COVID 19 And miscallenous Viruses Flashcards
Family and genus of Coronavirus
Family - Coronaviridae
Genus - Beta coronavirus
Features of Coronavirus
Non segmented
Positive sense RNA
ssRNA
Structure present in Coronavirus
Spike (S1 and S2) - helps in attachment
Nucleocapsid (N)
Membrane (M)
Envelope (E)
Coronavirus attaches to which receptors and location
1) Spike proteins attaches on ACE2 Receptors
Maximally present in Lungs (type 2 pneumocytes), GIT, Heart, Kidney
Activation of spike protein in coronavirus happens through
TMPRSS2
Pathogenesis of COVID 19
Attachment - Endocytosis - Uncoating - Viral Replication - Viral assembly and Release
When Max shedding in COVID-19 occurs
Occurs 5-8 hrs before onset of symptoms
Clinical features of COVID-19
Fever
Dyspnea
Dry cough
Shortness of breath
Loss of smell and taste
GI Complaints
Myalgia
Radiological findings seen in COVID-19
Multifocal ground glass opacities
Consolidation
Pavement appearance (multiple GGO’s with septal thickening)
Reverse halo sign
Collection of COVID-19 sampe
Upper respiratory specimen - Nasopharyngeal and oropharyngeal swab
Lower resp specimen - BAL, ET Aspirate, sputum
Gold standard method of diagnosis of COVID-19 and turn around time
Real time RT PCR
Turn around time - 4-6 hrs
Semi confirmatory genes for COVID-19
F gene
N gene
S gene
Confirmatory genes for COVID-19
RdRP gene
ORF1 alpha gene
CBNAAT or True NAAT procedure in case of COVID 19
Portable PCR <30 min
2 steps - E gene screening (semi confirmatory gene) - If +ve - Check RdRP(Confirmatory) - If -ve - RRTPCR
Rapid card test for COVID-19 principle is based on
Immunochromtatography
FELUDA test
Fn Cas9 Editor linked uniform detection assay
Principle - Crispr Cas9
Paper based Test strip
Time <45 min