Chapter 137. Gonococcal Infections (Part 6) pptx

... cardiac examination should seek pericardial rubs, Chapter 013. Chest Discomfort (Part 6) Acute Chest Discomfort In patients with acute chest discomfort, the clinician must first assess the ... sounds. Pressure on the chest wall may reproduce symptoms in patients with musculoskeletal causes of chest pain; it is important that the clinician ask the patient if the...

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... limits the tumors that are anatomically suited for Treatment approach to patients with hepatocellular carcinoma. The initial clinical evaluation is aimed at assessing the extent of the tumor

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... endocarditis. Figure 136-4 Chapter 136. Meningococcal Infections (Part 6) Clinical Manifestations Upper Respiratory Tract Infections Although many patients who develop meningococcal meningitis ... Chap. 3 76) Common presenting symptoms of patients with meningococcal meningitis include nausea and vomiting, headache, neck stiffness, lethargy, and confusion. The sym...

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

... circulation; in the absence of antibody, however, only the slow passage of blood Chapter 128. Pneumococcal Infections (Part 2) Nonimmunologic Mechanisms Nonimmunologic mechanisms that protect against ... pneumococcal infection is greatly increased in persons with conditions that compromise IgG synthesis and/or the phagocytic function of PMNs and macrophages. Most patien...

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... resistance is Chapter 128. Pneumococcal Infections (Part 6) Pneumococcal Infections: Treatment Antibiotic Susceptibility β-Lactam antibiotics, the cornerstone of therapy for serious pneumococcal ... >90% of pneumococcal isolates in the United States are susceptible to clindamycin. Rates of doxycycline resistance are similar to those observed for macrolides. One-t...

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... persistent infections (e.g., chronic bone infections) and in respiratory secretions from patients with cystic fibrosis. These variants represent another mechanism for prolonged staphylococcal ... increased risk of S. aureus infections; these include neutropenic patients (e.g., those receiving chemotherapeutic agents), individuals with defective intracellular staphylococcal killing...

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