characteristics of the bacteriaGBS colonization by vaginal-rectal culture at 35-37 weeks gestation is recommended to identify colonized woman who require ★intrapartum penicillin/ampicillin to prevent neonatal GBS sepsis, pneumonia and meningitis
women with heavy colnization (eg. asymptomatic bacteriuria) needs ampicillin (★)regardless of screening status or rectovaginal culture results
amantadine
oseltamiviramantadine→ impairs uncoating or disassembly of influenza A virion after host cell endocytosis
no longer used due to resistance!!
comfirmed diagnosis of HIVseries of tests starting with ☆HIV1/2 antigen/antibody immunoassay followed by further testing to differentiate HIV-1 and HIV-2 microbiology HirotoShishido
The diagnosis can be confirmed with serologic testing for B henselae. Although generally self-limited, empiric antibiotic therapy with ☆azithromycin may prevent dissemination of infection to the liver, spleen, or nervous system.
HIV acute infection
symptoms①flu like syndrome(lasts more than a week)
②mononucleosis like syndrome
③aseptic meningitis microbiology HirotoShishido
infection caused by the single strand DNA virus(Parvovirus)
fifth disease(erythema infectiosum)
☆prodromal phase that includes non specific findings such as a low-grade fever, headache, and gastrointestinal symptoms
(similar to roseola infantum but this present in children age<2)
→ these are follwed by
erythematous rash that looks like both cheeks have just been slapped
and then, a pruritic maculopapular rash spread over trunk and extremities microbiologypediatricsUWorld HirotoShishido