164.4 📌 章末速蚘

  • HACEK IE — slow grow, ceftriaxone 4 wk / prosthetic 6 wk
  • Cat bite: Pasteurella — amox-clav (rapid cellulitis < 24 hr)
  • Human bite: Eikenella + anaerobe — amox-clav
  • Dog bite + asplenic: Capnocytophaga canimorsus — fulminant sepsis
  • Cat scratch: Bartonella henselae — regional LAP, self-limit; azithro if severe
  • Bartonella quintana: 街友 trench fever, IE; bacillary angiomatosis (HIV)
  • Tularemia / Plague: Cat A bioterror; streptomycin/gent
  • Brucellosis: doxy 6 wk + rifampin 6 wk; unpast dairy + livestock
  • Animal bite empirical → amox-clav, 1st-gen ceph 䞍 cover
  • Tetanus + rabies review for every bite