DNA Flashcards
First isolated from the culture of human adenoids and tonsils in the early 1950ss, hence the name
adenovirus
Adenovirus site of latency
Oropharynx
Adenovirus transmission
Respi
Fecal-oral
Direct contact (eye)
Adenovirus disease
URT
LRT
GIT
GUT
URT DISEASE AND SEROTYPE
Pharyngitis, conjunctivitis,
coryza (serotype 3, 7, 8, 19, 37)
LRT DISEASE AND SEROTYPE
bronchitis, atypical pneumonia (serotype 14)
GIT DISEASE AND SEROTYPE
acute gastroenteritis
(infantile diarrhea) [serotype: 40,
41]
GUT DISEASE AND SEROTYPE
acute hemorrhagic cystitis (serotype: 7,11,21)
Adenovirus incubation period
Respi - 2-14 days
Gastro- 3-10 days
Common upper R.T.I includes colds, tonsillitis,pharyngitis,pharyngoconjunctival fever, and sometimes croup
Adenovirus
Infections of the eye and conjunctivitis often accompany respiratory infection
Adenovirus
Adenovirus
in children, ___________ is often a complication of the respiratory disease
Otitis media
In adenovirus what symptom causes severe in children ?
Lower RTI
In adenovirus it is often fatal in infants and young children
Adenovirus pneumonia
Adenovirus diagnosis
Cell culture (Hep-2)
Cowdry type B intranuclear basophilic inclusion bodies
EIA for gastroenteritis
PCR
Hepadnaviridae virus
Hepatitis B virus ( serum hepatitis)
A complete virus in hepadna is also known as
Dane particle
Hepatitis B surface antigen originally called
Australian antigen
Hepatitis B transmission
Percutaneous exposure to blood or blood products (primary)
Parenteral
Perinatal
Direct contact
Hepatitis B site of latency
Liver
Hepatitis B virulence factor
HBsAg
HBcAG
HBeAG (infectivity)
Hepadnaviridae disease
Chronic and acute hepatits
Hepatitis b incubation
1 to 3 months or more
remains a significant worldwide cause of liver cirrhosis and hepatocellular carcinoma despite the availability of an effective vaccine.
Chronic HBV infection
The only positive during window period
Anti-HBc IgM
The only postive among vaccinated patients
Anti- HBs
What can differentiate chronic active infection from chronic carrier
HBeAG
Chronic infection is characterized by the persistence of ________ for atleast 6 months
HBsAg
significant cause of liver damage associated with morbidity and mortality.
Hepatitis B
It is the only source of hepatitis B
Human
Encode many proteins that manipulate the host cell and immune response.
Herpesviridae
Encode enzymes (DNA polymerase) that promote viral DNA replication and are good targets for antiviral drugs
Herpesviridae
Herpesviridae DNA replication and capsid assembly
occurs in the
Nucleus
Herpesviridae Virus is released by
exocytosis, by cell lysis, and through cell-to-cell bridges.
Ubiquitous
Herpesviridae
Cell-mediated immunity is required for
control
Herpesviridae
HHV 1
HHV 2
HHV 3
1- Hepres Simplex Type 1
2- Herpes Simplex Type 2
3- Varicella-zoster virus
HHV 4
HHV 8
4- Epstein Barr virus
8- Kaposi sarcoma-related virus
HHV 5
HHV 6
HHV 7
5- Cytomegalovirus
6- Herpes lymphotropic virus
7- HHV 7
HSV 1&2 Transmission
Direct contact with infected secretions
HSV 1- saliva or direct
HSV 2- sexual or transvaginal
HSV 1&2 site of latency
Sensory nerve ganglia
HSV 1 : Trigeminal ganglia
HSV 2: Lumbosacral ganglia
Vesicle filled with virus particle and cell debris
HSV 1 and 2
Herpes Simplex Viruses (HSV) HSV-1 & HSV-2 diagnosis
Tzank smear (multinucleated giant cell)
Cowdry Type A
Cell culture
EIA
FA stain
PCR
HHV-3
Varicella-Zoster Virus (VZV)
Varicella-Zoster Virus (VZV) site of latency
Dorsal root of ganglia
Varicella-Zoster Virus (VZV) disease
Chicken pox (varicella)
Shingles (Herpes zoster)
Ramsay hunt syndrome ( herpes zoster oticu)
Congenital varicella
Varicella-Zoster Virus (VZV) prevention
VZIG vaccine
Oka strain ( live attenuated vaccine)
Varicella is also known as
Chicken pox
Varicella incubation period
14-21 days
Varicella period of communicability
48 hours before vesicle formation and 4-5 days after until all vesicles are crusted
Vesicular rash (‘dewdrop on a rose petal appearance’) that begins on trunk; spreads to face and extremities (centrifugal) with lesions of different stages
Varicella/ Chicken pox
Unilateral painful vesicular eruption with a dermatomal distribution (thoracic and lumbar)
Herpes Zoster (Shingles)
Most common complication of Herpes Zoster/Shingles
Postherpetic neuralgia
Debilitating pain (postherpetic neuralgia)
Herpes Zoster ( Shingles)
Reactivation of latent VZV residing within geniculate ganglion
Ramsay-Hunt Syndrome( Herpes Zoster Oticus)
A triad of ipsilateral facial paralysis, ear pain, and vesicles on the face, on the ear, or in the ear is the typical presentation.
