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5 Cards in this Set
- Front
- Back
Small Pox (variola virus): incubation period
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- 7-17 days
- during incubation, virus replicates in the upper respiratory tract --> primary viremia --> seeds liver and spleen --> secondary viremia --> seeds skin --> classic eruption |
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Small Pox: initial symptoms
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- fever up to 104
- malaise - severe HA - vomiting - backache |
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Small Pox: rash pattern and distribution
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- occurs 1-2 days after onset of fever
- begins on face --> spreads to extremities and trunk - initially erythematous macules --> then papules, vesicles, and firm pustules --> crusts form at 8 or 9 days and persist for 3-4 weeks --> as crusts separate, - (majority of lesions are observed on face and extremities, with lesser # on the trunk) - all lesions are in a similar stage of development |
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Varicella: rash pattern and distribution
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- lesions erupt initially on the trunk and later on the face and extremities
- lesions are erythematous papules that evolve into superficial vesicles, pustules, and crusts - lesions are in varying stages of development - by 7-10 days after infection, all lesions have crusted. |
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Sequele of Varicella vs. Smallpox
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Varicella: permanent scars are rare, only when lesions had secondary infection
Smallpox: pts are left with significant scars, depigmentation |