Chapter 131. Diphtheria and Other Infections Caused by Corynebacteria and Related Species (Part 1) Harrison's Internal Medicine > Chapter 131. Diphtheria and Other Infections Caused by Corynebacteria and Rela[r]
Chapter 131. Diphtheria and Other Infections Caused by Corynebacteria and Related Species (Part 5) Management Patients in whom diphtheria is suspected should be hospitalized in respiratory isolation rooms, with close monitoring of cardiac and[r]
Principles and Practice of Infectious Diseases, 6th ed, GL Mandell et al (eds). Philadelphia, Elsevier Churchill Livingstone, 2005, pp 2465–2478 Pichichero ME et al: Combined tetanus, diphtheria, and 5-component pertussis vaccine for use in adolescents and adults. JAMA 29[r]
established. Nevertheless, treatment with antitoxin and antibiotics should be initiated when respiratory C. ulcerans is identified, and a contact investigation (including throat cultures to determine the need for antimicrobial prophylaxis and vaccination with the appropriate [r]
Chapter 131. Diphtheria and Other Infections Caused by Corynebacteria and Related Species (Part 4) Diagnosis The diagnosis of diphtheria is based on clinical signs and symptoms plus laboratory confirmation. Respiratory diphtheria should[r]
Chapter 131. Diphtheria and Other Infections Caused by Corynebacteria and Related Species (Part 3) Clinical Manifestations Respiratory Diphtheria The clinical diagnosis of diphtheria is based on the constellation of sore throat; adherent tonsi[r]
lesions after gadolinium contrast and hyperintense lesions on diffusion-weighted imaging. MRI is superior to CT for the diagnosis of these infections. Other Focal Infections Focal infections of visceral organs; the eye; the pleural, peritoneal and pericardia[r]
Chapter 053. Eczema and Dermatitis (Part 11) Dermatophytosis: Treatment Both topical and systemic therapies may be used to treat dermatophyte infections. Treatment depends on the site involved and the type of infection. Topical therapy is generally effective for uncompli[r]
Gram negative enteric bacilli are a leading cause for sepsis in children and adults. The infections caused by Enterobacteriaceae are community and hospital-acquired. These bacteria have the potential to spread in the hospital environment and also across continents. Current study was designed to char[r]
Chapter 128. Pneumococcal Infections (Part 3) Specific Infections Caused by S. Pneumoniae S. pneumoniae causes infections of the middle ear, sinuses, trachea, bronchi, and lungs (Table 128-2) by direct spread from the nasopharyngeal site of colonization. Infect[r]
fulminant infections. C. canimorsus causes a wide range of infections, including severe sepsis with shock and disseminated intravascular coagulation, meningitis, endocarditis, cellulitis, and septic arthritis. Capnocytophaga Infections: Treatment Because of increa[r]
IV/IM qd for 3 d Exposure to antibiotics within 30 d or recent treatment failurea,c Ceftriaxone, 50 mg/kg IV/IM qd for 3 d, or Clindamycin, 30–40 mg/kg qd PO in divided doses (tid), or Consider tympanocentesis with culture aDuration (unless otherwise specified): 10 d for patients <6 years[r]
Skin and Soft Tissue Infections Various categories of traumatic wound infections due to clostridia have been described: simple contamination, anaerobic cellulitis, fasciitis with or without systemic manifestations, and anaerobic myonecrosis. Simple Contamination Clostridi[r]
The use of a polyvalent gas gangrene antitoxin is still recommended by some authorities. At present, no such antitoxin is produced in the United States, and most centers have discontinued its use in the management of patients with suspected gas gangrene or clostridial postabortion sepsis beca[r]
segment is evident. If the infection involves the myometrium or has spread to the adnexa, extreme tenderness, guarding, and an adnexal mass may be found. Laboratory studies in patients with sepsis reveal an elevated white blood cell count and may show pink, hemoglobin-tinged plasma. An[r]
Chapter 031. Pharyngitis, Sinusitis, Otitis, and Other Upper Respiratory Tract Infections (Part 8) Serous Otitis Media In serous otitis media (otitis media with effusion), fluid is present in the middle ear for an extended period and in the absence of signs and sy[r]
bacilli. Therapy should then be tailored to the results of culture and susceptibility testing of sinus aspirates. Chronic Sinusitis Chronic sinusitis is characterized by symptoms of sinus inflammation lasting >12 weeks. This illness is most commonly associated with either bacteria or[r]
Clostridia are isolated from approximately two-thirds of patients with intraabdominal infections resulting from intestinal perforation. C. ramosum, C. perfringens, and C. bifermentans are the most commonly isolated species. The presence of clostridial species does not affect the clinic[r]
multiply rapidly because blood as a medium for growth is relatively deficient in certain amino acids and growth factors. Therefore, in a patient without tissue necrosis, bacteremia is usually benign. C. perfringens possesses at least 17 possible virulence factors, including 12 active tissue t[r]