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varicella zoster virus
causative agent of shingles
lesions on back and trunk the spread
chickenpox symptoms
shingles
what occurs following reactivation of the chicken pox virus
along infected nerve
where are shingle lesions found
airborne, coughing, sneezing, contact skin lesions
how is VZV spread
varicella zoster virus
VZV
enveloped, spherical, linear dsdna
characteristics of vzv
human alpha herpesvirus 3
what is vzv also known as
pain relief
what is treatment of shingles mainly for
upper respiratory tract
where does vzv proliferate first
t cells, leading to transient viremia
what does vzv infect after respiratory tract
reticular endothelial system and other organs
after infection t cells, where does secondary viremiainfect
keratinocytes
what does vzv infect causing skin rash and pustules
sensory root ganglia
since vzv is not eradicated, where does it migrate to
using sensory root, spreads from ganglion to target tissue
how does vzv spread during reactivation
winter and spring
when is peak vzv incidence
groups children
where do outbreaks of vzv occur the most
life attenuated
what type of vaccination is available for vzv
lesions, anitbody and pcr
what is used to diagnos vzv
antiviral drugs, acyclovir
treatment for vzv and example
muliple layers, acidic ph, phagocytic cells, rich in salt and antimicrobials
features that make it difficult to colonize skin
langerhans
ex of phagocytic cells in skin
lyzozyme, defensins
example of antimicrobials in the skin
rashes
change in colour and texture of the skin
exanthem
widespread skin rash accompanied by systemic symptoms such as fever, malaise, headache
enantherms
rashes on mucous membranes
toxins,drugs, an immune response
causes of rashes or lesions
macular
flat and red, less than 1 cm in diameter
vesicular
small, fluidfilled vesicles, 5-10 mm in diameter. Larger ones classifiied as blisters
papular
small and solid elvation with no visible fluid
maculopapular
a papule that is reddened
pustular
a papule filled with pus
months
how long can pain in shingle lesions last even after healed
yes, no animal reservoir
could vzv be irradicated through vaccination
4-6
around what days does primary viremia occur
12-16
what days does secondary viremia occur
1-2 days before rash
when is shingles most contagious
measles, rubella, erythema infectiosum, roseola infantum
viral exanthems
scarlet fever, scalded skin syndrom
bacterial exanthems
morbillivirus
what causes measles
rubivirus
what causes rubella
parovirus b19
what causes erythema infectiosum
herpes simplex virus 6
what causes roseola infantum
group a streptoccous
what causes scarlet fever
staphylococcus aureus
what causes scalded skin syndrom
fever, strawberry tongue, cheek rash
symptoms scarlet fever
staphylococcal exofoliative toxins
causes scalded skin syndorme, acute epidermolysis
dermis unaffected
why does scalded skin syndrome not cuase scarring
measles, rubella
which of the four viral exanthema are there vaccines
folliculitis
common skin condition in which hair follicles become inflamed
bacterial or fungal infections
what causes follicultits
superficial folliculitis
affects the upper part of the hair follicle and the skin next to the follicle
deep folliculitis
affects the deeper portion of the follicle and can involve the entire hair follicle
bacterial folliculitis
common type marked by itchy, white, pus filled bumps cause by staphylococcus aureus, a skin commensal
hot tub folliculitis
rash of red, round, itchy bumps one to two days after exposure, pseudomonas sp.
boils, carubuncles
sudden development of painful pink or red bumps caused by staphylococcus aureaus. Carbuncle cluster of boils
excess sebum, clogged pores, release inflammatory mediators
major factors that cause acne
cutibacterium acnes
overgrowth of follicles by this that causes acne
scabies symptoms
intense itch and rash, lesions between fingers, wrists, elbows, knees or genitals, may cause burrow in skin
sarcoptes scabiei mite
what causes scabies
inflammation and damage to nerve endings
what occurs at scabies mites burrow
female deposit egg in burrows
step 1 scabies infection
larvea migrate to surface and create molting pouches
step 2 scabies
larvae molt into nymphal before adult
step 3 scabies
symtoms due to allergic reaction of mites
step 4 scabies
fertile for life
what occurs when female mite becomes pregnant once
skin to skin contact
transmission of scabies
mite killing lotion scabicides
treatment of scabies
no
can you become immune to scabies