Exam II: Lecture 4a Flashcards
Define Etiological Agent
Origin of the disease
Can viruses be of the same family and present with different symptoms? Can viruses be from different families and present with the same symptoms?
Yes and Yes
Define virome
A comprehensive survey of viruses in the body
Does a virus have to be causing disease in order to be counted in the virome?
No
What is the range of distinct viruses in the stool of a healthy person? (Virome)
52-2773
What is the most common cause of emergency room visits for children? How many viruses sequences in plasma samples of sick children? (what is the normal amount?)
Fevers caused by unidentifable viruses
10,000 virus sequences
1,000 virus sequences
Define viral load
Number of viral particles in a particular virus in your body
What are the four patterns of diseases?
- Acute, non-persistent
- Acute followed by persistent
- Chronic (latency)
- Slow infections (TSEs; transmissible spongiform encephalopathies)
What is an acute, non-persistent infection?
Viral load spikes quickly and then dissapears
What is an acute followed by a persistent infection?
Viral load spikes quickly and then hovers at a low level
What is a chronic infection?
The viral load spikes a little more slowly and then drops to VERY low levels due to latency
What is a slow infection?
The viral load never spikes, it starts slow and has a small positive slope
What is an example of an acute, non-persistent infection?
Flu
What is an example of an acute followed by persistent infection?
HIV
Hep C
What is an example of a chronic infection?
Chicken Pox
Herpes
What is an example of a slow infection?
TSEs ( transmissible spongiform encephalopathies)
Creutzfeldt-Jakob disease (CJD)
Define latency
The virus shuts down gene expression and goes into hiding
What are some examples of a latent infection?
Herpes
Varicella zoster
Epstein-Barr
Define shedding
How viruses get from one host to another
What are some common routes of viral shedding? (9)
Mucus Salival Semen Feces Skin abrasions Breast milk Cervical secretions Urine Viremia (blood)
Define viremia
Blood
What two aspects of a virus help determine the path of shedding?
- Tropism
2. Structure
What are different environmental factors that can affect a virus while shedding? Especially a naked virus (4)
pH
Temp
Humidity
Organic matter
Coronaviruses are responsible for what percentage of the common cold?
30%
What diseases do coronavirus cause? (2)
Respiratory disease
Enteric diesease
How is coronavirus spread?
Aerosols
What is the cause of death via coronavirus?
Respiratory insufficiency
Where did SARS first appear? When? How severe was it?
SE Asia
2002
Very severe, killed 775 people in only 6 months
What virus causes the swine flu? Where and when did it first appear?
H1N1 - Influenza A
Mexico 2009
What is the estimated infection rate of the swine flu? How many people did it kill?
~20% of the population in 19 countries
Killed ~200,000 people
What are the 4 types of rashes a virus can cause?
- Vesicular
- Macular
- Maculopapular
- Postular
What is an example of a virus that causes a macular rash? What can this virus cause?
Rubella (German Measles)
Deadly
Cause spontaneous abortion
What is an example of a virus that causes vesicular rash?
Herpes Simplex virus (HSV-1)
Herpes zoster
What is a visible symptom of HSV-1? What triggers it? What can it lead to over time?
Cold sore
UV light triggers it
Chicken pox -> latency -> shingles = varicella zoster virus
What is the varicella-zoster virus? Symptoms, how long it lasts, treatment, what causes it to reactivate, how is it spread?
Causes chickenpox and shingles Vesicular rash; painful, itchy Lasts 3-5 days Treat with antiviral Acyclovir Triggers of reactivation are unknown Spread by physical touch / airborne
What is Epstein Barr Virus; what does it cause, symptoms, what can it eventually cause, what is the infection rate, treatment
Maculopapular Rash Causes infectious mononucleosis Fever, sore throat, swollen lymph glands Virus can go latent in B cells and cause B cell lymphoma Infects 95% of population No antiviral drugs or vaccines
What is an example of a virus that causes a maculopapular rash?
Epstien Barr Virus
What is HPV; frequency of infection, symptoms, what can it eventually cause, treatment
Occurs in 75% of sexually active women
Causes skin warts/asymptomatic
Eventually can cause cervical cancer
Vaccine for HPV
Do all strains of HPV cause cervical cancer?
No, only some of them
What percentage of women who are infected with HPV develop cervical cancer?
8%
10% will develop precancerous lesiouns
What is Foot and Mouth Disease; what virus causes it, symptoms, how long does it last, does it affect humans, how does it spread?
Caused by FMDV positive ssRNA picornavirus Vesicle formation in hooves and mouth -> erosion Highly infectious Last 2-3 years Cattle quarantined and vaccinated Spread through direct contact, aerosols
What is the difference between HSV1 and HSV2?
HSV1 = blister and genital HSV2 = genital
What is hepatitus C virus; how is it transmitted, what type of infection does it cause, what does it ultimately cause
Transmitted via blood
Persistant infection
Death of liver over 10 years
Liver cancer
What is the number one cause of liver transplants?
Hep C
What is variola; common name, when did it first appear, when was the US last case, worlds last case?
Smallpox
1,000s of years ago
1949
1977
Symptoms of variola (smallpox); mode of infection
Bumps filled with thick, opaque fluid
Postulates on skin that actively shed virus/airborne = face to face contact or contaminated clothing/bedding
What are the two forms of variola (smallpox); symptoms, fatality rate
- Variola major = rash, high fever, infectious, 30% fatality rate
- Variola minor = 1% fatality rate
Treatment for smallpox/variola?
No cure
ONLY vaccination
Talk me through the progression of smallpox
- Incubation for 7-17 days, noncontagious
- High fever, headache, body ache for 2-4 days
- Rash on tongue, rash on body, fever gone for 4 days
- Pustules for 5 days
- Scaabs for 2 weeks after rash appears
- Scabs fall off for 6 days
The person is now noncontagious
What are the chances of a reoccurrence of a smallpox epidemic? By what mechanism?
Very low
a. Natural orthopox mutation into virus that can cause smallpox-like illness
b. Reintroduction from lab
What is Hantavirus; what family, genome type, common name, where is it found, what is the mode of shedding
Sin Nombre virus Bunyavirus family negative ss circular RNA Found in 4 corners area Persit in dried feces > inhaled into lungs > grow again > fill the lungs with fluid > drown
What is Dengue Virus; what animal carries it, was genome type is it
Insect borne (mosquitos) Flavivirus = cause of dengue hemorrhagic fever \+ ssRNA
What is the duration of incubation in Dengue virus? Symptoms?
2-7 days
Generalized myalgia, rash on trunk, soles, palms, severe joint pain for months
What are some viruses that are present-day threats (3)
- Influenza
- West Nile Virus
- Chikungunya
What does Flavi mean?
Yellow
Flavivirus = causes jaundice
What makes dengue virus unique? What does this have to do with vaccination?
It uses antibody assisted entry
So if you survive the first infection, and are infected a second time by a different strain, it will be worse and there is an increased risk of mortality
Vaccination opens up this possibility