Meningococcemia Nisseria Meningittis - Hospital admission - broad spec antibiotics : Vancomycin, Gentimicin - Manage Shock HIV treatment in children NRTI -- nucleoside reverse transcriptase inhibitor NNRTI -- non-nucleoside reverse transcriptase inhibitor Protease inhibitor Toxoplasmosis treatment (intracellular protozoan) Pyrimethamine & Sulfadiazzine (both inhibit folic acid synthesis -- need to replace) Cryptococcosis (Fungal infection) treatment - Ampho B & flucytosine Pneumocystis Carini pnemonia (PCP) -- fungal classification 1st line - TMP sulfa 2nd line - pentamidine TMP-SMZ + dapsone atovaquone primaquine + clindamycin Atypical Mycobacterial infections treatment 1) avium 2) intracellulare 3) kansasii - Clarithromycin or Azithromycin plus 1) ethambutol 2) Rifabutin 3) Rifampin 4) Ciprofloxacin 5) Amikacin CMV infection No treatment life threatening infection give IV foscarnet or ganciclovir transplant recipients are given oral ganciclovir CMV prophylaxis Varicella (chickenpox) immunocompetent Oral antihistamines VZV pneumonia & immunocompetent varicella Acyclovir Varicella immune globulin Rebeola (measles) treatment Supportive Immunoglobulin is available Lyme Disease Treatment Amoxicillin or Doxycycline Typhoid Fever (salmonella typhi) Treatment Amoxicillin or TMP-SMZ Rocky mountain spotted fever (RMSF) -- Riketttsia rickettsii Tetracycline ( protein synthesis inhibitor) Chloramphenicol-----inhibiting bacterial protein synthesis, chloramphenicol has a very broad spectrum of activity: it is active against Gram-positive bacteria (including most strains of MRSA), Gram-negative bacteria and anaerobes.[ Coccidiodiomycosis (fungal) treatment Oral Itraconazole Severe = IV Amphotocerin B Histoplasmosis (fungal) treatment Oral Itraconazole Severe = IV Amphotocerin B Schistosomiasis treatment (protozoal) Praziquantel