DNA VIRUSES PART 2: POXVIRUS Flashcards
Subtype of Small pox which caused the most severe disease with case fatality of 30% and occurred mainly in Asia
Variola Major
Pox virus infection that is systemic infection that spreads the virus throughout the body
Fulminant
Transmission of smallpox
Respiratory droplets
Transmission of molluscum, orf, monkeypox
Direct contact
Zoonoses viruses of poxviridae
Orf and monkeypox
Intact form of the virion of poxvirus from a vesical fluid specimen
Mulberry form
Damaged form of the virion of poxvirus from a scalp specimen
Capsule form
Give the code of the anti viral tx: Brimcidofovir/Tembexa
CMX001
Give the code of the antiviral tx: Tecovirimat/Tpoxx
ST246
Incubation period of variola virus
10-17 days
Lesions are present in greater concentration on the head and limbs including the palms and soles
Centrifugal distribution
Rash: small, round changes in skin color
Macules
Rash: slightly elevated with no fluid
Papules
Rash: containing a bubble of fluid
Vesicles
Rash: containing a purulent material consisting of necrotic inflammatory cells
Pustules
Vaccines for Variola virus
ACAM2000, ARSV (Aventis Pasteur Smallpox Vaccine)
Patients with Variola virus are infectious after the _ has appeared
Rash
Rash appears in
24-48hrs (1-2days)
A Jennerian vaccine named for Edward Jenner in 1796(1798)
Vaccinia
Considered a bioterrorism agent
Smallpox
Smallpox is caused by Variola virus characterized by
Vesicular and pustular eruption
Causative agent: Variola Virus
* Centrifugal distribution
* Most dense on face and
extremities
* Lesions appear during a 1– 2 day
period
* Lesions evolve at the same rate
Classic Smallpox Rash
Distribution of chickenpox
Centripetal
subtype of ordinary type smallpox rash
* have distinct areas of normal skin between discrete pustules
Discrete subtype
subtype of ordinary smallpox rash
* have a confluent rash on the face but with discrete lesions elsewhere
Semi-confluent subtype
Subtype rash of ordinary type smallpox
- confluent rash on the face and the extremities
Confluent subtype
3 Major Classifications of
Smallpox:
*More rapidly progressive, malignant disease develops, which is almost always fatal within 5 to 7 days.
* Characterized by a severely prostrating prodromal illness with high fever, head ache, back pain, and abdominal pain.
* difficult to diagnose, and they are exceedingly
Hemorrhagic
3 Major Classifications of
Smallpox:
characterized by a more abrupt onset of illness and prostration than classical smallpox.
* confluent lesions develop slowly, never progressing to the pustular stage, remaining soft, flattened, and velvety to
the touch.
* Invariably fatal
* However, if an individual survives flat smallpox, they rarely experience typical scarring afterward
Malignant (Flat)
Causative agent of Alastrim
Variola minor
Complication: Chronic Viral Conjunctivitis
Vaccinia Virus
derivative of vaccinia virus that has persisted in in India in water buffalo
Buffalopox virus
Host reservoir of Monkeypox
Gambian rats
caused by an orthopox virus
Monkeypox
Monkeypox commonly occurs in
West and central Africa
Clades of monkeypox that has the highest fatality rate
Congo Basin Clade
Characteristic feature of Monkeypox
Inguinal lymphadenopathy
Incubation period of monkeypox
7–17 days
The vesicular rash appears about
3-5 days later
a close relative to the vaccinia virus used for smallpox vaccination
Cowpox
commonly transmitted to farmworkers from cows
Cowpox
Cowpox incubation period
9–10 days
Cowpox virus can be distinguished from vaccinia virus by
deep red hemorrhagic lesions
sheep and goat handlers
orf
cows (milker’s node)
Pseudocowpox
benign epidermal tumor that occurs only in humans
Molluscum contagiosum
oval or brickshaped and measures 230 × 330 nm; it resembles vaccinia
Molluscum contagiosum
Africa, mainly in Kenya and the Democratic Republic of congo
Tanapox
Tanapox natural host
monkeys
causes benign histiocytomas
Yaba monkey tumor poxvirus