OPPORTUNISTIC INFECTIONS IN IMMUNOCOMPROMISED Flashcards

1
Q

The appearance of a ____________ is one of the most common and serious complications in patients whose immune defenses are suppressed.

A

pulmonary infiltrate

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2
Q

Immunosuppresssion can be due to:

•disease,
•immunosuppressive therapy for ________
•__________ for tumours, or ________.

A

organ transplants

chemotherapy

irradiation

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3
Q

Opportunistic infectious agents rarely cause infection in _________ but can cause these pneumonias in _______ hosts.

A

normal hosts; immunocompromised

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4
Q

Frequently, just one agent is involved in opportunistic infections

T/F

A

F

Frequently, more than one agent is involved in opportunistic infections

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5
Q

Opportunistic infectious agents rarely cause infection in _______ hosts but can cause these pneumonias in ________ hosts.

A

normal

immunocompromised

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6
Q

Mortality from opportunistic infections is high.

T/F

A

T

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7
Q

Of these opportunistic infectious agents, the ones that commonly involve the lung can be classified according to the aetiologic agent:

Bacteria (_________,________ species, _____________, and ____________________),

A

P. aeruginosa

Mycobacterium

L. pneumophila

Listeria monocytogenes

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8
Q

Of these opportunistic infectious agents, the ones that commonly involve the lung can be classified according to the aetiologic agent:

Viruses ( ____________ and ____________), and

A

cytomegalovirus [CMV] and herpesvirus

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9
Q

Of these opportunistic infectious agents, the ones that commonly involve the lung can be classified according to the aetiologic agent:

Fungi (P. jiroveci, ______ species, _______ species, the Phycomycetes, and __________).

A

Candida

Aspergillus

Cryptococcus neoformans

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10
Q

_________ disease continues to be the leading cause of morbidity and mortality in HIV- infected individuals.

A

Pulmonary

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11
Q

PULMONARY DISEASE IN HIV INFECTION

The use of potent ________ agents and effective ________ has markedly altered the incidence and outcome of pulmonary disease in HIV-infected persons.

A

antiretroviral

chemoprophylaxis

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12
Q

PULMONARY DISEASE IN HIV INFECTION

Despite the emphasis on “opportunistic” infections,bacterial pneumonia caused by _________________ is one of the most serious pulmonary disorders in HIV infection.

A

the “usual” pathogens

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13
Q

PULMONARY DISEASE IN HIV INFECTION

Organisms include S.________ , S.________, __________ , and gram-negative rods.

A

pneumoniae

aureus

H. influenzae

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14
Q

Bacterial pneumonias in HIV-infected persons are more common, more severe, and more often associated with bacteraemia than in those without HIV infection.

T/F

A

T

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15
Q

all pulmonary infiltrates in HIV-infected individuals are infectious in etiology.

T/F

A

F

Not all

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16
Q

Differential for presence of pulmonary infiltrate include noninfectious diseases, including __________, pulmonary ________ , and primary _________.

A

Kaposi sarcoma

non- Hodgkin lymphoma

lung cancer

17
Q

The _________ count can define the risk of infection with specific organisms.

A

CD4+ T-cell

18
Q

As a rule of thumb, bacterial and tubercular infections are more likely at (lower or higher?) CD4+ counts (_________ cells/mm3).

A

Higher

> 200

19
Q

Pneumocystispneumoniausuallystrikesat CD4+ counts ________ cells/mm3

A

below 200

20
Q

cytomegalovirus and Mycobacterium avium complex infections are (common or uncommon?) until the ______ stages of immunosuppression

A

Uncommon

very late

21
Q

cytomegalovirus and Mycobacterium avium complex infections occurs at CD4+ counts ______ cells/mm3).

A

<50

22
Q

Pneumocystis pneumonia usually strikes at CD4+ counts __________ cells/mm3

cytomegalovirus infections occurs at CD4+ counts ________ cells/mm3

Mycobacterium avium complex infections occurs at CD4+ counts _______ cells/mm3

bacterial and tubercular infections are more likely CD4+ counts ______ cells/mm3

A

below 200

<50

<50

> 200

23
Q

Done!

A

Period!😌
Purrr👅