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Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases E-Book

Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases E-Book

John E. Bennett | Raphael Dolin | Martin J. Blaser | Gerald L. Mandell

(2009)

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Abstract

After thirty years, PPID is still the reference of choice for comprehensive, global guidance on diagnosing and treating the most challenging infectious diseases. Drs. Mandell, Bennett, and Dolin have substantially revised and meticulously updated, this new edition to save you time and to ensure you have the latest clinical and scientific knowledge at your fingertips. With new chapters, expanded and updated coverage, increased worldwide perspectives, and many new contributors, Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, 7th Edition helps you identify and treat whatever infectious disease you see.

  • Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices.
  • Get the answers to questions you have with more in-depth coverage of epidemiology, etiology, pathology, microbiology, immunology, and treatment of infectious agents than you’ll find in any other infectious disease resource.
  • Find the latest diagnoses and treatments for currently recognized and newly emerging infectious diseases, such as those caused by avian and swine influenza viruses.
  • Put the latest knowledge to work in your practice with new or completely revised chapters on influenza (new pandemic strains); new Middle East respiratory syndrome (MERS) virus; probiotics; antibiotics for resistant bacteria; antifungal drugs; new antivirals for hepatitis B and C; Clostridium difficile treatment; sepsis; advances in HIV prevention and treatment; viral gastroenteritis; Lyme disease; Helicobacter pylori; malaria; infections in immunocompromised hosts; immunization (new vaccines and new recommendations); and microbiome.
  • Benefit from fresh perspectives and global insights from an expanded team of international contributors.
  • Find and grasp the information you need easily and rapidly with newly added chapter summaries. These bulleted templates include diagnosis, therapy, and prevention and are designed as a quick summary of the chapter and to enhance relevancy in search and retrieval on Expert Consult.
  • Stay current on Expert Consult with a thorough and regularly scheduled update program that ensures access to new developments in the field, advances in therapy, and timely information.
  • Access the information you need easily and rapidly with new succinct chapter summaries that include diagnosis, therapy, and prevention.
  • Experience clinical scenarios with vivid clarity through a richly illustrated, full-color format that includes 1500 photographs for enhanced visual guidance.

Table of Contents

Section Title Page Action Price
e9780443068393v1 1
Front cover 1
Half title page 2
