Chapter 137. Gonococcal Infections (Part 2) ppsx

... significant weight loss (Chap. 71). Causes of Weight Loss The list of possible causes of weight loss is extensive (Table 41-1). In the elderly, the most common causes of weight loss are depression, ... present with weight loss and weakness, with few other manifestations of thyrotoxicosis. New-onset diabetes mellitus is often accompanied by weight loss, reflecting g...

Ngày tải lên: 06/07/2014, 15:21

... Chapter 076. Eating Disorders (Part 2) Table 76- 1 Common Characteristics of Anorexia Nervosa and Bulimia Nervosa ... in women Weight Markedly decreased Usually normal Menstruation Absent Usually normal Binge eating 25–50% Required for diagnosis Mortality 5% per decade Low Physical and Laboratory Findings a ... Low-normal thyroxine Normal TSH Increased cortiso...

Ngày tải lên: 07/07/2014, 01:20

... Chapter 136. Meningococcal Infections (Part 2) In the United States, the attack rate for sporadic meningococcal disease is ~1 case per 100,000 ... pathogenesis. Figure 136-1 Meningococcal disease pathogenesis, susceptibility, and severity. After human-to-human transmission, environmental factors (smoking, co- infections) , polymorphisms ... adults (<1 case...

Ngày tải lên: 08/07/2014, 02:20

... immunity (decreased transmission and colonization). Chapter 136. Meningococcal Infections (Part 7) Complications Patients with meningococcal meningitis may develop cranial nerve palsies, ... clinical clues help the physician distinguish the patient with early meningococcal disease from patients with other acute systemic infections. The most useful clinical finding is...

Ngày tải lên: 08/07/2014, 02:20

... Chapter 137. Gonococcal Infections (Part 1) Harrison's Internal Medicine > Chapter 137. Gonococcal Infections Definition Gonorrhea is a sexually ... variants. In a fallopian tube explant model, pili mediate gonococcal attachment to nonciliated columnar epithelial cells. This event initiates gonococcal phagocytosis and transport through these ... and...

Ngày tải lên: 08/07/2014, 02:20

... as well as CD8+ T lymphocytes is seen in individuals Chapter 137. Gonococcal Infections (Part 2) Opacity-Associated Protein Another gonococcal surface protein that is important in adherence ... against neisserial infections is best illustrated by the predisposition of persons deficient in terminal complement components (C5 through C9) to recurrent bacteremic gonococcal...

Ngày tải lên: 08/07/2014, 02:20

... and seminal vesiculitis. Balanitis may develop in uncircumcised men. Chapter 137. Gonococcal Infections (Part 3) Gonococcal Resistance to Antimicrobial Agents It is no surprise that N. ... and diplococci (Fig. 137-1). The clinical manifestations of gonococcal urethritis are usually more severe and overt than those of nongonococcal urethritis, including urethritis cau...

Ngày tải lên: 08/07/2014, 02:20

... Chapter 137. Gonococcal Infections (Part 4) Gonococcal Infections in Females Gonococcal Cervicitis Mucopurulent cervicitis is the most ... cities since the 1990s. Gonococcal isolates from the rectum of MSM tend to be more resistant to antimicrobial agents than are gonococcal isolates from other sites. Gonococcal isolates with ... plated directly onto gonococca...

Ngày tải lên: 08/07/2014, 02:20

... tetracycline) prevents ophthalmia neonatorum but is not effective for its treatment, Chapter 137. Gonococcal Infections (Part 5) Ocular Gonorrhea in Adults Ocular gonorrhea in an adult usually results ... possibility of sexual abuse. Gonococcal vulvovaginitis is the most common manifestation of gonococcal infection in children beyond infancy. Anorectal and pharyngeal...

Ngày tải lên: 08/07/2014, 02:20

... joints are occasionally involved. Most patients who develop gonococcal septic arthritis do so Chapter 137. Gonococcal Infections (Part 6) The clinical manifestations of DGI have sometimes ... et al: Disseminated gonococcal infection. Ann Intern Med 74:979, 1971.) Figure 137-3 Distributions of joints with arthritis in 102 patients with disseminated gono...

Ngày tải lên: 08/07/2014, 02:20

... cervical swab samples are assessed by culture and other non- NAATs. Chapter 137. Gonococcal Infections (Part 7) Gonococcal Infections in HIV-Infected Persons The association between gonorrhea ... (PCR) more commonly in ejaculates from HIV-positive men with gonococcal urethritis than in those from HIV-positive men with nongonococcal urethritis. PCR positivity diminis...

Ngày tải lên: 08/07/2014, 02:20

... infection is not ruled out: Azithromycin (1 g PO, single dose) or Chapter 137. Gonococcal Infections (Part 8) Gonococcal Infections: Treatment Treatment failure can lead to continued transmission ... single-dose regimens have been developed for uncomplicated gonococcal infections. The updated 2006 treatment guidelines for gonococcal infections from the Centers...

Ngày tải lên: 08/07/2014, 02:20

... simulates in vivo effects. J Infect Dis 179:124, 1999 [PMID: 9841831] Chapter 137. Gonococcal Infections (Part 9) Single-dose regimens of the third-generation cephalosporins ceftriaxone ... recurrent or persistent gonorrhea or chlamydial infections. N Engl J Med 352:676, 2005 [PMID: 15716561] Hook EW III, Holmes KK: Gonococcal infections. Ann Intern Med 102:229, 19...

Ngày tải lên: 08/07/2014, 02:20

... Chapter 138. Moraxella Infections (Part 2) Other Syndromes Local extension causing empyema is very uncommon, and—as ... coagulation, has been described in a few cases. Diagnosis Table 138-1 Therapy for Infection Caused by Moraxella Catarrhalis Drug(s) Dose and Duration Oral Therapy for Lower Respiratory Infection a

Ngày tải lên: 08/07/2014, 02:20

... of bacteremia due to Moraxella catarrhalis . Clin Infect Dis 21:390, 1995 [PMID: 8562749] Chapter 138. Moraxella Infections (Part 3) Other Moraxella Species Other Moraxella species are ... Moraxella lincolnii . Note: CSF, cerebrospinal fluid. Source: Adapted from a summary of CDC experience (Graham et al). Further Readings Graham DR et al: Infections caused b...

Ngày tải lên: 08/07/2014, 02:20