Enteric Viruses 2 (8) Flashcards

1
Q

What 3 diseases does Coxsackie A virus cause?

A

Herpangina

Hand Foot and Mouth Disease

Acute Hemorrhagic Conjunctivitis

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2
Q

Name the illness:

Acure febrile illness with small vesicular or ulcerative lesions of posterior oropharyngeal structures

A

Herpangina

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3
Q

What is the treatment for Herpangina?

A

No specific treatment…just treat symptomatically

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4
Q

Name the illness:

Acute febrile illness with vesicular eruptions in the mouth, hands, feet, buttocks, and genitalia

A

H-F-M Disease

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5
Q

How is hand foot and mouth disease spread?

A

fecal oral or contact with skin lesions or oral secretions

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6
Q

What are the possible complications of hand foot and mouth disease?

A

aspetic meningitis, aseptic myocarditis, interstitial pneumonitis, pulmonary edema

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7
Q

What is the treatment for hand foot and mouth disease?

A

Supportive (IV hydration might be needed for dehydration)

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8
Q

Name the illness:

rapid onset conjunctivitis, usually seen in teenagers

A

Acute Hemorrhagic Conjunctivitis

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9
Q

What is the treatment for acute hemorrhagic conjunctivitis?

A

no treatment is available, the disease is usually self limited

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10
Q

What diseases can coxsackie B virus cause?

A

Viral myocarditis

Pleurodynia

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11
Q

Name the disease:

Inflammatory disorder of the myocardium resulting in necrosis of the myocytes, inflammatory infiltrate and pump failure

A

Viral myocarditis

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12
Q

Which patients are at a higher risk for viral myocarditis?

A

Infants and pregnant/ immunosuppressed

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13
Q

What will CBC show in viral myocarditis?

A

acute anemia, lymphocytosis, neutropenia

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14
Q

What are some serum markers useful for myocarditis diagnosis?

A

Elevated ESR, CRP, CK and Troponin

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15
Q

What is the treatment for viral myocarditis?

A

Admit to the hospital, rest, supplemental O2, steroids (?), IgG (?), Pleconaril (?)

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16
Q

Name the illness:

Sudden occurrence of episodes of acute chest pain, fever, malaise, HA

A

Pleurodynia

17
Q

What causes the episodic chest pain in pleurodynia?

A

Infection of striated muscle in chest

18
Q

What physical exam finding is indicative of pleurodynia?

A

Pleural friction rub

might also seen N/V/D, fever, pharyngitis

19
Q

What is the treatment for pleurodynia?

A

No specific treatment (supportive care)

Must follow up with PCP for sequelae

20
Q

Why does coxsackie B virus have high mortality in the frist 4 weeks of life?

A

Inadequate immune response fails to contain the infection and which results in cardiac involvement which can be fatal

21
Q

What do the “other enteroviruses” cause?

A

Aseptic meningitis

22
Q

What is the treatment for aseptic meningitis?

A

Mainly supportive because it is a self limited course (7-10 days)

23
Q

What are the possible symptoms of aseptic meningitis in younger children?

A

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