Viral Skin Infection Flashcards

1
Q

What virus causes chicken pox?

A

Varicella zoster

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2
Q

Shingles is caused by herpes zoster virus. True or false?

A

False

Shingles is caused by varicella zoster virus

Herpes zoster is just another name given to the condition, it isn’t the name of the causative organism

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3
Q

What virus causes cold sores?

A

Herpes simplex virus (HSV)

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4
Q

In which groups of patients can chicken pox be more serious?

A

Extremes of age

Immunocompromised

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5
Q

After recovery from infection with varicella zoster (chicken pox), the virus is eliminated from the body and is unable to cause symptoms again. True or false?

A

False

After recovery, the virus lays dormant in nerve roots and can reactivate causing shingles/herpes zoster

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6
Q

How does shingles/herpes zoster present?

A

Erythema/vesicles/crusting rash in a dermatomal distribution

Neuralgic pain

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7
Q

What is ophthalmic zoster and how does it present?

A

Herpes zoster affecting ophthalmic division of trigeminal nerve

Rash around eye with respect to midline

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8
Q

What is Ramsay-Hunt Syndrome and how does it present?

A

Herpes zoster affecting facial nerve

Facial drooping (facial nerve palsy)

Hearing loss, vertigo, tinnitus (CN VIII irritation)

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9
Q

How do you treat shingles/herpes zoster?

A

Acyclovir

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10
Q

What is a complication of herpes zoster/shingles?

A

Post herpetic neuralgia

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11
Q

What do herpes simplex virus-1 (HSV-1) and herpes simplex virus-2 (HSV-2) cause?

A

HSV-1: Oral and genital herpes

HSV-2: Genital herpes

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12
Q

What is herpetic gingivostomatitis?

A

Ulceration in and around mouth of pre-school children caused by HSV-1

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13
Q

What is herpes libialis?

A

Blistering at vermillion border (cold sore) caused by HSV-1

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14
Q

What is herpetic whitlow?

A

Blistering on finger caused by herpes simplex virus

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15
Q

What is eczema herpeticum?

A

Infection of eczematous skin with herpes simplex virus

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16
Q

What is a cutaneous complication of herpes simplex virus infection?

A

Erythema multiforme (hypersensitivity reaction forming numerous erythematous target lesions)

17
Q

What causes molluscum contagiosum?

18
Q

What does molluscum contagiosum look like?

A

Small, fleshy, pearlescent nodules

19
Q

How is molluscum contagiosum spread?

A

Very contagious, can be spread by touch and sexual transmission

20
Q

Who is commonly affected by molluscum contagiosum?

21
Q

How do you treat molluscum contagiosum?

A

The nodules are self limiting but can be removed with liquid nitrogen

22
Q

What HPV types are associated with genital warts?

A

HPV 6

HPV 11

23
Q

What cutaneous sign does HPV cause commonly on children?

24
Q

How are HPV warts managed?

A

They are uncomplicated and don’t require management

Can be removed with

  • topical salicyclic acid
  • imuniquimod (if resistant)
25
What causes herpangina?
Coxsackie enterovirus
26
How does herpangina present?
Blistering in the back of the mouth
27
How is herpangina diagnosed and managed?
Diagnosis: swab, stool PCR Management: supportive (self-limiting infection)
28
What causes hand, foot and mouth disease?
Coxsackie enterovirus infection
29
How does hand, foot and mouth disease present?
Fever | Discoloured lesions on hand, feet and mouth
30
What causes erythema infectiosum (slapped cheek disease)?
Paravirus B19
31
How does erythema infectiosum (slapped cheek disease) present in children and in adults?
Children: slapped cheek appearance followed by lacy macular rash Adults: small joint polyarthritis
32
What are some complications of erythema infectiosum (slapped cheek disease)?
Spontaneous abortion | Chronic anaemia
33
How can erythema infectiosum (slapped cheek disease) be diagnosed?
IgM antibody testing
34
What is orf?
Self limiting infection of a sheep virus causing a firm fleshy nodule commonly on the hands of farmers
35
What complications can occur as a result of Zika virus?
Microcephaly/Guillan Barré syndrome in unborn children