RNA VIRUS - RETROVIRIDAE - HIV Flashcards
Converts a SINGLE STRANDED RNA VIRAL GENOME into a DOUBLE STRANDED VIRAL DNA (ssRNA –> dsDNA)
Reverse transcriptase
Located in the CORE
group specific antigen
p24
Interacts w/ the CD4 receptor
MUTATES RAPIDLY – many antigenic variants
gp120
Most immunologic region of gp120
V3 loop
Mediates the FUSION of the viral envelope with the cell membrane at the time if infection
gp41
CD4 < 500
M. TUBERCULOSIS- disseminated tuberculosis
HSV - HSV esophagitis
C. ALBICANS - esophageal candidiasis
HHV - 8 - Kaposi sarcom
CD4 < 200
P.JIROVECI - PCP pneumonia T. GONDII - cerebral toxoplasmosis C. NEOFORMANS - meningoencephalitis C. IMMITIS - coccidiodomycosis C. PARVUM - chronic diarrhea
CD4 <50
M.AVIUM - invasive pulmonary disease
H. CAPSULATUM - histoplasmosis
CMV - CMV retinitis
HIV acquired through sexual intercourse, blood or perinatally
PHASE 0
Infection
RAPID VIRAL REPLICATION but HIV test is NEGATIVE
PHASE 1
Window Period
PEAK of VIRAL LOAD
(+) HIV test
mild flu like illness lasting 1-2 weeks
PHASE 2
Seroconversion
asymptomatic
CD4 goes DOWN
lasts 1-15 years
PHASE 3
LATENT PERIOD
CD4 500 - 200
lasts 5 years
mild mucocutaneous, dermatologic and hematologic illnesses
PHASE 4
Early Symptomatic
CD < 200
lasts 2 years
AIDS-defining illness develop
PHASE 5
AIDS
The 2 most characteristic manifestations of AIDS
Pneumocystis pneumonia
Kaposi’s sarcoma