Block 3 Flashcards
VIRUS PATHOGENESIS
The ability of a virus to cause disease in the host is called?
Pathogenicity
VIRUS PATHOGENESIS
the manner/mechanism of development of a disease is called?
pathogenesis
VIRUS PATHOGENESIS
DOSE OF THE VIRUS THAT WILL INFECT 50% OF AN
EXPERIMENTAL GROUP is called?
INFECTIOUS DOSE 50 (ID50):
VIRUS PATHOGENESIS
DEGREE OF PATHOGENICITY (NOT AN ABSOLUTE PROPERTY OF A VIRUS).
VIRULENCE
VIRUS PATHOGENESIS
NOT VIRULENT/NOT HARMFUL
AVIRULENT
VIRUS PATHOGENESIS
DOSE OF VIRUS REQUIRED TO CAUSE DEATH IN 50% OF ANIMALS
is this exact? or approximate?
LETHAL DOSE (LD50):
* THIS IS ONLY AN ESTIMATION
VIRUS PATHOGENESIS
- THE LOWER or HIGER THE ID50 AND LD50 THE MORE VIRULENT?
LOWER
VIRUS PATHOGENESIS
NAME 4
THE SKIN
GI TRACT
MUCOUS MEMBRANES
RESPIRATORY TRACT
ROUTES OF ENTRY
THE SKIN
NAME 2 WAYS
- BITES OF AN ARTHROPOD/INFECTED ANIMAL
- CONTAMINATED OBJECTS (EX: HEP C
CONTAMINATED NEEDLE)
ROUTES OF ENTRY
THE SKIN
WHAT ARE 6 DEFENSES OF THE SKIN?
- DENSE OUTER LAYER OF THE KERATIN
- LOW PH
- PRESENCE OF FATTY ACIDS
- BACTERIAL FLORA
- DRYNESS
- COMPONENTS OF INNATE AND ADAPTIVE
IMMUNITY
ROUTES OF ENTRY
GI TRACT
WHAT ARE 9?
HINT: MUCUS MEMBRANE OF WHAT?
ACIDITY OF WHAT?
ALKALINITY OF WHAT?
LAYER OF MUCUS COVERING WHAT?
LIPOLTIC ACTIVITY OF WHAT
PROTEOLYTIC ACTIVITY OF WHAT
CYSTEINE RICH PROTIENS CALLED WHAT?
2 OTHERS …
- MUCOUS MEMBRANES OF ORAL CAVITY AND
ESOPHAGUS - ACIDITY OF STOMACH
- ALKALINITY OF INTESTINES
- LAYER OF MUCOUS COVERING THE GUT
- LIPOLYTIC ACTIVITY OF BILE
- PROTEOLYTIC ACTIVITY OF PANCREATIC ENZYMES
- DEFENSINS
- IGA
- SCAVENGING MACROPHAGES
ROUTES OF ENTRY
RESPIRATORY TRACT
NAME 5 DEFENSES
- MUCOCILIARY BLANKET
- ALVEOLAR MACROPHAGES
- NALT (NASAL ASSOCIATED LYMPH TISSUE)
- BALT (BRONCHUS-ASSOCIATED LYMPH
TISSUE)
*** TEMPERATURE GRADIENT **
VIRAL SPREAD IN HOST
WHAT IS INFECTION SPREADS BEYOND
PRIMARY SITE
DISSEMINATED INFECTION
VIRAL SPREAD IN HOST
WHAT IS # OF ORGANS/TISSUES ARE
INFECTED
SYSTEMIC INFECTION
VIRAL SPREAD IN HOST
WHAT FACILITATES DISPERSAL
APICAL RELEASE
VIRAL SPREAD IN HOST
WHAT FACILITATES SYSTEMIC SPREAD
BASOLATERAL RELEASE:
VIRAL SPREAD IN HOST
SPECIFICITY OR AFFINITY TO A PARTICULAR HOST
TISSUE
TROPISM
VIRAL SPREAD IN HOST
REPLICATE IN MORE THEN ONE HOST
ORGAN/TISSUE
PANTROPIC
VIREMIA
PRESENCE OF VIRUS IN THE BLOOD
VIREMIA
VIREMIA
WHAT IS PRIMARY?
WHAT IS SECONDARY?
- PRIMARY: INITIAL ENTRY OF VIRUS INTO BLOOD
- SECONDARY: VIRUS REPLICATED IN ORGANS AND
ENTERED CIRCULATION ONCE AGAIN
VIREMIA
what is active?
what is passive?
ACTIVE: VIREMIA FOLLOWING INITIAL VIRUS REPLICATION
(MOSQUITOS BITES CAN TRANSMIT DIRECTLY TO BLOOD)
* PASSIVE: DIRECT INOCULATION (BITE OR SYRINGE)- NO
PRIOR REPLICATION
VIREMIA
can mosquito bites transmit some viruses directly to the blood? is the called active viremia?
