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Haemophilus, Bordetella, & Branhamella Species

HAEMOPHILUS INFLUENZAE & OTHER HAEMOPHILUS SPECIES Essentials of Diagnosis • Haemophilus influenzae is generally acquired via the aerosol route or by direct contact with respiratory secretions. • The most common associated syndromes include otitis media, sinusitis, conjunctivitis, bronchitis, pneumonia, and, to a lesser extent, meningitis, epiglottitis, arthritis, and cellulitis. • Gram stain shows pleomorphic gram-negative coccobacilli. • In cases of meningitis, epiglottitis, arthritis, and cellulitis, organisms are typically recovered from blood, and type-b polysaccharide capsular material may be detected in the urine. • Organisms and type-b polysaccharide capsule may also be present in other appropriate sterile body fluids, such as cerebrospinal fluid (CSF) in meningitis and joint fluid in arthritis. General …

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Haemophilus Influenzae: Clinical Syndromes

H influenzae was first isolated during the 1892 influenza pandemic and was originally believed to be the causative agent of influenza. Although subsequent studies revealed the fallacy of this idea, H influenzae has proved to be a common cause of localized respiratory tract and systemic disease, including meningitis, epiglottitis, pneumonia, pyogenic arthritis, cellulitis, otitis media, and sinusitis, among others (Box 1). 1. MENINGITIS Meningitis is the most common and serious form of invasive H influenzae type-b disease. In the mid-1980s, before the introduction of effective vaccines, ~ 10,000-12,000 cases of H influenzae type-b meningitis occurred in the United States each year, and 95% of cases involved children < 5 years old. …

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Enteric Fever

Clinical Findings A. Signs and Symptoms. Patients are asymptomatic during the incubation phase. Early in the course of disease, patients may experience diarrhea or constipation. Patients then develop a variety of nonspecific symptoms, such as fever, chills, weakness, malaise, myalgia, and cough. Signs, that are not always present, such as rose spots, paroxysmal bradycardia in sharp contrast to the clinical presentation and elevated temperature, and hepatosplenomegaly are clues to the diagnosis. Profound mental status changes and picking at bed clothing, termed typhoid psychosis, may develop in some patients with enteric fever. The middle phase of disease is the time of maximal symptomatology. If complications do not intervene (see below), patients begin …

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Other Bacillus Species

General Considerations Bacillus species other than B anthracis are found in soil, decaying organic matter, and water, but they are rare causes of disease. Risk factors associated with Bacillus infection include the presence of intravascular catheters, intravenous drug use, sickle cell disease, and immunosuppression — particularly corticosteroid use, transplantation, AIDS, and neutropenia secondary to chemotherapy. The hardy growth characteristics of Bacillus spp. cause them to arise as common laboratory contaminants; however, they are also capable of causing severe invasive illness. B cereus and B subtilis are the most frequent Bacillus spp. to cause invasive infection. Pneumonia, meningoencephalitis, endocarditis (native and prosthetic valves), and intravascular catheter infection have been well described. High-grade …

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Streptococcus Pneumoniae

Essentials of Diagnosis • Most common infections include pneumonia, meningitis, sinusitis, and otitis media. • Predisposing factors include extremes of age (ie, infants and elderly) and underlying host defects in antibody, complement, and splenic function. • Transmission is human to human both in the community and nosocomially. • Pneumonia: productive cough, fever, chills, sweats, and dyspnea; lobar or segmental consolidation on chest x-ray; lancet-shaped gram-positive diplococci on Gram stain of sputum or growth of S pneumoniae from sputum, blood, or pleural fluid. • Meningitis: headache, stiff neck, fever, chill, and photophobia; nuchal rigidity, Kernig’s or Brudzinski’s sign; lancet-shaped gram-positive diplococci on Gram stain of cerebrospinal fluid (CSF), growth of S pneumoniae …

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Parainfluenza Virus

Essentials of Diagnosis • Ubiquitous viral agent. • Usually diagnosed on clinical findings. • Can infect upper and lower respiratory tract in all ages. • Most common etiology of acute laryngotracheobronchitis (croup) in infants and toddlers. • Frequent cause of lower respiratory tract infection in children. • Yearly reinfection is common. General Considerations A. Epidemiology. Parainfluenza is a ubiquitous virus. It is the primary cause of acute laryngotracheobronchitis (croup) in children aged 6 months to 3 years. It is capable of infecting the lower respiratory tract as well by manifesting as bronchiolitis or pneumonia (Box 1). Outbreaks can follow regular epidemic patterns or be sporadic. Certain antigenic types (described below) do …

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Penicillins: Organs and Systems:Skin

Skin reactions are the commonest adverse effects of therapeutically administered penicillins. Penicillin-contaminated milk or meat can cause itching or generalized skin reactions or even anaphylaxis. Incidence The overall annual incidence of severe erythema multi-forme (toxic epidermal necrolysis and Stevens-Johnson syndrome) is about one case per million, antibiotics being involved in 30-40%. The clinical differentiation between these syndromes can be difficult. Allergic contact dermatitis is usually caused by topical drugs, but is also seen in connection with ingestion, injection, or inhalation. The increased frequency of contact eczema due to cloxacillin and bacampicillin may be because they are intensely irritant and lipophilic. Mechanisms Mechanisms of non-immediate reactions are unclear; but may be immunological …

