Viral ENT Flashcards
In which age group does glandular fever present?
young adults (14-25)
What is the symptoms of glandular fever?
Constant fever
Enlarged nodes
Pharyngitis, tonsillitis
Malaise
What sign is seen in the mouth in glandular fever?
Palatal petechiae
What antibiotic can also cause the rash that may be present in glandular fever?
Amoxicillin
In what way may the lymphocytes be irregular in glandular fever?
Overly large and irregular shape
Splenomegaly may be present.
What size must the spleen be before it can be felt?
Double the normal size
Why might it be necessary to avoid sports for 6 weeks?
In case of splenic rupture
Why is the upper airway at risk in glandular fever?
Tonsillar enlargement may cause obstruction
What virus might cause glandular fever?
Epstein Barr Virus
How is EBV confirmed?
IgM for EBV
What treatment can be given in glandular fever?
No abx- viral!
Antivirals not effective
Steroids if anaemic
When is cytomegalovirus and toxoplasmosis especially dangerous?
During pregnancy
Which serotype of HSV causes coldsores?
Type 1
What is a complication of HSV1 in children?
Primary gingivostomatitis
Who tends to get ginviostomatitis?
Pre-school kids
What are the symptoms of gingivostomatitis?
Vescicles and ulcerations on lips, buccal mucosa and hard palate
What condition may form if eczema herpeticum is infected with HSV1?
Kaposi’s varicelliform
What anti-viral can be given for primary gingivostomatitis?
Aciclovir
What name is given to HSV1 when it affects the nailbed?
Herpetic whitlow
What colour of bottle is a viral swab put into for PCR?
Red topped
What name is given when HSV affects the brain?
Herpes simplex encephalitis
What symptoms are present in HS encephalitis?
Sleepy
Change in personality
Seizures
Fever
What name is given if there are vesicles on soft palate?
Herpangina
Which virus causes herpangina?
Coxsackie virus
What is the name of the ulcer associated with syphilis?
Chancre
What bacteria causes syphilis?
Treponema pallidum
How is syphilis treated?
IM penicillin
What virus causes hand food and mouth disease?
Enteroviruses
How is hand foot and mouth disease spread?
Faeco-orally
