GIT Viruses Flashcards
The three (3) most common causes of non-inflammatory
of diarrhea
- Rotavirus
- Adenovirus
- Norwalk Virus
what does it mean by non-inflammatory diarrhea?
does not contain blood in the stool (along with vomiting, fever, and possible dehydration)
common in infants and toddlers, with a geographic predilection of daycare schools
Rotavirus
incubation period lasts for 1 to 3 days and the infection may last 5 to 7 days
Rotavirus
- common in younger kids
- Incubation may last 7 to 8 days with the infection lasting up to a week
Adenovirus
- most common in older kids
- incubation period of 24 to 48 hours and an infection that may last 12 to 60 hour
Norwalk virus
TOF
Astroviruses do cause viral gastroenteritis, however, it is the least common.
True
Enumerate the characteristic of Calciviridae
- Icosahedral ( 27-40nm in diameter, with cup like depression on capsid structure)
- ssRNA
- Naked (uneveloped)
- Linear
- Positive Sense
- Non-segmented
What are the genera under the Calciviridae
- Sapovirus
- Norovirus
- Lagovirus
- Vesivirus
what are the 2 genera that cannot be cultured under calciviruses?
Sapovirus and Norovirus
Norwalk virus for Norovirus
Most common genera undere the Calciviridae and give the genome group associated with Human Gastroenteritis
3 yung genome groups
- G-I
- G-II
- G-IV
Calciviridae
Since 2001, ____ has caused the greatest number of outbreaks of viral gastroenteritis worldwide
G-II.4
TOF
Similar with the influenza virus, Calciviridae are capable of having
an antigenic shift
F (drift - minor mutation only)
A prototype of the genera norovirus
Norwalk Virus
Calciviridae
The most important cause of epidemic viral gastroenteritis in adults
Norwalk Virus
Epidemic viral gastroenteritis of norwalk virus is then characterized by?
- Absence of bacterial pathogens in culture
- Rapid onset and recovery with mild systemic signs
- Spreads rapidly with no predilection in terms of age or geography
Norwalk Virus
Incubation period and Mode of transmission
- 24 to 48 hours
- Fecal-oral-spread
Norwalk Virus
MOT are associated with?
- water-borne
- food-borne
- shellfish vectors
Norwalk Virus
Clinical Manifestation
- diarrhea
- nausea
- vomiting (N/V)
- low grade fever
- abdominal cramps
- headache
- malaise which may last for 12 to 16 hours
May lead to dehydration as a risk for complication
Norwalk Virus
Another characteristic that contributes to the virus being the most common cause of viral gastroenteritis is that its?
infectious dose is very low
Norwalk Virus
shed in the viral shedding of the can last for how many months?
one (1) month
even if you are only a carrier, the virus will still shed within you for one month
Norwalk Virus
The virus can also withstand hasher environments such as?
- chlorinated water at 10 ppm
- warmed food kept at 60 ‘C
Norwalk Virus
It was also mentioned that the Norwalk virus can be found within ____ and ____ that were cooked with steam only
Clue: A vector for MOT
shellfish and crustaceans
what culture medium are used for Norwalk VIrus?
NONE BITCH IT CANNOT BE CULTURED
nako nako
Norwalk Virus
Detecion specimen
feces and vomitus
Norwalk Virus
Treatment and Prevention
- Supportive
- Handwashing
The least common cause of viral gastroenteritis
ASTROVIRUSES
Enumerate the characteristic of Astroviridae
- Icosahedral, 28-30nm in diameter, with ** star-like morphology**
- ssRNA
- Linear
- Positive Sense
- Naked
- Non-segmented
Astroviridae
Replication
Cytoplasm
Astroviridae
Genera
Mamastrovirus and Avastrovirus
Astroviridae
Mode of
Transmission
Fecal-oral route
Astroviridae
All human viruses causing gastrointestinal infections are classified under the genera?
Mamastrovirus (specific to Human)
Enumerate the Characteristic of Adenovirus
- Icosahedral 70 90nm in diameter, 252 capsomeres
- dsDNA
- Linear
- Naked
Adenoviridae
- Replication
- Reservoir
- MOT
- Nucleus
- Ubiquitous in humans and animals
- Respiratory, fecal-oral, direct contact
Adenovirus
the shape of the virus helps in the attachment of the virus to the host cell are called?
protrusions
greek word “adenas” means
gland
what origin does the Adenoviridae replicate in the nucleus of cells?
