7 Viral Pathology Flashcards
In this disease, which will be the first of the three most common locations to find lesions? (they also present with flulike symptoms)
Oral lesions come first (diagnosis = hand foot and mouth disease)
Besides seeing their throat, pt presents with fever, cough, sore throat, and headache. Diagnosis?
Herpangina (caused by enterovirus)
Caused by HSV, what is this called?
Intraoral recurrent herpetic infection
Pt has sore throat, fever, and mild headache. Pt reports these nodules have been there for a few days and haven’t “popped”.
Acute lymphonodular pharyngitis
Primary herpes in older patients will present as ______________ with what symptoms?
Pharyngotonsillitis with sore throat, fever, and headache
What is your risk of getting HIV after a percutaneous exposure with HIV-contaminated blood?
0.3%
A pt comes in complaining of shivering a lot, and joint and muscle pain. You discover they have a fever and take a small bipsy from the parotid gland (for some strange reason).
Cytomegalovirus
What anatomy is infected during Mumps?
Most commonly the salivary gland(s)
Pt presents with hyperplastic pharyngeal tonsils and petechiae of the soft palate. What might they have?
Infectious mononucleosis
What causes the “kissing disease”?
Epstein-Barr virus
VZV presented in the external auditory canal is a manifestation of what?
Ramsay Hunt Syndrome
What are seven predisposing factors for reactivating VZV?
- immunosuppression (or suppressive drugs)
- dental manipulation
- radiation
- malignancies
- increasing age
- alcohol abuse
- emotional or physical stress
With Mumps, what are possible sequelae?
- 25% of males have postpubertal epididymorchitis
- 25% of 1st trimester women have spontaneous abortions
Recurrent herpes of the finger is called what?
Herpetic whitlow
Diagnose
Mumps
What is the most prevalent area for herpes labialis?
On the vermillion border and adjacent skin of lips
Why should a patient with mono avoid contact sports?
The spleen is enlarged and “peeks” out below the rib cage, making it vulnerable to be ruptured.
If this is HSV-1, where would it be when dormant?
Trigeminal ganglion
What is the go-to drug to treat HIV-related candidiasis?
Nystatin
(clotrimazole if tx is difficult)
(fluconazole if pt’s HIV is uncontrolled)
Most HSV-1 affected individuals contract the virus in what age range?
6 months - 5 years
(not under 6 mo. because they’re still protected by maternal immunity)
What is this massive necrosis of soft tissue and bone of the maxilla? (sequelae of untreated periodontitis)
HIV-associated necrotizing stomatitis
If HIV-related periodontitis is left untreated, what can it develop into?
Necrotizing stomatitis
What is the most common virus to cause this? (pt presents with sore throat, fever, dysphagia)
Coxsackievirus (diagnosis = herpangina)
Where does VZV lay dormant until it present as secondary infection?
Dorsal spinal ganglia
