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71 Cards in this Set

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Picornavirus
Characteristics
Examples
Small ssRNA virus
No envelope
Rhinovirus & Enterovirus
Rhinovirus
A type of Picornavirus
1-100 species
common cold (coryza)
only grow at 33 degrees Cel and lower (upper resp. tract--not in GI tract)
Enterovirus
A type of Picornavirus
Coxsackie A,B, Echo and Polio can cause aseptic meningitis
Coxsackie A
Picornavirus
Enterovirus
Hand-foot-mouth disease (mostly in children)
Lesions in oral cavity and lips, hands and feet
Enterovirus 70
Picornavirus
Acute hemmorrhagic conjunctivitis
Enterovirus 71
A type of picornavirus
Paralysis and encephalitis
Hepatitis A
A type of picornavirus
Polio
A type of picornavirus
Only reservoir is humans
Sabin vaccine: attenuated/live oral vaccine
Salk vaccine: dead virus/IV injection
Polio myelitis: paralysis, can be fatal
Reovirus
Characteristics and examples
DS linear RNA virus
No envelope
Segmented (see some reassortment)
Rotaviruses (A,B,C) & Coltivirus (ColoradoTickFever)
Rotavirus A,B,C
Types of Reovirus
#1 cause of diarrhea in children (sig. cause of fatality in children due to electrolyte imbalance)
Fecal oral route
Coltivirus
Type of Reovirus
Colorado Tick Fever
High fever, rash, nausea, can be very serious
Remission and then returns within weeks
Calicivirus
Characteristics and examples
ss linear RNA Virus
Icosahedral
No envelope
Norwalk Virus and Hepatitis E
Norwalk Virus
Calicivirus
Common cause of GI diarrhea, via water & food
Lasts 3 days, usually not fatal
'Cruise ship virus'
Some people are immune
I.d.ed by serologic IgM antibodies
Hepatitis E
A type of Calicivirus
Flavivirus
ss linear RNA
Enveloped
Most (not Hep. C) transmitted by insect bites
Hepatitis C
A type of Flavivirus
Yellow Fever
A type of Flavivirus
Can hide out in animals
Mosquito vector
Jaundice & Hemorrhage (high fatality rate)
Only 1 Serotype
Only one vaccine but does not elicit life-long protection
Dengue Fever
A type of Flavivirus
* Bone Pain
High fever, rash, nausea, bone pain
Remission for a few days but then a 2nd round of acute infection...fever returns with a new maculopapular rash
Hemorrhagic fever
Can be fatal
Symptoms resolve in 2 weeks
Mosquito vector
Japanese Encephalitis Virus
A type of Flavivirus
West Nile Virus
A type of Flavivirus
Encephalitis
Mosquito Vector
Reservoirs--Birds & Horses
Togavirus
ss linear RNA
Envelope wraps around like a toga
Icosahedral
Have hemagglutinin protein spike
Alphavirus & Rubivirus
Alphavirus
Type of Togavirus
Eastern equine encephalitis
Western equine encephalitis
Venezuela equine encephalitis
(50% fatal, no treatment)
Rubivirus
Type of Togavirus
Rubella
Only one serotype, so vaccine is efective
Light, mild rash, often misdiagnosed as measles
Self-limiting but can spread in epidemics
MMR vaccine--live attenuated virus (not for the immunocomp.)
Pregnant women infected in 1st trimester--may cross placenta & cause Teratogenic infection (congenital abnormalities)
CNS--Infant mental retardation, deafness
Eyes--cataracts, glaucoma
Heart--Patent ductus arteriosius
Malformed fingers
Immunize women before childbearing age
Arenavirus
ss circular RNA
Enveloped
Looks like grains of sand on envelope ('arena' means sand in Latin)
Lassa Fever Virus
A type of Arenavirus
Can progress from fever & GI bleeding to shock
Lymphocytic Choriomeningitis Virus (LCV)
A type of Arenavirus
May cause fetal eye infection
Machupo Virus (Bolivian Hemmorrhagic Fever)
A type of Arenavirus
High Fatality rate
Junin Virus (Argentinian Hemorrhagic Fever)
A type of Arenavirus
High fatality rate
Rhabdovirus
ssRNA linear
Bullet-shaped
Enveloped
Has Negri Bodies--inclusion bodies in the neurons
Lyssavirus (Rabies)
Lyssavirus
A type of Rhabovirus
Rabies
Transmission: Zoonotic via rabid animal bite (Bats, racoons, dogs. Animals are infections one week before they die)
Can also be acquired from other fluids or via inhalation (inhalation of air in bat cave)
2 forms of Rabies
1. Dumb form: Animal looses its fear of humans
2. Rabid form: Animal acts crazy
Retrovirus
linear ssRNA
Enveloped
Oncovirus (HTLV I & II) & Lentivirus (HIV)
Oncovirus
A type of Retrovirus
HTLV I (Human T cell Lymphotrophic Virus Type I)
Adult T-cell leukemia/Lymphoma
Malignant proliferation of mature T-cells
Impaired immunity
Lentivirus
A type of Retrovirus
HIV
Prions
Non-DNA, Non-RNA, Protein particles
Cause chronic, latent, slowly progressive and consistently fatal infections of the CNS
Creutzfeldt-Jacob Disease, Kuru, Familial Prion Diseases
Orthomyxoviruses
Influenza virus is the only virus that belongs to this group
Only causes resp. infection
Large enveloped RNA virus
8 RNA segments (reassortment)
Complex envelope with hemagglutinin and neuraminidase
Hemagglutinin
Responsible for the attachment of viruses, it recognizes the receptors on the host cell
Neuraminidase
Responsible for the release of virus from infected cell--releases through budding
Type A Influenza
Usually associated with epidemic outbreaks
Type B Influenza
Usually endemic outbreaks but can cause epidemics
Type C Influenza
Endemic or local outbreaks; self limited infection
Orthomyxovirus enters cell through attachment with ___________ to cell receptors which triggers _________ ingestion.