Principles and Practice of Infectious Diseases 4
Copyright page 5
Contributors 6
Preface to the First Edition 28
Preface to the Seventh Edition 30
Table of Contents 32
PART I Basic Principles in the Diagnosis and Management of Infectious Diseases 42
SECTION A MICROBIAL PATHOGENESIS 44
1 A Molecular Perspective of Microbial Pathogenicity 44
The Diversity of Human-Microbe Relationships 44
The Attributes of Microbial Pathogens 45
The Clonal Nature of Bacterial Pathogens 47
Genomics and the Evolution of Pathogenicity 48
Regulation of Bacterial Pathogenicity 48
Microbial Pathogens as Intracellular Parasites 50
Subversion of Host Cellular Processes and Immune Defenses 51
Identification and Characterization of Virulence Genes 51
Molecular Microbiology at the Bedside: Pathogen Detection, Pathogen Discovery, and Genomic Profiling 52
REFERENCES 53
2 Microbial Adherence 56
Experimental Identification of an Adhesin 56
Experimental Identification of a Host Receptor 56
Central Concepts in the Interactions between Adhesins and Receptors 58
Specific Adherence Mechanisms and Their Roles in Pathogenesis 59
HIV gp120/160 59
ENTAMOEBA HISTOLYTICA GAL/GALNAC LECTIN 60
Escherichia coli P FIMBRIAE 61
Adhesins and Microbial Synergy 62
Examples of Adhesins as Targets for Therapy 62
HUMAN IMMUNODEFICIENCY VIRUS ENTRY INHIBITORS 62
NOVEL ANTIPICORNAVIRAL DRUGS 63
CRANBERRY JUICE FOR PREVENTION OF URINARY TRACT INFECTIONS 63
Microbial Biofilms 63
REFERENCES 64
3 Toxins 68
Classification of Toxins 68
Control of Synthesis and Release of Toxins 68
Attachment and Entry of Toxins 70
Mechanisms of Toxin Action and Roles in Clinical Disease 71
TOXINS OF BACILLUS ANTHRACIS 71
TOXINS OF BORDETELLA PERTUSSIS 71
DIPHTHERIA TOXIN 72
CLOSTRIDIAL NEUROTOXINS 72
Tetanus Toxin 72
Botulinum Toxin 72
ENTEROTOXINS 72
Cholera Toxin 72
Escherichia coli Heat-Labile Toxin 73
Escherichia coli Heat-Stable Toxin 73
Clostridium difficile Toxins A and B 73
Bacteroides fragilis Enterotoxin 73
SHIGA AND SHIGA-LIKE TOXINS 73
PYROGENIC EXOTOXINS 74
PORE-FORMING TOXINS 74
THERAPEUTIC USES OF BACTERIAL TOXINS 74
REFERENCES 75
SECTION B HOST DEFENSE MECHANISMS 78
4 Innate (General or Nonspecific) Host Defense Mechanisms 78
Tissue Tropisms and Hereditary Factors 78
Natural Physical Barriers to the Entry of Microorganisms into the Body 79
SKIN 79
MUCOUS MEMBRANES 81
RESPIRATORY TRACT 81
INTESTINAL TRACT 81
GENITOURINARY TRACT 81
EYE 82
PHAGOCYTOSIS AND AUTOPHAGY 82
Innate Immunity and the Initial Inflammatory Response 82
TOLL-LIKE RECEPTORS AND THE CYTOKINE CASCADE 83
CELLULAR DISTRIBUTION OF TOLL-LIKE RECEPTORS 84
TOLL-LIKE RECEPTOR SIGNALING AND INITIATION AND BIASING OF ADAPTIVE IMMUNITY 84
TOLL-LIKE RECEPTOR SIGNALING AND INITIAL INFLAMMATORY RESPONSE 84
CHEMOKINES AND CHEMOTAXIS 84
METABOLIC CHANGES 85
Pathogen Interference with Innate Immune Responses 85
Impairment and Exaggeration of General Nonspecific and Innate Immunity 85
NUTRITION 85
