FINALS Flashcards
Stage: for Early HIV infection
Stage 0
Stage: >500 cells/mm3
Stage 1
Stage: 200-499 cells/mm3
Stage 2
Stage: <200 cells/mm3
Stage 3
Stage: CD4 count has no data
stage unknown
Stage for CD4 %
>26
Stage 1
Stage for CD4 %
14-25
Stage 2
Stage for CD4 %
<14
Stage 3
Stage for No aids defining condition
Stage 1 and 2
Stage for documentation of aids defining condition
Stage 3
Stage for no information on aids defining condition
stage unkown
family of dengue
flaviviridae
small positive sense
ssRNA, enveloped, icosahedral viruses.
flavivirus
“Flavi” a Latin word
meaning
yellow
the most prevalent arbovirus in the world
dengue
It has 4 serotypes that causes variety of clinical manifestations
dengue
Subsequent infection with one or three remaining serotypes
may result in immune-enhanced disease in the form of
- severe hemorrhagic
- dengue shock syndrome
Infection begins with a sudden onset of fever, severe headache,
chills, and general myalgia
Dengue
Does dengue has vaccine
NONE
Laboratory diagnosis:
→ Based on the presence of virus specific IgM antibody
→ A fourfold rise in specific IgG antibody
→ Positive RT-PCR amplification for dengue genomic
sequences
Dengue
what antibody is present in dengue virus
IgM
A fourfold rise in specific IgG antibody
Dengue
incubation period of dengue
3-5 / 2-7 days
family of rabies
rhabdoviridae
genus of rabies
Lyssavirus
Electron microscopy:
bullet-shaped or conical appearance,
rabies
a neurotropic virus that infects all mammals.
Infection terminates in the death of the infected animal.
rabies
After inoculation, the raies virus may initially multiply in the
musculoskeletal tissue
the site of viral replication for rabies
neurons
Can rabies spread to salivary gland?
yes
signs: Hydrophobia
rabies
Treatment protocol for rabies
Milwaukee protocol
Clinical presentation of rabies associated with heightened aggression and
agitation
Furious
Clinical presentation of rabies associated with lethargy and paralysis
Dumb
Detection method of rabies
PCR
Fluorescent antibody staining
Rabies is diagnosed by postmortem examination of brain tissue using
Direct immunofluorescent assay (DIA)
What specimen used for postmortem examination for rabies
Brain tissue
Specific sections of the brain are examined for the rabies ANTIGEN using
fluorescent tagged monoclonal antibodies and microscope
Spike-like projections
rabies
fastest and most sensitive for detecting rabies virus in specimens.
Direct immunofluorescent technique
family of marburg and ebola
filoviridae
considered the most pathogenic of the
hemorrhagic fever viruses.
marburg
Term “Filo means
thread like
electron microscopy:
has long filamentous structural morphology
marburg
appears on Electron microscopy as “6”, “U”, and
circular.
Marburg and ebola
shapes of Marburg and ebola in electron microscopy
6
U
circular
“shepherd’s hook” morphology.
Marburg
a severe multisystem syndrome in which multiple organ systems are
affected throughout the body.
viral hemorrhagic fever
what virus is endemic in Africa
Marburg and ebola
What virus can cause proteinuria
Marburg and ebola
Case fatality percentage for ebola
> 80%
Case fatality for marburg
23-25%
Treatment for marburg
none
Does ebola has vaccine
-ChAd3-ZEBOV (GlaxoSmithKline)
− VSV-EBOV
Two-dose vaccination process referred to as
heterologous prime boost
named after a river in Zaire (from Congo)
ebola virus
ebola was named after a?
river in zaire
5 subspecies of ebola
- Zaire ebolavirus
− Sudan ebolavirus
− Cote d’Ivoire ebolavirus (formerly Ebola-Ivory Coast)
− Bundibugyo ebolavirus
− Reston ebolavirus
what ebola subspecie(s) only cause disease in nonhuman primates
Reston ebolavirus
what ebola subspecie(s) cause infections through aerosolization of secretions
Reston ebolavirus
Confirmatory test for marburg
IgG ELISA
what is the most virulent ebolavirus
Zaire
family of mumps and measles
paramyxoviridae
what virus do not have segmented genome
paramyxoviruses
characterized by
PAROTITIS (inflamed salivary gland)
Mumps
can cause generalized infection often accompanied by rash
Measles
hallmark of measles
Koplik spots
bluish white spots with red halo on the buccal of labial mucosa
Koplik spots
what is exanthem
rash or skin eruption
Other diseases that cause exanthem
- scarlet fever
- rubella/german measles/ atypical scarlet fever
- erythema infectiousum / fifth disease
- roseola
what bacteria cause scarlet fever
group A strep
cause of eryhtema infectiousum
parvovirus B-19