Epithelial origin
responsible for transmission through respiratory droplets, fecal-oral, and even direct contac
Adenoviridae
First, the virus will ____ to the cell via its fiber receptors which are the protrusion in the virion
Attach
Adenoviridae
second it will be internalized within the?
host cell endosome
Adenoviridae
what triggers the rapid shedding?
Acidic pH
this results to the releas of the viron
Adenovirus
What replication process
consists of the transcription and translation of the early genes and regulatory early proteins
early phase
Adenoviridae
What replication process
Transcription and translation of late genes and proteins
Late phase
Adenoviridae
what happens after the replication process?
- Assembly to form a mature virus
- Lysis of the cell for release
Adenoviridea
this part of virulence factor prevents interferons
viral association RNA (VA-RNA)
Adenoviridae
this part of virulence factor inhibits the action of the CD8+ T cells of cytolysis
adenovirus E3 region
Adenovirus
CPE:
Marked rounding, enlargement and aggregation of affected cells resulting to
grape-like clusters
not pathognomonic
Adenoviruses - Respiratory Disease)
peaks during what season?
spring and winter
less common than influenza
Adenoviruses - Respiratory Disease
what are the respiratory disease involved?
Acute Respiratory Disease and Pneumonia
Adenoviruses - Respiratory Disease
Infants and children are affected by what group
group C viruses, types 1,2 and 5
Adenoviruses - Respiratory Disease
adolescents are affected by what group
group C viruses, types 3, 4, and 7
Adenoviruses - Respiratory Disease
what type are capable of causing pneumonia in childhood
Types 3,7, and 21
Adenoviruses - Respiratory Disease
Epidemic forms of the disease are usually caused by what type?
types 4, and 7 with the occasional type 3
Adenoviruses - Respiratory Disease
what are the population at risk with the epidemic form
- Children
- Young military Recruits
- College Students
Adenoviruses
Also known as the swimming pool conjunctivitis or pink eye with the involvement of the upper respiratory tract
Pharyngoconjunctivitis
Adenoviruses - Pharyngoconjunctivitis
The site of the infection is in the
pharynx with conjunctivitis
Clinical manifestations of pharyngoconjunctivitis
- Fever
- Sore throat
- Coryza
- Red eyes
Adenoviruses - Pharyngoconjunctivitis
which means that it does not produce discharge apart from having watery eyes
Non-purulent conjunctivitis
Adenoviruses - Pharyngoconjunctivitis
Duration lasts for
1 to 2 weeks
Adenoviruses
- More common in adults and is highly contagious
- Commonly known as the sore eyes.
Epidemic Keratoconjunctivitis
Adenoviruses - Epidemic Keratoconjunctivitis
what types are caused by this?
types 8, 19 and 27
Adenoviruses - Epidemic Keratoconjunctivitis
Presents initially as conjunctivitis which will be followed by?
keratitis
KERATITIS?!
Adenoviruses - Epidemic Keratoconjunctivitis
Resolves within ?
2 weeks
Adenoviruses
More common in daycare facilities which mainly cater to children
infantile Gastroenteritis
Adenoviruses - Infantile Gastroenteritis
TOF
Less common as compared to the same disease caused by rotaavirus
False (rotavirus)
not a typo dumbo
Adenoviruses - Infantile Gastroenteritis
caused by what type?
types 40 and 41
Adenoviruses
- Infects the genitourinary tract.
- More common in boys 5 to 15 years of age.
Acute Hemorrhagic Cystitis
Adenoviruses - Acute Hemorrhagic Cystitis
Manifests as?
dysuria and hematuria
pain while urinating; blood in urine
Adenoviruses
Specimen
- respiratory sample
- conjunctival swab
- throat swab
- stool
- urine
Adenoviruses
Cell culture
- primary human embryonic kidney cell
- human epithelial cell lines such as the Hep-2, Hela and KB cell
Adenoviruses
Detection
- Hemagglutinin-inhibition test
- Neutralization test
- PCR
- Serological test
Adenoviruses
Treatment and Prevention
- Supportive
- Live non-attenuated vaccine
The ideal cell culture media for adenovirus
human embryonic kidney cell
HOWEVER, human epithelial cell lines = more sensitive
hep hep
hooray
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ur done, shake yo ass