Ramsay Hunt Syndrome (Herpes Zoster Oticus)
Fetuses infected at 6-12 weeks’ AOG: maximal interruption with limb development (short and malformed limbs covered with cicatrix — skin lesion with zigzag scarring associated with atrophy of the affected limb)
Congenital varicella
Fetuses infected at 16-20 weeks’ AOG: eye and brain involvement
Congenital varicella
HHV-4
Epstein-Barr Virus (EBV)
Epstein-Barr Virus (EBV) / HHV-4 site of latency
B lymphocytes (C3d Complement)
Epstein-Barr Virus (EBV) / HHV-4 disease
Infectious mononucleosis (IM) (A.K.A KISSING DISEASE)
Progressive lymphoreticular disease
oral hairy leukoplakia in HIV-infected patients.
Oncogenic: Burkitt’s Lymphoma, nasopharyngeal carcinoma
Epstein-Barr Virus (EBV) / HHV-4 diagnosis
Serology
PCR
HEMATOLOGIC REPORTS (DOWNEY CELL)
Formerly known as: Salivary gland virus,
40-day fever
Cytomegalovirus (CMV)/ HHV-5
HHV 5
Cytomegalovirus
Cytomegalovirus (CMV)/ HHV-5 transmission
close contact with infected secretions, blood transfusion (WBCs), organ transplants, transplacental
Cytomegalovirus (CMV)/ HHV-5 site of latency
WBC
ENDOTHELIAL CELL
CELL IN VARIETY OF ORGANS
Cytomegalovirus (CMV)/ HHV-5 diseases
asymptomatic infections
Congenital disease of newborn
systemic infection of immunocompromised host
heterophile negative IM
Cytomegalovirus (CMV)/ HHV-5 diagnosis
Cell culture (HDF)
shell vial culture
CMV antigenemia
FA stain
PCR
negative heterophil test
Giant cells with “owl’s-eye” nuclear inclusion
Human Herpesvirus 6 and 7 (HHV-6 and HHV 7) site of latency
T lymphocytes (CD4)
Human Herpesvirus 6 and 7 (HHV-6 and HHV 7) diseases
Roseola (roseola infantum/exanthem subitum/6th disease)
fever malaise, rash, leukopenia, and interstitial pneumonitis in organ transplant patients
What human herpes virus usually infects children
Human herpes 6
Human herpesvirus type 8 (HHV-8) site of latency
viral genome found in Kaposi’s sarcoma tumor cells, endothelial cells, and tumor infiltrating leukocytes
Human herpesvirus type 8 (HHV-8) disease
Kaposi sarcoma
Only virus with fiber
Adenovirus
Cowdry type B intranuclear basophilic inclusion bodies
Adenovirus
Temporal lobe encephalitis
HSV 1
Genital herpes
Neonatal herpes (TORCH)
Aseptic meningitis
HSV 2
Tzanck smear (multinucleated giant cells)
Herpes Simplex Viruses (HSV)
Cowdry Type A eosinophilic intranuclear inclusions
Herpes Simplex Viruses (HSV)
is the most common cause of sporadic, fatal encephalitis in the USA
HSV- 1
HSV principal target area of the virus
Temporal lobe
owl’s-eye nuclear inclusion
Cytomegalovirus/HHV 5
Heterophil-Negative:
Cytomegalovirus
Toxopasma
Heterophil-Positive
Epstein-Barr Virus
Differential white blood cells count will show elevated “atypical lymphocytes” Downey cells
Epstein-Barr Virus (EBV) / HHV-4
‘Kissing disease
Infectious mononucleosis
Monospot-positive/heterophil-positive
IM- Epstein-Barr Virus (EBV) / HHV-4
6th disease
ROSEOLA / EXANTHEM SUBITUM
erythematous papules on soft palate and base of the uvula
Nagayama spots
Nagayama spots
HHV 6
î most common AIDS-related malignancy
Kaposi sarcoma
Dark/violaceous plaques or nodules representing vascular proliferations
Kaposi sarcoma
the only DNA virus that produces DNA by reverse transcription with mRNA as the template; not a retrovirus but has reverse transcriptase
Hepatitis B Virus
hepatocellular injury due to immune attack by cytotoxic T cells
Hepatitis B Virus
Used as marker of potential infectivity
e antigen (HBeAg)
Liver biopsy for Hepatitis B
Granular HEPATITIS B INFECTION eosinophilic “ground glass” appearance
eosinophilic globule of cells that represents a dying hepatocyte often surrounded by normal parenchyma
Councilman body: