Term
| What are the most common vectors of viral zoonoses? |
|
Definition
| hematophagous (blood-sucking) arthropods, mosquitoes |
|
|
Term
| What is the principle vector for dengue fever? |
|
Definition
|
|
Term
| what is 3 unique common symptom of dengue fever? |
|
Definition
| altered taste sensation and petechiae on second exposure and retro-orbital pain |
|
|
Term
| What is the most common manifestation of Dengue hemorrhagic fever? |
|
Definition
|
|
Term
| What labs are seen with dengue hemorrhagic fever? |
|
Definition
| thrombocytopenia <10,000, rise in hematocrit-third spacing, low total protein, low albumin |
|
|
Term
| treatment for dengue hemmoragic fever? |
|
Definition
|
|
Term
| What are the 3 stages of yellow fever? |
|
Definition
1) infection - swollen lips/red tongue
2) remission
3) intoxication - jaundice |
|
|
Term
| What is the most important worldwide cause of arobviral encephalitis? |
|
Definition
|
|
Term
| What is the main reservoir for Rabies in US? |
|
Definition
| Dogs, 90% associated w/wild animals |
|
|
Term
| What are some clinical manifestations of Rabies? (3) |
|
Definition
1) pain and parathesia at bite site - prodermal phase
2) apprenhension/impending doom
3) hydrophobia |
|
|
Term
| What leads to death in Rabies? |
|
Definition
| involvement of cardiac and respiratory muscles |
|
|
Term
| Where is histoplasmosis found? |
|
Definition
| Mississippi and Ohio river valleys from bird and bat guano |
|
|
Term
| What x-ray findings are found with pulmonary histoplasmosis? |
|
Definition
| patchy lobar or multilobar infiltrates |
|
|
Term
| What type of histoplasmosis is more common in children and immunosuppresed? |
|
Definition
| hematogenous dissemination |
|
|
Term
| What serological studies are available for histoplasmosis? |
|
Definition
| complement fixation (CF) and immunodiffusion (ID) |
|
|
Term
| How do you treat pulmonary histoplasmosis? |
|
Definition
| itraconazole 200mg-same treatment for disseminated histoplasmosis, if pneumonia - amphotericin |
|
|
Term
| What is a complication associated with histoplasmosis? |
|
Definition
| granulmatous mediastinitis - can erode into esophagus |
|
|
Term
| What states is blastomycosis seen in? |
|
Definition
| arkansas, mississippi, and kentucky |
|
|
Term
| What is found on the face and extremities with disseminated blastomycosis? |
|
Definition
| well circumsribed, nonpainful papules, nodules, or plagues |
|
|
Term
| Treatment for blastomycosis? |
|
Definition
| itraconazole, or amphotericin in severe cases |
|
|
Term
| where is coccidioidomycosis found? |
|
Definition
|
|
Term
| What form of coccidiomycosis is common and asymptomatic and commonly involves the skin, bone, SQ tissue, and meninges? |
|
Definition
| Disseminated coccidiomycosis |
|
|
Term
| What serologic studies are found with coccidiomycosis? |
|
Definition
1) ID detection of IgM antibodies - acute
2) CF of IgG for chronic |
|
|
Term
| How do you treat coccidiomycosis? |
|
Definition
| fluconazole, itraconazole for pulmonary infections |
|
|
Term
| Who most commonly has visceral sporotrichosis? |
|
Definition
| middle-age alcoholic men with COPD |
|
|
