Components of a good "ID History"
- Exposures: Workplace, environmental (Spelunking), Livestock/pets
- Travel History
- Sick Contacts
Posted 10/12/16 12:21:47 PM by Ying Liu
- 2 Forms:
- Pontiac Fevers --> More self-limited, flu-like illness
- Legionnaire's --> more severe pneumonia with 30% mortality in untreated patients (as high as 80% mortality in immunosuppressed population)
- Considered an "Atypical PNA" but radiographically can be associated with lobar appearance, effusion and multi-focal PNA
- Typically more severe/sick than other atypical PNA's
- Classically associated with diarrhea, hyponatremia, transaminitis, and neurological manifestations
- Typically seen in the summertime and often associated with air conditioners as bacteria grows in water
Posted 10/12/16 12:26:23 PM by Ying Liu
- Urine Antigen
- Extremely specific
- Only tests for serotype 1
- Sputum Culture
- Sensitivity depends on specimen quality
- Necessary for public health/epi monitoring
Posted 10/12/16 12:27:24 PM by Ying Liu
- Macrolides: Azithromycin and Clarithromycin
- Tetracyclines: Doxycycline
- Usually prefer IV treatment given diarrhea in many cases, then can switch to PO
- Treat for 10-14 days
Posted 10/12/16 12:29:28 PM by Ying Liu
Created by Christopher Kelly
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