Picornaviruses Flashcards
Which Enterovirus(es) cause: Poliomyelitis?
Poliovirus, EV-71
Which Enterovirus(es) cause Meningitis/Encephalitis:
Coxsackie A&B; Echovirus
Which Enterovirus(es) cause: Myocarditis/Pericarditis
Coxsackie B
Which Enterovirus(es) cause:Pleurodynia
Coxsackie B
Which Enterovirus(es) cause:Hand Foot and Mouth dz
Coxsackie A, EV-71
Which Enterovirus(es) cause Herpangia:
Coxsackie A
Which Enterovirus(es) cause Respiratory Infections:
EV-68
Which Enterovirus(es) cause Acute Hemorrhagic Conjunctivitis:
EV-70, Coxsackie A
Which Enterovirus(es) cause Generalized infx of newborn:
Echo, Coxsackie B
what immune cells are important in fighting enterovirus infections
B cells
at what point in a picornavirus/enterovirus infx are neutralizing antibodies useful?
After spread from pharynx to intestinesthey invade the regional LNs. At this point the virus is usually cleared (i.e., the virus establishes minor viremia, but not major viremia)
What are the 4 main outcomes of poliovirus infections?
Asymptomatic infection (MC)
Abortive poliomyelitis (fever less than week)
Non-paralytic poliomyelitis (meningitis, no paralysis, full recovery)
Paralytic poliomyelitis
where does poliovirus replicate
motor neurons (lytic infection) of the anterior horn
How to differentiate between poliovirus and Guillane Barre
Guillane-Barre has sensory loss)
3 types of paralytic poliomyelitis
Spinal
Bulbar
combined
How does Spinal poliomyeltis present
flaccid paralysis, atrophy, Usually asymmetric in lower limbs, with sensory perception intact (vs Guillane-Barre)