Arbovirus Flashcards

1
Q

Dengue virus is a _________ (phlebovirus/flavivirus)

A

flavivirus

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2
Q

Classic dengue fever is also called __________ fever

A

breakbone fever

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3
Q

Classic dengue fever begins suddenly with influenza-like syndromes consisting of fever, malaise, headache, and _________ (abdominal/retro-orbital) pain

A

retro-orbital pain

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4
Q

Dengue virus is transmitted from _________ to humans by mosquitoes

A

monkeys

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5
Q

Humans and monkeys are the ___________ (definitive/reservoir) host

A

reservoir

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6
Q

Antibodies (called ”enhancing” antibodies) to one serotype __________ (increase/decrease) the efficiency of infection by another serotype, resulting in more serious disease. {DENGUE VIRUS}

A

increase

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7
Q

Enlarged __________ (liver/spleen/lymph nodes), facial flushing, a maculopapular rash and leukopenia are common in dengue fever.

A

lymph nodes

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8
Q

Dengue hemorrhagic fever is more severe, with a fatality rate of ____% in which shock occurs and hemorrhage develops in GIT and skin.

A

10%

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9
Q

Dengue hemorrhagic fever is more common in ____________ whereas the classic form is found in tropical areas worldwide.

A

Southern Asia

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10
Q

Hemorrhagic shock syndrome occurs the _________ (first/second) time infection occurs.

A

second

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11
Q

Hemorrhagic shock syndrome is due to the production of large amounts of ____________ at the time of second dengue infection.

A

cross-reacting antibodies

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12
Q

A patient gets infected with one serotype of dengue and he recovers (he produces antibodies). Then he gets infected with another serotype of dengue and he makes antibodies to the first serotype leading to ____________ activation.

A

complement activation

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13
Q

The complement activation leads to _________ (increased/decreased) vascular permeability and thrombocytopenia when second dengue infection occurs.

A

increased

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14
Q

How does shock occurs in dengue?

A

The viral-antibody complex gets into the monocyte or macrophage —> leading to the liberation of cytokines that produce shock or hemorrhage.

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15
Q

Dengue virus is transmitted by the Aedes ________ (anopheles/aegypti) mosquito.

A

aegypti

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16
Q

Aedes aegypti mosquito is also the vector of ____________ virus

A

yellow fever virus

17
Q

How do we diagnose dengue fever?

A

Isolation of virus in the cell culture
Serologic tests for IgM antibody
Rise in antibody titer in acute and convalescent sera
PCR

18
Q

What type of fever occurs in dengue fever?

A

Biphasic (saddleback) fever (lasting for 7 days or more)

19
Q

What type of fever occurs in malaria?

A

Intermittent fever (It recurs every third or fourth day)