viral and parasitic skin infections Flashcards
which virus causes chicken pox?
Varicella Zoster Virus (VZV)
which virus causes shingles?
Herpes Zoster Virus (HZV)
both shingles and chickenpox are contagious?
false
only chickenpox is contageous
some complications of chickenpox?
bacterial pneumonitis
scarring
hemorrhagic rash
encephalitis
nerve pain persisting >4 weeks after shingles has been resolved?
post herpetic neuralgia
complication of shingles resulting in facial nerve (CNVII) palsy?
Ramsay Hunt Syndrome (herpes zoster oticus)
symptoms of ramsay hint syndrome?
erythematous vesicular rash on the ear (zoster oticus) or in the mouth
facial paralysis
tinnitus, deafness, vertigo
main cause of oral lesions Primary herpetic gingivostomatitis (oral herpes)?
HSV type 1
spread of HSV from mouth to finger
herpetic whitlow
spread of HSV to eczema
eczema herpeticum (deadly)
can HSV cause erythema multiform (target lesions)?
yes
treatment for HZV and HSV
aciclovir
MOA of aciclovir
guanosine analogue, selective takn into viral DNA and inhibits replication
DOES NOT ELIMINATE THE VIRUS
Small, multiple umbilicated, translucent/pearlescent papules that look fluid-filled but are solid
Molluscum contagiosum
cause of viral warts?
HPV
HPV viral wart on feet?
verrucae
HPV types __ and __ cause genital warts
6 and 11
HPV types __ and __ cause cervical cancer
16 and 18
blistering rash at the back of the mouth
herpangina
causes of herpangina?
enteroviruses (coxsackie virus/echovirus)
virus that causes hand foot and mouth disease?
coxsackie virus (enterovirus)
Intense erythema on cheeks (and proximals limbs) of child
‘slapped cheek disease’
caused by erythema infectiosum/ Parvovirus B19)
test for Parvovirus B19?
Parvovirus B19 IgM test
complication of Parvovirus ?
spontaneous abortion, chronic anaemia, aplastic crises (sudden dec, in Hb)
firm fleshy nodule on farmers hands
Orf
sheep disease
primary syphilis infection
chancre - painless ulcer
secondary syphilis infection
red rash all over body especially feet soles
snail track ulcers on mucous membranes
what organism transmits syphilis sexually?
treponema pallidum
treatment for syphilis
penicillin injections
Erythematous Bullseye lesion (Erythema migrans)
lymes disease
what bacteria causes Lyme disease?
Borrelia Burgdorferi (spread by ticks)
presentation of lyme disease
early - erythema migrans
late: arthritis, heart block, nerve palsy
treatment for lyme disease
penicillin/amoxicillin
name two parasitic infections
lice and scabies
treatment for scabies
malathion lotion or benzyl benzoate
treatment for lice
malathion lotion
which conditions are people isolated in hospital with?
Group A strep
MRSA
scabies