Viral Exanthems

Question 1

Mostly do supportive care.

Can do acyclovir if severe

Answer 1

Herpetic gingivostomatitis (HSV1 and HSV2)

Question 2

Vesicles on a red base > shallow ulcers involving gingivae, palate, and tongue.
Fever, irritability, pain with eating

Answer 2

Herpetic gingivostomatitis (HSV1 and HSV 2)

Question 3

Pruritic vesicles on erythematous (red) base in multiple stages of eruption and healing.
Uncommon due to vaccines. Seen in unvaccinated and immunosuppressed

Answer 3

Varicella zoster

Question 4

Complication of systemic viremia or bacterial superinfection

Answer 4

Varicella zoster

Question 5

Consider _______ for immunoCOMPROMISED patients who are exposed to varicella zoster

Answer 5

VZIG (varicella zoster immunoglobulin)

Question 6

Avoid aspirin in risk of

Answer 6

Reye’s syndrome

Question 7

Erythema infectiosum (fifth’s diease) is caused by

Answer 7

Parvovirus B19

Question 8

Fever, chills, and headache.
See “slapped cheek” rash 2-3 DAYS LATER. Flat, erythematous rash on cheeks that evolves to lacy rash on trunk and legs that lasts 2-3 weeks

Answer 8

Erythema infectiosum (fifth’s disease) - parvovirus B19

Question 9

Treatment for erythema infectiosum (fifth’s disease) - parvovirus B19

Answer 9

Supportive care

Question 10

Roseola is caused by

Answer 10

HHV6 or HHV7 (human herpes virus)

Question 11

High, spiking fevers that last for 3-5 days. Get a rash as fevers resolve.
Rash - poorly defined erythematous macules and papules on chest that spread outward from chest

Answer 11

HHV6 or HHV7 (human herpes virus)

Question 12

Complications: Encephalitis.

First febrile seizure may be associated with infection.

Answer 12

HHV6 or HHV7 (human herpes virus)

Question 13

Treatment for HHV6 or HHV7 (human herpes virus)

Answer 13

Supportive care only

Question 14

Rubeola also known as

Answer 14

Measles

Question 15

Fever with the 3 C’s (cough, coryza or runny nose, and conjunctivitis). Koplik spots in the mouth

Answer 15

Rubeola (measles)

Question 16

1. Fever with the 3 C’s (cough, coryza, conjunctivitis) and koplik spots
2. Erythematous (red) papules 2-4 days later on face that spread downward from face

Answer 16

Rubeola (measles)

Question 17

Complications: pneumonia, gastroenteritis, myocarditis, encephalitis

Answer 17

Rubeola (measles)

Question 18

Consider ________ supplementation in patients with malnutrition or malabsorptive states with rubeola (measles)

Answer 18

Vitamin A

Question 19

Fever, malaise, headache, and anorexia.
Affects glands and neural tissue.
PAROTID SWELLING. Orchitis and meningoencephalitis

Answer 19

Mumps

Question 20

Treatment for mumps

Answer 20

Supportive care

Question 21

1. Fever, malaise, decreased appetite

2. Painful oral vesicles on erythematous (red) base in mouth AND on palms and soles of feet 1-2 days later

Answer 21

Hand foot and mouth disease (coxsackie virus)

Question 22

Hand foot and mouth disease is caused by

Answer 22

Coxsackie virus

Question 23

Treatment for hand foot and mouth disease (coxsackie virus)

Answer 23

Supportive care only. Resolves in 7-10 days

Question 24

1. Begins with “herald patch” - large, salmon colored, scaly lesion
2. Lesions on trunk in “Christmas tree” pattern 5-10 days later
   - Resolves in weeks to months

Answer 24

Pityriasis rosea

Question 25

Supportive care mainly.

May improve more rapidly with UV light or erythromycin

Answer 25

Pityriasis rosea