Scrub Typhus Cause, Symptoms, Signs, Investigations, Treatment Infective organism: Orientia Tsutsugamushi is parasite of rodents & transmitted by bite of Chiggers (larval trombiculid mites). humans infected when encounter infested vegetation (grass and brush), where mites live. Bite will be unidentified and painless. Vertical transmission present & blood transfusions may transmit pathogen. Incubation period: 1 to […]
Approach to Fever Evaluation/ short Febrile Illness Sepsis: In infants and children sick looking, poor activity, toxic. Ask about feeding and urine output. Myocarditis: Tachycardia out of proportion (>10 beats/ degree F Or >18 beats/degree C. Pneumonia: Tachypnea out of proportion (RR>30/’) Meningitis: Altered sensorium Impeding shock: Always check BP sick patients Common foci of
Septicemia Cellulitis Treatment Organisms 1. staphylococcus aureus; 2. streptococcus pyogenes Septicemia Cellulitis Treatment Ampicillin with Cloxacillin Igm V Q6H+ Gentamicin 3-5 mg/kg as single dose daily or Amoxyelav 1.2gm IV Q8H+ Gentamicin/ Tobramycin 3-5 mg/kg/day IV Amikacin 15mg/ kg day IV OD + or Ciprofloxacin 200mg IV Q12H or Cefazoline Igm IV Q12H For serious
Septicemia Abdominal Infections Treatment Organisms responsible 1.Enterobacteriaceae 2.Streptococcus faecalis 3.E.coli 4.Klebsiella 5.Anaerobes like Bacteroids, gram-negative aerobic and facultative organisms. Investigations CBC Blood culture USG Septicemia Abdominal Infections Treatment 1. Cefaperazone with Sulbactum 1-2 Cefpirome 1-2gm IV Q12H or Ceftazidime 1-2gms IV Q8H IV Q12H or Ceftazidime 1-2 gm IV Q 8H+ Metronidazole 500mg Q8H Or
patient was drowsy, fever, myalgia, eschar scratched. Temperature 104 F, IgM scrub +, Scrub Typhus Treatment with Doxycyclin, and supportive care.
fever, feeling cold shivering. Plasmodium Falciparum protozoa test was positive. malaria treatment I/V ARTESUNATE, C. DOXYCYCLIN, PRIMAQUINE.