AGING 85
STRESS 86
HORMONES 86
DYSREGULATION 86
NORMAL INDIGENOUS MICROBIAL FLORA 86
NATURAL ANTIBODIES 86
REFERENCES 87
5 Human Genetics and Infection 90
Magnitude of the Host Genetic Effect 90
APPROACHES 90
Diseases 91
MALARIA 91
MYCOBACTERIAL DISEASES 91
HUMAN IMMUNODEFICIENCY VIRUS INFECTION AND ACQUIRED IMMUNODEFICIENCY SYNDROME 92
PERSISTENT HEPATITIS 93
OTHER DISEASES 93
Specific Susceptibility and Resistance Genes 93
BLOOD GROUPS 93
HEMOGLOBIN GENE VARIANTS 94
GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY 94
HUMAN LEUKOCYTE ANTIGENS 94
CYTOKINE GENES 95
CHEMOKINE RECEPTORS 95
MANNOSE-BINDING LECTIN 95
TOLL-LIKE RECEPTOR PATHWAY GENES 95
OTHER GENES 96
Evolutionary Perspective 96
Applications 96
REFERENCES 97
6 Antibodies 100
Immunoglobulin Structure 100
BASIC ANTIBODY STRUCTURE 100
F(ab′)2, Fab, AND Fc PIECES 101
ANTIGEN BINDING, AFFINITY, AND AVIDITY 101
IMMUNOGLOBULIN CLASSES 101
Immunoglobulin M 101
Immunoglobulin G 102
Immunoglobulin A 102
Immunoglobulin D 103
Immunoglobulin E 103
Effector Functions Mediated by Antibodies 103
BLOCKING OR NEUTRALIZATION 103
COMPLEMENT ACTIVATION 103
OPSONIZATION 103
ANTIBODY-DEPENDENT CELLULAR CYTOTOXICITY 104
Kinetics of Antibody Production and Diagnosis of Infections 104
Laboratory Measurement of Antibodies 105
QUANTIFICATION OF TOTAL IMMUNOGLOBULIN 105
SERUM PROTEIN ELECTROPHORESIS FOR MONOCLONAL GAMMOPATHIES 105
MEASUREMENT OF FUNCTIONAL ANTIBODY 105
Western Blot 106
Agglutination and Complement Fixation 106
Immunofluorescence and Immunohistochemistry 106
Enumeration of Antibody-Producing B Cells: The ELISPOT Assay 106
ASSAYS TO MEASURE ANTIGEN 107
MEASUREMENT OF IMMUNE COMPLEXES 107
B-Cell Maturation and Immunoglobulin Production 107
DNA REARRANGEMENT AND GENERATION OF DIVERSE ANTIGEN-BINDING SITES 107
DELETION OF AUTOREACTIVE CLONES 108
ANTIGEN STIMULATION: FIRST SIGNAL 108
CO-RECEPTORS AMPLIFY OR SUPPRESS ANTIGEN SIGNALING 109
SECOND SIGNALS AND B-CELL–T-CELL INTERACTIONS 109
HOW B CELLS FIND AND ACTIVATE T CELLS 110
T-CELL–INDEPENDENT ANTIGENS 110
DOWNREGULATION OF ANTIBODY PRODUCTION 111
B1 CELLS 111
Antibody-Mediated Pathology 111
GELL AND COOMBS CLASSIFICATION OF HYPERSENSITIVITY RESPONSES 111
Type I Hypersensitivity 112
Type II Hypersensitivity 112
The Origin of Autoreactive Antibodies 112
Type III Hypersensitivity 112
HYPERGAMMAGLOBULINEMIA 113
Immunodeficiencies 113
IMMUNOGLOBULIN A DEFICIENCY 113
AGAMMAGLOBULINEMIAS 113
HYPER-IMMUNOGLOBULIN M SYNDROME 113
COMMON VARIABLE IMMUNODEFICIENCY 113
IMMUNOGLOBULIN G SUBCLASS DEFICIENCIES 114
SELECTIVE IMMUNODEFICIENCIES 114
COMBINED T-CELL AND B-CELL DEFECTS 114
MALIGNANCIES 114
CLINICAL EVALUATION OF SUSPECTED HUMORAL IMMUNODEFICIENCY 114
Therapeutic Uses of Antibodies 114
PASSIVE IMMUNIZATION 114
IMMUNE GLOBULIN, INTRAVENOUS REPLACEMENT 114
MONOCLONAL ANTIBODIES 115
REFERENCES 115
7 Complement 118
Complement Synthesis, Catabolism, and Distribution 118
Complement Activation 118
