micro DNA virus justus Flashcards
transmission of herpes simplex virus 1 &2
direct contact
sexual contact
vertical infection (TORCHES)
pathogenesis of HSV1+2
infects fibroblasts and epithelium cells 1. binds to Heparin sulfate 2. penetrates cell via Nectin1 and HVEM 3. erlasse proteins into cell erlasse of proteins by leysis
how does herpes simplex enter cell?
via nectin1 and HVEM
how does HSV bind to cells?
interaction via Heparin sulfate
Special mechanism how HSV can escape AB?
can jump between cells via intracellular bridges
diseases of HSV1
- herpes labials (Cold sores)
- gingivostimatis
- keratoconjuctivitis
- hepatic whitlow
- erythema multiforme
- encephalitis
diseases of HSV2
- genital herpes
- neonateal herpes
- asepctic meningigits
diagnosis of HSV1+2
Tank smear
intranuclear eosinophilic inclusions Cowdry type a
pathogenesis of EBV
- infects B cells by binding to the CD21 receipts
- creates a atypical reactive CD8 T cell called downey cell
Latency in Bcells
what is infectious mononucleosis?
pharyngitis
lmypahdenopathy
splenomegaly
cancer due to EBV?
- Hopkins Bell lymphoma
- Burkitts
- Nasopharyngeal carcinoma
diagnosis of EBV
Monospot test
where is HHV5 latened in?
mononuclear leukocytes (b and t cell)^
transmission of CMV
- sexual
- transplant organs
- vertical torches
pathogenesis of cmv
infects slaviary glands epithelium
enters cell via integrin receptor
when is CMV reactivated?
when immunosuppression
diseases caused by CMV
- congetial CMV
- esophagitis
- CMV colitis
- mononucleosis
- interstinial pneumonitis
- CMV retinitis
what are the symptoms caused by congenital CMV infection?
- deafness
- periventricualr calcification (seizures)
- thrombocytic purport (blubbery muffin rash)
- jaundice
- pneumotitis
- hydrops fetales
what is the most common casue of deafness in children?
CMV kongenital infection
what is the number 1 fetal infection? viral
CMV
diagnosis characteristics of CMV
intranuclear basophilic owls eye inclusions
which viruses can be diagnostisized by tank smear?
- HSV1
- HSV2
- HHV3 (Zoster)
latency of VZV established in?
DRGGL
mode of transmission of VZV?
respiratory droplets
vertical Torches
pathogenesis of VZV?
- enters respiratory tract
- replicates in local LN
- priamry viremia to liver and spleen
- secondary viremia to skin = rash
diseases of VZV?
- Chicken pox
- shingles (herpes zoster)
- herpes zoster ophtalmicus
- congenital varicella syndrome
what is chicken pox?
caused by VZV
- asynchronous rash (different aged lessons)
- fever, rash, pahrangitis
- pneumonia
- encephalitis
what is shingles?
- dermatomal rash
2. Post herpatic neuralgia
what ia congenital varcella syndrome?
- limp hypoplasia
- cutanoues dermal scarring
- blindess
prevention of VZV?
- SUBUNIT vaccine for kids and old ppl
2. passive immunity for AIDS ppl
where does HHV6 establishes latency?
CD4 T cells
mode of transmission of HHV6
saliva
pathogenesis of HHV 6
replicates in salivary glands
infects CD4 tcells
casues immonesuppresion by diminishing Tcells