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MICRO FINAL*1

Infections: HANDOUT - PRINTED***

QuestionAnswer
Papillomavirus (HPV): COMPLICATIONS (3) *genital warts *can cause cervical cancer *can be link to other cancers
Papillomavirus (HPV): can be link to other cancers: genital/oral contact can lead to oral & esophageal cancer
70% of all cervical cancer cases is caused by: Papillomavirus (HPV)
Papillomavirus (HPV): TREATMENT Warts: removal
Papillomavirus (HPV): PREVENTION GARDISIL VACCINE
HERPESVIRUSES: 7 Known HERPESVIRUSES to Cause Human Infections: 5 of them are: 1)HERPES SIMPLEX VIRUS TYPE 1(HSV1) 2)HERPES SIMPLEX VIRUS TYPE 2(HSV2) 3)VARICELLA-ZOSTER VIRUS (VZV) 4)Epstein-Barr Virus (EBV) 5)Cytomegalovirus (CMV)
(HSV1)= HERPES SIMPLEX VIRUS TYPE 1
*oral cold sores (fever blisters) *viral infection of lips, tongue, gums, face - oral herpes *sore is very contagious/painful HERPES SIMPLEX VIRUS TYPE 1(HSV1)
TRANSMITTED BY: *most commonly, direct contact w an active virus & fluid filled sore (clear fluid) *2nd, possibly by secretions frm a sore; sneeze, sharing drink, lip balm,etc HERPES SIMPLEX VIRUS TYPE 1(HSV1)
HERPES SIMPLEX VIRUS TYPE 1(HSV1): COMPLICATIONS (3) *can become a provirus & recur *risk of conjunctivitis(eye) *risk of encephalitis & meningitis (rare, but can occur)
HERPES SIMPLEX VIRUS TYPE 1(HSV1): TREATMENT *anti-viral meds that can *spd up the drying & healing of the sore: *(ex)- acyclovir, zovirex, Valtrex
(HSV2)= HERPES SIMPLEX VIRUS TYPE 2
*gential cold sores (genital herpes) *viral infection of vagina, cervix, penis *sore is very contagious/painful HERPES SIMPLEX VIRUS TYPE 2(HSV2)
*most commonly TRANSMITTED BY: *direct contact w an active virus & fluid filled sore (clear fluid) HERPES SIMPLEX VIRUS TYPE 2(HSV2)
HERPES SIMPLEX VIRUS TYPE 2(HSV2): COMPLICATIONS (3parts) *can become provirus & recur *increased risk of cervical cancer *PASSAGE TO NEWBORN-> NERVOUS SYSTEM PROBLEMS-> BLINDNESS,DEAFNESS(should deliv C-sect)
HERPES SIMPLEX VIRUS TYPE 2(HSV2): TREATMENT *anti-viral meds that can *spd up the drying & healing of the sore: *(ex)- acyclovir, zovirex, Valtrex *(same as HSV1)
(VZV)= VARICELLA-ZOSTER VIRUS
CHKN POX/SHINGLES= VARICELLA-ZOSTER VIRUS (VZV)
TRANSMITTED BY: *respiratory secretions (cough, sneeze) VARICELLA-ZOSTER VIRUS (VZV)
VARICELLA-ZOSTER VIRUS (VZV): first symptoms= *mild flu-like illness (whn most contagious) *flu-like=fever, congestion, cough, fatigue, muscle aches, malaise
VARICELLA-ZOSTER VIRUS (VZV): Virus spreads from respir tract into blood= *vesicular rash forms (smll blisters anywhere on body) *rash can be contagious (esp fluid from blisters)
VARICELLA-ZOSTER VIRUS (VZV): COMPLICATIONS (4 sections) *bronchitis, pneumon, conjunctivit, otitis media, meningit, encephalitis *slow virus disease (shingles- infect of periph nerves; pain, discomf, rash, blisters) *scarring *Reyes syndrome- damge to bld vssls, liver, brain due to VZV & aspirin, can be fatal
VARICELLA-ZOSTER VIRUS (VZV): TREATMNT *treat symptoms; *diet*fluids*steroids *keep itching down *fever reducer: not aspirin
VARICELLA-ZOSTER VIRUS (VZV): PREVENTION Vaccine
EBV= Epstein-Barr Virus
*causes mononucleosis (MONO) *TRANSMITTED BY fecal-oral (digestive) contact *digestive= saliva, kissing, sharing foods, etc Epstein-Barr Virus (EBV)
Epstein-Barr Virus (EBV): SYMPTOMS *sore throat *swollen salivary glands *swollen lymph nodes *fever, cough, fatigue, malaise
Epstein-Barr Virus (EBV): COMPLICATIONS (extremely common) *VIRUS CAN GO TO BRONCHI&LUNGS=bronchitis & pneumon *CAN GO TO BLOOD-> SPLEEN= 1)hyperspleenism (overactive spleen) or 2)splenomegaly (exlarged spleen- rupture) *CAN GO TO LIVER= hepatomegaly (enlrged liver; abdom discomf, jaundice)
Epstein-Barr Virus (EBV): SYMPTOMS can now last... 3-6 mo for complete recov
Epstein-Barr Virus (EBV): TREATMNT *rest *fluid *diet *steroids
Epstein-Barr Virus (EBV): LATER COMPLICATION: Burkitts Lymphoma- cancer of the lymph nodes of the neck
CMV= Cytomegalovirus
*causes a respir infect (pnuemon-like) in children (newborns) *pneumon, diarrheal illnesses, weightloss, dementia in AIDS patients *no real treatmnt Cytomegalovirus (CMV)
PARAMYXOVIRUSES: 2 TYPES *RUBELLA *RUBEOLA
RUBELLA aka: 2 *German measles *"togavirus"
