155.2 📚 國考版

155.2.0.1 必背 — Diphtheria 臨床三聯

1. Pseudomembrane (灰白扁桃膜 + 拉血腫)
2. Bull neck (cervical LAP + 軟組織腫)
3. Toxic effects: myocarditis + polyneuritis

155.2.0.2 必背 — Exotoxin 機轉

• ADP-ribosylate EF-2 → 蛋白合成停
• β-corynephage carry tox gene

155.2.0.3 必背 — 治療

1. DAT (越早越好) + hypersensitivity test
2. Erythromycin or PCN G × 14d
3. Airway + cardiac monitor
4. Notifiable + isolation
5. Vaccine to contacts + index after recovery

155.2.0.4 必背 — Erythrasma

• C. minutissimum, intertriginous
• Coral-red Wood’s lamp
• Erythromycin

155.2.0.5 必背 — JK

• C. jeikeium, MDR, immunocompromise
• Vancomycin

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