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Chapter 130 Streptococcal and Enterococcal Infections (Part 4) ppt

Chapter 130. Streptococcal and Enterococcal Infections (Part 4) ppt

Chapter 130. Streptococcal and Enterococcal Infections (Part 4) ppt

... Carrier State Chapter 130. Streptococcal and Enterococcal Infections (Part 4) Gas Pharyngitis: Treatment In the usual course of uncomplicated streptococcal pharyngitis, symptoms resolve ... treatment of streptococcal pharyngitis has been shown to reduce the likelihood of ARF but not that of PSGN. Bacteriologic Treatment Failure and the Asymptomatic Carrier State Chapter 130. Streptococcal ... Table 130- 3 Treatment of Group A Streptococcal Infections Infection Treatmenta Pharyngitis Benzathine penicillin G,...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 9) pptx

Chapter 130. Streptococcal and Enterococcal Infections (Part 9) pptx

... equi subsp. zooepidemicus and S. equi subsp. equi. Group C or G Streptococcal Infection: Treatment Chapter 130. Streptococcal and Enterococcal Infections (Part 9) Streptococcal Toxic Shock ... develop in its absence. Distinct streptococcal species of Lancefield group C cause infections in domesticated animals, especially horses and cattle; some human infections are acquired through ... Patients with joint infections often require repeated aspiration or open drainage and debridement for cure; the response to treatment may be slow, particularly in debilitated patients and those with...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 10) ppt

Chapter 130. Streptococcal and Enterococcal Infections (Part 10) ppt

... and parturition. Peripartum fever, the most common manifestation, is Chapter 130. Streptococcal and Enterococcal Infections (Part 10) Infection in Neonates Two general types of GBS infection ... conjugate vaccine would be safe and highly immunogenic. Infection in Adults The majority of GBS infections in otherwise healthy adults are related to pregnancy and parturition. Peripartum fever, ... distress, sometimes accompanied by symptoms and signs of endometritis or chorioamnionitis (abdominal distention and uterine or adnexal tenderness). Blood and vaginal swab cultures are often positive....
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Chapter 130. Streptococcal and Enterococcal Infections (Part 11) ppt

Chapter 130. Streptococcal and Enterococcal Infections (Part 11) ppt

... patients. Enterococci are resistant to all cephalosporins. Chapter 130. Streptococcal and Enterococcal Infections (Part 11) Group B Streptococcal Infection in Adults: Treatment GBS is less ... streptococci and nonenterococcal group D streptococci. Enterococci are distinguished from nonenterococcal group D streptococci by their ability to grow in the presence of 6.5% sodium chloride and by ... susceptibility testing should be performed routinely on enterococcal isolates from serious infections, with therapy adjusted according to the results (Table 130- 5). Most enterococci are resistant to streptomycin,...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 1) doc

Chapter 130. Streptococcal and Enterococcal Infections (Part 1) doc

... Chapter 130. Streptococcal and Enterococcal Infections (Part 1) Harrison's Internal Medicine > Chapter 130. Streptococcal and Enterococcal Infections Streptococcal and Enterococcal ... responsible for streptococcal pharyngitis, one of the most common bacterial infections of school-age children, and for the postinfectious syndromes of acute rheumatic fever (ARF) and poststreptococcal ... further identified by biochemical testing and include S. pneumoniae (Chap. 128), an important cause of pneumonia, meningitis, and other infections, and several species referred to collectively...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 2) doc

Chapter 130. Streptococcal and Enterococcal Infections (Part 2) doc

... GAS have been linked to unusually severe invasive infections, including necrotizing Chapter 130. Streptococcal and Enterococcal Infections (Part 2) Group A Streptococci Lancefield's ... Figure 130- 1 Prevalence of rheumatic heart disease in children 5–14 years old. The circles within Australia and New Zealand represent indigenous populations (and also Pacific Islanders ... important in local and systemic toxicity and in the spread of infection through tissues. These products include streptolysins S and O, toxins that damage cell membranes and account for the...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 3) docx

Chapter 130. Streptococcal and Enterococcal Infections (Part 3) docx

... differential diagnosis of streptococcal pharyngitis includes the many other bacterial and viral etiologies (Table 130- 2). Streptococcal infection is an unlikely cause when symptoms and signs suggestive ... high fever and severe sore throat associated with intense erythema and swelling of the pharyngeal mucosa and the presence of purulent exudate over the posterior pharyngeal wall and tonsillar ... days. Symptoms include sore throat, fever and chills, malaise, and sometimes abdominal complaints and vomiting, particularly in children. Both symptoms and signs are quite variable, ranging from...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 6) pps

Chapter 130. Streptococcal and Enterococcal Infections (Part 6) pps

... plateau sharply demarcated from surrounding normal skin (Fig. 130- 4). The lesion is warm to the touch, may be tender, and appears shiny and swollen. The skin often has a peau d'orange texture, ... grouped vesicles and by a positive Tzanck test. In difficult cases, cultures of vesicular fluid should yield GAS in impetigo and the responsible virus in Herpesvirus infections. Streptococcal ... distinguished from typical streptococcal infection by more extensive, bullous lesions that break down and leave thin paper-like crusts instead of the thick amber crusts of streptococcal impetigo....
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Chapter 130. Streptococcal and Enterococcal Infections (Part 7) doc

Chapter 130. Streptococcal and Enterococcal Infections (Part 7) doc

... is usually subacute, but a fulminant form has been described in Chapter 130. Streptococcal and Enterococcal Infections (Part 7) presumably serve as a portal of entry for streptococci, which ... site. Streptococcal Cellulitis: Treatment See Table 130- 3 and Chap. 119. Deep Soft-Tissue Infections Necrotizing fasciitis (hemolytic streptococcal gangrene) involves the superficial and/ or ... wound infections are usually associated with a thin exudate and may spread rapidly, either as cellulitis in the skin and subcutaneous tissue or as a deeper tissue infection (see below). Streptococcal...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 8) ppsx

Chapter 130. Streptococcal and Enterococcal Infections (Part 8) ppsx

... pneumonia, and relatively frequently with necrotizing fasciitis. Bacteremia without an identified source raises the possibility of endocarditis, an Chapter 130. Streptococcal and Enterococcal Infections ... fulfilling criteria IA, IIA, and IIB is defined as a definite case. adequate debridement of involved tissues and high-dose penicillin (Table 130- 3). Pneumonia and Empyema GAS is an occasional ... exotoxin A and several other streptococcal exotoxins act as superantigens to trigger release of inflammatory cytokines from T lymphocytes. Fever, shock, and organ dysfunction in streptococcal...
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