GI Viruses Flashcards
hep fecal oral
A
E
hep blood/sex
B
C
D
HBV leading cause of
chronic hep
cirrhosis
hepatocellular carcinoma
HBV viral proteins
HBc Ag - capsid antigen Hbe Ag - variant HBs Ag - surface antigen (vaccine) HBV DNA polymerase HBx protein
primary cause of hepatic cell destruction
MHC I –> T cell response to peptides from HBcAG and ABeAg
protective HBV Abs
Anti-Hbs
results of acute HBV
most: effective cell-mediated and humoral response –> resolution
next: limited immune response –> chronic
least: fulminant
cause of pre-icteric period
INF-alpha
Sx of pre-icteric period
malaise
anorexia
nausea
RUQ pain
Sx of icteric period
jaundice
dark urine
first indicators of HBV
HBsAg
HBeAg
indication of chronic infection
continued presence of HBsAg > 6 months
absence of anti-HBs
serum markers (resolved)
HBeAg: -
HBsAg: -
Anti-HBc: +
Anti-HBs: +
serum markers (chronic)
HBeAg: +
HBsAg: +
Anti-HBc: +
Anti-HBs: -
serum markers (vaccinated)
HBeAg: -
HBsAg: -
Anti-HBc: -
Anti-HBs: +