GI viruses Flashcards
What virus family does polio virus belong to?
Picornaviridae
What is the polio virus genome?
RNA
What is the transmission for polio virus?
Fecal-oral
Which polio vaccine does not have a risk for VAPP?
Inactivated
What are features of the live attenuated polio vaccine?
- Trivalent 2. Replicates in GI tract 3. Shed in stool for 6 weeks following inoculation 4. 1/2mil vaccine doses revert to VAPP
How is viral gastroenteritis different from bacterial in terms of setting?
Viral gastroenteritis can occur in both developed and developing countries
How is viral gastroenteritis different from bacterial in terms of vomiting?
Prominent - can be only disttinguishing feature especially in children
How is viral gastroenteritis different from bacterial in terms of diarrhea?
Common - non-bloody in almost all cases
How is viral gastroenteritis different from bacterial in terms of diagnosis?
Often a diagnosis of exclusion
Rotavirus is most severe for what age group?
3-24 months
What is the genome for rotavirus?
dsDNA, segmented
What is the clinical presentation for rotavirus?
- 1-3d incubation 2. Vomiting and diarrhea for 4-7d, occasional cough 3. 33% of patients have fever >102F 4. Typically infects 3-25mo patients 4. Malabsorptive diarrhea
What is the pathogenesis for rotavirus?
1.
What does the rotavirus NSP4 toxin do?
Induces calcium release
Which rotavirus toxin induces calcium release?
NSP4