L5 Viral pathogenesis 1 Flashcards
how can humans transmit to other humans
direct contact e.g.sexual
environmental e.g. faecal oral, aerosols
what is a chronic carrier
shed virus for long period, can be for life – persistent, virus actively replicating
what is an acutely infected individual
over short period spread virus
how do animals spread viruses to humans
direct bite
insect transmission
environmental
zoonosis – transmission across species barrier, e.g. SIV=HIV
what is the respiratory route of infection
sneezing, coughing
inhale the aerosol droplets
contaminated surface - touch mouth/nose/eyes (rhinovirus esp)
what protects against airborne viruses
cilia and mucus provide important physical protection
what is the best environment for virus survival
dry and cool e.g.steel
how is the GI tract infected
faecal oral route
food and water contamination
what virsues are faecal oral infectors of GI tract
Enteroviruses (Coxsackie, Polio etc.), Small Round Structured Viruses, norovirus
what must the virus be like to survive in the GI tract
acid stable
non-enveloped (bile salts)
why cant GI tract viruses be enveloped
duodenum – bile salts released here, they’re emulsifiers (kill envelope viruses)
how is rotavirus activated in the body
rotavirus isn’t infective until it gets activated by acid – pH changes, protein changes
how do viruses infect via the transcutaneous route
insect/animal bite
IDVA, needle stick injury, transfusion
how is the transcutaneous route protected
skin
how does the bite location affect infection
If bitten in the neck isn’t as far to travel to head but leg is longer for infection – replicates in brain and changes the behaviour of the animal
how does HIV risk change with genitial tract infection
more at risk as already compromised
up-regulation of virus receptors
infiltration of permissive cells
genital tract or rectal mucosa infections
HSV2 (and HSV1) CMV HBV HPV HIV
what is an acute infection
short lived
what is a persistent/chronic infection
virus always replicating and releasing
what is a latent infection
infected and virus becomes dormant, expresses latency genes – eventually immune response isn’t sufficient to keep virus under control - remerges
why are you susceptible to re-infection by some acute viral infections
short-lived immunity
immune escape due to mutations, genetic drift, genetic shift
examples of genetic drift
RSV and influenza
examples of genetic shift
influenza A