(1) Picornaviridae Flashcards
Picornaviridae have large family of viruses but what is their SIZE
small
q
Pico is a spanish term which menas?
Little bit
characteristic of Picornaviridae
- Small protien
- Positive ssRNA
- naked
- Icosahedral
viral capsid consists of?
60 sub-unit with 4 proteins
Viral capsid consists of 60 subunits with 4 proteins which are
Viral proteins 1-4
TOF
Picornaviridae are resistant to alcohol or downy?
False (downy is not a detergent)
Alcohol and Detergent
how many genera does picornaviridae have?
12 genera
from the 12 genera of the picornaviridae, what are the 2 MAJOR pathogens
Rhinoviruses and Enteroviruses
PICORNAVIRIDAE
acid labile and the common
causative agents of the common cold.
Rhinoviruses
PICORNAVIRIDAE
what journal state that drinking citrus drinks will help with common cold
HA NONE BOBO
theres no such evidence proving that it is effective
PICORNAVIRIDAE
stable at acidic pH (3.0-5.0)
and can remain infectious for 1-3 hours
Enteroviruses
enumerate the viruses of the picornaviridae
- Enterovirus
- Hepatovirus
- Kobuvirus
- Parechovirus
- Cardiovirus
- Aphthovirus
Causative agents of heart disease in rodents
Cardiovirus
foot-and-mouth disease viruses
o Commonly seen in cattle and piglets
Aphthovirus
if u see this card
kindly check the table for the characteristic of human picornaviruses
Enteroviruses can be isolated from?
enteric GIT
“entero”
PICORNAVIRIDAE
what are the serotypes of poiioviruses
PV1, PV2, PV3
Rhinoviruses can be isolated in?
upper respiratory
tract—in the nose and the throat
“rhino”
what characteristic polioviruses have against other viruses, it is connected with their immunity
Minimal heterotypic immunity
what is minimal heterotypic immunity
one serotype does not produce a significant immunity against the other serotypes
Polioviruses caause what life threatening disease?
Polio or Poliomyelitis
Incubation period of poliovirus
7 to 14 days
MOT of Poliovirus
fecal-oral route
Incubation for polivirus can be as short and long as?
as short as 3 days or as long as
33 days
Poliovirus - Pathogenesis
Fecal oral route →
travels in GI tract
Poliovirus - Pathogenesis
Travels in GI tract →
infects small intesting/oral pharynx epithelium
primary sites of replication
Poliovirus - Pathogenesis
spread to CNS by?
viremia or retrograde transport in peripheral nerves
(exact mechanism unknown
Poliovirus - Pathogenesis
infects small intesting/oral pharynx epithelium →
replicates in submucosal lymphoid tissue
Poliovirus - Pathogenesis
replicates in submucosal lymphoid tissue →
transient viremia
Poliovirus - Pathogenesis
binds to the receptors of?
anterior horn motor neurons
Poliovirus - Pathogenesis
what are the target site of the virus
anterior horn motor neurons
Poliovirus - Pathogenesis
where will it replicate, and lyse
motor neurons
anterior horn motor neurons
Poliovirus - Pathogenesis
what are the possible ways of innervating on the anterior horn motor neurons
- Distal muscles
- Proximal muscle
Poliovirus - Pathogenesis
produce a lower motor neuron disease
distal muscles
Poliovirus - Pathogenesis
what does the distal muscles infection includes
lower extremities which
is indicated by asymmetrical limbs and the
like
Poliovirus - Pathogenesis
what part may lead to respiratory
insufficiency and possible death infection
proximal muscles
Poliovirus - Pathogenesis
what does the proximal muscles infection includes
Proximal muscles mainly include the chest which affects the muscles of respiration.
