Chapter 130 Streptococcal and Enterococcal Infections (Part 2) doc
Chapter 130. Streptococcal and Enterococcal Infections (Part 2) doc
... have been linked to unusually severe invasive infections, including necrotizing Chapter 130. Streptococcal and Enterococcal Infections (Part 2) Group A Streptococci Lancefield's group ... Figure 130- 1 Prevalence of rheumatic heart disease in children 5–14 years old. The circles within Australia and New Zealand represent indigenous populations (and also Pacific Islanders ... important in local and systemic toxicity and in the spread of infection through tissues. These products include streptolysins S and O, toxins that damage cell membranes and account for the...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 1) doc
... Chapter 130. Streptococcal and Enterococcal Infections (Part 1) Harrison's Internal Medicine > Chapter 130. Streptococcal and Enterococcal Infections Streptococcal and Enterococcal ... responsible for streptococcal pharyngitis, one of the most common bacterial infections of school-age children, and for the postinfectious syndromes of acute rheumatic fever (ARF) and poststreptococcal ... further identified by biochemical testing and include S. pneumoniae (Chap. 128), an important cause of pneumonia, meningitis, and other infections, and several species referred to collectively...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 3) docx
... differential diagnosis of streptococcal pharyngitis includes the many other bacterial and viral etiologies (Table 130- 2). Streptococcal infection is an unlikely cause when symptoms and signs suggestive ... high fever and severe sore throat associated with intense erythema and swelling of the pharyngeal mucosa and the presence of purulent exudate over the posterior pharyngeal wall and tonsillar ... days. Symptoms include sore throat, fever and chills, malaise, and sometimes abdominal complaints and vomiting, particularly in children. Both symptoms and signs are quite variable, ranging from...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 7) doc
... is usually subacute, but a fulminant form has been described in Chapter 130. Streptococcal and Enterococcal Infections (Part 7) presumably serve as a portal of entry for streptococci, which ... site. Streptococcal Cellulitis: Treatment See Table 130- 3 and Chap. 119. Deep Soft-Tissue Infections Necrotizing fasciitis (hemolytic streptococcal gangrene) involves the superficial and/ or ... wound infections are usually associated with a thin exudate and may spread rapidly, either as cellulitis in the skin and subcutaneous tissue or as a deeper tissue infection (see below). Streptococcal...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 12) docx
... Chapter 130. Streptococcal and Enterococcal Infections (Part 12) Enterococci may be resistant to penicillins via two distinct ... β-, or nonhemolytic) and the disease syndromes they cause. This group commonly produces suppurative infections, particularly abscesses of brain and abdominal viscera, and infections related to ... respect to habitat in the human host and associated infections. The transient viridans streptococcal bacteremia induced by eating, tooth-brushing, flossing, and other sources of minor trauma,...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 4) ppt
... treatment of streptococcal pharyngitis has been shown to reduce the likelihood of ARF but not that of PSGN. Bacteriologic Treatment Failure and the Asymptomatic Carrier State Chapter 130. Streptococcal ... Carrier State Chapter 130. Streptococcal and Enterococcal Infections (Part 4) Gas Pharyngitis: Treatment In the usual course of uncomplicated streptococcal pharyngitis, symptoms resolve ... with high fever and a toxic appearance. Nonsuppurative complications include ARF (Chap. 315) and PSGN (Chap. 277), both of which are thought to result from immune responses to streptococcal infection....
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Chapter 130. Streptococcal and Enterococcal Infections (Part 6) pps
... grouped vesicles and by a positive Tzanck test. In difficult cases, cultures of vesicular fluid should yield GAS in impetigo and the responsible virus in Herpesvirus infections. Streptococcal ... hours and is associated with fever and chills. Erysipelas tends to occur on the malar area of the face (often with extension over the bridge of the nose to the contralateral malar region) and ... distinguished from typical streptococcal infection by more extensive, bullous lesions that break down and leave thin paper-like crusts instead of the thick amber crusts of streptococcal impetigo....
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Chapter 130. Streptococcal and Enterococcal Infections (Part 8) ppsx
... pneumonia, and relatively frequently with necrotizing fasciitis. Bacteremia without an identified source raises the possibility of endocarditis, an Chapter 130. Streptococcal and Enterococcal Infections ... fulfilling criteria IA, IIA, and IIB is defined as a definite case. adequate debridement of involved tissues and high-dose penicillin (Table 130- 3). Pneumonia and Empyema GAS is an occasional ... exotoxin A and several other streptococcal exotoxins act as superantigens to trigger release of inflammatory cytokines from T lymphocytes. Fever, shock, and organ dysfunction in streptococcal...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 9) pptx
... equi subsp. zooepidemicus and S. equi subsp. equi. Group C or G Streptococcal Infection: Treatment Chapter 130. Streptococcal and Enterococcal Infections (Part 9) Streptococcal Toxic Shock ... complicate endocarditis or develop in its absence. Distinct streptococcal species of Lancefield group C cause infections in domesticated animals, especially horses and cattle; some human infections ... recognized as a major cause of sepsis and meningitis in human neonates. GBS is also a frequent cause of peripartum fever in Streptococci of Groups C and G Group C and group G streptococci are β-hemolytic...
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Chapter 130. Streptococcal and Enterococcal Infections (Part 10) ppt
... and parturition. Peripartum fever, the most common manifestation, is Chapter 130. Streptococcal and Enterococcal Infections (Part 10) Infection in Neonates Two general types of GBS infection ... infections that develop with some frequency in adults are cellulitis and soft tissue infection (including infected diabetic skin ulcers), urinary tract infection, pneumonia, endocarditis, and ... distress, sometimes accompanied by symptoms and signs of endometritis or chorioamnionitis (abdominal distention and uterine or adnexal tenderness). Blood and vaginal swab cultures are often positive....
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