Enteric Viruses 2 (8) Flashcards Preview

MSII: Microbiology Unit 6 > Enteric Viruses 2 (8) > Flashcards

Flashcards in Enteric Viruses 2 (8) Deck (23):
1

What 3 diseases does Coxsackie A virus cause?

Herpangina

Hand Foot and Mouth Disease

Acute Hemorrhagic Conjunctivitis

2

Name the illness:

Acure febrile illness with small vesicular or ulcerative lesions of posterior oropharyngeal structures

Herpangina

3

What is the treatment for Herpangina?

No specific treatment...just treat symptomatically

4

Name the illness:

Acute febrile illness with vesicular eruptions in the mouth, hands, feet, buttocks, and genitalia

H-F-M Disease

5

How is hand foot and mouth disease spread?

fecal oral or contact with skin lesions or oral secretions

6

What are the possible complications of hand foot and mouth disease?

aspetic meningitis, aseptic myocarditis, interstitial pneumonitis, pulmonary edema

7

What is the treatment for hand foot and mouth disease?

Supportive (IV hydration might be needed for dehydration)

8

Name the illness:

rapid onset conjunctivitis, usually seen in teenagers

Acute Hemorrhagic Conjunctivitis

9

What is the treatment for acute hemorrhagic conjunctivitis?

no treatment is available, the disease is usually self limited

10

What diseases can coxsackie B virus cause?

Viral myocarditis

Pleurodynia

11

Name the disease:

Inflammatory disorder of the myocardium resulting in necrosis of the myocytes, inflammatory infiltrate and pump failure

Viral myocarditis

12

Which patients are at a higher risk for viral myocarditis?

Infants and pregnant/ immunosuppressed

13

What will CBC show in viral myocarditis?

acute anemia, lymphocytosis, neutropenia

14

What are some serum markers useful for myocarditis diagnosis?

Elevated ESR, CRP, CK and Troponin

15

What is the treatment for viral myocarditis?

Admit to the hospital, rest, supplemental O2, steroids (?), IgG (?), Pleconaril (?)

16

Name the illness:

Sudden occurrence of episodes of acute chest pain, fever, malaise, HA

Pleurodynia

17

What causes the episodic chest pain in pleurodynia?

Infection of striated muscle in chest

18

What physical exam finding is indicative of pleurodynia?

Pleural friction rub

(might also seen N/V/D, fever, pharyngitis)

19

What is the treatment for pleurodynia?

No specific treatment (supportive care)

Must follow up with PCP for sequelae

20

Why does coxsackie B virus have high mortality in the frist 4 weeks of life?

Inadequate immune response fails to contain the infection and which results in cardiac involvement which can be fatal

21

What do the "other enteroviruses" cause?

Aseptic meningitis

22

What is the treatment for aseptic meningitis?

Mainly supportive because it is a self limited course (7-10 days)

23

What are the possible symptoms of aseptic meningitis in younger children?

Fever but cold hand and feet

Blank staring

Refusing food/ vomiting

Drowsy

Fretful. dislike of being handled

Stiff neck (sleeping in weird positions)

Pale blotchy skin

High pitched cry