`
Poliovirus - Pathogenesis
what immunoglobulin are produced
- IgG
- secretory IgA
Poliovirus - Pathogenesis
at will protect the host against future
infections
lasting immunity from the immunoglobulins
enumerate the clinical findings of the poliovirus
- Asymptomatic
- Mild disease
- Non-paralytic poliomyelitis
- paralytic poliomyelitis
- Progressive Post-poliomyelitis muscle atrophy
Poliovirus - Clinical Findings
- Most common form
- Non-specific flu-like symptoms such as sore throat, fever, malaise, nausea, headache, stomach pain
Mild Disease
Poliovirus - Clinical Findings
what percentage or approximation does patients present milder form of the disease
1 out of 4 patients
Poliovirus - Clinical Findings
- Also known as the aseptic meningitis
- Occurs in 1-5 out of 100 people with poliovirus
Non-Paralytic Poliomyelitis
Poliovirus - Clinical Findings
- Presents as stiffness of the neck with neck pain
- Recovery is rapid and complete
Non-Paralytic Poliomyelitis
Poliovirus - Clinical Findings
Presents with flaccid paralysis
flaccid = soft
Paralytic Poliomyelitis
Poliovirus - Clinical Findings
Secondary to the destruction of the nerve cells and lower motor neuron damage
Paralytic Poliomyelitis
Poliovirus - Clinical Findings
usual maximal recovery for paralytic poliomyelitis
within 6 months
Poliovirus - Clinical Findings
recovery is longer for paralytic poliomyelitis when there is a?
residual paralysis in the nerve cells
Poliovirus - Clinical Findings
- Also known as the “post-polio syndrome”
- Occurs in adults who had paralytic poliomyelitis during childhood and then develops noninfectious post-polio syndrome 15-20 years la
Progressive Post- poliomyelitis Muscle Atrophy
Poliovirus - Clinical Findings
- Characterized by slow & irreversible exacerbation of weakness
- Common initial manifestation includes muscle and joint pain
Progressive Post-poliomyelitis Muscle Atrophy
Poliovirus - Clinical Findings
Progressive Post poliomyelitis Muscle Atrophy occurs in about?
** 25-40%** of polio survivors
Poliovirus - Clinical Findings
TOF
Prevalence for Progressive Post-poliomyelitis Muscle Atrophy are clear
F (UNCLEAR)
Poliovirus - Clinical Findings
3 countries in the world have never stopped the
transmission of polio
Pakistan, Afghanistan and Nigeria
PANdesal
lab diagnosis for poliovirus
- Culture
- Serological test
- PCR - the most sensitive and
specific test for the virus
what specimen is used for poliovirus
Specimen: throat swab, rectal
swab and stool since virus shreds
in the stool
treatment for poliovirus
No cure
Immunity for poliovirus
- Primary infection
- Passive infection
- Vaccine
Poliovirus immunity
results to permanent immunit
Primary infection
Poliovirus immunity
acquired from
infected and cured mother to offspring
Passive immunity
type of vaccination for poliovirus
- SALK: inactivated polio virus
- SABIN: oral polio virus
Poliovirus
the only vaccine used in the US.
It is injected intramuscularly or subcutaneously. It is usually
used in combination with other vaccines
inactivated polio
virus (SALK)
dosage for SALK vaccine
3 dosage: 2nd, 4th and 6th month of ages
incubation period for COXSACKIEVIRUS
Incubation lasts between 2 to 9 days.
Clinical manifestation of COXSACKIEVIRUS
cock - sasi - virus
range from a mild, febrile illness
to CNS, skin, cardiac, and respiratory diseases
wide clinical manifestation
Coxsackievirus
Associated with herpangina or vesicular pharyngitis which
produces lesions around the oral cavit
Coxsackievirus Group A
Coxsackievirus
Common cause of the hand, foot, and mouth disease
(HFMD) and conjunctivitis
Coxsackievirus Group A
Coxsackievirus Group A is associated with?
meningoencephalitis and paralysis
Paralysis with coxsackievirus recovery is ____ and ____ as opposed to the poliovirus paralysis
complete and
reversible
Coxsackievirus Group B
clue: same as group A
Associated with meningoencephalitis and paralysis
Coxsackievirus Group B is linked to a?
- viral heart disease
- the generalized disease of infant
CLINICAL MANIFESTATIONS for Coxsackievirus
- Aseptic Meningitis
- Herpangina
- Hand-foot and mouth disease (HFMD)
- Pleurodynia or Epidemic Myalagia
- Viral Myocarditis or Pericarditis
- Common colds with undifferentiated febrile illness
- Generalized disease of infant
- Diarrhea
- Hemorrhagic Conjunctivitis
Coxsackievirus - Clinical Manifestation
- Fever, malaise, headache, nausea, vomiting.
- Head and neck stiffness and pain.
