Pox Viridae Flashcards

Yt plus lecture notes

1
Q

What are the two subfamilies of pox viridae

A

Chordopoxviridae(mammals)

Entomopoxviridae(insects)

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2
Q

Which 2 are the human diseases

A

Smallpox

Molluscum contagiosum

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3
Q

List 5 properties of pox viruses

A

.largest and most complex virus
.brick shaped virion
.the virion is a complex virion as there’s no nucleocapsid
.the outermembrane of tubular shaped lipoprotein(synthesized denovo) encloses a dumbell shaped core and 2 lateral bodies
.the core contains viral Dna which is double stranded and associated proteins
.poxviruses are resistant to ambient temperature and may survive years in dried scabs

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4
Q

Briefly explain the viral replication

A

Replication occurs in the cytoplasm hence these viruses have evolved to encode the dozens of enzymes required for transcription and replication
.
After fusion of the virion with the plasma membrane or via endocytosis ,the viral core is released into the cytoplasm

Transcription is intiated by the viral :transcriptase, transcription factor , capping and methylating enzymes and poly(A) polymerase which are carried in the core of the virion

These factors allow functional capped and polyadenylated mRNAs to be produced without splicing within minutes after infection .

The polypeptides produced by translation of these mRnas complete the uncoating of the core and transcription of the early genes

Early proteins include Dna polymerase and thymidine kinase which are required for the replication of the genome

Transcription of intermediate and late genes is controlled by binding of specific viral proteins to characteristic promoter sequence

Virion assembly occurs in circumscribed areas of the cytoplasm known as guarnieri bodies

The outer bilayer becomes the outer membrane of the virion and the core and lateral bodies
differenciate within it

The outer membrane is synthesized denovo

Some of the mature particles move to the vicinity of the golgi complex,acquire an envelope and are released from the cell by exocytosis

Most particles are not enveloped but are released later by cell disruption

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5
Q

Between the enveloped and nonenveleoped particles ,which are infectious?

A

Both are infectious bt enveloped are more rapidly taken up by cells and are important in the spread of virions through the body

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6
Q

Describe the clinical manifestations of pox viruses

A

Skin lesions
Human cowpox are usually localized
Human monkeypox is a severe generalized infection involving organs eg lungs

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7
Q

Pathogenesis of pox viruses

A

Infection is usually by invasion through broken skin .it replicates at the site of innoculation and causes dermal hyperplasia and leukocytes infiltration
Human infection is acquired by contact or by airborne transmission to a resp mucosa( human monkeypox)
Incubation period spread the infection to internal organs and a second viremia spreads to the skin
Spread to the skin initiates the clinical phase and the lesions progress through the classical stages ie: macule
Papule
Vesicle
Pustule
Crust

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8
Q

Host defences against pox viridae

A

First line of defence is unbroken skin
Initial response after infection involves interferon and inflammation
Cell mediated and humoral responses to viral antigens are induced by the infection important for recovery and subsequent immunity

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9
Q

Briefly explain the diagnosis of pox viruses

A

Suggested by :presence of skin lesions
History of contact with human or animal cases
Diagnosis is confirmed by electron microscopy and/or virus isolation

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10
Q

Which features made smallpox eradicable

A
.effective vaccine
.one stable serotype
.no animal reservoir 
.easily diagnosed
.long incubation period
.it was infectious only after incubation period
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11
Q

Which features made smallpox eradicable

A
.effective vaccine
.one stable serotype
.no animal reservoir 
.easily diagnosed
.long incubation period
.it was infectious only after incubation period
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12
Q

Which pox virus disease is often painless

A

Milker’s nodes virus
Orf viruses
Molluscum contagiosum

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13
Q

Which pox virus disease is often painful

A

Cowpox

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14
Q

Which one produces generalized lesions

A

Human monkeypox

Molluscum contagiosum

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15
Q

Which one produces localized lesions

A

Cowpox

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16
Q

List 3 differenciating properties of cowpox presentation

A

Very painful especially in young children
Causes pyrexia and marked lymphadenopathy
Erythema multiforme presents

17
Q

Briefly explain monkeypox

A

It’s a serious but geographically localized infection clinically resembling mild small pox
A febrile prodrome precedes devt of a vesicular or postular rash typically centrifugal in distribution
The main reservoir is the squirrels

18
Q

Describe the epidemiology of pox viruses

A

Except molluscum,poxvirus infections are acquired fron animal reservoirs
Human infection with these is an occupational hazard
Monkeypox is restricted to west africa
Cowpox-europe
Bovine cowpox is rare and the domestic cat is the common reported host
Person to person spread of molluscum is associated with physical contact sports eg wrestling and sharing towels

19
Q

Which are the classical stages of the clinical phase during skin infections

A

Macule to papule to vesicle to pustule to crust

20
Q

What does the control of pox virus infection entail

A

Proper precaustions by people carjng for sick animals

Improvjng hygiene to reduce person to person transmission

21
Q

Describe bufallo pox

A

Caisative agent is vaccinia virus
Characterized by pustular lesions on teats and udders of milking buffaloes
Human infection produces lesions on the hands and face of milkers

22
Q

Describe cowpox infections

A

3 different infections from cows usually on hands after milking

  1. vaccinia( in the days of small pox vaccination )
  2. cowpox (caused by orthopoxvirus)
  3. milker’s nodes ( caused by parapovirus)

The reservoir host are rodents
Currently infection is more seen among cats
Lesions in humans appear on hands and develop just like primary vaccinia

23
Q

Presentation of milkers nodes

A

Lesions are small and nonulcerating nodules

Immunity following infection of humans doesn’t last long anf second attacks occur at intervals of a few years

24
Q

Orf infection presentation

A

A single lesion on hand or forearm or occasionally on the face
A slowly developing papule becomes a flat vesicle and eventually heals without scarring

25
Q

Molluscum contagiosum presentation

A

Mulriple discrete nodules limited to the epidermis and occuring anywhere on the body except on the soles and palms
Nodules are pearly white or pink in colour and are painless
At the top of each lesion there is an opening through which a small white core can be seen