1. Floating Topic
   1. Chlamydia pneumoniae
   2. Serogroup TWAR
2. Acellular ( are also ATYPICAL bacteria )
   1. Ureaplasma urealyticum ( aka T-strain Mycoplasma)
   2. Mycoplasma
3. Gram -
   1. Aerobic
      1. ATYPICAL
         1. Chlamydophila
            1. Pisttaci
            2. Dx: Atypical Pneumonia from bird dropping
            3. Rx: I. Doxycycline, II. Erythromycine
            4. Pneumoniae
            5. Dx: Community acquired atypical pneumonia
            6. Rx:
         2. Chlamydia trachomatis serotypes
            1. A, B, & C
            2. Dx: Trachoma (a leading cause of blindness in the world)
            3. D thru K
            4. Dx: Inclusion conjunctivitis in newborns, Infant pneumonia, Cervicitis, Nongonococcal urethritis in men
            5. Rx: -Neonatal ophthalmia: prophylaxis with Silver nitrate, treatment with P.O. Erythromycin, - Infant pneumonia: P.O. Erytheromycin, or P.O. Azithromycin, - Cervicitis:
            6. Lt, L2, L3
            7. Dx: Lymphogranuloma venereum(LGV)
            8. Rx: I. Doxycycline, II. Erytheromycin
         3. Bordetella pertussis
         4. Coxiella Burnetii
         5. Legionella
         6. Rickettsiae
      2. ENTERICS
         1. Shigella
            1. Dx: Bloody diarrhea
            2. Rx: TMP/SMX or ciprofloxacin
         2. Klebsiella pneumoniae
            1. Dx: Pneumonia, & Nasocomial sepsis & UTI
            2. Rx: I. Ceftriaxon, II. Aztreonam, or ciprofloxacin
         3. Salmonella
            1. Dx: Carrier, Gastroenteritis, Enteric fever, sepsis, osteomylitis
            2. Rx: -UTI, HIV+pt. & typhoid fever: I.V. Ceftriaxon & P.O. Ciprofloxacin; -Osteomyelitis, Carrier & prosthesis infection or other serious infections: P.O.Ciprofloxacin, OR I.V. Ceftriaxon; -Artheritis, bacteremia & Endocarditis: I.V. Ceftriaxon
         4. Escherichia coli
            1. Dx: UTI, Diarrhea, bloody diarrhea, nosocomial sepsis & pneuomonia, O157:H7 cause hemolytic uremic syndrome, Bloody diarrhea from enteroinvasive E.Coli, neonatal meningitis
            2. Rx: I. Oral TMP/SMX, or Ciprofloxacin (in pregnancy: amoxicillin, or nitrofurantoin); II. I.V. ceftriaxon, or Ciprofloxacin, or ampicillin+gentamicin
      3. DIPLOCOCCI
         1. NEISSERIA
            1. meningitidis
            2. Dx: meningitis
            3. Rx: prophylaxis with vaccine, stop spread with rifampin, treat with ceftriaxon
            4. gonorrhoeae
            5. Dx: UTI, Cervisitis, Gonococcal Disease, PID, bacteremia, septic arthritis, ophthalmia neonatorum
            6. Rx: - adult : oral Ceftriaxon & doxycycline -neonate: oral ceftriaxon & erythromycine & erythromycine eye drops
         2. Moraxella catarrhalis
      4. PSEUDOMONAS AERUGINOSA
         1. Dx: Pneumonia in cyctic fibrosis & immunocompromised, Osteomyelitis, burn wound infection, UTI, sepsis, malignant otitis externa, corneal infection with contact lens, endocarditis in I.V. drug abuser
            1. Rx: I. ciprofloxacin, II. piperacillin, or Cefepime, or ceftazidime, or ticracillin, or piperacillin, or Meropenem, or Aztreonam III. IV Polymyxin -Otitis:ear drops polymyxim
      5. VIBRIONACEAE
         1. Vibrio
            1. cholera
            2. Dx: Secretory Diarrhea
            3. Rx: I. Azithromycin, II.Ciprofloxacin
            4. parahaemolyticus
         2. Campylobacter jejuni
         3. Helicobacter pylori
      6. HAEMOPHILUS
         1. influenzae
         2. Ducreyi
      7. ZOONOTIC
         1. Yersinia pestis
            1. Pestis
            2. Dx: infection of Bubonic ( lymph nodes ), lung, septicemic
            3. Rx: I. Streptomycin, or gentamicin II. Doxycycline, or ciprofloxacin
            4. Entercolitica
            5. Dx: Pseudoappendicitis, mesenteric adenitis, rectal bleeding, ileal perforation, ERYTHEMA NODOSUM, REITER'S Reactive Arthritis
            6. Rx: I. no Rx, II.Gentamicin or ciprofloxacin
         2. Francisella tularensis
            1. Dx: Ulcero-glandular(skin and lymph node), Oculo-glandular, GIT, pneumonia, & bacteremia
            2. Rx: I. Gentamicin, II. Doxycycline
         3. Brucella
            1. Dx: Brucellosis, Acute, relapsing, or chronic febrile disease
            2. Rx: I. P.O. Doxacycline & I.M. Gentamicin, II. Ciprofloxacin & Rifampin, III. TMP/SMX & Gentamicin
         4. Pasteurella multocida
            1. Dx: caused most commonly by cat bite, or scratch, less commonly from dogs; Cellulitis, wound infection
            2. Rx: I. P.O. Amoxicillin/calvunate given with food, II. Doxycycline, or Ciprofloxacin,
   2. SPIROCHETES
      1. Subtopic 1
      2. Subtopic 2
      3. Subtopic 3
   3. ANAEROBIC
      1. Fusobacterium
      2. Bacteroides Melaninogenicus
         1. Dx: Aspiration pneumonia, periodontal abscess
            1. Rx: clyndamycine
      3. bacteriodes fragilis
         1. Dx: trauma related abdominal, pelvic abscesses
            1. Rx: metronidazole
4. Gram +
   1. AEROBIC
      1. STRIPtococcus group
         1. GROUP A aka Streptococcus pyogenes
         2. GROUP B aka Streptococcus agalactiae
         3. GROUP D include Enterococci & Non-enterococci
         4. Viridans
         5. Streptococcus pneumoniae
      2. STAPHilococcus
         1. aureus
         2. epidermidis
         3. saprophyticus
      3. bacillus
         1. Cereus
            1. Dx: Food Poisoning with enterotoxin
            2. Rx. Supportive
         2. anthracis
      4. Enterococci
      5. Clostridium
         1. difficile
         2. perfringens
         3. tetani
         4. botulinum
      6. Cornebacterium Diphtheriae
      7. Listeria monocytogenes
   2. ANAEROBIC Clostridium
      1. Botulinum
         1. Topic
      2. tetani
      3. Perfringens
      4. difficile
      5. Gardnerella vaginalis
5. Acid Fast