Microbio-Virology Flashcards
Gingivostomatitis, keratoconjunctivitis, temporal lobe encephalitis, (most common cause of sporadic encephalitis in the US), herpes labialis. Latent in trigeminal ganglia. Transmitted by respiratory secretions, saliva.
What is it, and what receptor does it use
Herpesvirus - HSV 1
Infected cells have Cowdry A inclusions. Herpes genitalis, neonatal herpes. Latent in sacral ganglia. Transmitted by sexual contact, perinatally. Tzanck test (genital) of opened skin vesicle to detect multinucleated giant cells. Viral meningitis more common than with other subtype. What virus is it?
Herpesvirus - HSV 2
Chickenpox, shingles, encephalitis, pneumonia. Latent in dorsal root or trigeminal ganglia. Most common complication of shingles is post-herpetic neuralgia. Transmitted by respiratory secretions.
Herpesvirus - VZV
Mononucleosis-characterized by fever, hepatosplenomegaly, pharyngitis, and lymphadenopathy (especially posterior cervical nodes).
Transmitted by respiratory secretions and saliva; “kissing disease.” Infects B cells. Atypical lymphocytes seen on peripheral blood smear are not infected B cells but rather reactive cytotoxic T cells. Assoc. with Hodgkin lymphoma, endemic Burkitt lymphoma, nasopharyngeal carcinoma. Detection by [+] monospot test. What receptor does this virus use?
Herpesvirus - Epstein Barr Virus (EBV)
CD 21
Congenital infection, mononucleosis ([-] Monospot), pneumonia, retinitis. Infected cells have characteristic “owl eye” inclusions. Latent in mononuclear cells. Transmitted congenitally and by transfusion, sexual contact, saliva, urine, organ transplant. CF: pneumonia in transplanted Px, esophagitis, and what major associated feature? What receptor does this virus use?
Herpesvirus - Cytomegalovirus (CMV)
CMV retinitis!!!
Integrins (heparin sulfate)
High fevers for several days that can cause seizures, followed by a diffuse macular rash. Transmitted by saliva.
Herpesvirus - HHV-6/7: Roseola
Kaposi sarcoma, a neoplasm of endothelial cells. Seen in HIV/AIDS and transplant patients. Dark violaceous flat and nodular skin lesions representing endothelial growths. Can also affect GI tract and lungs. Transmitted by sexual contact.
Herpesvirus - HHV-8
Envelope: Yes
DNA Structure: DS and linear
Medical Importance: HSV, VZV, CMV, EBV, HHV
Herpesviruses
Envelope: Yes
DNA Structure: Partially DS and circular
Medical Importance: HBV: acute or chronic; vaccination available only for surface antigen. Not a retrovirus but has reverse transcriptase
Hepadnavirus
Envelope: No
DNA Structure: DS and linear
Medical Importance: Febrile pharyngitis-sore throat. Acute hemorrhagic cystitis. Pneumonia, conjunctivitis- “pink eye”
Adenovirus
Envelope: No
DNA Structure: SS and linear (-): smallest DNA virus
Medical Importance: B19 virus-aplastic crisis in sickle cell disease, “slapped cheek” rash on children-erythema infectiosum (fifth disease), RBC destruction in fetus leads to hydrops fetalis and death, pure RBC aphasia and rheumatoid arthritis-like symptoms in adults (wrists, hands, knees, elbows, feet) without a rash. What virus is this, and What receptor does this virus use?
Parvovirus
P antigen on RBCs
Envelope: No
DNA Structure: DS and circular
Medical Importance: JC virus-progressive multifocal leukoencephalopathy (PML) in HIV. BK virus- transplant patients, commonly targets kidney.
Polyomavirus
Envelope: No
DNA Structure: DS and circular
Medical Importance: Warts (1, 2, 6, 11), CIN, cervical cancer (16, 18) vaccine available.
Papillomavirus
Envelope: No
DNA Structure: DS and linear (largest DNA virus)
Medical Importance: Smallpox, although eradicated, could be used in germ warfare. Cowpox: milkmaid blisters
Molluscum contagiosum- flesh-colored dome lesions with central umbilicated dimple.
Poxvirus
Envelope: No
RNA Structure: DS linear- 10-12 segments
Capsid symmetry: icosahedral (double)
Medical Importance: Coltivirus-Colorado tick fever
Rotavirus-#1 cause of fatal diarrhea in children
Reovirus
Envelope: No
RNA Structure: SS [+] linear
Capsid symmetry: Icosahedral
Medical Importance: PERCH: Poliovirus:polio-Salk/Sabin vaccines, Echovirus: aseptic meningitis, Rhinovirus: “common cold”, Coxsackievirus: aseptic meningitis; herpangina, hand, foot, and mouth disease; myocarditis, pericarditis, HAV: acute viral hepatitis. What family is this virus, and What receptor does this virus use?
Picornaviruses (PERCH)
Poliovirus, Exhovirus, Rhinovirus, Coxsackievirus, HAV
ICAM-1
Envelope: No
RNA Structure: SS [+] linear
Capsid symmetry:Icosahedral
Medical Importance: HEV
Hepevirus
Envelope: No
RNA Structure: SS [+] linear
Capsid symmetry: Icosahedral
Medical Importance: Norovirus-viral gastroenteritis
Caliciviruses
Envelope: Yes
RNA Structure: SS [+] linear
Capsid symmetry: Icosahedral
Medical Importance: HCV, Yellow fever, Dengue, St. Louis encephalitis, West Nile Virus
Flaviviruses
Envelope: Yes
RNA Structure: SS [+] linear
Capsid symmetry: Icosahedral
Medical Importance: Rubella, EEE, WEE and Chicongunya
Togaviruses