Infections and Infestations Flashcards
(83 cards)
1
Q
Actinomycosis
A
- LUMPY JAW
- cervicofacial varient (most common)
- draining posterior mandibular sinuses
- SULFUR GRANULES
2
Q
MRSA
A
- resistant to beta-lactam antibiotics
- spread via person-to-person contact
- common hospital acquired infection
- community-acquired MRSA
* *IVDUs
* *children in day care
* *athletes
* *military
* *inmates
3
Q
Tetanus
A
- deep puncture wound contaminated with clostridium tetani
- non-communicable
- muscular spasms (“lock jaw”)
- treat with anti-tetanus Ig, tetanus toxoid
- 60% mortality in untreated cases from asphyxia, autonomic dysfunction, bronchial pneumonia
4
Q
Bites
A
- domestic dogs/cats
- non-immunized domestic pets and wild animals (rabies)
- human bites (hep and HIV risk)
5
Q
Enteroviruses
A
- multiply in gut
- fecal-oral transmission
- life-long immunity following infection
- Hep A
- poliomyelitis
- herpangina (NOT related to herpes virus)
* *posterior soft palate
* *oral pharyngeal ulcers
* *constitutional symptoms
* *symptomatic tx
6
Q
Hand, Foot , and Mouth Disease
A
- enterovirus
- widespread oral ulcers
- resemble primary herpetic gingivostomatitis
- constitutional symptoms
- symptomatic tx
7
Q
HHV-Type 1
A
- primary herpes
* *gingiovastomatitis in children
* *often asymptomatic
* *latent virus in trigeminal ganglion
* *fever blisters
* *cold sores - recurrent herpes
* *viral reactivation
* *multiple stimuli: UV radiation, trauma
8
Q
HHV-Type 2
A
- secondary herpes
- genital herpes
- oral lesions identical to HHV Type 1
9
Q
Varicella Zoster-Type 3
A
- tertiary herpes virus
- chicken pox
* *primary infection: virus resides in nerve cell bodies - shingles (herpes zoster)
* *recurrent infection: dermatomal distribution
10
Q
EBV-Type 4
A
herpes virus
- mononucleosis
* *kissing
* *PALATAL PETECHIAE - Burkitt lymphoma
* *African children
* *massive mandibular swelling - nasopharyngeal carcinoma
* *Asians - hairy leukoplakia
* *hairy leukoplakia
11
Q
Cytomegalovirus-Type 5
A
herpes virus
- teratogenic
- retinitis-AIDS
- oral aphthae-AIDS
12
Q
HIV-type 6
A
herpes virus
exanthum suitum
13
Q
HHV-type 7
A
herpes virus
roseola infantum
14
Q
HHV-type 8
A
herpes virus
Kaposi sarcoma
15
Q
Measles
A
- resurgence due to lack of vaccination
- KOPLIK SPOTS
3 significant cause of death in third world countries
16
Q
Molluscum contagiosum
A
umbilicated facial papules
17
Q
Mumps
A
- resurgence due to lack of vaccination
- PAROTID ENLARGMENT
- male sterility in adults
18
Q
HPV
A
- epitheliotrophic viruses (>100)
- verucca vulgaris (kin warts)
- condyloma acuminatum (genital warts)
- oral mucosal papillomas
- oral pharyngeal carcinoma (HPV 16, 18)
- adolescent vaccination
19
Q
Rubella (German Measles)
A
infection during first trimester is teratogenic
- deafness
- learning disabilities
- retinopathy
4 cardiac malformations
20
Q
Candidiasis
A
- acute pesudomembranous (thrush)
- erythematous (denture-related)
- angular chelitis
- candidal leukoplakia
21
Q
Tinea
A
dermatophytes
22
Q
Tinea barbae
A
barber itch
23
Q
Tinea capitis
A
ringworm
24
Q
Tinea cruris
A
jock itch
25
Tinea pedis
athlete's itch
26
Aspergillosis
lungs/sinuses
27
Coccidiomycosis
AIDS
28
Histoplasmosis
MOST FREQUENT systemic mycosis in US
29
Mucormycosis
1. rhinocerebral form