OVERVIEW: C3, THE LINCHPIN OF THE COMPLEMENT SYSTEM 118
GENERATION OF THE CLASSICal-PATHWAY C3 CONVERTASE 119
GENERATION OF THE ALTERNATive-PATHWAY C3 CONVERTASE 120
The “Tickover” Model 120
The Properdin-Directed Model 121
ASSEMBLY OF THE MEMBRANE ATTACK COMPLEX 121
Regulation of Complement Activation 122
REGULATION OF C1 ACTIVATION 122
REGULATION OF THE C3 CONVERTASES 122
REGULATION OF THE MEMBRANE ATTACK COMPLEX 123
BASIS FOR DISCRIMINATING BETWEEN HOST AND MICROBIAL CELL SURFACES 123
Complement Receptors 123
Families of Complement Proteins 124
Complement-Mediated Functions 124
Microbial Interactions with the Complement System 125
Complement Deficiency States 126
INCIDENCE 126
GENERAL ASPECTS OF THE MOLECULAR BASIS FOR COMPLEMENT DEFICIENCIES 127
CLASSICal PATHWAY DEFICIENCIES 127
Clinical Aspects 127
Immune Disorders. 127
Pathophysiologic Roles for Complement in Systemic Lupus Erythematosus. 127
Infectious Diseases. 129
Molecular Aspects 129
MANNOSE-BINDING LECTIN PATHWAY DEFICIENCIES 129
Deficiency of Mannose-Binding Protein 129
Clinical Aspects. 129
Molecular Aspects. 129
Deficiency of Mannose-Binding Protein–Associated Serine Protease 2 130
ALTERNATive-PATHWAY DEFICIENCIES 130
e9780443068393v2 2044
Front cover 2044
Half title page 2045
Title page for Vol II 2047
Copyright page 2048
Contributors 2049
Preface to the First Edition 2071
Preface to the Seventh Edition 2073
Table of Contents 2075
PART III Infectious Diseases and Their Etiologic Agents 2085
SECTION A VIRAL DISEASES 2087
132 Introduction to Viruses and Viral Diseases 2087
History 2087
Virus Structure and Classification 2087
Virus-Cell Interactions 2089
ATTACHMENT 2089
PENETRATION AND DISASSEMBLY 2091
GENOME REPLICATION 2091
CELL KILLING 2093
ANTIVIRAL DRUGS 2093
Virus-Host Interaction 2093
ENTRY 2094
SPREAD 2094
TROPISM 2096
PERSISTENT INFECTIONS 2096
VIRUSES AND CANCER 2096
VIRAL VIRULENCE DETERMINANTS 2097
HOST RESPONSES TO INFECTION 2097
REFERENCES 2098
133 Orthopoxviruses: Vaccinia (Smallpox Vaccine), Variola (Smallpox), Monkeypox, and Cowpox 2103
Background 2103
Morphology and Chemical Structure 2103
Pathogenesis 2104
Vaccinia: Vaccine and Vaccine Adverse Events 2104
IMMUNITY RESULTING FROM VACCINATION 2105
COMPLICATIONS RESULTING FROM VACCINATION 2105
VACCINIA VIRUS AS A ZOONOSIS 2106
VARIOLA 2106
Monkeypox 2107
PATHOGENESIS 2108
CLINICAL FEATURES 2108
DIAGNOSIS 2108
EPIDEMIOLOGY AND CONTROL 2109
Cowpox 2109
COWPOX VIRUS 2109
CLINICAL 2109
ORTHOPOXVIRUS LABORATORY DIAGNOSTICS 2109
Therapy: Orthopoxviruses 2110
REFERENCES 2110
134 Other Poxviruses That Infect Humans: Parapoxviruses, Molluscum Contagiosum, and Yatapoxviruses 2113
Parapoxviruses 2113
MORPHOLOGY AND COMPOSITION OF THE AGENT 2113
PATHOGENESIS AND IMMUNE RESPONSE 2113
CLINICAL FEATURES 2113
DIAGNOSIS 2113
EPIDEMIOLOGY 2113
TREATMENT 2114
Molluscum Contagiosum 2114
DESCRIPTION OF THE AGENT 2114
PATHOGENESIS AND PATHOLOGY 2114
CLINICAL FEATURES 2114
