Exotic viruses Flashcards

1
Q

what are the effects of viral hemorrhagic fevers (VHF)? What are the symptoms?

A

multisystemic syndrome: damages within the vascular system, hemorragies

–> bleedings in
-conjuctivitis
-petechia
-ecchymosis
-internal organs

initial symptoms
-fever
-tiredness
-dizziness
-muscle pain
-fatigue

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2
Q

which 4 virus families are responsible for VHF? Name for each family example diseases

A

-Bunyaviridae (Rift valley fever)
-arenaviridae (Lassa)
-filoviridae (Ebola)
-flaviviridae (Dengue, Yellow fever)

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3
Q

What are common features of hemorrhagic fever viruses?

A

-RNA viruses
-coated
-animals as natural reservoir but not humans
-communication from human to human is rare
-outbreaks are sporadic and irregular
-most often no therapy available
-people get infected by contact to infected host animals

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4
Q

Which Hemorrhagic fever viruses have a high and which a low communication from human to human?

A

no: Yellow fever, Dengue, Hanta
low: Lassa
high: Ebola, Marburg, Krim-Kongo

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5
Q

How can HFV be diagnosed?

A

-Serology
-PCR
-immunoflourescence
-virus isolation, virus culture
–> BSL-4 safety level

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6
Q

What are the symptoms of Marburg virus?

A

-rash
-hemorrhages

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7
Q

How was Marburg virus isolated?

A

Blood of patients –> inocculation in guinea pigs –> multiple passages –> hemorrhagic fever –> EM of blood and organs

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8
Q

What are the Symptoms of Ebola?

A

-high fever
-headache
-sickness
-diarrhea, vomiting
.myalgia
-rashes
-severe hemorrhages
-shock by hypotension
-disturbance of coaggulation
–> systemic infection

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9
Q

What is the mortality rate of Ebola? What is the cause of death?

A

53 - 88 % due to overreaction of the body –> cytokine storm

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10
Q

what is the progression of infection of ebola?

A

monocytes/macrophages –> liver, spleen, lymph nodes –> blood vessels –> viremia (virus in blood)–> systemic infection

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11
Q

What is a reservoir?

A

high viurs titers but no symptoms and not lethal

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12
Q

How does ebola infect humans?

A

Gorilla and duiker killed/eaten –> human infected by bush meat –> human to human communication via body fluids of infected patients, ritual washing of dead people, treatment of infected persons

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13
Q

What are mononegavirales? Which virus families?

A

single stranded, non segmented, negative Sense RNA genome, enveloped

-Filoviridae (Marburg, Ebola), Parammyxoviridae (measles), Rhabdoviridae (rabies, VSV), Bornaviridae

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14
Q

Which additional transcription factor is essential for transcription initiation in ebola virus?

A

VP30

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15
Q

Describe the infection cycle of Ebola

A

1.entry
2.uncoating
3.transcription, Translation and replication
4.assembly
5.budding

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16
Q

How can ebola be treated?

A

-antivirals: must be applied before onset of symptoms
-vaccines: 2 licensed

17
Q

Why was the ebola outbreak in 2013/2014 so fatal?

A

-recognized too late
-isolation measures taken too late and too inefficient
-population uneductaed
-health care system overwhelmed
-no confidence in government and foreign medical doctors