Adenovirus Flashcards

1
Q

What type of infections can Adv cause?

A

respiratory, eye, and GI tract infections

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2
Q

How long can the virus be shed?

A

for months

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3
Q

where can the virus be shed from?

A

primarily lymphoid tissues such as tonsils, adenoids, and Peyer’s patches

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4
Q

Adv infection of epithelial cells can lead to what?

A

significant necrosis and inflammation

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5
Q

What are characteristics of Adv?

A

double-stranded linear DNA genome packaged in an icosahedral capsid w/out an envelope

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6
Q

What are Adv’s exceptionally stable against?

A

detergents and many other chemicals and physical agents allow them to survive for prolonged periods outside the body. resistant to low pH environment of GI tract

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7
Q

What are the 100 serotypes defined by?

A

capsid’s penton protein

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8
Q

What is a penton protein?

A

a spike-like protein found at each of the icosahedron’s corner.

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9
Q

What is the function of a penton?

A

attachement proteins of the virus and responsible for toxic effect on cells.

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10
Q

How can one acquire immunity against a particular serotype?

A

production of penton-specific antibodies

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11
Q

What do Adv hexon proteins do?

A

produce complement fixing antibodies that don’t provide immunity but are useful in IDing an Adv infection

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12
Q

What diseases are caused by Adv?

A

pharyngitis, pharyngoconjunctival fever, croup, pneumonia, ARD, conjunctivitis, epidemic keratoconjunctivitis, acute gastroenteritis, obesity?!

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13
Q

What happens in the acute phase of infection?

A

initial replication at site of infection causes cell necrosis and inflammation

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14
Q

What happens after the acute phase?

A

Adv may persist w/out causing disease in tonsils, adenoids, or Peyer’s patches and be shed for 6-18 months

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15
Q

Who is at greatest risk for respiratory infections and acute febrile disease

A

young children, less than 3 year olds; military recruits

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16
Q

How can one get eye infections from Adv?

A

contaminated swimming pools or contaminated ophthalmic medicines

17
Q

What is a classic presentation of Adv infection?

A

pharyngoconjunctival fever, a combination of pharyngitis and ocular infection

18
Q

What serotypes cause GI infections? in whom?

A

40 and 41, in young kids

19
Q

What is the main organism that causes GI infections?

A

rotavirus

20
Q

What are serotypes 36 and 37 linked to?

A

OBESITY!

21
Q

What are symptoms for a respiratory Adv infection?

A

cough, fever, sore throat, runny nose, watery eyes

22
Q

What are the symptoms for an ocular Adv infection?

A

sand in the eye, runny nose, fever, sore throat

23
Q

What are the symptoms for a GI Adv infection?

A

diarrhea, vomiting, fever, nausea, blood in urine

24
Q

How is Adv transmitted?

A

inhalation of water droplets; by fecal-oral route, or by direct inoculation

25
Q

What serotypes are endemic and cause infections in very young kids?

A

1, 2, 3, 5

26
Q

When do most endemic infections occur?

A

in late winter or early spring

27
Q

What serotype is ARD assoicated w/

A

4 and 7

28
Q

How does one Dx Adv?

A

culture samples (throat or conjunctival swabs, mouth washings, urine, or feces) and clinical presentation

29
Q

How can one confirm serotypes of Adv?

A
  • penton-specific immunofluroescent antibodies
  • hemagglutination inhibition assays
  • antibodies to Adv hexon proteins in complement fixation assays confirm infection but not specific serotypes
30
Q

What does confirmation of an Adv infection entail of?

A

a comparison of acute and convalescent sera, look for a 4- fold rise in convalescent titer

31
Q

What is the treatment for Adv?

A

none, try to treat the symptoms

32
Q

Is there a vaccine?

A

attenuated, live vaccine given to military personnel

33
Q

What is the vaccine made up of?

A

encapsulates serotypes 4 and 7 which allows for their enteric release, produces a subclinical infection in GI tract to promote immunity