Frequentlyaskedquestion(inEnglish)PartⅠNounexplanation1.convertinfection/subclinicalinfection:itmeansonlyaspecialimmuneresponsewithoutorwithverymilddamagetothehostafterthepathogensenteredwhichcanbediagnosedbyserologicmeanswithdemonstrationofeitherasinglehightiterorafourfoldriseintitertotheinfection.Thepatientshaven’tanysymptomsandsignsclinically,nochangesofbiochemicalaspectsarepresentinlaboratoryfindings.Itisalsocalledsubclinicalinfection.2.black-waterfever:AcomplicationofMALARIA,FALCIPARUMcharacterizedbyanacuteintravascularhemolysis,hemoglobinuriaandhemolyticjaundicewhentheredbloodcellsaredestroyedandlyticinthebloodvessel,severepatientscanresultinacuterenalfailureMostcommomlyinthosewhohavetakenantimalarialtreatmentirregularlyoraredeficientinG-6-PD.Maybeprovokedbyadministeringprimaquineorchlorquine,orbyfatigue.Itisalsocalledhemolyticurinemicsyndrome3.carrierstate(病原携带状态):itisapersonwhoiscolonizedwithanorganismbutshowsnoevidenceofdisease,althoughdiseasemayhavebeenpresentearlier.Acarrierisaveryimportantsourceofinfectionastheorganismscanbedisseminatedfromhim.4.latentinfection(潜伏性感染):itmeansanorganismentersahostandliesdormant(静止的)foraperiodoftime,possiblyforyears,beforeproducingdiseaseasthehost’simmunitydecreased.5.invasiveness(侵袭力):theabilityoftheagenttoenterandtomovethroughtissue.6.sourceofinfection(传染源):itisreferredtoapersonoranimalinwhichthepathogenstayandmultiplyandcanbedisseminated.7.routeoftransmission(传播途径):theroutethepathogenenteredanothersusceptibleafterbeendisseminatedfromthesourceofinfection.8.susceptible(易感者):itisreferredtoapersonwholacksimmunitytoaspecificinfectiousdisease.9.relapse(复发):itmeansthereturnofsymptomsaftertheyhaveapparentlyceasedduringconvalescencewhichiscausedbythemultiplicationofthepathogeninthehost.Itisoftenseenintyphoidfever,malaria,etal.10.recrudescence(再燃):itmeansthereappearanceofsymptomsaftertemporarycessation.11.sustainedfever(稽留热):highfever,lastingandlittlechangein24hours,usually1degree.Oftenseenatfastigiumoftyphoidfever,septicemia,andEHF.12.remittentfever(弛张热):highfever,temperaturechanges1degreein24hours,butthelowestpointofthefeverisstillabovetheupperlimitofthenormaltemperature.OftenseeninthedefervascenceoftyphoidfeverorEHF.13.relapsingfever回归热):severaldaysofhighfeverwithinterruptionofafewdays’normality.typicalfeverpatterninbrucellosisandrelapsingfever.14.Intermittentfever(间歇热):temperaturefluctuatesbetweenthehighfeverandthedegreebelowthenormality.Usuallyseeninsepticemiaandmalaria.15.Irregularfever(不规则热):thefevercurveisirregular.Seenininfluenzaorsepticemia.16.palmererythema/liverpalm(肝掌):Thisisintensereddening,mottledinnature,ofthepalmeraspectsduetovasodilation.Seenmainlyoverthethenarandhypothenar(大、小鱼际)eminences.17.spiderangiomata(蜘蛛痣):Spiderangiomataaresmallredmaculeswithfineredlinesradiatingfromitlikespiderlegs.Theyblanchwhencompressed(压之褪色).Theyrepresenttinydilatedcollateralbloodvesselsandareseeninpatientswithchronichepatitisorcirrhosis.18.windowphase(窗口期):Thewindowphaseisthetimefromexposuretotheorganismuntiloneistestedpositivefortheinfection.Someoneinthewindowphasemaytestnegativebutactuallybepositiveandabletospreadtheorganism.19.streetstrain(野毒株/街毒株):itisreferredtorabiesvirusisolatedfromthenaturallyinfectedanimalsorhumanwithstrongpathogenecityandlongincubationperiod.20.fixedstrain(固定毒株):Afterbeingsubculturedinrabbitbrainformanytimes(atleast50times),thevirulenceofthestreetstraindecreasedgreatly,butitsimmunogenicityremained.Itiscalledfixedstrainandoftenusedforvaccineproduction.21.Negribody(内基本氏小体):Negribodyispathognomonicforrabiesvirusinfection.Itisovaleosinophilicneuronalcytoplasmicinclusionmeasuring3-10micronindiameter.TheyaremostconsistenetlyseeninthepyramidalcellsofhippocampusandPurkinjecellsofcerebellum.22.septicemia(败血症):Septicemiaisanacutegeneralizedinfectioncausedbytheinvasionintothebloodstreamofapathogenicoranopportunisticorganism.Whilestayingpersistentlyandmultiplyingrapidlyinthebloodstream,theseorganismsliberatetoxinsormetaboliteswhichelicitgeneraltoxicsymptomsandtissuedamageofvariousorgans.23.bacteriemia(菌血症):Thebacteriaenterthebloodandmultiplyinit,butstayonlyashorttimeanddon’tliberatetoxinsormetaboliteswhichelicitgeneraltoxicsymptomsandtissuedamageofvariousorgans.24.pyemia(脓毒血症):Themultiplyingsiteofbacteriaisalsointheblood,butitiscausedbypyogenic(化脓性的)gram-positivecocci,metastaticlesionsarealwayspresent,thesymptomsarethesameassepticemia.25.toxemia(毒血症):Thebacteriaonlyliveandmultiplyinthelocalpartsofthebody,theydon’tenterthebloodstream,butthetoxinsandmetabolitesliberatedbythemdo.Thesymptomsaresimilartosepticemia.26.rosespots(玫瑰疹):Theyareblankingpinkmacularspots2-4mmindiameteratday7~13oftyphoidfever.Therashisseenmostcommonlyonthethoraxandabdomen,rarelyonbackandtheextremities.27.relativebradycardia(相对缓脉):itmeanspulse-temperaturedissociation.Itisusuallydefinedasincreaseinheartrate10beats/minutes/1°Cincreaseintemperatureinadults.Itisusuallyseenintyphoidfever,acuteschistosomiasis,severejaundice,etal.28.herxheimerreaction(赫氏反应):Itiscausedasadirectresultofusingspiro