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11 Cards in this Set

  • Front
  • Back
What are the causative agents of mononucleosis? Which is more common?
Epstein-Barr virus (most common)
Cytomegalovirus
How is EBV transmitted?
Nasopharyngeal
15-20% of people are healthy shedders of the virus.
What are symptoms of EBV?
Sore throat
Malaise
Headache
Anorexia
Myalgias
Chills
...
What are signs of EBV?
Lymphadenopathy
Pharyngitis
Fever
Splenomegaly
...
What is the pathogenesis of EBV infection?
Replication in oropharynx.
In blood, targets B cells with CD21 receptor. B cells become immortal.
Cells stimulated to produce non-specific antibodies (IgG, IgM, IgA, IgD, IgE, autoantibodies, heterophile)
Cytotoxic T cells respond to infected B cells and kill off the cells to limit the disease.
What is used to test for EBV?
Heterophile IgM antibody usually produced with EBV. Will agglutinate with animal RBCs.
What are the features of CMV mono? How is it different from EBV?
Similar clinical presetation.
Not community acquired, no heterophile antibody produced, virus present in the urine.
What is the classification of Ebola/ Marburg viruses?
Filovirus
How is ebola transmitted?
Infected body fluids or blood enter skin breaks, mucous membranes, or are swallowed.
What tests are used to diagnose ebola?
Enzyme linked immunosorbant assay (antigen)
Virus isolation
Polymerase chain reaction (RNA)
What are features of ebola infection?
Destroy dendritic cells, macrophages, neutrophils and NK cells.
Within days- fever, headache, stomach pain, diarrhea, rash, vomiting.
Within weeks- chest pain, shock, bleeding and death