4/18/17 Oral Pathology related viral infection TRUMP FINAL TEST Flashcards
What does HHV4 known as?
-Epstein-Barr virus
What is HHV5 known as?
-Cytomegalovirus
What is HHV 8 known as?
-Kaposi’s sarcoma herpesvirus
Where does primary latency of HHV 6 and HHV7 reside?
-CD4 T lymphocytes
HHV8 also known as Kaposi’s sarcoma has its primary infection spread how?
-Sexual contact, especially in homosexual males
Herpes simplex virus is what type of virus?
-DNA virus
HSV-1 (oral herpes) is spread primarily how?
- Saliva
- Active perioral lesions
What is the initial exposure of HSV-1 known as?
Primary Herpetic Gingivostomitis
What is the most common pattern of primary HSV infection?
-Acute herpetic gingivostomatitis
T/F 90% of acute herpetic gingivostomatitis is due to HSV-1
True
When do most cases of acute herpetic gingivostomatitis occur?
-Before age 5
Where can primary herpes occur?
-Both moveable and attached oral mucosa can be effected
What is the leading infectious cause of blindness?
-Primary herpes
If you are older than 18 what do you call your primary herpes?
-Pharyngotonsillitis
What is the most common site of recurrence for HSV-1?
-Vermilion borer and adjacent skin of the lips (Herpes labialis)
Where can recurrent herpes occur?
-Anywhere along the surface epithelium supplied by the involved ganglion
Recurrent herpes simplex intraoral lesions are almost always found where?
-Keratinized, bound mucosa (palate, attached gingiva)
What is infection of the thumb or fingers with HSV1 known as?
-Herpetic whitlow
What is a herpetic infection found in wrestlers or rugby players with contaminated abrasions known as?
-Herpes gladiatorum
What is herpes barbae?
-Herpes over the bearded region of the face into minor injuries created by daily shaving
What are two histopathologic features associated with HSV?
- Tzanck cells
- Ballooning degeneration
What is the treatment for primary herpetic gingivostomatitis?
- Antivirals
- Rinse and swallow acyclovir
What are the topical treatments for recurrent herpes labialis?
- OTC 10% n-docosanol cream (Abreva)
- Acyclovir cream
- Peniciclovir cream
What does CMV cause?
-Mononucleosis
If the tip of the nose is involved in VZV infections what is that a sign of that might occur?
-Ocular infection
What is Ramsay Hunt syndrome?
- Cutaneous lesions of the external auditory canal
- Involvement of ipsilateral face and auditory nerves (Facial paralysis, Hearing deficits, Vertigo)
T/F Shingles is typically bilateral
- False
- unilateral
EBV is what HHV?
-HHV4
CMV is what HHV?
HHV5
