26. Herpes Virus Infections Flashcards

1
Q

latent infection

A

in neurons, with later reactivation of a presumably intact virus genome, resulting in a productive infection in mucocutaneous or ocular sites

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2
Q

Varicella Zoster initial viral replication is in __

A

the respiratory tract

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3
Q

α-herpesviruses

A

HSV 1, 2 and Varicella Zoster

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4
Q

recurrent infections are usually __ painful

A

less

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5
Q

β-herpesviruses

A

CMV, HHV 6,7

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6
Q

the attack rate for HSV-2 is __

A

75%

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7
Q

chickenpox is spread by:

A

respiratory and direct contact

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8
Q

how do you identify congenital CMV infection?

A

isolating virus from the neonate’s urine during the first week of life

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9
Q

CMV generally causes __ infection

A

subclinical

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10
Q

why is shingles life-threatening?

A

more severe disease with potential pneumonia

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11
Q

Infectious mononucleosis is characterized by ___ in a peripheral smear. They appear as __

A

atypical lymphocytes, large cells with lobulated nuclei

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12
Q

CMV establishes latency in:

A

B and T cells, and Macrophages

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13
Q

heterophile (monospot) negative mononucleosis is caused by:

A

CMV

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14
Q

chickenpox lesions are __

A

polymorphic (papules, vesicles, and crust all seen at once)

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15
Q

most primary HSV-1 infections are __. However, they can cause __

A

asymptomatic, gingivostomatitis or vulvovaginitis

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16
Q

Varicella Zoster secondary infection:

A

zoster/shingles

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17
Q

Herpes genetic structure:

A

double stranded DNA

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18
Q

cytomegalic inclusion disease:

A
  • hepatosplenomegaly -thrombocytopenia -microcephaly -severe mental retardation
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19
Q

CMV is acquired from:

A

blood, tissue, and most bodily secretions

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20
Q

CMV is the most prevalent cause of __

A

birth defects

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21
Q

a reason for high rates of transmission of HSV1 and 2 is that there is the potential for __

A

asymptomatic shedding

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22
Q

where does HSV-1 remain latent?

A

the trigeminal nerve ganglion

23
Q

persistent infection

A

in lymphocytes and macrophages

24
Q

Varicella Zoster primary infection:

A

chickenpox

25
lytic infection:
causes cell death and results in a sub/clinically apparent infection
26
treatments for HSV 1 and 2
Acyclovir Famciclovir Valacyclovir
27
the attack rate for chickenpox is \_\_
90%
28
other histology associated with CMV:
"Owl's eye" inclusion body
29
prodrome
the period leading up to the recurrence of an infection (could be pain or tingling)
30
ophthalmic zoster
virus resided within V1 and can cause corneal damage and vision loss
31
how does Herpes mature?
budding through the inner lamella of the nuclear membrane
32
antiviral treatments for VZV
acyclovir famcyclovir valacyclovir
33
CMV serious congenital infection occurs when the fetus is infected in the __ trimester. This only occurs during the __ infection
first, primary
34
\_\_ immunity controls and limits the spread of VZV
cellular mediated
35
zoster and HSV are spread by:
direct contact
36
herpes viruses are ubiquitous except:
HHV8
37
heterophile (monospot) positive mononucleosis is caused by:
EBV
38
Herpes virus assembles in the \_\_
nucleus
39
how are Acyclovir, Famciclovir, and Valacyclovir metabolized?
_viral_ thymidine kinase -- phosphorylates them to the monophosphate form, and cellular DNA polymerase adds di and tri phosphate forms
40
neonates have a \_\_% mortality rate following infection with VZV
35%
41
γ-herpesviruses
EBV, HHV-8
42
Zostavax
shingles vaccine, a weakened form of the chickenpox vaccine
43
smallpox lesions are \_\_
monomorphic
44
herpetic whitlow
herpes blisters on the fingers
45
transformation
infected cells survive and exhibit the ability to multiply and immortalize B lymphocytes -EBV and HHV-8 are associated with human cancers
46
the chickenpox vaccine is \_\_, and is \_\_% effective
live attenuated, 85%
47
how do we treat CMV?
ganciclovir and foscarnet (reduces viral shedding)
48
CMV in neonates:
cause no disease in healthy full-term babies, asymptomatic in most cases
49
\_\_ smear for HSV demonstrates ___ and \_\_
Tzanck, multi-nucleated giant cells and Cowdry type A inclusions bodies
50
which herpes viruses are latent?
Herpes I, II and varicella zoster
51
Abreva
10% docosanol- changes the membrane around healthy cells -used for oral herpes
52
how do HSVs avoid antibody?
cell to cell spread (syncytia)
53
3 antivirals for HSV 1 and 2 infections:
1. _Acyclovir_ 2. _Famcyclovir_ -- converted to pencyclovir. Improved bioavailability 3. _Valacyclovir_ -- aka Valtrex, L-valine ester of acyclovir. Improved bioavailability