious vaginal discharge with strawberry cervix; dysuria with dyspareunia
Term
Gardnerella Vaginalis
Definition
Bacterial vaginosis: vaginal odor due to increased pH from loss of normal lactobacilli. Greyish thin bubbly discharge
Term
R. rickettsii
Definition
RMSF. RICKETTSEMIA: "fever, headache, rash". RASH ON PALMS AND SOLES
Term
R. akari
Definition
Ricketssialpox: " fever, headache, rash". RASH ALL OVER BODY
Term
R. prowaszekii
Definition
Epidemic typhus: "fever, headache TRUNK RASH" (sparing soles and face)
Term
R. typhi
Definition
Endemic typhus: following 2wk incubation; TRUNK RASH (spares palsm and soles)
Term
Ehrlinchia chaffeesis
Definition
RMspotlessFever, "fever, headache, NO rash"
Term
Bartonella bacilliformis
Definition
Bartonellosis "Carrion disease": Oroya fever: red blood cell deformities, verruga peruna
Term
Bartonella henselae
Definition
Cat Scratch Disease: LAP and low grade fever. Bacilliary angiomatosis: proliferation of small BVs in skin and organs of AIDS pts
Term
Bartonella quintana
Definition
Trench fever: fever, shin-pain, endocarditis
Term
Coxiella burnetti
Definition
Q FEVER. Atypical pneumonia
Term
Babesiosis microti
Definition
Babesia (malarial-like illness). Tetrad inclusion in RBCs/"maltese cross sign". Mild disease if you have a spleen
Term
Leptospira interrogans
Definition
Swamp fever -> icterohemmoragic fever -> Weils syn. Leptospirosis: fever, headache, conjunctive suffusion, jaundice and hepatitis
Term
Borrelia recurrentis
Definition
Relapsin fever: abrupt fever w/ recovery 3-6d then relapse in 7-10d; headache, cough, arthralgia, conjuctiva suffusion, photophobia
Term
Borrelia burgdorferi
Definition
Lyme disease: Stage 1: erythema chronicum migrans. Stage 2: disseminated, Bells palsy, peripheral neuropathy, myoccarditis, arthritis. Stage 3: autoimmune polyarthritis, chronic fatigue
Term
Associated with all Spirochetes spp.
Definition
Trench Mouth/Vincent's Angina-necrotizing gingivitis
Term
Flavivirus
Definition
Fever, arthralgia, myalgia, DIC. YELLOW FEVER: hepatitis, jaundice. DENGUE: "breakbone fever". WEST NILE VIRUS
Term
Arenavirus
Definition
Lassa virus: gradual hemmorhagic fever, DIC -> HIGH MORTALITY (from Lassa, Nigeria)
Term
Bunyavirus
Definition
Hantavirus: pulmonary syndrome
Term
Filovirus
Definition
Ebola: viremia w/ flu like symptoms, viral infection of brain, liver, heart; hemmorhagic fever, shock, multi-organ failure, death
Term
Fish
Definition
Scombroid poisoning: allergic type rxn with headache, nausea, vomiting, dizziness, cramps, urticarial, bronchospasm
Term
Dinoflagellates
Definition
Cinguatera poisoning: 1-6hr from consumption: cramps, nausea, vomiting, diarrhea, parathesia of lips, tongue and throat
Term
Eikenella corrodens
Definition
Human bite wounds
Term
Coronavirus
Definition
SARS: >100 temp, cough, dyspnea, pneumonia, ARD
Term
L. donovanni
Definition
Cutaneous lesihmaniasis: non-healing cutaneous ulcers. Visceral leishmaniasis "Kalaazar": ffever, wt loss, anemia, leukopenia of "soldiers in S. italy"
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