Clinical cases Viruses Flashcards
HPV Fever - cough - Sore throat - Other -
Fever - No
cough - No
Sore throat - No
Other - warts/carcinoma
MCV Fever - cough - Sore throat - Other -
Fever - no
cough - no
Sore throat - no
Other - papular waxy lesions
Smallpox Fever - cough - Sore throat - Other -
Fever - Yes (high)
cough - No
Sore throat - No
Other - HA, extreme fatigue, muscle pain, synchronous rash w/ palm and sole involvement
Fever - No
cough - No
Sore throat - No
Other - warts/carcinoma
HPV
Fever - no
cough - no
Sore throat - no
Other - papular waxy lesions
MCV
Fever - Yes (high)
cough - No
Sore throat - No
Other - HA, extreme fatigue, muscle pain, synchronous rash w/ palm and sole involvement
Smallpox
Orfvirus Fever - cough - Sore throat - Other -
Fever - No
Cough - No
Sore Throat - No
Other - Local lesion, hx (sheep/goats)
Fever - No
Cough - No
Sore Throat - No
Other - Local lesion, hx (sheep/goats)
Orfvirus
VZV Fever - cough - Sore throat - Other -
Fever - Yes (low)
cough - Yes
Sore throat - Yes
Other - General tiredness, asynchronous rash, no palm/sole involvement
Fever - Yes (low)
cough - Yes
Sore throat - Yes
Other - General tiredness, asynchronous rash, no palm/sole involvement
VZV (Chickenpox)
HSV-1 and HSV-2 Fever - cough - Sore throat - Other -
Fever - No
cough - No
Sore throat - No
Other - Rash type (blistering), hx
Roseola (sixth disease - HHV6/7) Fever - cough - Sore throat - Other -
Fever - Yes (high)
cough - No
Sore throat - No
Other - Fine maculopapular rash on neck and trunk
Fever - No
cough - No
Sore throat - No
Other - Rash type (blistering), hx
HSV-1 and HSV-2
Fever - Yes (high)
cough - No
Sore throat - No
Other - Fine maculopapular rash on neck and trunk
Roseola (HHV6/7 - Sixth Disease)
Epstein Barr virus Fever - cough - Sore throat - Other -
Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Enlarged lymphnodes, extreme tiredness, maculopapular rash on trunk
Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Enlarged lymphnodes, extreme tiredness, maculopapular rash on trunk
Epstein Barr virus
Parvovirus B19 Fever - cough - Sore throat - Other -
Fever - Yes (low)
cough - No
Sore throat - Yes (less common)
Other - “Slapped cheek” rash
Fever - Yes (low)
cough - No
Sore throat - Yes (less common)
Other - “Slapped cheek” rash
Parvovirus B19 - Fifth Disease
Coxsackievirus Fever - cough - Sore throat - Other -
Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Lesions in mouth, extremities. Peaks in summer and early fall. (Hand, Foot and Mouth Disease)
Fever - Yes (low)
cough - No
Sore throat - Yes
Other - Lesions in mouth, extremities. Peaks in summer and early fall.
Coxsackievirus (Hand, Foot and Mouth Disease)
Echovirus Fever - cough - Sore throat - Other -
Fever - Yes (low)
cough - Yes (croup)
Sore throat - Yes
Other - Abdominal cramping, diarrhea, non-specific maculopapular rash on trunk
Fever - Yes (low)
cough - Yes (croup)
Sore throat - Yes
Other - Abdominal cramping, diarrhea, non-specific maculopapular rash on trunk
Echovirus
Measles Virus Fever - cough - Sore throat - Other -
(Rubeola) Fever - Yes (high) cough - Yes Sore throat - Yes Other -Conjunctivitis, Koplik spots, rash spreads from central to distal
Fever - Yes (high)
cough - Yes
Sore throat - Yes
Other -Conjunctivitis, Koplik spots, rash spreads from central to distal
Measles (Rubeola)
Rubella Fever - cough - Sore throat - Other -
Fever - Yes (low)
cough - Yes
Sore throat - Maybe
Other - Fine maculopapular rash
Fever - Yes (low)
cough - Yes
Sore throat - Maybe
Other - Fine maculopapular rash
Rubella
German Measles
dengue fever virus Fever - cough - Sore throat - Other -
Fever - Yes (high)
cough - Yes
Sore throat - Yes
Other - Vomit, generalized rash, can be on soles and palsm, case hx important (tropical locations) spread by mosquitos
Fever - Yes (high)
cough - Yes
Sore throat - Yes
Other - Vomit, generalized rash, can be on soles and palsm, case hx important (tropical locations) spread by mosquitos
Dengue fever virus
Scarlet Fever (s. pyogenes) Fever - cough - Sore throat - Other -
Fever - Yes (high)
cough - No
Sore throat - Yes
Other - Strawberry tongue, chills, vomiting
Fever - Yes (high)
cough - No
Sore throat - Yes
Other - Strawberry tongue, chills, vomiting
Scarlet Fever (s. pyogenes)
scalded skin syndrome (S. aureus) Fever - cough - Sore throat - Other -
Fever - Yes (int)
cough - No
Sore throat - No
Other - Painful, widespread erythroderma, often head and neck, extensive areas of desquamation can be present
Fever - Yes (int)
cough - No
Sore throat - No
Other - Painful, widespread erythroderma, often head and neck, extensive areas of desquamation can be present
S. aureus - scalded skin syndrome
How to diagnose measles?
Koplik spots
Virus from throat swab or urine - look for IgM or four-fold increase in IgG
Tzanck smear
Tell if have giant multinucleated cells (HSV, VZV, CMV, Rubella and autoimmune)
