Oral Viral Infections Flashcards
What size is the human herpes virus?
0.1-0.2um
What size is bacteria?
1-3um
What size are RBCs?
7-8um
What are some characteristics of viruses?
- small size
- simple chemical composition
- no intracellular organelles
- genetic information as DNA or RNA
What are the key stages of replication of the Herpes Simplex virus?
1 = binding
2 = entry
3 = release & nuclear transport
4 = nuclear entry
5 = gene expression
6 = DNA replication
7 = packaging
8 = egress
what is the first principle of laboratory diagnosis?
good history & examination
What are the principles of a lab diagnosis?
- good history & exam
- give provisional diagnosis
- diagnosis from swab
What is an example of a method of specimen retrieval?
viral swab
How is a viral swab taken?
- use flocked swab
- place in molecular sample solution (MSS)
- after immersion remove swab
How are blood samples sent for viral inspection?
- EDTA
What should be included on a virology request form?
- Pt details & clinician details (include phone number)
- clinical details & provisional diagnosis
- date of onset
- patient DOB or CHI number
- specify test you require
How does Herpex Simplex virus look under the SEM microscope?
fried egg appearance
What are some common features of the human herpes virus?
- primary infection –> latency –> secondary infection
What are the clinical features of herpes simples type 1 & 2?
- gingivo stomatitis
- herpes labialis
- keratoconjunctivitis
- herpectic whitlow
- Bell’s palsy
- genital herpes
how common is the herpes simplex virus?
around >90% of population have it
What is the reservoir for the herpes simplex virus?
saliva
What is the route of transmission of the herpes simplex virus?
direct by close person to person contact
When is herpes most commonly occuring?
childhood
How is herpes simplex treated to prevent recurrent infection in difficult cases?
ACV 200mg x 5 daily (chemoprophylaxis)