Neurological Viruses - Middleton Flashcards

1
Q

What are the common vectors of Arthropod transmission?

A
  • Mosquitos
  • culiseta, Aedes, Culex
  • Ticks
  • Transmission requires replication in the vector.
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2
Q

What are the reservoirs for Arthropods?

A
  • Birds

- Small mammals

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3
Q

Selected togaviruses and Flaviviruses are transmitted through ________.

A

a vector

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4
Q

East equine encephalitis (EEE) and Venezuelan equine encephalitis Family and Genome:

A
Family = Togaviridae 
Genome = (+) ssRNA
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5
Q

How is EEE & VEE virus induced?

A

Bite from infected arthopod

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6
Q

Describe the infection process of EEE & VEE…

A
  • bite
  • infect local cells and carried by langerhan cells to LN
  • Replication and release into the bloodstream
  • Infection in other organs such as the CNS
  • Methods of crossing the blood-brain barrier is unknown.
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7
Q

EEE & VEE Incubation period, Symptoms, Recovery:

A

Incubation = 4-10 days
Symptoms = chills, fever, malaise, arthralgia, myalgia.
Recovery = after 1-2 weeks
* Encephalitic disease = 1/3 of carriers die 2-10 days after onset. those who recover have long term sequelae (seizures)

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8
Q

EEE & VEE Prevention?

A
  • single vaccine available (TC-83)
  • Live attenuated
  • Only provided to at risk individuals
  • No treatment available after infection
  • Mosquito repellant and control
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9
Q

West Nile Virus Incubation time?

A

2-14 days

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10
Q

West Nile Symptoms/survival rate?

A
  • 80% = asymptomatic infection
  • 20% = headache, fever, fatigue
  • duration is 3-6 days
  • Neuroinvasive disease occurs in 1% (50% of survivors will have long term sequelae.)
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11
Q

Prevention/treatment of west nile virus?

A
  • No approved vaccine
  • No treatment
  • Mosquito repellant and control strategies
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12
Q

Rabies virus Family, Genome, Virion….

A
Family = Rhabdoviridae 
Genome = (-)ssRNA
Virion = Enveloped
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13
Q

True or false, rabies has very broad Tropism?

A

True!

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14
Q

Where does the rabies virus replicate?

A

In the cytoplasm

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15
Q

Reservoir for rabies?

A

Dogs, skunks, raccoons, bats….

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16
Q

Rabies incubation period?

A

1 -3 months longer is possible though rare.

17
Q

How does rabies spread?

A

Replicates until it finds neurons.

18
Q

Rabies symptoms and outcome…

A

Symptoms = Prickling or itching where bitten, fever, headache. Hydrophobia (can’t swallow), Cerebral dysfunction anxiety, confusion, hallucinations and insomnia.

Outcome = once symptoms appear you are as good as dead.

19
Q

Rabies prevention and treatment?

A
  • Vaccine available

- Post exposure Prophylaxis (4 doses)