Hemogglutinin, Endocytotic
Antigenic Drift
Minor changes in viral genome
Every 2-3 years
Causes local outbreaks of Flu A or B
Antibodies from previous infections somewhat protective
Antigenic Shift
Major changes in viral genome: Reassortment of RNA segment
Every 10-20 years
Cause epidemic outbreaks and pandemics
Immunity not effective
Orthomyxovirus acquired via _________ ________. Replicates in the ___________ ________.
aerosol inoculation, Respiratory Tract,
Most people who died in 1918 Flu epidemic did not die from the flu itself but rather a secondary infection caused by...
...Staph aureus (bact. pneumonia)
Otitis media
Possible secondary infection following the flu (mainly in children).
Myositis
Possible secondary infection following the flu.
Cardiac involvement and sore muscles for months.
Guillian Barre Syndrome
Possible secondary infection following the flu.
Transient Motor Paralysis
Encephalopathy
Encephalitis
Reye's Syndrome
Possible secondary infection following the flu.
Encephalopathy and causes fatty liver and other viscera (Mit. shut down)
Can be caused by aspirin usage in children with viral infections.
To test for influenza...
...Look for Immunofluorescence antibodies (IFA)
Treatment for influenza
Rimantadine-to shorten course of infection
Amantadine-in serious infections or in compromised patients.
No aspirin for children.
Ribavirin/Oseltamivir/Zamamivir
Supportive therapy in most cases.
FluMist
Live attenuated influenza vaccine.
Protects against many strains.
Do not give to pregnant women, cardiac or respiratory compromised patients.
Paramyxovirus
Enveloped.
May have neurominidase or hemagglutinin.
May have small glycoprotein spikes.
NON-Segmented (different from orthomyxoviruses-no reassortment)
ssRNA linear
Paramyxovirus replication
Attach and uncoat in cytoplasm.
Complete synthesis of protein coat and nucleic acid and assembly in cytoplasm.
Classic RNA budding exit.
Measles Virus
Paramyxovirus.
Only one serotype.
Has Hemagglutinin but NOT neuraminidase.
Also has fusion spikes.
Syncytial dysfunctional cells (giant cells) are expected in association with what disease?
Measles
What are the pathologies associated with the Measles?
Lymphoid Hyperplasia
Subacute sclerosing panencephalitis (SSPE)
Mucus membrane lesions surrounded by red halos that appear before a Measles rash are called what?
Kopli's Spots
Parainfluenza Virus
How many serotypes?
4 serotypes.
Parainfluenza pathogenesis
Nasopharynx-lower resp. tract-Layrgotracheo bronchitis-croup-pneumonia.
Parainfluenza transmission and immunity
Respiratory tract transmission.
Short-lived immunity. No vaccine.
Mumps Virus
Paramyxovirus.
1 serotype-vaccine effective.
Can infect any type of glandular tissue, the pancreas, and possibly the CNS.
With what disease do we expect to see Parotid gland infection?
Mumps.
Orchitis is a secondary manifestation of what disease?
Mumps. It is an ovary/testes inflammation. More worry with males because of high temp...kills sperm cells.
Risk of infertility.
Respiratory Syncytial Virus (RSV)
Paramyxovirus.
Lacks N and H antigens.
Has Fusion spikes.
This is the most frequent cause of fatal acute respiratory syndrome in infants and young children.
RSV--Infects virtually everyone by 5 years old. Reinfection possible.
Treat RSV with...
...Ribavirin inhalation.
Why is RSV more dangerous than measles or mumps?
No vaccine.
Paramyxoviruses replicate where?
Exclusively in the cytoplasm.
What is the most important complication to know about in association with the measles?
Subacute sclerosing panencephalitis (SSPE)-Occurs in about 7/1,000,000 cases
Replication in the CNS