Aseptic Meningitis
Coxsackievirus - Clinical Manifestation
- Commonly associated with Coxsackie Group A
- Characterized by severe febrile pharyngitis
Herpangina
Coxsackievirus - Clinical Manifestation
- Abrupt onset of fever, sore throat, discrete vesicles on
posterior half of palate, pharynx, tonsil, and tongue
Herpangina
Coxsackievirus - Clinical Manifestation
- Difficulty in swallowing or a decreased appetite
may be an indication of vesicles in the palate
Herpangina
Coxsackievirus - Clinical Manifestation
Common in 2- to 3-year-olds
Herpangina
Coxsackievirus - Clinical Manifestation
- Oral and pharyngeal ulceration and vesicular rash of palms and soles that may spread to arms and legs
similar to those of chicken pox
Hand-foot and mouth disease (HFMD)
Coxsackievirus - Clinical Manifestation
Vesicles heal without crusting
Hand-foot and mouth disease (HFMD)
Coxsackievirus - Clinical Manifestation
serotype associated with HFMD
- CV-A16
- CV-B1
- Enterovirus 71
Coxsackievirus - Clinical Manifestation
o Fever and stabbing chest pain
o May last from 2 days to 2 weeks
o Abdominal pain in half of the cases
Pleurodynia or Epidemic Myalagia
Coxsackievirus - Clinical Manifestation
Inflammation of the myocardium or the muscle of the heart, or even the pericardium covering the heart.
Viral Myocarditis or Pericarditis
Coxsackievirus - Clinical Manifestation
A serious disease wherein an infant is overwhelmed with simultaneous viral infections of the different
organs—brain, heart, or even lungs.
Generalized disease of infant
Lab diagnosis for Coxsackievirus
- Serological test
- PCR
specimen for Coxsackievirus
Specimen: rectal swab and stool, CSF, conjunctival swabs, throat swab
Treatment for Coxsackievirus
Supportive; treatment to symptoms
immunity for Coxsackievirus
No available vaccines
meaning of ECHO in ECHOVIRUSES
Enteric Cytopathogenic Human Orphan (ECHO) Viruses
grouped together because they infect the human enteric tract and because they can be recovered from
humans only.
ECHOVIRUSES
Clinical manifestaion for ECHOVIRUSES
- Aseptic meningitis
- Encephalitis febrile illness w/ or w/o rash
- Common colds
- Ocular diseases
specimen for ECHOVIRUSES
Specimen: rectal swab and stool, CSF, conjunctival swabs, throat swab
lab diagnosius for ECHOVIRUSES
- Serological Test
- PCR
Prevention for ECHOVIRUSES
- Avoidance of contact
- No available vaccine
management for ECHOVIRUSES
Supportive management is done in order to tend to the opportunistic or secondary infections brought upon by the primary infection
- These are the common cold viruses.
- Commonly isolated from nasopharyngeal secretions
Rhinoviruses
RHINOVIRUSES human isolates are numbered?
sequentially
how many known types of Rhinoviruses are there
more than 150
Rhinoviruses are divided into what groups
Major and Minor
Rhinoviruses
uses the intracellular adhesion molecule
1 (ICAM 1) as its receptor
Major group
Rhinoviruses
uses the low-density lipoprotein receptor
(LDLR) family
Minor group
Mainly cause upper respiratory tract infections and rarely cause lower respiratory tract infections.
Rhinoviruses
Rhinoviruses
Patients with asthma are at most risk since these virus cause
infections that are the most common cause of
asthma exacerbation
MOT of Rhinoviruses
inhalation of contaminated aerosol droplets
where does the virus enters and multiply in Rhinovirus
entry of virus via the upper respiratory tract which will then replicate in the surface epithelium of nasal mucosa
after replication of rhinovirus, where will it pass
nasal secretions
Incubation periods of Rhinoviruses
Incubation periods lasts between 2 to 4 days
Clinical manifestation of Rhinovirus
Sneezing
Nasal obstruction
Nasal discharge
Sore throat
Headache
Mild cough
Malaise
Immunity of Rhinovirus
Neutralizing antibodies to infecting
virus develop in serum and
secretion
Prevention of Rhinovirus
Non-specific prevention method
Treatment of Rhinovirus
Supportive
Rhinovirus - TOF
Immunity is possible; however, the titers of these antibodies gradually increase as time passes therefore
enabling reinfection.
F (antibodies gradually DECREASE)