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16 Cards in this Set

  • Front
  • Back
A 50 yo woman presents with fever, cough, myalgias, some SOB, headache and diarrhea. She had inspiratory crackles, with low pulse ox and elevated AST and LDH. What does she have?
SARS-associated coronavirus
What is seen in the blood work of someone infected with SARS-CoV?
low pO2, elevated AST, LDH and creatine kinase
What is seen on chest X-ray in someone with SARS-CoV?
lower lobe insterstitial infiltrates
What does SARS stand for?
severe acute respiratory syndrome
What are the characteristics of the SARS-CoV?
large enveloped virus, +ssRNA, irregular shape with club-shaped peplomers that looks like a CROWN SHAPE
What is the longest RNA virus?
SARS-CoV
On electron micrograph how is SARS-CoV identified?
crown like appearance
What else is SARS-CoV called?
group 4 coronavirus
What are the different locations SARS-CoV can be found?
nasopharyngeal aspirate, urine and stools
How is SARS-CoV transmitted?
respiratory droplets, fecal-oral, mechanical
What is the incubation period of SARS-CoV?
2-10 days
Where do coronaviruses localize in the respiratory tract? what about SARS-CoV?
1) upper
2) lower
What are the pathological lung changes that occur in someone with SARS-CoV?
cytoarchitectural changes in infected cells, diffuse alveolar damage, multinucleated giant cells with NO viral inclusions
What happens to respiratory epi with SARS-CoV infection?
desqaumation
With progression of SARS-CoV what is seen on histologic exam?
diffuse alveolar damage with increased fibrosis, squamous metaplasia, and multinucleated giant cells
How is SARS-CoV treated?
supportive care