Communicable Disease

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

Disease 1.

cholera

Causative agent Vibrio cholerae

Incubation period 12-46 hrs

Pathopneumonic sign Rice watery stool

Mode of transmission Oral-fecal Ingestion of fecally contaminated water

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

Approx. 2 days 1-3 weeks

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.

Double vision, blurred vision, drooping eyelids

Contaminated food and water

-Brain scan -Spinal fld exam -EMG -tensilon test

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

Ancyclostoma brazilien Angiostrongylus cantonenis (rat lung worm) Gnathostoma spinigerum

Disease 10. schistosomiasis

Causative agent Schistosoma manzoni, Japonicum, haemotobium

Incubation period

Pathopneumonic sign

Mode of transmission Direct skin contact

Period of communicabililty

Diagnostic test

Tx -Praziquantel (all) -omanique (manzoni,japonucim) -metrifonate (haemotobium)

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

11. paragonimiasis (lung fluke) 12 Filariasis

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

14. necator americanus 15. trichuriasis

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

Dapsone, clopamizine, rifampicin Doxycycline

mountain spotted Fever 19. impetigo contagiosa

ricketsii (dermacentor variabilis, andersoni) s. aureus

immunofluorescent assay (IFA) Direct contact Gram stain, cultures

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

Dark field exam or csf, culture, micr

You might also like