Exam 4 Terrifying Other RNA Viruses Flashcards
Which viruses/diseases are mosquito-borne?
- Chikungunya
- West Nile Virus
- Zika Virus
- Dengue Fever
- Yellow fever
Which viruses are associated with hemorrhagic fever but are not mosquito-borne?
- Lassa virus
- Ebola and Marburg
- Hantavirus
Chikungunya vector
Mosquito-borne
_____ is a togavirus like Rubella
Chikungunya
What are some symptoms of Chikungunya infection?
- Joint swelling
- Rash
- Epidemic viral arthritis (chronic arthritis)
Are there cases of Chikungunya virus in the US?
Yes
West Nile Virus is a ____
Flavivirus
What does “flavi” mean?
Golden/blond
West Nile Virus vector
Mosquito-borne
_____ infected by West Nile virus develops serious/fatal illness
1/150
West Nile virus can cause ____ diseases. What are three of these diseases?
Neuroinvasive; Encephalitis, meningitis, West Nile poliomyelitis
Those with mutations in ____ become more susceptible to West Nile Virus infection
CCR5 (co-receptor for CD4)
West Nile Virus is now endemic in:
U.S. and southern Nevada
What is the leading cause of mosquito-borne disease in the continental US?
West Nile Virus (WNV)
Zika virus is a _____
Flavivirus
Zika Virus - vector
Mosquito-borne
Which virus can be spread sexually and from mother to fetus?
Zika Virus
If Zika virus is spread from mother to fetus, this can cause ____
Microencephaly
What is the mosquito range?
Around the equator
Zika Virus is locally transmitted in what states?
Florida and Texas
There are bioterrorism risks associated with which viruses?
- Flaviviridae
- Arenaviridae
- Filoviridae
- Bunyaviridae
(all cause viral hemorrhagic fevers)
Viral Hemorrhagic fevers cause damage to ____
Blood vessels
Dengue Fever virus is a _____
Flavivirus
Dengue fever vector
Mosquito-borne
____ causes a primary infection and secondary infection
Dengue Fever Virus
What occurs in the primary infection of Dengue Fever Virus?
- Incubation period 4-7 days
- Self limited
True or false: Dengue fever virus primary infection may also progress to severe dengue in children, elderly, and immunocompromised
True
Dengue secondary infection is associated with:
Antibody dependent enhancement
What is antibody dependent enhancement?
Previous antibodies from primary infection enhance second infection (not adding protection)
What is the pathogenesis of antibody dependent enhancement?
- Infection by dengue virus of another serotype
- Production of non-neutralizing antibodies
- Facilitate entry of virus to monocytes through Fc receptor
- More cytokines released
- Acute increase in vascular permeability
- May lead to hypovolaemia or shock or death
What is Dengue Hemorrhagic fever?
- Occurs in secondary infection
- Damage to lymph, blood vessels, liver, circulation system
- Petechiae
- Internal bleeding
- gingival bleeding
Dengue hemorrhagic fever may lead to:
Dengue shock syndrome (massive bleeding, shock, death)
Is there a vaccine for Dengue?
Yes but only given to those with secondary infections
Which states have local cases of Dengue?
Florida and Arizona
Are there imported cases of Dengue in the US?
Yes
Yellow Fever virus is a ____
Flavivirus
Yellow Fever virus vector
Mosquito-borne
What diseases does Yellow Fever virus cause?
- Yellow fever
- Hemorrhagic disease
Yellow fever symptoms
- High fever
- damage to kidney and liver causes jaundice
Yellow fever-induced hemorrhagic disease causes what symptoms?
Bleeding from mouth, nose, eyes, stomach
____ is an Arenavirus
Lassa virus
What is the animal reservoir for Lassa virus?
Rats
80% of those infected by Lassa virus have ____. 20% may progress to ____
Mild symptoms; serious disease (hemorrhagic fever in gums, eyes, or nose)
What does “filo” mean?
Thread
____ are filoviruses
Ebola and Marburg
How are Ebola and Marburg viruses spread?
Direct contact with contaminated blood, bodily fluids, secretions
When does Ebola/Marburg become contagious?
When symptoms develop (fever, muscle pain, sore throat)
Ebola and Marburg viruses can cause ____. Bleeding induces ____
Uncontrolled bleeding (endothelial cells rupture); viral hemorrhagic fever
In the Democratic Republic of the Congo, how many Ebola/Marburg deaths were there?
2,299
When was the Ebola vaccine created?
2018
- In the Ebola vaccine, ___ codes for surface protein
- Put Ebola RNA into ____ which starts to make Ebola surface protein antigens
Ebola RNA; carrier virus (vesicular stomatitis virus)
How effective is the Ebola vaccine?
95-100%
Which virus involves ring vaccination?
Ebola
What is ring vaccinating for Ebola?
Vaccinating those who have come into contact with someone with Ebola infection
What is Ebola Zmapp?
Mixture of three antibodies (mouse and human antibodies transfected into plant)
Is Zmapp a vaccine?
No, it is a treatment
What does Zmapp do?
Coats Ebola virus, preventing cell entry to allow time for host immune response
Hantavirus has ___ RNA segments
3
What diseases can Hantavirus cause?
- Hantavirus hemorrhagic fever with renal syndrome (HFRS)
- Hantavirus pulmonary syndrome
Hantavirus pulmonary syndrome is a respiratory disease mainly in the ____
Americas
Hantavirus pulmonary syndrome is transmitted by:
Aerosolized rodent excreta (deer mouse)
Hantavirus pulmonary syndrome is also known as:
Four Corners Disease
Prion stands for:
Protein infection
____ is an infectious agent composed entirely of protein
Prion protein
___ is the cause of transmissable spongiform encephalopathies (TSE)
Prion protein
What is PRPsc?
Scrapie (sheep)
What is PrPc?
Normal cellular prion
What makes a prion disease-causing?
- Contains abnormal folding and makes it indestructable
- converts other prions to infectious form
Aggregations of abnormal prions form:
Plaques
How do prions spread?
When eating/contact with infected matter
Bovine TSE causes what disease?
Mad cow disease
TSE in monkeys and people can cause what diseases?
- Creutzfeldt-Jakob disease (CJD)
- Kuru
What is the clinical manifestation of prion disease?
Progressive neurodegenerative disorder
True or false: Prions cause invariable fatal disease
True
What are prions resistant to?
- Proteases
- Ionizing radiation
- Formaldehyde
- Bleach
- Heat (autoclave)
____ can cause fatal familial insomnia (FFI)
Prions
What is fatal familial insomnia?
Inherited prion disease