Disease
Causative agent
1.cholera
Vibrio cholerae
Incubation period 12-46 hrs
Pathopneumonic sign Rice watery stool
2.rotavirus
rotavirus
Approx. 2 days
Watery bloodless stool
3. typh typhoi oid d fev fever er
Salm Salmon onel ella la typhii
1-3 weeks
Rose spots
4.Botulism
Clostridium botulinum
18-3 18-36 6 hrs. hrs.
Doub Double le visi vision on,, blurred vision, drooping eyelids
5. trichinosis
Tric hi hinella spiralis
6.toxocariasis visceral and ocular larva migrans) 7. creeping eruption, cutaneous larva migrans 8. angiostrongyliasis
Toxocara canis
9. gnathostomiasis
Ancyclostoma brazilien
Angiostrongylus cantonenis (rat lung worm) Gnathostoma spinigerum
Mode of transmission Oral-fecal Ingestion of fecally contaminated water
Period of communicabililty
Diagnostic test
Tx
LR , ORS
Fld replenishment, stand coke Pedialite (children) As long as typhoid bacilli appear in excreta
Contaminated food and water
Ingestion of worm living in pork and other meats (dog, horse, bear, walrus) Eggs found in dog feces Kids eating dirt Eggs in cat/dog feces drop in soil and enter a cut Rat dropping Raw fish/poultry
-Widal’s test
Chlorampenicol, typhoid vaccine, fld replenishment, bed rest, TPN
-Brain scan -Spinal fld exam -EMG -tensilon test
Botulism immunoglobulin, BIG-IV (Baby BIG), gastric lavage, mech vent., suction, intubation, ngt feed, fld replenish
complications 1. 2. 3. 4. 5. 6.
Dehy Dehydr drat atio ion n sali saline ne losss sss a ci cidosis shock death c ar arrier of cholera 1.dehydration 2. shock
1. 2.
GI bleed leedin ing g bowel perforation 3. typhoid encephalopa thy 4. endo endoca card rdit itis is 5. men meningi ingittis 6. pneumonia 7. sept septic icem emia ia 1. respiratory failure
Disease
Causative agent
10. schistosomiasis
Schistosoma manzoni, Japonicum, haemotobium
11. paragonimiasis (lung fluke) 12 Fi Filariasis
Paragonimus westermani Wutcheria brancofti, brugia malayi, onchocera volvulus
13. ascariasis
Ascaris lumbricoides (round worm)
14. necator americanus
Necator americanus (hook worm)
15. 15. tric trichu huri rias asis is
Trich richur uris is trichura (whip worm)
16. 16. Enter Enterob obia iasi siss
Ente Entero robi bius us vemicularis (pin worm)
17.leprosy
Mycobacterium leprae/ hansen’s bacillus
18
Ri k
k
i
Incubation period
Pathopneumonic sign
Mode of transmission Direct skin contact
Period of communicabililty
Diagnostic test
Tx
complications
-Praziquantel (all) -omanique (manzoni,japonucim) -metrifonate (haemotobium)
Kidney-bladder obstruction, chronic renal failure, bladder cancer, chronic liver damage w/ enlarge spleen, colon inflammation w/ bloody diarrhea, pulmo HPN, R side heart failure, seizure, recurrent bld infections
Diethylcarbamazine (DEC)/ herzatan, Surgical: lymphovenous anastomosis, ligation or stripping of lymphatics
Recurring infections, fever, sever inflammation of the lymph system, tropical pulmo. Eosinophilia (TPE), elephantiasis
Ingestion of raw crabs 8-16 mo
Mosquito bites
Comntaminated soil from fertilizers. Grows in the intestine Feces in soil and larvae enter a skin cut, invade lungs In soil accidentally ingester, grow:SI/LI Adult worm live in the intestine and come down to the anus Prolonged skinto-skin contact
5 10 d
h
Tissue smear -histamine test metacholine sweat testing -skin biopsy I di
Dapsone, clopamizine, rifampicin
D
li
mountain spotted Fever
19. impetigo contagiosa
20.Lep 20.Leptos tospir pirosi osiss
ricketsii (dermacentor variabilis, andersoni) s. aureus
Leptos Leptospir piraa interrogans
7-19 days
immunofluorescent assay (IFA)
Alternative: chlorampenicol
Direct contact
Gram stain, cultures
Topical: mupirocin ointment (bactroban) Systemic antibiotics: cephalexin (keplex), erythromycin
Skin contact
Dark field exam or csf, culture, micr
Post streptococcal glomerulonephritis, meningitis or sepsis, deep cellulites, bacteremia, osteomyelitis, septic arthritis, pneumonia, lymphadenitis
