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71 Cards in this Set
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Picornavirus
Characteristics Examples |
Small ssRNA virus
No envelope Rhinovirus & Enterovirus |
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Rhinovirus
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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) |
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Enterovirus
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A type of Picornavirus
Coxsackie A,B, Echo and Polio can cause aseptic meningitis |
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Coxsackie A
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Picornavirus
Enterovirus Hand-foot-mouth disease (mostly in children) Lesions in oral cavity and lips, hands and feet |
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Enterovirus 70
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Picornavirus
Acute hemmorrhagic conjunctivitis |
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Enterovirus 71
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A type of picornavirus
Paralysis and encephalitis |
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Hepatitis A
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A type of picornavirus
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Polio
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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 |
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Reovirus
Characteristics and examples |
DS linear RNA virus
No envelope Segmented (see some reassortment) Rotaviruses (A,B,C) & Coltivirus (ColoradoTickFever) |
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Rotavirus A,B,C
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Types of Reovirus
#1 cause of diarrhea in children (sig. cause of fatality in children due to electrolyte imbalance) Fecal oral route |
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Coltivirus
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Type of Reovirus
Colorado Tick Fever High fever, rash, nausea, can be very serious Remission and then returns within weeks |
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Calicivirus
Characteristics and examples |
ss linear RNA Virus
Icosahedral No envelope Norwalk Virus and Hepatitis E |
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Norwalk Virus
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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 |
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Hepatitis E
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A type of Calicivirus
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Flavivirus
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ss linear RNA
Enveloped Most (not Hep. C) transmitted by insect bites |
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Hepatitis C
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A type of Flavivirus
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Yellow Fever
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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 |
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Dengue Fever
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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 |
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Japanese Encephalitis Virus
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A type of Flavivirus
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West Nile Virus
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A type of Flavivirus
Encephalitis Mosquito Vector Reservoirs--Birds & Horses |
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Togavirus
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ss linear RNA
Envelope wraps around like a toga Icosahedral Have hemagglutinin protein spike Alphavirus & Rubivirus |
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Alphavirus
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Type of Togavirus
Eastern equine encephalitis Western equine encephalitis Venezuela equine encephalitis (50% fatal, no treatment) |
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Rubivirus
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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 |
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Arenavirus
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ss circular RNA
Enveloped Looks like grains of sand on envelope ('arena' means sand in Latin) |
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Lassa Fever Virus
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A type of Arenavirus
Can progress from fever & GI bleeding to shock |
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Lymphocytic Choriomeningitis Virus (LCV)
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A type of Arenavirus
May cause fetal eye infection |
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Machupo Virus (Bolivian Hemmorrhagic Fever)
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A type of Arenavirus
High Fatality rate |
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Junin Virus (Argentinian Hemorrhagic Fever)
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A type of Arenavirus
High fatality rate |
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Rhabdovirus
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ssRNA linear
Bullet-shaped Enveloped Has Negri Bodies--inclusion bodies in the neurons Lyssavirus (Rabies) |
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Lyssavirus
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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) |
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2 forms of Rabies
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1. Dumb form: Animal looses its fear of humans
2. Rabid form: Animal acts crazy |
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Retrovirus
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linear ssRNA
Enveloped Oncovirus (HTLV I & II) & Lentivirus (HIV) |
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Oncovirus
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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 |
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Lentivirus
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A type of Retrovirus
HIV |
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Prions
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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 |
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Orthomyxoviruses
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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 |
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Hemagglutinin
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Responsible for the attachment of viruses, it recognizes the receptors on the host cell
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Neuraminidase
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Responsible for the release of virus from infected cell--releases through budding
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Type A Influenza
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Usually associated with epidemic outbreaks
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Type B Influenza
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Usually endemic outbreaks but can cause epidemics
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Type C Influenza
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Endemic or local outbreaks; self limited infection
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Orthomyxovirus enters cell through attachment with ___________ to cell receptors which triggers _________ ingestion.
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Hemogglutinin, Endocytotic
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Antigenic Drift
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Minor changes in viral genome
Every 2-3 years Causes local outbreaks of Flu A or B Antibodies from previous infections somewhat protective |
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Antigenic Shift
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Major changes in viral genome: Reassortment of RNA segment
Every 10-20 years Cause epidemic outbreaks and pandemics Immunity not effective |
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Orthomyxovirus acquired via _________ ________. Replicates in the ___________ ________.
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aerosol inoculation, Respiratory Tract,
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Most people who died in 1918 Flu epidemic did not die from the flu itself but rather a secondary infection caused by...
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...Staph aureus (bact. pneumonia)
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Otitis media
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Possible secondary infection following the flu (mainly in children).
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Myositis
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Possible secondary infection following the flu.
Cardiac involvement and sore muscles for months. |
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Guillian Barre Syndrome
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Possible secondary infection following the flu.
Transient Motor Paralysis Encephalopathy Encephalitis |
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Reye's Syndrome
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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. |
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To test for influenza...
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...Look for Immunofluorescence antibodies (IFA)
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Treatment for influenza
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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. |
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FluMist
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Live attenuated influenza vaccine.
Protects against many strains. Do not give to pregnant women, cardiac or respiratory compromised patients. |
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Paramyxovirus
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Enveloped.
May have neurominidase or hemagglutinin. May have small glycoprotein spikes. NON-Segmented (different from orthomyxoviruses-no reassortment) ssRNA linear |
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Paramyxovirus replication
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Attach and uncoat in cytoplasm.
Complete synthesis of protein coat and nucleic acid and assembly in cytoplasm. Classic RNA budding exit. |
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Measles Virus
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Paramyxovirus.
Only one serotype. Has Hemagglutinin but NOT neuraminidase. Also has fusion spikes. |
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Syncytial dysfunctional cells (giant cells) are expected in association with what disease?
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Measles
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What are the pathologies associated with the Measles?
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Lymphoid Hyperplasia
Subacute sclerosing panencephalitis (SSPE) |
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Mucus membrane lesions surrounded by red halos that appear before a Measles rash are called what?
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Kopli's Spots
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Parainfluenza Virus
How many serotypes? |
4 serotypes.
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Parainfluenza pathogenesis
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Nasopharynx-lower resp. tract-Layrgotracheo bronchitis-croup-pneumonia.
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Parainfluenza transmission and immunity
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Respiratory tract transmission.
Short-lived immunity. No vaccine. |
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Mumps Virus
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Paramyxovirus.
1 serotype-vaccine effective. Can infect any type of glandular tissue, the pancreas, and possibly the CNS. |
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With what disease do we expect to see Parotid gland infection?
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Mumps.
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Orchitis is a secondary manifestation of what disease?
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Mumps. It is an ovary/testes inflammation. More worry with males because of high temp...kills sperm cells.
Risk of infertility. |
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Respiratory Syncytial Virus (RSV)
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Paramyxovirus.
Lacks N and H antigens. Has Fusion spikes. |
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This is the most frequent cause of fatal acute respiratory syndrome in infants and young children.
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RSV--Infects virtually everyone by 5 years old. Reinfection possible.
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Treat RSV with...
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...Ribavirin inhalation.
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Why is RSV more dangerous than measles or mumps?
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No vaccine.
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Paramyxoviruses replicate where?
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Exclusively in the cytoplasm.
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What is the most important complication to know about in association with the measles?
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Subacute sclerosing panencephalitis (SSPE)-Occurs in about 7/1,000,000 cases
Replication in the CNS |