6. infektiöse Mononukleose Flashcards

1
Q

(IM)

Erreger

A

Epstein-Barr-Virus (EBV)

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2
Q

(IM)

Übertragung

A

über den Speichel

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3
Q

(IM)

Symptome (3)

A
  • Fieber
  • Pharyngitis
  • Lymphadenopathie
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4
Q

(IM)

Befunde (2)

A
  • Hepato-/Splenomegalie
  • Arzneimittelexanthem
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5
Q

(IM)

Arzneimittelexanthem: Arzneistoff

A

Aminopenicillinen

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6
Q

(IM)

Blutausstrich: Befund

A

Pfeiffer-Zellen (Virozyten)

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6
Q

(IM)

Labor: Goldstandard

A

EBV-Serologie

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7
Q

(IM)

Labor: klinische Chemie (2)

A
  • Transaminasenanstieg
  • Lymphozytose mit atypischen Lymphozyten
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8
Q

(IM)

EBV-Serologie: akute Infektion

A
  • anti-EBV-VCA-AK IgM/IgG (Capsid-Ag)
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9
Q

(IM)

EBV-Serologie: chronische Infektion

A

anti-EBNA-1-AK IgG (nukleäre Ag)

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10
Q

(IM)

nukleäre Ag

A

anti-EBNA-1-AK IgG

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10
Q

(IM)

Capsid-Ag

A

anti-EBV-VCA-AK IgM/IgG

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11
Q

(IM)

Therapie

A

symptomatische

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12
Q

(IM)

Therapie bei Halsschmerzen

A

lokale NSAR

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13
Q

(IM)

Therapie bei Fieber, Muskelschmerzen oder Schluckbeschwerden

A

orale NSAR oder ASS

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