Infectious Disease

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    15-Nov-2014

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infectious disease

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<p>Sathaporn Kunnathum MD.</p> <p>Leptospirosis Leptospira interrogans </p> <p>1 Leptospiramic phase : - 2. Immune phase : - 1 </p> <p>Investigation CBC BUN/Cr , Elyte LFT CPK UA CXR Serology LP</p> <p>1.</p> <p> 2. - Pen G 1.6 mu iv q 6 hr - Doxycycline (100) 1x2 o pc - Ceftriaxone 2 g iv OD 7 </p> <p>Melioidosis Burkholderia pseudomallei 1.</p> <p> 2. 3. 4. SLE 5. 6. 7. </p> <p>Investigation </p> <p>CBC BUN/Cr LFT CPK UA CXR Serology LP H/C Imagine study</p> <p>1.</p> <p> 2. 2 Ceftazidime 2g iv q 8 hr +- Bactrim 2 amp iv q 8 hr Bactrim 2x3 o pc + doxycycline 1x2 o pc 20 </p> <p>Rickettsial infection Scrub typhus and Murine typhus Orientia tsutsugamushi Rickettsia typhi </p> <p>Scrub typhus eschar lesion</p> <p>Investigation CBC BUN/Cr Elyte LFT UA CXY Serology LP</p> <p>- Doxycycline(100) 1x2 o pc 7 </p> <p>AIDS HIV 1. 2. 3. 4. 5.</p> <p>Primary infection Asymtomatic HIV infection Early symptomatic HIV infection Symptomatic HIV infection AIDS</p> <p> Anti HIV</p> <p> Symptomatic HIV AIDS CD4 count &lt; 200 cells/mm3 HIV RNA &gt; 55,000</p> <p> GPO vir s30 s40 </p> <p>Lamivudine(3TC) GI symptom Stavudine(d4T) Nevirapine(NVP) </p> <p>Pulmonary Tuberculosis Mycobacterium tuberculosis 1.</p> <p> 2. </p> <p> CXY Sputum AFB</p> <p> IRZE + B1-6-12 </p> <p>INH : Rifampicin : PZA : Ethambutol : optic neuropathy</p> <p>Thank you for your attention</p>