Exam 2: Finished Flashcards
Viruses readily cross the
BBB
Occur more frequently than bacterial and fungal infections
Viral infections
Viral meningitis is _____ than bacterial meningitis
More mild
No bacteria is found in the CSF in viral meningitis
Aseptic meningitis
Enterovirus causes ______% of viral meningitis
90%
Common enteroviruses
Poliovirus, echoviruses, coxackieviruses
Other pathogens causing viral meningitis
Mumps, measles, influenza viruses, HHV 1,2,3 and 4
Most common cause of meningitis
Viral meningitis (crosses BBB)
Spread of viral meningitis
Respiratory droplets and feces
Diagnose bacterial VS viral meningitis
Absence of bacteria in CSF
Most recover from viral meningitis on their own within
2 weeks
Poliomyelitis is _______ in 90% of cases
Asymptomatic
3 types of poliomyelitis
- Minor polio:
- Nonparalytic polio
- Paralytic polio
Minor polio
Nonspecific symptoms; flu like
Nonparalytic polio
Produces paralysis in 1% of cases
Results in bulbar poliomyelitis
Bulbar poliomyelitis
Infects brain stem and medulla, results in paralysis of muscles in the limbs or respiratory muscles
Postpolio syndrome
Deterioration in function of polio-affected muscles
Poliovirus causes
Poliomyelitis
Transmission of polio
Drinking contaminated water or fecal-oral route
2 vaccines that have nearly eliminated polio
Inactivated Polio Vaccine (IPV)
Oral (live) Polio vaccine (OPV)
Jonas Salk
Developed IPV vaccine
OPV
Developed by Albert Sabin
DON’T GIVE IN US (since 2000)
Polio remains endemic in
Nigeria, Pakistan, and Afghanistan
Treatment for Polio
No cure
Treat symptoms
- antibiotics- prevent infections from weakened muscles
- analgesics
- exercise
- diet
- Long-term rehabilitation
Rabies causes death by
Respiratory paralysis
Rabies-specific neurological manifestations
Hydrophobia, seizures, disorientation, hallucinations, paralysis
Pathogen causing rabies
Rabies virus
1 source for rabies in the US
BATS
Rabies is a ____ disease of____
Zoonotic; mammals
Transmission of rabies
Via a bite; can be introduced through break in the skin or inhalation
Once there are neurological symptoms of rabies
It’s too late to intervene
Treatment of rabies
Pre- neurological symptoms its treated with an injection of human rabies immune globulin.
Vaccine with human diploid cell vaccine (HDCV)
____ is critical with rabies
Timing
2 times you’re treated with a vaccine post exposure
- Tetanus
2. Rabies
Histological finding with rabies
Negri bodies
Mosquito-borne arboviruses can cause
Arboviral encephalitis
Arboviral encephaltiis ____affects humans
Rarely (a zoonotic disease)
Arboviruses cause
Mild, cold like symptoms
Arboviruses can cause encephalitis if
It crosses the BBB
Vector and reservoir for Eastern Equine Encephalitis, Western EE, Venezuelan EE
Mosquito- vector
Horse- reservoir
found east of Mississippi River it’s a 30-35% fatality rate
EEE
WEE
Found west of Mississippi River, low fatality
St. Louis Encephalitis Virus
Mild illness with fever and headache
Percent of asymptomatic West Nile viruses
80%
West Nile encephalitis virus causes _____epidemic in North America
Seasonal epidemic (summer into fall)
Prevention of West Nile virus
Avoid handling dead birds (virus lives in crows and other wild birds)
California (LaCrosse) encephalitis causes _____ symptoms
Mild
Encephalitis viruses with a mosquito vector
EEE WEE VEE St. Louis West Nile California (LaCrosse)
Spread of tick-borne encephalitis virus
Drinking unpasteurized milk that has the virus
Symptoms of tick-borne encephalitis virus
Sore muscles and fever after 1-2 weeks of exposure
Vector and reservoir of tick-borne encephalitis virus
Vector: ticks
Reservoir: rodents
Prevention of arboviral encephalitis viruses
- Limiting contact with mosquitos and ticks
- netting and insect repellents
- eliminate stagnant water
Most common arboviral encephalitis around Davenport
West Nile and EEE and WEE
Zika virus is an
Arbovirus
Signs and symptoms of Zika Virus
Most people are asymptomatic or have mild symptoms that could last for several days to a week
If Zika virus crosses the placenta it can cause
Microcephaly/ brain defects, miscarriage, and stillbirth
Spread of Zika virus
Mosquito vector
-can be sexually transmitted
Zika is an ____ disease
Emerging