Influenza Flashcards

1
Q

Orthomyxoviridae Clinical

A

Atypical pneu and Influenza. Fever above 101.5, myalgia, dyspnea.

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2
Q

Orthomyxoviridae RF

A

65 years or older, children, Chronic illness, Immunocomp

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3
Q

Orthomyxoviridae Pathogenesis

A

Local URT infections kills mucous secreting cells and cilia. NA cleaves mucous allowing more cell infections. Viremia and subsequent cytokine release leads to myalgia. If to lungs, causes desquamination of epithelium in bronchi and alveoli leading to susceptibility to bact pneumonia.

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4
Q

Orthomyxoviridae Char

A

Enveloped segmental neg sense RNA (8 segments). A = epidemic/ pandemic; B = major outbreaks; C=mild

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5
Q

Orthomyxoviridae VF

A

HA (16) binds to cell surface receptor to initiate infiltration
NA (9) cleaves N-acetyl neuraminic acid to release virus and nucleus

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6
Q

Orthomyxoviridae Diag

A

Cell culture, nasal swab for rapid Ag detect (EIA and DFA), serum abs by HAI and EIA for typing. CXR for interstitial pneumonia

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7
Q

Orthomyxoviridae Tx

A

A = Admantin antivirals = Amantidine and Rimantidin: viral M2 ion channel inhib leading to loss of coat

A/B = Tamiflu (oseltamivir) = NA inhib

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8
Q

Orthomyxoviridae VCCN

A

Inact vccn - intra musc, low IgG titers induced - short

Live attenuated = Flumist for non pregnant. Induce IgA via temp sensitive A and B

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9
Q

Orthomyxoviridae Ag shift

A

Reassortment of segmented genome ( HA and NA change). M1 and M2 conserved

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10
Q

Orthomyxoviridae Ag drift

A

Point mutation in H and N leads to pandemics (new strains)

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11
Q

Avian Influenza

A

Birds carry all different types of enveloped proteins (receptor = alpha-2,3 Sialic Acid)

1997 - H5N1
2014 - H7N9 leading to resp fail, resistant to admantadine

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12
Q

Coronaviridae: SARS-COV Clin

A

Acute resp distress with atyp pneumonia

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13
Q

Coronaviridae: SARS-COV Char

A

enveloped ss pos sense RNA, path linked to ACE2 receptor

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14
Q

Coronaviridae: SARS-COV Tx

A

none

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15
Q

Coronaviridae: SARS-COV Prev

A

Isolation

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16
Q

Coronaviridae: MERS-COV Clin

A

Acute resp illness with renal fail and pericarditis

17
Q

Coronaviridae: MERS-COV Char

A

Enveloped pos ss sense RNA

18
Q

Coronaviridae: MERS-COV Receptor

A

dipeptidyl peptide 4 (DP4) - CD26 to enter cells

19
Q

Coronaviridae: MERS-COV Diag

A

PCR

20
Q

Coronaviridae: MERS-COV Res

A

camels, Middle East

21
Q

Coronaviridae: MERS-COV Tx

A

Supportive