DIAGNOSIS 2114
EPIDEMIOLOGY AND CONTROL 2114
THERAPEUTICS 2115
Yatapoxviruses 2115
TANAPOX 2115
Pathophysiology and Clinical Features 2115
Diagnosis 2115
Epidemiology and Control 2115
YABA MONKEY TUMOR VIRUS 2115
Clinical 2115
REFERENCES 2115
135 Introduction to Herpesviridae 2117
Classification 2117
Genome Structure and Proteins 2117
Virus Replication 2117
Virus Latency and Reactivation 2117
Pathogenesis 2118
Epidemiology 2119
Clinical Syndromes 2119
Immunity 2119
Oncogenesis 2120
Diagnosis 2120
Treatment 2120
Prevention 2121
REFERENCES 2121
136 Herpes Simplex Virus 2123
Description of the Agent 2123
Epidemiology 2124
Transmission of Herpes Simplex Virus Infection 2124
Pathogenesis 2125
Spectrum of Diseases Caused by Herpes Simplex Virus 2127
Orofacial Herpes Simplex Virus Infection 2128
Genital Infection 2128
Complications of Genital Herpes 2130
ASEPTIC MENINGITIS/TRANSVERSE MYELITIS/SACRAL RADICULOPATHY 2130
EXTRAGENITAL LESIONS 2130
DISSEMINATED INFECTION 2130
SUPERINFECTION 2130
Recurrent Mucocutaneous Herpes Simplex Virus Infections 2131
Frequency of Reactivation and Recurrence 2131
Herpetic Whitlow 2131
Herpes Gladiatorum 2132
Eye Infections 2132
Herpes Simplex Virus Encephalitis 2132
Visceral Infections 2132
Interactions between Genital Herpes Simplex Virus Infection and Human Immunodeficiency Virus Infection 2133
Herpes Simplex Virus Infections in Immunocompromised Hosts Not Infected with Human Immunodeficiency Virus 2134
Neonatal Herpes 2134
Herpes Simplex Virus in Pregnancy 2134
Clinical Course of Genital Herpes in Pregnancy 2135
Prevention of Herpes Simplex Virus Acquisition in Pregnancy by Use of Antivirals 2135
Diagnosis 2136
Treatment 2136
Counseling and Prevention 2138
REFERENCES 2138
137 Varicella-Zoster Virus 2143
Historical Overview 2143
The Pathogen and Its Replication 2143
Epidemiology of Varicella-Zoster Virus Infections 2143
CHICKENPOX 2143
HERPES ZOSTER 2144
Pathogenesis 2144
Clinical Manifestations 2144
CHICKENPOX 2144
Chickenpox in the Immunocompromised Patient 2145
HERPES ZOSTER 2145
Diagnosis 2146
Therapy 2146
Prevention 2147
REFERENCES 2148
138 Cytomegalovirus 2151
Description of the Pathogen 2151
Laboratory Diagnosis 2152
Cultivation of Cytomegalovirus 2153
Cytomegalovirus Mononucleosis 2153
Associated Complications 2154
INTERSTITIAL PNEUMONIA 2154
HEPATITIS 2154
GUILLAIN-BARRÉ SYNDROME 2154
MENINGOENCEPHALITIS 2155
MYOCARDITIS 2155
THROMBOCYTOPENIA AND HEMOLYTIC ANEMIA 2155
SKIN ERUPTIONS 2155
Cytomegalovirus Infection in Patients with Acquired Immunodeficiency Syndrome 2155
CENTRAL NERVOUS SYSTEM 2156
GASTROINTESTINAL TRACT 2156
Antiviral Therapy 2156
GANCICLOVIR 2156
VALGANCICLOVIR 2157
Resistance to Ganciclovir 2157
FOSCARNET 2157
CIDOFOVIR 2158
CROSS-RESISTANCE TO ANTIVIRAL DRUGS IN CYTOMEGALOVIRUS CLINICAL ISOLATES 2158
MARIBAVIR 2158
Prevention of Cytomegalovirus Disease 2159
Cytomegalovirus Infection in Transplantation Patients 2160
