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47 Cards in this Set

  • Front
  • Back
Measles
Clinical findings, direct fluorescent antibody (urine)

URINE!
Mumps
Clinical, serology
Parainfluenza
DFA and PCR and culture
RSV
Rapid antigen test, DFA, PCR (not used clinically)
HMV
PCR, DFA
RUBELLA
Detection of IgM
anti-rubella antibodies
CORONAVIRUS
PCR: stool has higher yield than respiratory droplets
ORTHOMYXOVIRIDAE
Rapid antigen, culture, serotyping
ADENOVIRUS
DFA, culture, PCR
POLIO
Serology
COX VIRUS
Viral culture (from stool, nasopharynx), PCR
DENGUE
Detection of anti-DenV IgM in serum, PCR
YELLOW
Detection of IgM in serum, PCR
WEST NILE
Detection of IgM in serum, PCR
RABIES
DFA on nape of neck biopsy, PCR, negri bodies (viral nucleocapsids in cytoplasm of some infected cells-)
Babesia microti
Peripheral smear  maltese cross and rings in RBC
HEP A VIRUS
Look for anti HAV IgM (acute)
anti HAV IgG (prior)
HBV
Vaccine: only anti-HBs

PCR (HBV DNA)
HCV
Serology: anti-HCV antibody; PCR for HCV RNA; biopsy
HDV
HDAg S and L
HEV
Clinical
HIV
- ELISA for anti-HIV antibodies;

PCR for plasma viral RNA (the “viral load”)
ROTAVIRUS
ELISA, latex agglutination in stool, PCR, EM
NOROVIRUS
Usually Clinical; Difficult to culture, but can use PCR, ELISA, or EM
HPV
Usually Clinical;
Difficult to culture!!!!!!, but can use PCR, ELISA, or EM
MEASLES
Clinical findings, direct fluorescent antibody (urine)
URINE!!!
MUMPS
clinical, serology
Rubella
Detection of IgM
anti-rubella antibodies
HSV 1&2
Culture, DFA, PCR, Tzanck smear
VZV
History of chicken pox, clinical.
EBV
Monospot test- IgM heterophile (nonspecific) antibody
CMV
Owl’s eye inclusions, bxp and culture, PCR,
urine cultures
HHV 6,7
CLINICAL
HHV8
history of AIDS, clinical
candida albicans
KOH test (Germ tube), blood culture
Cryptococcus neoformans
PAS & silver stain,
India ink (Halo – capsule so thick, doesn’t take stain),

Serology (capsular antigen in blood and CSF)
Histoplasma capsulatum
Urine antigen test,
Visualization on sputum with silver stain,
peripheral blood smear,
culture
Blastomyces dermatitidis
Broad-based budding of yeast
Coccidioides immitis
Spherule in culture, PPD-like skin test
Paracoccidioides brasiliensis
Culture of biopsy or bronchoalveolar lavage --> Mariner’s wheel
Penicillium marneffei
binary fission in yeast phase
Zygomycetes (mucor/rhizopus)
biopsy staining
Aspergillus
Biopsy, culture, staining
PCP
Silver stain or DFA of sample- sputum or bronchiolar lavage
Malassezia
Scraping stained with KOH showing
both yeast and hyphal forms
Eumycetomas(madurella grisea)
BIOPSY
Sporothrix schenckii
Biopsy, culture