Human Coxsakieviruses Flashcards

1
Q

Classification

A

Family: Picornaviridae

Genus: Enterovirus

Species:

Coxsackie virus group A

Coxsackie virus group B

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2
Q

Characteristics

A
  • Naked nucleocapsid
  • +ssRNA
  • No virion polymerase —> uses host machinery to replicate
  • cytoplasmic replication

Group A and B viruses are defined by their different pathogenicity in mice
> there are multiple serotypes in each group

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3
Q

Transmission

A

Fecal-oral route

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4
Q

Pathogenesis

A
  • Oropharynx: initial site of infection
  • GIT: main site of infection

> the virus spreads through the bloodstream to various organs

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5
Q

Diseases

A
  • Aseptic meningitis: A
  • hand, foot and mouth disease = red vesicular rash: A
  • Herpangina: A
  • Pleurodynia = Devil’s Grip, Bornholm disease: B
  • Dilated Myocarditis in neonates and young children: B
  • Pericarditis in young adults: B
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6
Q

Microbiological diagnosis

A
  • Detection&raquo_space;» CPE in cell culture
  • identification&raquo_space;» serologic test: neutralisation
  • diagnosis&raquo_space;»a significant rise in antibody titer in convalescent-phase serum
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7
Q

Treatment and prevention

A

Treatment:

  • no antiviral therapy
  • supportive therapy available

Prevention:
- no vaccine

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