CYTOMEGALOVIRUS INFECTION ACQUIRED FROM DONATED ORGANS 2160
IMMUNOSUPPRESSIVE THERAPY 2160
HEMATOPOIETIC STEM CELL TRANSPLANTATION 2160
LIVER TRANSPLANTATION 2161
KIDNEY TRANSPLANTATION 2161
DRUG RESISTANCE IN SOLID ORGAN RECIPIENTS 2162
Cytomegalovirus Infection and Cardiovascular Diseases 2162
Congenital Cytomegalovirus Infection 2163
Cytomegalovirus Infection in Pregnant Women 2163
REFERENCES 2164
139 Epstein-Barr Virus (Infectious Mononucleosis, Epstein-Barr Virus–Associated Malignant Diseases, and Other Diseases) 2169
History 2169
Description of Epstein-Barr Virus 2169
PHYSICAL PROPERTIES 2169
LIFE CYCLE 2170
LATENT INFECTION AND GROWTH TRANSFORMATION 2170
LYTIC INFECTION 2171
Epidemiology 2171
SERUM ANTIBODY PREVALENCE 2171
INCIDENCE OF INFECTION 2171
METHODS OF SPREAD 2171
PUBLIC HEALTH IMPACT 2172
Pathogenesis 2172
HOST IMMUNE RESPONSE 2172
HISTOPATHOLOGIC FINDINGS 2172
Clinical Manifestations 2173
INFECTIOUS MONONUCLEOSIS (PRIMARY INFECTION) 2173
Spectrum of Illness 2173
Symptoms 2173
Signs 2173
Complications 2174
Hematologic. 2174
Splenic Rupture. 2174
Neurologic. 2174
Hepatic. 2175
Renal. 2175
Cardiac. 2175
Pulmonary. 2175
Death. 2175
Clinical Course 2175
X-LINKED LYMPHOPROLIFERATIVE DISEASE 2175
CHRONIC ACTIVE EPSTEIN-BARR VIRUS INFECTION 2175
EPSTEIN-BARR VIRUS–ASSOCIATED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS 2176
ORAL HAIRY LEUKOPLAKIA 2176
EPSTEIN-BARR VIRUS–ASSOCIATED MALIGNANT DISEASES 2176
Lymphoproliferative Disease 2176
Burkitt’s Lymphoma 2177
Hodgkin’s Lymphoma 2177
Nasopharyngeal Carcinoma 2177
Other Malignant Diseases 2178
MULTIPLE SCLEROSIS AND OTHER AUTOIMMUNE DISEASES 2179
Laboratory Diagnosis 2179
INFECTIOUS MONONUCLEOSIS 2179
Hematologic Findings 2179
Heterophile Antibodies 2179
Epstein-Barr Virus–Specific Antibodies 2180
Detection of Epstein-Barr Virus 2180
Other Laboratory Abnormalities 2181
EPSTEIN-BARR VIRUS VIRAL LOAD 2181
Post-transplant Lymphoproliferative Disease (PTLD) 2181
NASOPHARYNGEAL CARCINOMA 2181
CENTRAL NERVOUS SYSTEM LYMPHOMA IN ACQUIRED IMMUNODEFICIENCY SYNDROME 2182
Differential Diagnosis of Infectious Mononucleosis 2182
Treatment 2183
INFECTIOUS MONONUCLEOSIS 2183
Supportive 2183
Antiviral Agents 2183
Corticosteroids 2183
LYMPHOPROLIFERATIVE DISEASE 2183
EPSTEIN-BARR VIRUS TARGETED THERAPY IN ASSOCIATED MALIGNANT DISEASES 2184
ORAL HAIRY LEUKOPLAKIA 2184
Prevention 2185
PUBLIC HEALTH MEASURES 2185
VACCINE 2185
REFERENCES 2185
140 Human Herpesvirus Types 6 and 7 2191
Human Herpesvirus Type 6 2191
HISTORY 2191
DESCRIPTION OF THE VIRUS 2191
EPIDEMIOLOGY 2191
PATHOGENESIS 2191
CLINICAL MANIFESTATIONS 2191
Infantile Fever and Seizures 2191
Exanthem Subitum (Roseola Infantum or Sixth Disease) 2192
Other Neurologic Symptoms Associated with HHV-6 2192
Infectious Mononucleosis 2193
Other Complications in Healthy Persons 2193
Congenital Infection 2193
Infection in the Immunocompromised Host 2193
LABORATORY DIAGNOSIS 2193