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Order Albenza (Albendazole) No Prescription 400mg

Albendazole: Organs and Systems Nervous system Used in the treatment of neurocysticercosis, albendazole (like praziquantel) can cause a CSF syndrome characterized by fever, headaches, meningism, and exacerbation of some or many of the neurological signs of the disease; it is thought to be due to a local reaction to dying and dead larvae and can be attenuated by prednisone. Since neurocysticercosis is a neurological infection, it is not surprising that when treating it with any drug some of the neurological reactions to that drug (or to the death of the parasite) are particularly pronounced. For example, with a dose of 1.5 mg/kg continued for some time in cases of neurocysticercosis, a …

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Buy Without Prescription Albenza (Albendazole) 400mg

Albendazole: Observational studies Ankylostomicisis Albendazole has been used in the treatment of human hookworm and trichuriasis. In a mass-treatment report from Western Australia 295 individuals in a remote rural area were treated with albendazole 400 mg/day for 5 days because of possible Giardia lamblia and hookworm infections. The 37% prevalence of Giardia fell to 12% between days 6 and 9, but rose again to 28% between days 18 and 30. The effect on hookworms (Ankylostoma duodenale) was more pronounced and more sustained with a reduction of the pretreatment prevalence of hookworm infections from 76% before treatment to 0% after 3^1 weeks. The tolerability of the drug was judged to be excellent …

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Ofloxacin: Side Effects

See also Fluoroquinolones Ofloxacin is a fluoroquinolone antibacterial drug similar to ciprofloxacin. Comparative studies The safety and efficacy of topical ofloxacin ear-drops 0.3% (0.25 ml bd) have been compared with that of co-amoxiclav oral suspension (40 mg/kg/day) for acute otitis media in 286 children aged 1-12 years with tympanostomy tubes in place. Topical ofloxacin was as effective as and better tolerated than systemic therapy with co-amoxiclav. Treatment-related adverse event rates were 31% for co-amoxiclav and 6% for ofloxacin. Organs and Systems Nervous system Headache was recorded in 9% taking ofloxacin during short-course treatment of urinary tract infections. Seizures have occurred in patients taking ofloxacin. A Tourette-like syndrome developed in a 71-year-old …

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Spanish And French Translations Of Common Medication Words:

English Spanish French
Medications Medicamentos Médicaments
Tablets Comprimidos Comprimés
Capsules Cápsulas Gélules
Pharmacies in the United States
Top 10 Pharmacy chains in the U. S. ranked by the number of pharmacists:
1 Walgreens 2 CVS 3 Walmart 4 Rite Aid 5 Kroger
6 Target 7 Kaiser Permanente 8 Sears 9 Cardinal Health 10 Dominick's
Pharmacy-led chains in the United Kingdom
Alliance Boots The Co-operative Lloyds Pharmacy
Numark Rowlands Pharmacy Superdrug

Synonyms of Dexamethasone *:

Desametasone, Desametasone [DCIT], Desamethasone, Dexametasona [INN-Spanish], Dexamethasone Acetate, Dexamethasone Sodium Phosphate, Dexamethasonum [INN-Latin], Dexamethazone, Fluormethylprednisolone

* Official titles and synonyms used in the British, European, and US Pharmacopoeias. INNs in the other main official languages (French, Latin, and Spanish) have also been included in the list of synonyms where these differ from the English INN.

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Dosage forms of Dexamethasone:

Name, Strength, Form, Route
Dexamethasone Elixir Oral
Dexamethasone Liquid Intramuscular
Dexamethasone Liquid Intravenous
Dexamethasone Liquid Oral
Dexamethasone Ointment Ophthalmic
Dexamethasone Solution Intravenous
Dexamethasone Solution Ophthalmic
Dexamethasone Solution / drops Ophthalmic
Dexamethasone Tablet Oral

Therapeutic classes of Dexamethasone:

Adrenergic Agents, Anti-inflammatory Agents, Antiemetics, Antineoplastic Agents, Hormonal, Glucocorticoids

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Common brands (equivalents) of Dexamethasone, which people buy in pharmacies of the world:

(The World's Largest Pharmaceutical Companies: Abbott, Amgen, AstraZeneca, Baxter, Bayer, Bristol-Myers Squibb, Boots, CSL, Eli Lilly, Forest, GlaxoSmithKline, Hoffmann - La Roche, Johnson & Johnson, Merck & Co., Mylan, Novartis, Pfizer (with Wyeth), Sanofi - Aventis, Sandoz, Solvay, Takeda, Teva, UCB, Watson)
(Australia, Canada, India, Mexico, New Zealand, USA, Europe [Belgium, France, Germany, Holland, Ireland, Spain, Switzerland, Great Britain (UK), Italy], and etc)
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