Infection

Author(s):  
Mark Harrison

This chapter describes the pathology of infection as it applies to Emergency Medicine, and in particular the Primary FRCEM examination. The chapter outlines the key details of the causes, pathological processes, and investigations of respiratory tracts infections (upper and lower including pneumonia), meningitis and encephalitis, myocarditis and endocarditis, hepatitis, gastroenteritis, urinary tract infection, STD, pelvic inflammatory disease, cellulitis, infection of bones and joints, AIDS, pyrexia of unknown origin, malaria, and fungal infection. This chapter is laid out exactly following the RCEM syllabus, to allow easy reference and consolidation of learning.

Author(s):  
Dr Mark Harrison

3.1 Upper respiratory tract, 500 3.2 Lower respiratory tract and pneumonia, 500 3.3 Meningitis and encephalitis, 501 3.4 Myocarditis and endocarditis, 503 3.5 Hepatitis, 504 3.6 Gastroenteritis, 505 3.7 Urinary tract infection (UTI), 506 3.8 STD, 507 3.9 Pelvic inflammatory disease (PID), 507 3.10 Cellulitis, ...


Author(s):  
Mahabuba Shirin ◽  
◽  
Salahuddin Al-Azad ◽  
Farzana Alam ◽  
Anil Yadav ◽  
...  

Fungal ball or fungal bezoar is the saprophytic colonization of a preformed cavity by a conglomerate of fungal mycelia without invasion of the adjacent tissue. Fungal bezoar is seen commonly in immunocompromised individuals. We present a case of urinary tract infection, complicated by unliateral fungus balls in a 25-year old female whose imaging findings (USG and CT scan), laboratory investigation and histopathological findings are consistent with renal fungal ball. Keywords: fungal ball; urinary tract infection.


Author(s):  
Riyaz Ahmed Siddiqui ◽  
Tanaji R. Shende ◽  
Y. Dhoble ◽  
Archana S. Borkar

Background: Acute febrile illness has various etiologies. Different antimicrobials are used for different causes of fever to treat and there are interpersonal variations in prescription of antimicrobials. Therefore this study aims at to analyze the trends in the antimicrobial prescription in patients of acute febrile illness due to various etiologies in the medicine department of a tertiary care hospital.Methods: It is a record based observational study that was carried out at NKP salve institute of medical sciences and RC, Nagpur. 200 case record files of patients admitted with a diagnosis of acute febrile illness in the dept. of Medicine due to various etiologies were analyzed. Antibiotics prescribed for various causes of acute febrile illness like respiratory tract infections, urinary tract infection, gastrointestinal infection, malarial infections, septicemia, meningitis, pyrexia of unknown origin etc. were noted and data was analyzed for prescription pattern of antimicrobials.Results: Out of 200 patients of febrile illness the common clinical conditions for which antibiotics were prescribed were respiratory tract infections (upper respiratory tract infection 25.5% and lower respiratory tract infection 14%), acute gastroenteritis (20%), and urinary tract infection (13.5%) followed by, pyrexia of unknown origin (8.5%), viral fever (8%), malaria (7%), hepatitis A (1.5%), meningitis (1%) and rickettsial infection (1%). The commonly prescribed antibiotics were ceftriaxone in (19.37%) and cefixime (15.93%) followed by coamoxiclav (12.5%), azithromycin (11.87%), doxycycline (10.31%), ofloxacin and ornidazole (8.43%), levofloxacin (6.25%), ofloxacin (4.68%), ciprofloxacin (1.87%), artesunate (3.75%), artemether and lumefantrine (4.37%) and valacyclovir (0.625%).Conclusions: Our study concluded that most common disease for which antibiotics prescribed were respiratory tract infection and gasterointestinal infections. Most common antibiotic used were third generation cephalosporins especially ceftriaxone and cefixime.


2000 ◽  
Vol 182 (21) ◽  
pp. 6272-6276 ◽  
Author(s):  
Doreen E. Culham ◽  
Janet M. Wood

ABSTRACT Chromosomal DNAs of enterohemorrhagic, uropathogenic, and laboratory attenuated Escherichia coli strains differ in the rpoS-mutS region. Many uropathogens lack a deletion and an insertion characteristic of enterohemorrhagic strains. At the same chromosomal position, they harbor a 2.1-kb insertion of unknown origin with a base composition suggestive of horizontal gene transfer. Unlike virulence determinants associated with urinary tract infection and/or neonatal meningitis (pap or prs,sfa, kps, and hly), the 2.1-kb insertion is shared by all group B2 strains of the E. coliReference Collection.


2021 ◽  
Vol 15 (11) ◽  
pp. 3129-3131
Author(s):  
Fartash Sarwar ◽  
Raheel Sheikh ◽  
Arooj Zahra ◽  
Kashif Iqbal ◽  
Bilal Habeeb ◽  
...  

Objective: To determine frequency of fungal infection of urinary tract in patients with liver cirrhosis Design & duration: This is a cross sectional study. This study was completed in duration of six months. Setting: Study was conducted in Margalla Hospital Gulshan Colony PMO, Taxila. Patients & Methods: Patients admitted in study hospital with liver cirrhosis having child class A, B and C were evaluated for fungal urinary tract infection, belonging to any gender, having age above 40 years. All data was documented and analyzed using SPSS software version-20 and means, frequencies, standard deviation and p-value were calculated. Results presented in the form of tables and graphs. Results: Total 400 cases were evaluated for fungal urinary tract infection having liver cirrhosis admitted in study hospital in given duration of study. Fungal cause of UTI was found in 260 cases including 29.3% male and 70.7% female cases. While other causes were found in 140 cases. According to child classification out of 260 cases with fungal UTI, 11 cases were in class B and 249 cases were in class-C while no case belonged to class-A. Most of the cases (42%) with UTI were in age interval of 40-50 years. Duration of CLD was 2-4 years in most of the cases (30%). Conclusion: Fungal cause of urinary tract infection is very common among patients with liver cirrhosis and older age as these cases have week immunity Key words: Liver cirrhosis, chronic liver disease, urinary tract infection, fungal infection, immunocompromised


2004 ◽  
Vol 171 (4S) ◽  
pp. 22-23
Author(s):  
Shingo Minagawa ◽  
Chikara Ohyama ◽  
Shingo Hatakeyama ◽  
Kazunari Sato ◽  
Shigeru Sato ◽  
...  

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