Professional Documents
Culture Documents
으으감염
으으감염
Virus
HSV, VZV, CMV, EBV
HSV encephalitis
MRI .
: acute onset fever, focal neurologic sx.( temporal lobe)
: -> CSF HSV DNA PCR
: iv acyclovir, oral valacyclovir, famciclovir
Antiherpetic agent
HSV
Acyclovir dGTP kidney
VZV
Antiinfluenza agent
Amantadine
M2 protein Influenza A mild GI, CNS
Rimantidine
Oseltamivir
Neuraminidase Influenza A GI, airway
Zanamivir
Quiz
1. 60 3 , .
. ? ()
2. 53 3 .
. ? ()
3. 33
. . 38.9 ,
. . () . ?
4. EBV
()Hodgikin;s disease
()Burkitt's lymphoma
()Infectious mononucleosis
()Nasopharyngeal carcinoma
5. 19 5 . 110/75 mmHg, 110/, 38 ,
. . . ?
6. CMV(cytomegalovirus) virus ?
7. 61 , . 39.2 1, 3
, 30 . 9
, cyclosporin . leukocytosis, CMV(+) .
?
8. 65 40 . 3 ,
. .
?
*Influenza vaccination
-50
-
-
-(DM, CKD, Cancer, LC...)
-,
-
-50~64
- 6~23
* : 10~12 : cover !
* : 12 ~ 4
9. Influenza vaccination ?
()
() 50
()
()
Streptococcus Pyogenes
acute pharyngitis in adults - : -
* Diagnosis
2
History of fever
Lack of cough
Tonsillar exudates
Tender anterior cervical adenopathy
* ?
peniciliin : , .
Amoxicillin .
Marcrolide( ~ thromycin) . penicillin allergy
.
Quiz
1. 3 17 . 37.5
. . ?
2. 18 2 . . ,
. 38.2 , . (streptococcus pyogenes)
. ?
3. 37 3 1 . , , .
. . 37.6 ,
. . ?
Rabies
Quiz
1. 12 . ?
2.
()
()
()
()
()
3. 2 , 42 .
. ?
1) 2) 3) 4) 5)
:
:
- virus Hantaan virus(severe Sx.) Seoul virus(mild Sx.)
- (rodent) , (aerosolized)
fever, chill, ,
Sx. , , , , delirium, , CNS GFR
uremia
Rivabirin
Quiz
1. 28 3 , , . 1
. 130/85mmHg, HR 110/min, 24/min 39.1 .
. 85/45 .
.
: WBC 19,000 Hb 17.0 Plt 30.000
: 1.010 3+ RBC 10~15/HPF WBC 0~1/HPF
- ?
- ?
- ?
- ?
- rale BUN/Cr -> ?
Dengue Fever
**!
** sign!
26 , , . 15 3 ,
. 130/80 104 23 39.5 .
.
. .
- ?
- ?
AIDS
HIV ElISA(anti-HIV) ?
< >
HARRT
Highly Active Antiretrovial Therapy
3
-2NRTIs + 1NNRTI
-2NRTIs + 1PI
CD4
HIV
HIV
- HIV ART
-
-
Quiz
1. 31 AIDS . 1
. . . HIV
. ?
2. AIDS .
?
() HIV
()
()
() 3
3. AIDS .
?
4. 44 . CT hemoperitoneum
. anti-HIV antibody (+) ?
Pneumocystis
people at risk for disease
- HIV ( CD4+ cell <200 )
-
- organ TPL
-
- premature malnourished infants
: sputum or BAL
: TMP-SMX
Fungus
Aspergillus vs Mucormyces
Cryptococcus
C.albicans A.fumigatus Mocormycosis
neoformans
fluconazole S S R R
Itraconazole S S S R
voriconazole S S S R
caspofungin S R S R
Ampho B S S S S
Quiz
1. 20 DM 50 ,
.
- ?
- ?
2. 70 . 400( 30%,
120, 50) . ?
ampgotericin B + flucytosine
3. 15
- ?
- ?
- ?
Malaria
Genus Plasmodium
(protozoa)
1. plasmodium falciparum
2. plasmodium vivax
3. plasmodium ovale
4. plasmodium malariae
Vector
Anopheles mosquitoes
( : Anopheles sinensis )
Diagnosis
Thick smear & Thin smear < RBC >
Giemsa stain
1. RBC
2. RIng
3. : schuffner's dots
1. RBC
2. Ring
3. Double Dotted Ring
4. Gametocyte
Malaria Endemic Countries
treatment
DOC Pregnancy
Radical Tx
primaquine(14days)
for chlroquine
CIx for G6PD def.
P.vivax or P. ovale
Quinine+clindamycin
Atovaquone+proguanil
Chloroquine resistant malaria quinine+clindamycin
Mefloquine
Artemisine derivative
prophylaxis
DOC pregnancy
Mefloquine
chloroquine-resistant malaria Doxycycline Mefloquine
Atovaquone/proguanil
Doxycycline
Mefloquine-resistant marlaria
Atovaquone/proguanil
Quiz
1. 1
2. 45 2 .
. ?
Parasite Infection
- ~