PPT VIRUS PART I Flashcards
All (-) RNA viruses are
Enveloped
RA viruses, except for (+) RNA genome, must carry
.
polymerases
determine how viral messenger RNA
Genome structure and polarity
determines the mechanism of transcription and replication.
Genome structure
Most RNA viruses replicate in the
Cytoplasm
+ RNA (Naked)
Picornaviridae
Caliciviridae
Hepeviridae
Astro
+RNA (E)
Toga
Flavi
Corona
- RNA
Rhabdo
Filo
Orthomyxo
Paramyxi
Bunya
Arena
(+/-RNA)
Reo (double capsid)
(+RNA via DNA)
RETRO (Enveloped)
Picornavirus virus
Poliovirus
replicates in motor neurons in anterior horn of spinal cord causing paralysis
Poliovirus pathogenesis
Poliovirus spectrum of disease
Poliomyelitis and Meningitis
Poliovirus diagnosis
Cowdry type B and intranuclear inclusion
Poliovirus prevention
Salk (IPV ; killed virus) and Sabin vaccination (OPV; live attenuated virus)
Coxsackie A virus
Herpangina, acute hemorrhagic conjunctivitis, HFMD, and aseptic meningitis
Coxsackie B virus spectrum of disease
Pleurodynia, severe generalized disease of infants, pericarditis and myocarditis, and aseptic meningitis
ECHO virus means
Enteric Cytopathic Human Orphan
Spectrum of disease ECHO
- aseptic meningitis,
- URTI,
- febrile illness (with or without rash),
- infantile diarrhea and
- hemorrhagic conjunctivitis
Rhinovirus pathogenesis
replicate better at 33°C than at 37°C -> affect primarily the nose and conjunctiva rather than the lower respiratory tract (acid-labile killed by gastric acid)
Rhinovirus spectrum of disease
Common cold
Hepatitis A virus also known as
Enterovirus 72
Hepatitis A pathogenesis
replicates in the GI tract and then spreads to the liver during a brief viremic period.
Hepatitis A Spectrum of disease
HEPATITIS A INFECTION
self-limited hepatitis, short incubation hepatitis and anicteric hepatitis
Hepatitis A diagnosis
anti-HAV IgM (most useful)
Hepatitis A treatment and prevention
administration of immune globulin during IP and vaccination (killed virus)
Herpeviridae virus
Hepatitis E virus
Hepatitis E diagnosis
patchy necrosis (liver biopsy)
Hepatitis E 3 E
Expectant mother
Enteric
Epidemic
CALICIVIRIDAE virus
Norwalk virus (Norovirus)
Norwalk virus (Norovirus) spectrum of disease
Viral gastroenteritis adults non bacterial
Reoviridae virus
Rotavirus
Rotavirus pathogenesis
Villous destruction with atrophy
Rotavirus Spectrum of disease
Viral gastroenteritis common in childhood
childhood: ”white stool diarrhea”)
Rotavirus
Astrovirus transmission
Fecal oral route and water
ENVELOPED RNA VIRUSES (NEGATIVE SENSE)
Orthomyxoviridae
Paramyxoviridae
Rhabdoviridae
Filoviridae
Orthomyxoviridae
Influenza Virus (A , B and C)
Influenza virus major antigens
Hemagglutinin
Neuraminidase
Bind to cell surface receptor
Hemagglutinin
Release progeny virus
Neuraminidase
Worldwide epidemic of influenza virus
Influenza A
How many distinct types of Hemagglutinin in Influenza A
16 antigenically
How many distinct types of Neuraminidasein Influenza A
9 antigenically
Major outbreaks of influenza and does not lead to pandemic
Influenza B
Mild respiratory tract infection and does not cause outbreak of influenza
Influenza C
Angtigenic shift or
Pandemics
Antigenic Drift or
Epidemics
Mojor changes based on the reassortment of segments of the genome RNA
Antigenic Shift
Minor changes based on MUTATIONS in the genome RNA
Antigenic Drift
Sudden change in the molecular structure of a microorganism, new strain, little or no acquired immunity to these Novel Strains. New epidemics or pandemic
Antigenic Shift
Slow and progressive change in the composition of microorganism that leads to altered immunological responses and susceptibility
Antigenic Drift
Infuenza virus spectrum of disease
Influenza or Flu
Incubation period of influenza
24-48 hours
Inflenca virus complications
fatal bacterial superinfection (S. aureus and
S. pneumoniae)
Reye’s syndrome
Influenza virus Treatment and Prevention:
