HERP

Question 1

not associated with HIV. young african males. also in immunocompromised. AGRESSIVE

Two further types. One is aggressive in children <10. Other is in men 20-50 and nodular/infiltrative.

Answer 1

KSHV
endemic kaposi sarcoma

Question 2

adulthood and childhood forms. highly contagious

itchy rash that spreads downwards. primary infection mild and symptomatic. adult version is dependent on dermatome carrying virus

secondary viral infection, viral pneumonia. encephalitis. postherpetic neuralgia
VACCINIATION. diagnose clinical presentation

Answer 2

VZV

Question 3

AGGRESSIVE. Skin, face, gastrointestinal, urogenital, resp tract. MSM. In Africa it is heterosexual HIV patients

Answer 3

KSHV
epidemic related kaposi sarcoma

Question 4

M=F. more common in adolescents. KISSING DISEASE. can also spread through semen, blood and organ transfusions.
infectious mononucleosis. hairy leukoplakia. can reactivate with stress/anxiety.

splenomegaly. potential rupture risk

Answer 4

EBV

Question 5

<3 and 3-5
transmission saliva.

roseola infantum
infantile seizures [if no rash]. meningitits. IM in adults.

diagnose serology. no vaccine

Answer 5

HHV-6/HHV-7

Question 6

antiviral drugs

Answer 6

valaciclovir
acyclovir
famiciclovir

Question 7

F>M . dependent on sexual habits; spread through contact. genital infection

can be recurrent. HSV-encephalitis.

diagnose through swab. DN detection. PCR to differentiate

Answer 7

hsv-2

Question 8

<6 and YA. spread through oral, sex, urine, blood, breast milk.
mostly no signs. otherwise infectious mononucleosis.

diagnose PCR, serology etc.

Answer 8

HCMV

Question 9

<5 YEARS
mainly spread oral. also shedding virus from skin. oral secretions. orofacial lesions that ulcerate

recurrence through autoinnoculation - herpretic whitlow / keratitis / encephalitis

diagnose through swab. DN detection. PCR to differentiate

Answer 9

HSV-1

Question 10

less aggressive. Lymphadenopathy and visceral involvement. Seen in organ transplant patients. IMMUNOCOMPROMISED

can turn into KS here.

Answer 10

KSHV
latrogenic kaposi sarcoma

Question 11

does not cause worldwide infection.
middle-aged or older men of mediterranean, eastern European and middle eastern heritage without HIV infection. Involves skin, limbs and is slow developing. DOES NOT INVOLVE LYMPH NODES

Answer 11

KSHV
Classical kaposi sarcoma