Enteric Viruses 2 (8) Flashcards
What 3 diseases does Coxsackie A virus cause?
Herpangina
Hand Foot and Mouth Disease
Acute Hemorrhagic Conjunctivitis
Name the illness:
Acure febrile illness with small vesicular or ulcerative lesions of posterior oropharyngeal structures
Herpangina
What is the treatment for Herpangina?
No specific treatment…just treat symptomatically
Name the illness:
Acute febrile illness with vesicular eruptions in the mouth, hands, feet, buttocks, and genitalia
H-F-M Disease
How is hand foot and mouth disease spread?
fecal oral or contact with skin lesions or oral secretions
What are the possible complications of hand foot and mouth disease?
aspetic meningitis, aseptic myocarditis, interstitial pneumonitis, pulmonary edema
What is the treatment for hand foot and mouth disease?
Supportive (IV hydration might be needed for dehydration)
Name the illness:
rapid onset conjunctivitis, usually seen in teenagers
Acute Hemorrhagic Conjunctivitis
What is the treatment for acute hemorrhagic conjunctivitis?
no treatment is available, the disease is usually self limited
What diseases can coxsackie B virus cause?
Viral myocarditis
Pleurodynia
Name the disease:
Inflammatory disorder of the myocardium resulting in necrosis of the myocytes, inflammatory infiltrate and pump failure
Viral myocarditis
Which patients are at a higher risk for viral myocarditis?
Infants and pregnant/ immunosuppressed
What will CBC show in viral myocarditis?
acute anemia, lymphocytosis, neutropenia
What are some serum markers useful for myocarditis diagnosis?
Elevated ESR, CRP, CK and Troponin
What is the treatment for viral myocarditis?
Admit to the hospital, rest, supplemental O2, steroids (?), IgG (?), Pleconaril (?)
Name the illness:
Sudden occurrence of episodes of acute chest pain, fever, malaise, HA
Pleurodynia
What causes the episodic chest pain in pleurodynia?
Infection of striated muscle in chest
What physical exam finding is indicative of pleurodynia?
Pleural friction rub
might also seen N/V/D, fever, pharyngitis
What is the treatment for pleurodynia?
No specific treatment (supportive care)
Must follow up with PCP for sequelae
Why does coxsackie B virus have high mortality in the frist 4 weeks of life?
Inadequate immune response fails to contain the infection and which results in cardiac involvement which can be fatal
What do the “other enteroviruses” cause?
Aseptic meningitis
What is the treatment for aseptic meningitis?
Mainly supportive because it is a self limited course (7-10 days)
What are the possible symptoms of aseptic meningitis in younger children?
Fever but cold hand and feet
Blank staring
Refusing food/ vomiting
Drowsy
Fretful. dislike of being handled
Stiff neck (sleeping in weird positions)
Pale blotchy skin
High pitched cry
