Chorioretinitis, flaccid paralysis, bunch of crows just died

supportive therapy

severe malaise, lymphadenopathy, downey cells, heterophile antibody test positive, EBV viral capsid antigen test positive

corticosteroids/supportive therapy

Infectious mononucleosis

maculopapular rash on upper trunk and arms, exudative sore throat, corynebacterium like bacteria is isolated which is gram positive and non-spore forming

erythromycin

high risk lifestyle, pinkish macules on face/neck/upper trunk, diffuse lymphadenopathy, confirm dx with ELISA followed by Western Blot

HAART

young child, maculopapular rash on trunk and neck, sore throat, Picornavirus - ssRNA, protean rash

supportive therapy, IgG for infants with severe viral infection

Adult, rash spreading outwards from armpits, now covering trunk, extremities and face, flea bite, rats in house

doxycycline

High persistant fever, 5 d later petechial rash in axillae and upper trunk

doxycycline

Camping, bite somewhere on body, monocytes show inclusion bodies

doxycycline

high fever, rash involving palms and soles, worst headache of their life, legs hurt

doxycycline

SE Asia, petechial rash develops a while after a high fever, headache, eschar mark - scrapings won't culture on blood agar

doxycycline

Panama, pressure induced petechiae, tourniquet test, joint and bone pain, rash on elbows and knees

supportive care

had an indurated chanchre on genitalia, now a widespread rash, esp on palms and soles, volar and flexor body surfaces involved, generalized lymphadenopathy

benzathine penicillin G

Secondary syphilis

heart murmer, conjunctivitis, splinter hemorrhages, red nodules on fingertips, can be caused by bacteria, fungi, or rickettsia, insufficient valve, very fatigued, tachycardia

gentamycin + vancomycin/penicillin G

wading in pond, conjunctivitis, photophobia, animal feces in water

penicillin G

leptospirosis

sore joints, rapidly spreading rash, carditis, Aschoff granules in myocardium and skin

Penicillin V for streptococcal pharyngitis

10 yr old - rash accompanied by fever, chills, headache, from heavily wooded area, ELISA - IgM and IgG from Borrelia burgdorferi...

Doxycycline and ceftriaxone

Beefy red plaques on groin, mucous membranes fiery red with creamy white loose coating, diabetic, KOH shows spores, budding yeast and pseudomembrane

clotrimazole

erythema, pitting edema of lower leg, skin warm to touch, preceded by foot blisters, blood cultures pos for bacteria (S pyogenes and S aureus), DNA-se B on serology

Vancomycin, Penicillin G

fever then rash in children 6 mo to 3 y, neuro signs and splenomegaly, fever fades quick

supportive tx for high fever

slapped face rash, low grade fever, rash worse after sun, clinical picture looks a little like Rubella

supportive tx

young child with rash on dorsal hands and feet, gloves and socks rash, lymphedema, splenomegaly

supportive tx

 non-tanning spots in summer, maculopapular scaling rash, upper trunk, neck and proximal upper limb, acids damaging melanocytes in the skin, KOH of skin scrapings shows spaghetti and meatballs look

systemic/topical antifungals, ketoconazole

young child fever, cough, coryza, Koplik Spots, descending maculopapular rash involving extremities,

vitamin A for children (+ ribavirin for adults)

high fever, toxicity, abdominal pain, vaccinated in 1963 with killed measles vaccine, a day or two later severe rash and pitting edema

ribavirin + vit A

mild fever and non-blanching rash, no involvement of palms/soles, Forcheimer spots on soft palate

supportive care

fever, toxicity, erythematous sore throat, descending blanching, diffuse rash, all showed up really abruptly, positive culture for GAS, Pastia's lines/strawberry tongue

Penicillin G

Erythematous rash that desquamates, high fever, low BP, change in BP lying to sitting > 15 mmHg, pain weakness, dry mouth

Nofcillin, Oxacillin, treat for stroke

Spirochetes observed on giemsa stain, in Arizona w rash/fever/chills/headache/myalgia and every time rash occurs at the end of it (recurring)

doxycycline

fever w/ shakes, lymphadenopathy, polyarthralgia, rash involving palsm and toes, Streptobacillus monoliformis/spirrilum minor cultured from the blood,

Augmentin (amoxicillin and clavulanate)