- Oseltamivir (DOC) and Zanamivir
- Amantadine and Rimantadine Vaccine (both influenza A & B)
Paramyxoviridae virus
Measles Virus
Mumps virus
Respiratory Syncytial virus
Parainfluenza virus 1 and 2
Also known as first disease
Red measles, rubeola
Pathogenesis of measles
Measles virus infects the cells lining the URT➡️enters
the blood ➡️infects reticuloendothelial cells ➡️spreads via the blood to the skin ➡️cvtotoxic I-cells attack the measles virus-infectedvascular endothelial cells in the skin➡️ rash virus can no longer be
recovered ➡️patient can no longer spread virus to other
Measles virus (Paramyxoviridae) disease
Disease
Measles virus (Paramyxoviridae) features
Koplik spots
Measles virus (Paramyxoviridae) Complications
otitis media, giant cell pneumonia, SSPE, bronchiolitis oblierans
Measles virus (Paramyxoviridae) diagnosis
Multinucleated giant cells (Warthin- Finkelday bodies)
Measles virus (Paramyxoviridae) cardinal signs
3Cs: cough, coryza and conjunctivitis (+ fever), and Koplik spots
Mumps virus
Bayook
Mumps virus Pathogenesis and disease
Parotitis
Orchitis
Asceptic meningitis
Pancreatitis
Mumps virus prevention
MMR Vaccine
Viral pneumonia in infants
Respiratory syncytial virus
laryngotracheobronchitis or croup
(“Steeple sign” on X-ray)
Parainfluenza virus 1 and 2
Parainfluenza virus 1 and 2 treatment
Racemic epinephrine
Hemagglutinin +
Neuraminidase -
Fusion Proteins+
Measles
Hemagglutinin +
Neuraminidase +
Fusion Proteins+
Mumps
Hemagglutinin -
Neuraminidase -
Fusion Proteins+
RSV
Hemagglutinin +
Neuraminidase +
Fusion Proteins+
Parainfluenza
Rhabdoviridae virus
Rabies virus
bullet-shaped enveloped helical non- segmented (-ssRNA)
Rabies virus (Rhabdoviridae)
Rabies virus transmission
animal (dogs, cat, skunks, racoons and bat) – via animal bite (retrograde transport)
1st rabies syndrome
Pain / itchiness / paesthesia (numbness)
Rabies virus incubation period
2 weeks to 6 years
Rabies acute neurologic period
Encephalitic/Furious Rabiel
Paralytic/Dumb Rabies
Rabies Virus Phobic spasms:
hydrophobia, aerophobia
Encephalitic/furious rabies
Phobic spasms
Fluctuationg consciousness
Autonomic instability
Paralytic /Dumb Rabies
Percussion myoedema
Occurs secondary to respiratory center dysfunction
Death
Has the highest case fatality ratio pf any infectious disease
Rabies
Diagnosis of rabies virus
Negri bodies and immunofluorescent antibody test (IFAT)
Rabies treatment pre exposire
Vaccine (PVRV or PDEV or PCEV – D0, D7, and D21/28)
Rabies virus Post-exposure
Vaccine +/- Immunoglobulin
Filoviridae virus
Ebola virus
targets endothelial cells, phagocytes, hepatocytes
Ebola virus
Enveloped RNA Viruses (positive sense)
Coronaviridaw
Flaviviridae
Togaviridae
enveloped helical non-segmented, (+ ssRNA), w/ prominent club- shaped spikes form a “corona”
Corona virus
Corona virus reservoir
Horseshoe bat
Corona virus immediate host
Civet cat
Spectrum of disease coronavirus
- Common colds (2nd to rhinovirus)
- SARS
- MERS-COV
- COVID-19
Hepatitis C virus transmission
(major) blood-borne, IV drug users; (minor) NSI, during birth and sexual
Replication of HCV in the
Liver
Replication of HCV in the liver is enhanced by a liver- specific micro-RNA called
miR-122
acts by increasing the synthesis of HCV mRNA.
Micro rna
Hep C incubation period
8 weeks
HCV infection also leads to significant
autoimmune reactions and extrahepatic manifestations, including:
o Thyroiditis
o Autoimmune hemolytic anemia
O ITP
O MPGN
O DM
o leukocytoclastic vasculitis
o ^ risk of B-cell NHL
o lichen planus
o porphyria cutanea tarda
HCV DIAGNOSIS
anti-HCV antibodies, recombinant immunoblot assay (RIBA) and PCR (HCV-RNA)
Hcv Treatment and Prevention:
- Acute hepatitis C: Peginterferon alfa
- Chronic hepatitis C: combination of Peginterferon alfa-2a and ribavirin if genotype 1, add: protease inhibitor (boceprevir, simeprevir)
Togaviridae virus
Rubella virus