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
diseases caused by HHV6
Roseoka infantum
what is roseolar infantum?
caused by HHV 6
- High fever
- seizures
- rash sparing the face
where does HHV 8 establishes latency?
in B cells
transmission of HHV 8?
saliva
sex
pathogenies of HHV8?
infects mainly B cells
HHV8 has a gene which activates vascular endothelial growth (VRGF)
which gene is in the genome of HHV8?
VEGF
what diseases does HHV8 cause?
- Kapos sarcoma
2. primary Effusion B cell lymphoma
what is kaposi sarcoma?
erythematous violet lesions on nose, extremities and mucosa highly associated to AIDS form vessels that's why they are violet can affect gI mostly on hard palate
ddx between Kaposi and bacillary angiomatosis?
bacterial infection: neutrophils
viral infection: lymphocytes
where does Polyomavirus establishes latency?
BK in kindey
JC in Kinder, B cells, monocytes
transmission of polyomavirus
respiratory droplets
pathogenesis of polyoma virsu
infects tonsils
priamry viremia to kinder
seocnday viremia becomes latent or reactivated
diseases caused by BK virus
nephropathy
Hemorragic cystitis
all associated with transplant patients!!!!!
diseases caused by John Cunningham virus
progressive multifocal leukoencephalopahty PML
what is PML?
infection of oligodendrocytes demyelination throught CNS leads to: peach, vision and coordination problems paralzysis DEATH associated with AIDS
HPV characteristics?
circular dsDNA virus
naked
icosahedral
75 serotypes– 1-4, 6, 11, 16, 18, 31, 33
diseases caused by HPV different serotypes
1-4: cutanées warts
6, 11: condyloma acumilatat
16, 18: CIN…..
smallest DNA virsu
Parvovirus b19
genetic material in Parvovrisu b19
linear SINGLE strand DNA
transmission of Parvovirus b19?
respiratory doplets
vertical torches
pathogenesis of Parvocirus b19?
- binds to P antigen on immature erythroid progenitor cells
- endocytosed
- ssDNA transportet to nucleus
- froms hairpin loop to make dsDNA
- makes primer for cells DNA polymerase
- protein production
diseases caused by Parvovirus b19
- erythema infectiousum
- hydrops fetalis
- Anaplastik anemia
what erythema infectiousum?
slapped cheek fever
starts as low grade fever turns into high grade
rash face downwards
arthritis
what does Parvovirus bind to in pathogenies?
p antigen on immature erythropoietic stems cells
explain anapestic anemia in Parvovirus infection
since the erythropoietic steam cells are infected, a decreased number of healthy RCB are in the blood. leading to anemia
wich serotype of adenovirus is the worst to humans?
14
transmission of adenovirus?
fecal oral
respiratory
direct contact
Pathogenese of adenovirus?
icosahedral capsid ahs pentod which act as hemagglutinin
causes lysis in permissive cells
casues oncogneic or chronic infection of non permissive cells
diseases caused by adenovirus?
- # 1 casue for tonsilitis
- conjunctivitis (pink eye)
- ARDS, pneumonis, bronchitis
- acute hemorrhagic cystitis
- gastroentrites
ddx from strep pyrogens and adenovirus?
culture.
which serotypes cause ARDS, bronchitis and pneumonia of adenovirus?
4, 7, 21
which serotype of adenovirus causes acute hemorrhagic cystitis?
11, 21
which serotypes cause gastroenteritis in adenovirus?
40, 41
prevention of Adenovirus?
vaxxine: live attenuated against serotypes 4 and 7
what is the largest virus?
poxvirus
special things about poxvirus envelope?
can make its own.
General characteristics of Poxvirus?
- linear dsDNA
- enveloped
- icosahedral
- replicates in CYTOPLASMA only dan to do it.
- brings everything it need.
transmission of pox virus
small pox by respiratory droplets
molluscum contagion sum virus by direct contact
pathogenies of small pox
enters respiratory tract and replicates in lympathics
secondary viremia wil infect skin tissue and creates pocks
disease of small pox virus
fist flu like symptoms
rash in mouth to everywhere else in 24h
all vesicles are same age!
DDX from chicken pox and small pox?
in small pox the vesicles are synchronous. same age.
pathogenies and disease of Molluscum contagious virus (MCV)
replicates in dermis
water warts: seal like lesions (dome shaped, red, umbilicate)
in adults associate HIV infection
prevention of Poxvirus
live attenuated against small pox made from cowpox strain.
place of replication of Hep B virus?
inside and outside the nucleus
which family is HBV in?
Hepadnavirus
what kind of polymerase does Hep B virus has?
reverse transkitpase
transmission of HBV?
blood
Sexual
vertical (troches)
what causes the symptoms of a HBV infection?
its an type 3 HSR
immunecompelx of HbsAG and Anti-Hbs Ab
what are the extra hepatic manifestations of HBV infection?
- polyarteritis nodosa
2. golmerolar nephritis
diseases caused by hepatitis B virus
- acute hepatitis
- Chronik hepatis
- polyartritis nodosa
- golmerolar diseases
antigen levels explaint
- HBsAgacitve disease
- HBeAg infectivity
- Anti-HBc Ab window period
- Anti-HBe Ab lower infectivity
- Anti-HBs Ab healthy