16. Zytomegalie Flashcards

1
Q

(Zytomegalie)

Erreger

A

Zytomegalievirus (CMV): humanes Herpesvirus 5 (HHV-5)

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2
Q

(Zytomegalie)

Infektionsweg (2)

A
  • Schmierinfektion
  • diaplazentär
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3
Q

(Zytomegalie)

Symptome bei Immunkompetenten

A

grippeähnliche Symptome

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4
Q

(Zytomegalie)

Symptome bei Immunsupprimierten

A

atypische interstitielle Pneumonie

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5
Q

(Zytomegalie)

Blutbild: Befunde (2)

A

evtl. Lymphozytose oder Thrombozytopenie

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5
Q

(Zytomegalie)

Befund

A

Arzneimittelexanthem (Aminopenicillinen)

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6
Q

(Zytomegalie)

Basisdiagnostik

A
  • Blutausstrich
  • Serologie
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7
Q

(Zytomegalie)

patognomonischer Befund

A

Eulenaugenzellen

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8
Q

(Zytomegalie)

Serologie

A

anti-CMV-IgM/IgG

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9
Q

(Zytomegalie)

konnatale CMV-Infektion: Diagnostik (2)

A
  • virale Kultur

oder

  • PCR aus Speichel/Urin
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10
Q

(Zytomegalie)

Therapie der Wahl (2)

A

Ganciclovir oder Valganciclovir

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11
Q

(Zytomegalie)

Therapieindikationen (2)

A
  • immunsupprimierte Patienten
  • konnatale CMV-Infektion
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12
Q

(Zytomegalie)

konnatale CMV-Infektion: Verlaufskontrolle

A

regelmäßige apparative Hörtests

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