Healthy Persons 2193
Immunocompromised Persons 2194
TREATMENT 2194
Human Herpesvirus Type 7 2194
HISTORY 2194
DESCRIPTION OF THE VIRUS 2194
EPIDEMIOLOGY 2194
PATHOGENESIS 2194
CLINICAL MANIFESTATIONS 2194
LABORATORY DIAGNOSIS 2195
TREATMENT 2195
REFERENCES 2195
141 Kaposi’s Sarcoma–Associated Herpesvirus (Human Herpesvirus Type 8) 2197
History 2197
Classification and Biology 2197
Pathogenesis 2198
Epidemiology 2198
Clinical Manifestations 2198
PRIMARY INFECTION 2198
KAPOSI’S SARCOMA 2198
PRIMARY EFFUSION LYMPHOMA 2200
MULTICENTRIC CASTLEMAN’S DISEASE 2200
OTHER SYNDROMES 2201
Treatment and Prevention 2201
REFERENCES 2201
142 Herpes B Virus 2203
History 2203
Description of the Virus 2203
Epidemiology 2203
Pathogenesis 2203
Clinical Manifestations 2203
Laboratory Diagnosis After Exposure 2203
Postexposure Evaluation and Prophylaxis 2204
Diagnosis of Herpes B Virus Disease 2205
Treatment 2205
Prevention 2205
REFERENCES 2205
143 Adenoviruses 2207
Description of the Pathogen 2207
Interactions with the Host 2207
Epidemiology 2208
Clinical Syndromes 2209
RESPIRATORY TRACT DISEASE 2209
OCULAR DISEASE 2209
GASTROINTESTINAL TRACT DISEASE 2209
GENITOURINARY TRACT DISEASE 2210
CENTRAL NERVOUS SYSTEM DISEASE 2210
OTHER CLINICAL SYNDROMES 2210
Infections in Immunocompromised Patients 2210
HEMATOPOIETIC STEM CELL TRANSPLANT RECIPIENTS 2210
SOLID ORGAN TRANSPLANT RECIPIENTS 2210
HIV/AIDS PATIENTS 2211
Diagnosis 2211
Treatment 2211
Prevention 2212
Adenoviruses as Vectors for Gene Therapy and Vaccination 2212
REFERENCES 2212
144 Papillomaviruses 2215
Virology 2215
Epidemiology 2215
INCIDENCE AND PREVALENCE 2215
TRANSMISSION 2216
ASSOCIATION BETWEEN HUMAN PAPILLOMAVIRUS AND MALIGNANT DISEASES 2217
Pathogenesis 2217
Clinical Manifestations 2219
CUTANEOUS WARTS 2219
EPIDERMODYSPLASIA VERRUCIFORMIS 2219
ANOGENITAL WARTS 2219
RECURRENT RESPIRATORY PAPILLOMATOSIS 2220
OTHER HUMAN PAPILLOMAVIRUS INFECTIONS 2221
Diagnosis 2221
Treatment 2222
CUTANEOUS WARTS 2222
ANOGENITAL WARTS 2222
OTHER WARTS 2224
Prevention 2225
REFERENCES 2226
145 JC, BK, and Other Polyomaviruses: Progressive Multifocal Leukoencephalopathy 2231
Virology 2231
HISTORY 2231
EPIDEMIOLOGY 2231
GENOME 2231
RECEPTORS AND CELL ENTRY 2231
JC Virus 2231
BK Virus 2232
NEW HUMAN POLYOMAVIRUSES 2232
Progressive Multifocal Leukoencephalopathy and Other JC Virus–Associated Syndromes 2232
EPIDEMIOLOGY 2232
PATHOGENESIS 2232
CLINICAL MANIFESTATIONS 2232
Classic Progressive Multifocal Leukoencephalopathy 2232
Progressive Multifocal Leukoencephalopathy–Immune Reconstitution Inflammatory Syndrome 2232
JC Virus Granule Cell Neuronopathy 2233
JC Virus Encephalopathy 2233
JC Virus Meningitis 2233
DIAGNOSIS 2233
Imaging 2233
Brain Biopsy 2233
Cerebrospinal Fluid Polymerase Chain Reaction 2233
PROGNOSIS 2233
TREATMENT 2234
Nephropathy and Other BK Virus–Associated Diseases 2235
EPIDEMIOLOGY 2235
BK VIRUS PATHOGENESIS 2235
CLINICAL MANIFESTATIONS 2235
Nephropathy 2235