Infectious Disease -- Viral Illness I Flashcards
Example of a species specific virus
HIV
Example of a non-specific virus
Rabies
Are most viruses species specific or non-specific
Specific
How are cells killed in viral illness?
Virus replication at host cell expense
Immune response to infected cell
Steps in virus infection and replication
Attachment to Host Cell Host Cell Penetration Viral Uncoating Replication Re-assembly of virons
Examples of Viral Trophism – HIV, EBV, Rabies, Rhino
HIV – CD4
EBV – Complement CD21 receptor
Rabies – Acetylcholine Receptor
Rhinoviruses – ICAM-1
Some viruses require special enzymes/promoter elements in host cells. Give an example
JC virus can only infect oligodendrocytes because they have the enzymes that JC needs
Ways that Viruses cause host cell death
- Inhibition of host RNA, DNA, or protein synthesis
- Viral proteins damage membrane integrity/promote fusion
- Replication and lyse host cells
- Anti-viral host responses with recognition of viral antigens on infected host cell
- Secondary Infection - suppressed host immune resp.
Are viral infections pyogenic?
No
Hallmarks of viral spread
Infection of mucosal cells or parenchymal cells at entry
Dissemination via viremia (in most cases)
Lymphocytic inflammation +/- necrosis
Morphologic alterations of infected cells
Common viral morphological alterations of infected cells
Vacuolization, Inclusion Bodies, Multinucleated Cells
Whats the point of antibody response to a virus?
Neutralizing - prevent viremia, prevent re-infection
Opsonization
Complement-mediated cell / viral uncoating
Effects of antibody presence on primary infection?
Pretty much none
Antiviral neutralizations
Prevent attachment/Cell Entry
Interfere with Viral Uncoating
Negative role of antibodies in some disease states (ex. Hep B, C, HIV)
Immune Complex Reactions
Arthralgias, Glomerulonephritis