Infectious Disease

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infectious disease

Text of Infectious Disease

Sathaporn Kunnathum MD.

Leptospirosis Leptospira interrogans

1 Leptospiramic phase : - 2. Immune phase : - 1

Investigation CBC BUN/Cr , Elyte LFT CPK UA CXR Serology LP

1.

2. - Pen G 1.6 mu iv q 6 hr - Doxycycline (100) 1x2 o pc - Ceftriaxone 2 g iv OD 7

Melioidosis Burkholderia pseudomallei 1.

2. 3. 4. SLE 5. 6. 7.

Investigation

CBC BUN/Cr LFT CPK UA CXR Serology LP H/C Imagine study

1.

2. 2 Ceftazidime 2g iv q 8 hr +- Bactrim 2 amp iv q 8 hr Bactrim 2x3 o pc + doxycycline 1x2 o pc 20

Rickettsial infection Scrub typhus and Murine typhus Orientia tsutsugamushi Rickettsia typhi

Scrub typhus eschar lesion

Investigation CBC BUN/Cr Elyte LFT UA CXY Serology LP

- Doxycycline(100) 1x2 o pc 7

AIDS HIV 1. 2. 3. 4. 5.

Primary infection Asymtomatic HIV infection Early symptomatic HIV infection Symptomatic HIV infection AIDS

Anti HIV

Symptomatic HIV AIDS CD4 count < 200 cells/mm3 HIV RNA > 55,000

GPO vir s30 s40

Lamivudine(3TC) GI symptom Stavudine(d4T) Nevirapine(NVP)

Pulmonary Tuberculosis Mycobacterium tuberculosis 1.

2.

CXY Sputum AFB

IRZE + B1-6-12

INH : Rifampicin : PZA : Ethambutol : optic neuropathy

Thank you for your attention