I say Yes you didn’t say
SPREAD VIA NERVES
VIRUS THAT CAN INFECT NEURAL CELLS BY
NEURAL OR HEMATOGENOUS SPREAD
- NEUROTROPIC
SPREAD VIA NERVES
ENTERS CNS AFTER INFECTION OF PERIPHERAL
SITE
NEURO-INVASIVE
SPREAD VIA NERVES
CAUSES DISEASE OF NERVOUS TISSUE,
MANIFESTED BY NEUROLOGICAL SYMPTOMS/ DEATH
NEURO-VIRULENT
SPREAD VIA NERVES
OLFACTORY AND BBB
SPREAD TO CNS
SPREAD VIA NERVES
TRAVELS OPPOSITE IMPULSE FLOW,
INVADING AXON TERMINAL THEN TO CELL BODY.
RETROGRADE SPREAD
SPREAD VIA NERVES
TRAVELS WITH IMPULSE FLOW,
INVADES CELL BODY THEN TO AXON TERMINAL.
ANTEROGRADE SPREAD
EXAMPLES OF VIRUS SPREAD VIA
NERVES
How does Herpes simplex virus work?
neuroinvasiveness?
neurovirulence?
which nervous system?
what result?
EXHIBITS **LOW NEUROINVASIVENESS **OFTHE CENTRAL NERVOUS SYSTEM, BUT HIGH NEUROVIRULENCE.
ALWAYS ENTERS THE PERIPHERAL NERVOUS SYSTEM, RARELY THE
CENTRAL NERVOUS SYSTEM. IF IT DOES-CONSEQUENCES ARE
ALWAYS SEVERE SOMETIMES FATAL.
EXAMPLES OF VIRUS SPREAD VIA
NERVES
MUMPS VIRUS
neuroinvasiveness?
neurovirulence?
invasive?
MUMPS VIRUS EXHIBITS NEUROINVASIVENESS BUT LOW
NEUROVIRULENCE. MOST INFECTIONS LEAD TO INVASION OF THE
CNS, BUT NEUROLOGICAL DISEASE IS MILD.
EXAMPLES OF VIRUS SPREAD VIA
NERVES
RABIES VIRUS
NEUROINVASIVENESS?
NEUROVIRULENCE?
RABIES VIRUS EXHIBITS HIGH NEUROINVASIVENESS AND HIGH
NEUROVIRULENCE. IT READILY INFECTS THE PNS AND SPREADS TO
THE CNS WITH 100% LETHALITY UNLESS ANTIVIRAL THERAPY IS
ADMINISTERED SHORTLY AFTER INFECTION.
Viruses can enter the CNS from blood by?
a-Monocyte trafficking
b-breaking the cementing at endothelial junctions
c-increase permeability of endothelium
d-all of the above
Important features of localized and systemic acute viral infections
Site of pathology
localized acute infections?
systemic acute infections?
portal of entry
distant sites
Important features of localized and systemic acute viral infections
Incubation period(IP)
localized acute infections?
systemic acute infections?
relatively short
relatively long
Important features of localized and systemic acute viral infections
Virema
localized acute infections?
systemic acute infections?
no
yes
Important features of localized and systemic acute viral infections
Duration of immunity
localized acute infections?
systemic acute infections?
variable, may be short
mostly lifelong
Important features of localized and systemic acute viral infections
Secretory IgA
localized acute infections?
systemic acute infections?
very important
not important
VIRUS SHEDDING
USUALLY INTENSIVE SHEDDING OVER
SHORT PERIOD OF TIME is from a ? infection
ACUTE INFECTION
VIRUS SHEDDING
- CAN BE SHED AT LOW TITERS FOR
MONTHS TO YEARS - CAN BE CONTINUOUS OR INTERMITTENTLY
is from a ? infection?
PERSISTENT INFECTIONS
VIRAL TROPISM
THE AFFINITY OF A VIRUS FOR A PARTICULAR
HOST TISSUE
*dog–> liver
TROPISM
VIRAL TROPISM
CAN REPLICATE IN MORE THAN ONE
HOST ORGAN/TISSUE
*dog–> liver, heart, spleen
PANTROPIC VIRUS
A family of viruses may prefer a particular organ for effective replication. the term used to describe same is ?
a-affinity
b-pathogenicity
c-tropism
d-virulence
VIRUS INJURY TO
THE SKIN
FLUID FILLED SAC/ELEVATIONS
VESICLES
VIRUS INJURY TO
THE SKIN
OPENING CAUSED BY SLOUGHING OF NECROTIC TISSUE
ULCER
VIRUS INJURY TO
THE SKIN
SOLID, ELEVATED MASS WITH DISTINCT BORDERS EXTENDING
DEEP INTO DERMIS
- NODULE
VIRUS INJURY TO
THE SKIN
BENIGN, SKIN GROWTH THAT INFECTS TOP LAYER OF SKIN
WARTS
VIRUS INJURY TO
THE SKIN
SOLID ELEVATION WITHOUT FLUID WITH SHARP BORDERS
PAPULE
VIRUS INJURY TO
THE SKIN
reddening of skin, usually consequence from systemic viral infection
ERYTHEMA