Respiratory viruses - part 2 Flashcards

1
Q

Although we don’t know the pathogenesis of RSV infection, what appears to be involved?

A

immunologic factors

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2
Q

Community outbreaks of RSV occur _______ in the ______ weather and affect about __% of families

A

annually
colder
50%

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3
Q

What test can we use on respiratory secretions from RSV infected individuals to determine viral antigens?

A

real time PCR

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4
Q

When adults get RSV infection, what do they present with?

A

a flu-like illness

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5
Q

What is the treatment for RSV?

A

provide oxygen and mechanical ventilation as necessary, and aerosolized ribavirin (don’t need to know this tbh)

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6
Q

Describe the morphology of adenoviruses and where they replicate?

A

Naked, dsDNA viruses

since they have a DNA genome, they replicate in the nucleus

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7
Q

How are adenoviruses released?

A

Released by host cell destruction - causes epithelial cell necrosis

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8
Q

What is very important to remember about adenovirus?

A

THEY CAN CAUSE ANY SYMPTOM

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9
Q

what percentage of adenovirus infections cause any symptoms?

A

45%

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10
Q

Approximately __% of acute febrile illness in childre under two is attributed to adenovirus.

A

10

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11
Q

What are adenoviruses capable of, regarding replication?

How are they spread?

A

latency

spread by either respiratory or fecal-oral routes

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12
Q

Is there such thing as a cold?

A

no; there is a common cold syndrome however which means URT infection with prominent nasal involvement

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13
Q

What is the morphology of Rhinoviruses? How are they distinguished from enteroviruses?

A

Naked picornaviruses

distinguished from enteroviruses by acid lability and an optimum temperature of replication of 33°C

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14
Q

The fact that there are 108 rhinovirus serotypes ensures what?

A

that people remain susceptible to infection throughout life

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15
Q

How are rhinoviruses transmitted?

A

via direct contact (no through fomites = inanimate objects)

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16
Q

What do Rhinoviruses cause in terms of damage?

A

mucosal cell damage and mediators of inflammation

17
Q

Why are colds self-limiting and why can you not get another cold directly after?

A

The infected nasal mucosal cells get infected and sloughed. No cells left to infect - virus does not persist, cannot get reinfected.

18
Q

If a “cold” lasts longer than 10 days, what is the most likely culprit?

A

bacterial sinusitis

19
Q

What can follow a cold?

A

secondary bacterial infections

20
Q

The acute symptoms of rhinitis, nasal obstruction and sore throat are thought to be a combination of what? (Rhinovirus)

A

mucosal cell damage and soluble mediators of inflammation, esp. bradykinin

21
Q

What are two things that definitely help with colds?

A

Ginseng extracts

Zinc supplements - lessen duration of colds

22
Q

What are some drugs that can be used to treat colds?

A

Analgesis, decongestants and anti-histamines

23
Q

What is useful for treatment of colds in infants?

A

nasal aspirator

24
Q

Describe the morphology of coronarviruses.

A

enveloped, ss RNA virus

25
Q

How do coronaviruses look under the microscope (EM)?

A

solar, corona-like

26
Q

What is the major etiologic agent of SARS and common cold syndrome?

A

coronavirus

27
Q

How are coronaviruses transmitted?

A

aerosols

28
Q

What is the incubation period of coronavirus?

A

3 days

29
Q

What do coronaviruses usually cause?

A

mild common cold symtpoms

30
Q

When is the blood test positive for SARS coronavirus?

A

20th day of illness (ELISA)

31
Q

What is the suspected animal vector of the SARS coronavirus?

A

Civet at

32
Q

What is the Civet cat notable for?

A

Anal gland secretions - highly prized for world’s most expensive perfumes and coffees

33
Q

What are the reservoirs of MERS?

A

bats and camels

34
Q

What does MERS stand for?

How does it spread?

A

Middle Eastern Respiratory Syndrome

we don’t know if it spreads human to human