MMR Flashcards
Enveloped viruses can exit cells via :
budding or
via reverse endocytosis (e.g. herpesiviruses).
reverse endocytosis of HSV
- primary envelopment (perinuclear space)
- de-envelopment ( cytoplasm)
- secondary envelopment (Golgi/ TGN)
- direct exocytosis (plasma membrane and out)
HSV1 can be reactivated in
oral and nasal mucosa, really in tears
what type of viruses are MM?
RNA -ss paramyxovirus(family) helical segmented enveloped
rubella?
RNA \+ss Togavirus(family) Icos enveloped
Mumps
spread by coughing and saliva contact
childhood infection.
Swelling of the parotid salivary glands (parotitis) and epithelial tissues and occasionally deafness.
Mumps virus infects tissues all over the body, including pancreas, testes, ovaries.
Symptoms last about a week: Fever, headache, muscle pain, fatigue, parotitis
MMR vaccine - Measles Mumps Rubella
MMRV vaccine - Measles Mumps Rubella VZV
Live, attenuated viruses.
First dose at 9-15 month,
2nd at 15 mo. - 6 yrs
Measles= Rebeolla
Humans are the only natural hosts of the virus
spread by coughing and sneezing via close personal contact
or direct contact with secretions.
measles mechanism
Macrophages are the first cells infected in airway.
They to lymph nodes-> virus spreads systemically.
T cells and dendritic cells are infected - immune damage, reach the spleen and liver and skin.
Epithelial cells in airways become infected and release virus for spread to new hosts.
measles clinical course
90% of non-resistant cohabitors will contract the virus.
Symptoms appear 7-14 days after infection. Last 7-10 days.
Person is contagious several days prior to rash
High fever (ca. 104° F)
Koplik’s spots in mouth - temporary
Flu-like symptoms: malaise, cough, loss of appetite
Rash
Complications: Immunity is weakened.
diarrhea, pneumonia - direct or bacterial
eye infections - corneal scarring
death: 0.3% in US, 2-5% in developing countries
Rubella=Germn measles
usually mild, with flu-like symptoms, swollen lymph
nodes and a red rash (rubella means “little red” in Latin).
Can be serious for the child if mother is infected during
pregnancy, resulting in miscarriage or congenital rubella
syndrome, which can have developmental, hearing and
eyesight defects - cataracts.
Spread is through aerosol - coughing etc.
Mumps, Measles and Rubella
Cause acute infections and not chronic infections
These viruses are cleared from the body when symptoms
are gone