CMV Flashcards

1
Q

What causes CMV?

A

herpes virus

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2
Q

How is CMV transmitted?

A

prolonged contact, sexually, transfusion and prenatally

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3
Q

What is CMV like?

A

mono-like

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4
Q

What is the incubation period for CMV?

A

20-60 days

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5
Q

What is the duration of CMV?

A

6 wks

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6
Q

What are the clinical manifestation of CMV?

A

fever and chills, fatigue, myalgias and HA, splenomegaly

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7
Q

Who gets the worst CMV infections?

A

immunocompromised

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8
Q

What are the presentation of CMV in immunocompromised individuals?

A

faver, leukopenia, hepatitis, colitis, pneumonitis, esophagitis, gastritis, retinitis

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9
Q

What HIV CMV pts get?

A

CMV retinitis

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10
Q

What is the most common post-transplant organism?

A

CMV

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11
Q

How do you dx CMV??

A

PCR and IgG or M titers, lymphocytosis

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12
Q

When do you treat CMV?

A

when pt is immunocompromised, self limiting in regular

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13
Q

What are the drugs for CMV?

A

ganciclovir, Valganciclovir, Foscarnet

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14
Q

How long are transplant pt given prophylaxis antivirals for CMV?

A

3-6 mo

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15
Q

What do you suspect in healthy pt with mono like symptoms?

A

CMV

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16
Q

Prolonged fatigue, think?

A

CMV or EBV