Communicable Disease
Communicable Disease
Communicable Disease
cholera
Period of communicabililty
Diagnostic test
Tx LR , ORS
complications Dehydration saline losss acidosis shock death carrier of cholera 1.dehydration 2. shock GI bleeding bowel perforation 3. typhoid encephalopa thy 4. endocarditis 5. meningitis 6. pneumonia 7. septicemia 1. respiratory failure 1. 2. 1. 2. 3. 4. 5. 6.
2.rotavirus
rotavirus
Watery bloodless stool Rose spots As long as typhoid bacilli appear in excreta -Widals test
Fld replenishment, stand coke Pedialite (children) Chlorampenicol, typhoid vaccine, fld replenishment, bed rest, TPN
3. typhoid fever
Salmonella typhii
4.Botulism
Clostridium botulinum
18-36 hrs.
Botulism immunoglobulin, BIG-IV (Baby BIG), gastric lavage, mech vent., suction, intubation, ngt feed, fld replenish
5. trichinosis
Trichinella spiralis
6.toxocariasis visceral and ocular larva migrans) 7. creeping eruption, cutaneous larva migrans 8. angiostrongyliasis 9. gnathostomiasis
Toxocara canis
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
Incubation period
Pathopneumonic sign
Period of communicabililty
Diagnostic test
complications 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
Paragonimus westermani Wutcheria brancofti, brugia malayi, onchocera volvulus Ascaris lumbricoides (round worm) Necator americanus (hook worm) Trichuris trichura (whip worm) Enterobius vemicularis (pin worm) Mycobacterium leprae/ hansens bacillus Rickettsia 5-10 days rash 8-16 mo
Ingestion of raw crabs Mosquito bites 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
13. ascariasis
16. Enterobiasis
17.leprosy
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
18. rocky
Tissue smear -histamine test metacholine sweat testing -skin biopsy Indirect
Alternative: chlorampenicol Topical: mupirocin ointment (bactroban) Systemic antibiotics: cephalexin (keplex), erythromycin Post streptococcal glomerulonephritis, meningitis or sepsis, deep cellulites, bacteremia, osteomyelitis, septic arthritis, pneumonia, lymphadenitis
20.Leptospirosis
Leptospira interrogans
7-19 days
Skin contact