Epstein-Barr virus ʹ Ye Olde Epstein Bar
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Questions and Answers

What is the primary mode of transmission for Epstein-Barr virus?

  • Through contaminated food and water
  • Through skin contact
  • Through mouth secretions (correct)
  • Through airborne transmission
  • What is the characteristic symptom of infectious mononucleosis?

  • Splenomegaly
  • Tender lymphadenopathy in posterior cervical
  • Pharyngitis
  • All of the above (correct)
  • Which cells are primarily affected by Epstein-Barr virus?

  • T cells
  • Neutrophils
  • B cells (correct)
  • Macrophages
  • What is the role of cytotoxic T cells in response to Epstein-Barr virus infection?

    <p>They directly kill infected B cells</p> Signup and view all the answers

    What is the typical age range for infectious mononucleosis to occur?

    <p>Adolescents and young adults</p> Signup and view all the answers

    What is the name of the receptor that Epstein-Barr virus binds to infect B cells?

    <p>CD21</p> Signup and view all the answers

    What is the characteristic rash associated with Epstein-Barr virus infection?

    <p>Maculopapular rash</p> Signup and view all the answers

    What is the increased risk factor for certain types of cancer in individuals with weakened immune systems?

    <p>All of the above</p> Signup and view all the answers

    What is the term for the proliferation of T cells in response to Epstein-Barr virus infection?

    <p>Reactive lymphocytosis</p> Signup and view all the answers

    What is the characteristic laboratory finding in infectious mononucleosis?

    <p>Presence of heterophil antibodies</p> Signup and view all the answers

    What is the form of DNA that the Epstein-Barr virus consists of?

    <p>Double-stranded DNA</p> Signup and view all the answers

    How is the Epstein-Barr virus primarily spread?

    <p>Through mouth secretions when people kiss</p> Signup and view all the answers

    What is the term for the swollen lymph nodes in the neck associated with infectious mononucleosis?

    <p>Posterior cervical lymphadenopathy</p> Signup and view all the answers

    What is the type of immune cell that is primarily affected by the Epstein-Barr virus?

    <p>B cells</p> Signup and view all the answers

    What is the term for the abnormal increase in the number of T cells in response to EBV infection?

    <p>Lymphocytosis</p> Signup and view all the answers

    What is the name of the receptor on B cells that the Epstein-Barr virus binds to in order to infect them?

    <p>CD21</p> Signup and view all the answers

    What is the characteristic rash associated with infectious mononucleosis and ampicillin treatment?

    <p>Maculopapular rash</p> Signup and view all the answers

    What is the increased risk factor for certain types of cancer in individuals with weakened immune systems?

    <p>All of the above</p> Signup and view all the answers

    What is the term for the spleen becoming enlarged in response to Epstein-Barr virus infection?

    <p>Splenomegaly</p> Signup and view all the answers

    What is the difference in presentation between infectious mononucleosis and strep pharyngitis?

    <p>Age of onset</p> Signup and view all the answers

    Study Notes

    Epstein-Barr Virus (EBV)

    • EBV is a double-stranded DNA virus that causes infectious mononucleosis.
    • It is spread through mouth secretions, also known as the "kissing disease".

    Infectious Mononucleosis

    • Symptoms include fever, tender lymphadenopathy in the posterior cervical region, and reactive lymphocytosis (also known as downy cells).
    • The virus targets B lymphocytes, and T cells proliferate, causing splenomegaly.

    Immune Response

    • Cytotoxic T cells (TH8) are involved in the immune response.
    • T cells bind to CD21, a receptor for complement component CD3, to infect B cells.

    Clinical Features

    • Pharyngitis is a common symptom, with tonsillar exudates present.
    • Mono occurs in late teens and adulthood, whereas strep pharyngitis is more often seen in children.
    • A maculopapular rash can develop with penicillin treatment, especially with amoxicillin and ampicillin.

    Cancer Risk

    • EBV is an increased risk factor for three cancers:
      • B cell lymphoma (in weakened immune systems)
      • Burkitt lymphoma (in African populations)
      • Nasopharyngeal carcinoma (in Asian populations)

    Other Complications

    • Oral hairy leukoplakia can occur in HIV patients, but it is not a precancerous lesion.
    • Monospot IgG test is used to diagnose EBV during acute infection, which secretes heterophile sheep antibodies that agglutinate.

    Precautions

    • Contact sports should be avoided due to the risk of splenic rupture.

    Epstein-Barr Virus (EBV)

    • EBV is a double-stranded DNA virus that causes infectious mononucleosis.
    • It is spread through mouth secretions, also known as the "kissing disease".

    Infectious Mononucleosis

    • Symptoms include fever, tender lymphadenopathy in the posterior cervical region, and reactive lymphocytosis (also known as downy cells).
    • The virus targets B lymphocytes, and T cells proliferate, causing splenomegaly.

    Immune Response

    • Cytotoxic T cells (TH8) are involved in the immune response.
    • T cells bind to CD21, a receptor for complement component CD3, to infect B cells.

    Clinical Features

    • Pharyngitis is a common symptom, with tonsillar exudates present.
    • Mono occurs in late teens and adulthood, whereas strep pharyngitis is more often seen in children.
    • A maculopapular rash can develop with penicillin treatment, especially with amoxicillin and ampicillin.

    Cancer Risk

    • EBV is an increased risk factor for three cancers:
      • B cell lymphoma (in weakened immune systems)
      • Burkitt lymphoma (in African populations)
      • Nasopharyngeal carcinoma (in Asian populations)

    Other Complications

    • Oral hairy leukoplakia can occur in HIV patients, but it is not a precancerous lesion.
    • Monospot IgG test is used to diagnose EBV during acute infection, which secretes heterophile sheep antibodies that agglutinate.

    Precautions

    • Contact sports should be avoided due to the risk of splenic rupture.

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