Micro Viral infections Flashcards

1
Q

what are the MCC of the common cold

A

rhinovirus, coronavirus, influenza

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2
Q

what are the features of viral respiratory infections?

A
  • virions reach respiratory tract by fomites or aerosol transmission
  • epithelial cells first site
  • infected cells release cytokines that cause typical symptoms
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3
Q

which viruses manifest clinically as rhinitis, pharyngitis, laryngitis?

A

rhinovirus, coronavirus, parainfluenza, RSV, influenza, adenovirus, herpes simplex, EBV

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4
Q

which viruses manifest clinically as tracheitis, bronchitis, bronchiolitis, bronchopneumonia?

A

parainfluenza, RSV, influenza, adenovirus

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5
Q

acute pattern of virus replication

A

infection with replication confined to respiratory mucosal surface

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6
Q

persistent pattern of virus replication

A

replication on respiratory mucosal surface

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7
Q

systemic pattern of virus replication

A

replication (dissemination) after primary replication in respiratory tract

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8
Q

corona virus bacteriology

A

“crown” of spikes, +ssRNA virus, causes cold like symptoms

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9
Q

myxoviruses

A

“mucus”, bind to mucin protein on RBCs

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10
Q

orthoviruses

A

straight, right proper, influenza is the “right” one

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11
Q

paravirus

A

beside, resembling - measles virus, parainfluenza, measles, RSV) (a bit like orthomyxoviruses but no the same)

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12
Q

differences between orthoviruses and paraviruses

A

ortho: nuclear replication, segmented -ssRNA, enveloped
para: cytoplasmic replication, non-segmented -ssRNA, enveloped

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13
Q

what are the major contributors to pathogenesis of influenza syndrome?

A

replication of flu in respiratory tract causing desquamation of mucus-secreting and ciliated cells, T-cell responses, and interferon induction

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14
Q

what are the less frequent outcomes of influenza disease?

A

secondary bacterial infection causing pneumonia, primary viral pneumonia, and CNS/muscle involvemnt

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15
Q

what are the treatments and prevention for the flu?

A

antivirals (tamiflu and relenza)

vaccines (fluzone and flumist)

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16
Q

fluzone vs flumist vaccine

A

fluzone: trivalent inactivated
flumist: live attenuated

17
Q

croup

A

parainfluenza virus and respiratory synctial virus:

laryngotracheobronchitis

18
Q

what are symptoms of croup and what are the complications?

A

symptoms: distinctive barking cough with a peak incidence in winter
complications: pneumonia and respiratory distress

19
Q

adenovirus bacteriology

A

icosahedral, naked, DNA virus that is widespread in nature
most people have been infected with at least 1 by age 15
very common, most asymptomatic

20
Q

what do most adenovirus infections involve

A

respiratory, GI, or eye

21
Q

disease mechanism for adenoviruses

A
  • transmitted by aerosol, close contact, fecal-oral, finger, ophthalmologic instruments
  • infect mucoepithelial cells
  • persists in lymphoid tissue
22
Q

adenovirus recovery

A

antibody is esstential