| 2. common in poorly controlled diabetes
30
Crytpsporidiosis
1. caused by cryptosporidium
2. fecal conatimation of drinking water
3. resistant to chlorine
31
Amebiasis
1. entamoeba histolytica
| 2. amoebic dysentery
32
Giardiasis
1. giardia lamblia
| 2. fecal contamination of drinking water
33
Leishmaniasis
1. found in blood-sucking sandlfies (intermediate host)
2. mucocutaneous
* *purific facial (nasal papule)-->enlarging ulcer
* *slow healing-->3-12 months with scarring
3. visceral
* *fever splenomegaly, anemia, wasting
* *potentially fatal
34
Malaria
1. most common parasitic infection world-wide
2. transmitted by mosquitos
3. multiple species of Plasmodium
4. infets RBCs-->hemolysis
5. hyperexia, rigors, chills
35
Toxoplasmosis
1. GI parasite, especially CATS
| 2. teratogenic-->avoid CAT LITTER if pregnant`
36
Cysticercosis
1. AKA tapeworm
2. cysticercus cellulosae
3. infected pork
37
Filariasis
1. transmitted via blood-sucking insects
2. onchocerciasis
* *facial lesion
* *river blindness (Africa)
3. Wucheria bancrofti
* *lymphatic
* *elephantiasis
38
Larvis migrans
1. AKA HOOKWORM
| 2. animal GI system-->ova in fees-->soil-->larvae infects humans-->wander in tissue
39
Trichinosis
1. MOST FREQUENT roundworm infestation affecting muscle
2. contaminated pork (not common in US)
3. may affect tongue and masseter
* *calcify, appear as radiopaque nodules
40
Mites
sarcoptes scabei (scabies)
1. burrows under skin (lays eggs)
2. pruritic inflammatory response
41
Cat Scratch Disease (Bartonella henselae)
1. constitutional symptoms
| 2. cranial, cervical, axillary lymphadenopathy
42
Pneumocystis carinii
AIDS pneumonia
43
Lumpy jaw
Actinomycosis
44
Draining posterior mandibular sinuses
Actinomycosis
45
Sulfur granules
Actinomycosis
46
Resistant to beta-lactam antibiotics
MRSA
47
Muscular spasms (lock jaw)
tetanus
48
Enterovirus multiples __
in gut
49
Fecal-oral transmission
enteroviruses
50
Life-long immunity following infection
enteroviruses
51
Poliomyelitis
enteroviruses
52
Posterior soft palate
herpangina
53
Oral pharyngeal ulcers
herpangina
54
Hand, foot, mouth disease
enterovirus
55
Widespread oral ulcers
Hand, foot, mouth disease
56
Resembles herpetic gingovostomatitis
Hand, foot, mouth disease
57
Primary herpes
HHV-Type 1
58
Gingivostomatitis in children
HHV-Type 1
59
Latent virus in trigeminal ganglion
HHV-Type 1
60
Fever blisters/cold sores
HHV-Type 1
61
Secondary herpes
HHV-Type 2
62
Genital herpes
HHV-Type 2
63
Oral lesions identical to HHV-Type 1
HHV-Type 2
64
Tertiary Herpes Virus
Varicella Zoster
65
Chicken Pox
Varicella Zoster, Tertiary Herpes Virus
66
Virus resides in nerve cell bodies
Chicken pox
67
Dermatomal distribution
Shingles
68
Kissing
monomucleosis
69
Palatal petechiae
mononucleosis
70
African children
Burkitt lymphoma
71
Massive mandibular swelling
Burkitt lymphoma
72
Asians
nasopharyngeal carcinoma
73
Koplik spots
Measles
74
Parotid enlargement
Mumps
75
Male sterility in adults
Mumps
76
Sandflies
Leishmaniasis
77
Blood-sucking insects
Filariasis
78
Facial lesions, river blindness (Africa)
Onchocerciasis
79
Lymphatic, elephantitis
Wucheria bancrofti
80
Most frequent roundworm infestation infecting muscle
Trichinosis
81
Affects tongue and massester (radiopaque nodules)
Trichinosis
82
Larvis migrans
Hookworm
83
Scabies
Mites