Childhood Viruses Flashcards

1
Q

where is measles prevalent?

A

third-world countries with malnutrition and vitamin A deficiency

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2
Q

how is measles spread?

A

airborne and replicates in the respiratory tract to form viremia
highly transmissible

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3
Q

what are the symptoms of measles?

A

maculopapular rash (after two weeks)
fever and 3 C’s (cough, corzya, conjunctivitis
also - koplik spots

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4
Q

what re common complications of measles?

A

otitis media
pneumonia
encephalitis
death :(

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5
Q

when is measles communicable?

A

4 days after and 4 days before rash

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6
Q

what is the measles vaccine?

A

live virus administrated with mumps and rubella (MMR) and with varicella (MMRV)
introduced in 1963 (and second dose in 1980)

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7
Q

how is measles diagnosed?

A

IgM antibody levels

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8
Q

what is rubella

A

“german measles”
less severe than measles

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9
Q

how is rubella transmitted?

A

respiratory droplets or mom-fetus

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10
Q

how severe is rubella?

A

often asymptomatic in children
adults may get mild arthirits
congenital is severe

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11
Q

what are the main symptoms of rubella?

A

rash (within 2-3 weeks)
adenopathy (swollen lymph nodes)

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12
Q

what does congenital rubella cause?

A

if within first 16 weeks:
cardiac abnormalities
cataracts
deafness
organ damage

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13
Q

how is rubella diagnosed?

A

IgM antibodies

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14
Q

what is erythema infectious?

A

“fifth disease”
very common
parvovirus B19

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15
Q

how is erythema transmitted?

A

respiratory droplets or mom-fetus

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16
Q

what does congenital erythema cause?

A

fetal abnormalities or miscarriage

17
Q

what are the symptoms of erythema?

A

“slapped cheek” facial rash
lacy pink rash on extremeties

18
Q

is there a vaccine for erythema?

19
Q

how is erythema diagnosed?

A

IgM antibodies

20
Q

how is mumps spread?

A

respiratory droplets and fomites

21
Q

what is the main symptom of mumps?

A

cheek/lymph node swelling (usually parotid gland)

22
Q

what are the complications of mumps?

A

orchitis (causes sterility in young men)
meningitis
encephalitis (rare)
pancreatitis (rare)

23
Q

how is mumps diagnosed?

A

urine test (PCR)
viral RNA in saliva

24
Q

what is the incubation period of mumps?

25
what is cocksackieborius and echovirus?
cause hand foot and mouth disease usually asymptomatic spread fecal-oral more common in summer-fall
26
what is hand, foot, and mouth disease?
rash/lesions on hands feet and mouth may develop into meningitis or myocarditis
27
what is varicella zoster?
chicken pox (herpes)
28
how is varicella spread?
airborne VERY infectious
29
what are hte symptoms of varicella?
fever and generalized rash
30
what is the incubation period/process of varicella?
11-13 days replicates in throat and viremia spreads to skin (sometimes lungs/brain)
31
how is varicella diagnosed?
symptom recognition PCR antibody measurement to check immunity
32
how is varicella treated?
airborne precautions acyclovir (if immune compromised or complications)
33
what are complications of varicella?
adulthood pneumonia newborns w/ non-immune moms CNS involvement bacterial super-infection
34
what is shingles?
reactivated version of latent varicella in dorsal root and cranial nerve ganglia
35
what happens in shingles?
inflammation of sensory nerves/ganglia with rash along dermatone
36
what is the primary complication of shingles?
post-hermetic nueralgia
37
how is varicella prevented?
chicken pox and shingles vaccine VZIG post-exposure prophylaxis