dsDNA Virus - Herpesviridae Flashcards
Talk about Herpesviridae
1) Characteristics
1- Large group of linear dsDNA viruses
2- Have ENVELOPED POLYHEDRAL CAPSIDS
+ viral envelop interacts and fuses with the cell membrane to facilitate entry into cell
+ viral envelope acquired from the host cell’s membrane
+ Virus exits the cell via exocytosis or cell lysis
2) Most Prevalent DNA viruses:
-infection rates in the population : 50-90%
3) Often latent
- remain inactive inside infected cells for years
+ reactivation causes recurrence of the disease manifestations
+ Some insert in the host genome and potentially induce cancer.
2) Nomenclature of Herpesvirus
HHV- a number indicatinf the order of discovery
3) Infections of Human Herpesvirus 1 and 2
+ Often result in slow spreading skin lesions
+ Formerly known as Herpes simplex virus or HSV
Characteristics of HHV1 and 2
1) Often result in SLOW-SPREADING SKIN LESIONS
2) Formerly known as HERPES SIMPLEX VIRUS
or HSV
3) 2 species, genus Simplexvirus
+ Human Herpesvirus 1 (HHV-1)
+Human Herpesvirus 2 (HHV-2)
Sites of Herpesvirus Infections
1) Fever Blisters of Oral Herpes
- Viruses invades the mucous membrane of the lips
2) Genital Herpes
- Genitalia
3) WHitlow
- Broken skin of the finger
4) Trigeminal, Sacral or brachial Ganglia
- where they reamin latent
- via sensory nerve cells
- recurrent symptoms reactivates as a result of immunosuppression and travels down nerve cells.
Types of HHV-1 and HHV-2 infections
1) Oral Herpes:
-HHV-1
Fever blister or cold sores, and also herpetic gengivostomatitis or pharingitis: HHV-1 and HHV-2
- Flu like symptoms
2) Genital Herpes:
- HHV-2 (most) and HHV-1
- Painful lesions
- Transmitted sexually
3) Ocular Herpes:
- HHV-1
- Opthalmic branch of trigeminal nerve
- Conjunctivitis, pain, sensitivity to light
4) Whitlow
- HHV-1, HHV-2
- Children, health care workers
5) Neonatal Herpes
-HHV-2, life-threatening infection.
Mortality rate:
30% (oral or cutaneous)
80% (CNS)
- in utero or during birth
Prevention: Cesarean section
6) Others
- Herpes Gladiatorum in athleres (HHV-1)
- HHV1 and HHV-2 may also cause encephalitis, meningitis and pneumonia in immunosuppressed individuals (AIDs patients)
Comparative Epidemiology and Pathology of HHV1 and HHV2
Usual diseases
HHV1- 90% of cold sores/ fever blisters, whitlow
HHV2 - 85% genital herpes cases
Mode of transmission
HHV-1 Close contact
HHV2- Sexual intercourse
Site of latency
HHV-1 Trigeminal and brachial ganglia
HHV-2 Sacral ganglia
Location of lesions
HHV-1 Face, mouth and rarely trunk
HHV-2 External ganglia and less commonly thighs, buttocks and anus
Other complications
Epidemiology and Pathogenesis of HHV1 and HHV2
1) Worldwide
2) Active lesions are the usual sourcce of infections
3) Asymptomaitc carriers shed HHV-2 genitally
4) Transmission occurs through cracks or cuts in mucous membranes
5) Viral replication in peithelial cells leads to lesion formation
6) Virus spreads from cell to cell through synctia fromation: escape antibodies
7) HHV-1 infections typically occur via casual contact in children (80% by age 2 have been asymptomatically infected)
8) HHV-2 infections occur between ages 15 and 29 from sexual activity: common sexually transmitted disease
Diagnosis of HHV1 and 2
1) Characteristic lesions are often diagnostic. Histology: Synctia. Serological testing: viral antigens
Treatment of HHV1 and 2
1) Infections can be controlled with chemotherapeutic agents (nucleoside anaglogues: valaciclovir)
- limit duration of the lesions and reduce viral shedding
- do not cure the disease or elimionate latent virus`
Prevention of HHV1 and 2
1) Use of gloves can reduce exposure in health care workers
2) Sexual abstinence and sex between uninfected partners
Talk about HHV3
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Characteristic of HHV3
Genus Varicellovirus (VZV)
Infectiosn of HHV3
1) Causes 2 diseases 1- Varicella \+ Called chicken pox \+ Typically occurs in children 2- Herpes Zoster \+ Called shingles \+ Usually occurs in adults
Epidemiology and Pathogenesis of HHV
1- Chickenpox is a highly infectious disease, virus shed before and during symptoms (respiratory droplets and fluid of lesions)
2- Virus enters the body through the respiratory tract or eyes
3- Virus travels via the blood from infection site throughout the body
4- Characteristics skin lesions appear 2-3 week safter infection: back, trunk - face, neck, limbs ( mouth, pharynx, vagina)
5- The disease is usually mild in children
6- Chicken pos in adults is typically more severe (stronger immune response)
7- Latent virus can reactivate, producing a rash know as shingles
+ Lesions occur along a band of skin called dermatome
Characteristics of Varicella/Chickenpox Lesions
1- Macules
2- Papules
3- Thin Walled Vescicles
4- Crusts
Latency and reactivation of Varicella-zoster virus
1- Initial infection:
- Viruses move up spinal chord
2-Latency
- in nerve cell body in the dorsal root ganglion
- for years
3- Reactivation
- viruses move down spinal nerve at a later time (shingles)