RUBELLA: TRANSMITTED BY: *respiratory secretions (cough/sneeze) *incubation period= 1-2days
RUBELLA: SYMPTOMS: FLU-LIKE SYMPTOMS: mild: *fever *congestion *cough *rash (red, itch, flat on trunk, arms, legs)- lasts 1-3days
RUBELLA: COMPLICATIONS: *bronchitis, pnuemon, meningit *CAN CROSS PLACENT EARLY IN PREG: *IF CROSESS IN 1st TRIMEST (1st 8 wks)= 80-85% chance of sev damge to fetus <3, aorta, brain &spinal cord *IF CROSESS IN 2nd TRIMEST (9-16 wks)= 25% of severe damge
RUBELLA: TREATMENT *fever reducers, anti-inflammatories for rash, rest, fluids, proper diet
RUBELLA: PREVENTION= MMR Vaccine
RUBEOLA aka: *measles *"regular measles
TRANSMITTED BY: *respiratory secretions *incubation period= 2-5 days RUBEOLA
RUBEOLA: SYMPTOMS FLU-LIKE: *red, itchy rash mostly trunk, *white patches inside mouth (gums, tongue) *symptoms last 2-5 days
RUBEOLA: COMPLICATIONS *bronchitis, pnuemon, meningit *conjunctivit *possibl slow virus disease of the CNS, sim to MS, results in dementia= SSPE *not known to cross placenta
RUBEOLA: TREATMNT *steroids for rash *anti-flams keep itching dwn *rest, fluids, fever-reducer (not aspirin incase youre actually dealing w chkn pox)
RUBEOLA: PREVENTION MMR Vaccine
POXVIRUSES
*some of the lrgest knwn animal viruses (250nm) *species specific- can infect most species of animals (cowpox, monkeypox, feline pox) POXVIRUSES
There is one HUMAN pox virus= VARIOLA (SMALLPOX)
VARIOLA= SMALLPOX
*Can be TRANSMITTED human to human by: *direct contact (skin to skin) with a *virus infected sore or *respir secretions VARIOLA (SMALLPOX)
*Has been eradicated due to strict worldwide immun (vaccination) *Last NATURAL case in US- 1949 *Last case on Earth- 1978 Ethiop *Declard eradicated by WHO in 1987 VARIOLA (SMALLPOX)
VARIOLA (SMALLPOX): *Incubation period= 1-2days *SYMPTOMS= *fluid & virus filled sores (pox) all ovr bdy *if inhaled, sores & hemorrhage in lungs *drowns in blood *pneumon occurs *death via pulmonary smallpox
VARIOLA (SMALLPOX): TREATMNT & PREVENT *No treatment *Vaccine exists, but no one needs to be
BACTERIAL SKIN INFECTIONS (4) *STAPHYLOCOCCUS AUREUS *STREPTOCOCCUS PYOGENESE(GROUP A BETA STREP) *LYME DISEASE *OTHER BACTERIAL SKIN INFECTNS
The most common bacterial pathogen: STAPHYLOCOCCUS AUREUS
*Skin infectns, respir infectns, food poisoning, systemic infectns *G+ coccus, bunches *TRANSMITTED: *Nasal secretions of carriers & dischrg (exudate from skin absesses) *resists most common antibiotics STAPHYLOCOCCUS AUREUS
STAPHYLOCOCCUS AUREUS: Incubation period= 2-4 days
STAPHYLOCOCCUS AUREUS: Infections: *can invade intact skin *can cause: *pustules- hair follicle infectns *acne *furuncles- boils in deepr tissue *carbuncles- multpl smll boils usually scalp *impetigo *scalded skin syndrm *necrotizing fasciitis *toxic shock synd *leading cause of burn & wound infections
childrn rash w/ pus on face impetigo
skin & connectv tissue separate& skin layers peel away scalded skin syndrm
flesh eating disease necrotizing fasciitis
rash, high fev, bld vssl damge toxic shock synd
STAPHYLOCOCCUS AUREUS: Produces dozens of exotoxins & harmful enzymes: *necrotizing toxins *enterotoxins- dmg digestive tract *hemolysins- dstry RBCs *leukocidins- dstry WBCs *coagulase- clot bld *collagenase *exfoliating toxin- scalded skin syndrm *toxic shock toxin *capsules- resist phagocytosis
kills cells & tissue (connectv tissue) necrotizing toxins
dstry collagen in skin,joints,kidneys collagenase
STAPHYLOCOCCUS AUREUS: TREATMNT/VACCINE: *Careful use of antibiotics: Azithromycin(Zpack), Erythromycin, Tetra/Doxycycline *No Vaccine
GROUP A BETA STREP= STREPTOCOCCUS PYOGENESE
*G+ coccus, chains *TRANSMITTED: *trans to skin from respir secretions (cough) *causes PHARYNGITIS (strep throat) *also produces some exotoxins & hemolysins *DOESNT tend to be antibiotic resistant STREPTOCOCCUS PYOGENESE (GROUP A BETA STREP)
STREPTOCOCCUS PYOGENESE may also cause skin infectns: *scarlet fever *impetigo *necrotizing fasciitis *scarlatina *eryspielas- circular ringworm-like rash on trunk *puerperal sepsis(childbed fever)- rash, high fev in mothr following childbirth *toxic shock syndrme
STREPTOCOCCUS PYOGENESE: TREATMNT (4) *Penicillin *Cephalosporins *Ciprofloxacin *Azithromycin
Created by: sbarre2
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