RNA Viruses Flashcards
All viruses are haploid except
retroviruses
Viruses with segmented genome
B-O-A-R Bunyaviruses Orthomyxoviruses (influenza) Arenaviruses Reoviruses
Negative strand RNA viruses
Always Bring Polymerase Or Fail Replication Arenaviruses Bunyaviruses Paramyxoviruses Orthomyxoviruses Filoviruses Rhabdoviruses
RNA viruses Positive Sense
I went to a RETRO TOGA party, where I drank FLAVored CORONA beer and ate HIPPY CALIfornia PICkles.
Retrovirus, Togavirus, Flavivirus, Coronavirus, Hepevirus, Calicivirus, Picornavirus
All RNA viruses have single stranded DNA except
Reovirus and Rotavirus
All DNA viruses replicate in the cytoplasm except
Influenza and retrovirus
Picornaviridae
PERCHed on a PIC
Poliovirus, Echovirus, Rhinovirus, Coxsackievirus, Hepatitis A virus, PICornaviridae
Naked nucleocapsid w/ single stranded positive polarity RNA
Replicates in motor neurons in anterior horn of spinal cord causing paralysis
Poliovirus
Most clinical form of Poliovirus
Abortive poliomyelitis
Others:
Nonparalytic poliomyelitis - aseptic meningitis
Paralytic poliomyelitis - flaccid paralysis; permanent motor nerve damage
Prevention of poliovirus
Killed (Salk IPV)
Live, attenuated (Sabin OPV)
Fever, sorethroat, and tender vesicles in oropharynx
Herpangina
Vesicular rash on hands and feet and ulcerations in the mouth
Hand-foot-and-mouth disease
MC viral cause of myocarditis and pericarditis
Coxsackie virus
MC viral cause of endocarditis
Enteroviruses
MCC of aseptic meningitis
Enteroviruses
Another term of echovirus
Enteric Cytopathic Human Orphan
MCC of common colds
Rhinovirus
Enterovirus 72
Hepatitis A
Most important test for Hepatitis A
anti-HAV IgM
Caliciviridae
Hepatitis E Norwalk virus (Norovirus)
Highest mortality of Hepatitis E
Pregnant women
Orthomyxoviridae
Influenza virus
Enveloped virus with a HELICAL nucleocapsid and segmented, ss negative RNA w/c may cause pandemics and epidemics
Influenza virus
Influenza type w/c causes pandemics
Influenza A
Influenza type w/c causes major outbreaks (epidemics)
Only a human virus and there are no animal sources of new RNA segments
Influenza B
Influenza type w/c causes mild respiratory tract infection but does not cause outbreaks of influenza
Influenza C
2 major antigens of Influenza
Hemagglutinin (H)
Neuraminidase (N)
Antigen that binds to cell surface receptor (neuraminic acid, sialic acid) to initiate infection of the cell
Target of neurtralizing antibody
Hemagglutinin
Cleaves neuraminic acid (sialic acid) to release progeny virus from the infected cell
Also degrades the protective layer of mucus in the respiratory tract -> enhances access to the respiratory epithelial cells
Neuraminidase
Causes major changes on the reassortment of segments of the genome RNA
SUDDEN change in the molecular structure of a microorganism -> new strains -> little or no acquired immunity to these NOVEL strain -> new epidemics or pandemics
Antigenic Shift
Causes minor changes base on mutation in the genome of RNA
SLOW and PROGRESSIVE change in the antigenic composition of microorganisms -> altered immunological responses and susceptibility
Antigenic Drift
DOC of Influenza
Oseltamivir or Zanamivir
Amantadin or rimantadine for Influenza A
Paramyxoviridae
PaRaMyxoviruses Parainfluenza virus RSV Measles virus Mumps virus
Cardinal manifestation of Measles
3Cs
Cough, Coryza, Conjunctivitis Koplik spots
Complication caused by measles
Subacute sclerosing panencephalitis (SSPE) or Damson Disease
Vitamin given to reduce severity of measles
Vitamin A
Manifestations of Mumps
Mumps makes your parotids and testes as big as POM-poms
Parotitis, Orchitis, Meningitis (aseptic)
What are the surface spikes of RSV
Fusion proteins
DOC for RSV
ribavirin
Characterized by inspiratory stridor, cough, and hoarseness
Disease caused by Parainfluenza virus 1 and 2
Laryngotracheobronchitis (CROUP)
Xray finding in Laryngotracheobronchitis (CROUP)
Steeple sign
DOC for Laryngotracheobronchitis (CROUP)
Racemic epinephrine
BULLET shaped enveloped virus with a helical nucleocapsid and one piece of SS, negative polarity RNA
Rhabdoviridae
Rabies virus
virus that multiplies locally at bite site, infects sensory neurons and moves by axonal transport to CNS
Rabies virus
HP findings of Rabies
Negri bodies
Enveloped virus with helical nucleocapsid and one piece of SS positive polarity with a prominent club shaped spikes
Corona virus
Atypical pneumonia rapidly progressing to ARDS due to the virus binding to ACE-2 receptor
CXray- non cavitary ground glass infiltrates
Severe Acute Respiratory Syndrome (SARS)
Enveloped virus with ICOSAHEDRAL nucleocapsid and 1 piece of SS, positive polarity RNA
Dengue virus
Main cause of essential mixed cryoglobulinemia
Hepatitis C
Togaviridae
Rubella virus
Manifestations of Congenital Rubella
5Bs of Congenital Rubella Syndrome Bulag (cataracts) Bingi (sensory neural deafness) Bobo (MR) Butas ang puso (PDA) Blueberry muffin baby
RNA virus distinguished from all other RNA viruses by presence of an enzyme, reverse transcriptase w/c converts a single stranded RNA viral genome into double stranded viral DNA
Retroviridae
Enveloped virus with 2 copies (diploid) or a single stranded; positive polarity RNA genome
Human immunodeficiency virus
Structural genes of HIV
Gap - p24, p7 (nucleocapsid)
P17 (matrix)
Pol- reverse transcriptase, protease, integrase
Env- gp120, gp41
Gag protein in HIV used as a serologic marker of infection
p24
ENV gene in HIV w/c interacts with CD4 receptor and best target for antibody
gp120
Regulatory gene in HIV used in activation of transcription of viral genes
tat gene
Regulatory gene in HIV used to transport late mRNAs to cytoplasm
rev gene
Regulatory gene in HIV that decreases CD4 and class I MHC proteins
nef gene
Definitive test for HIV
Western blot analysis
Treatment for HIV
Highly active antiretroviral therapy (HAART)
- 2 nucleoside inhibitors (Zidovudine & lamivudine)
- Protease inhibitor (indinavir)
Retrovirus causing adult T-cell leukemia
HP: malignant T cells w/ flower shaped nucleus
Human T cell Lymphotropic virus (HTLV)
Thread like viruses
longest virus
Ebola virus
Ebola hemorrhagic fever
Flavivirus w/c initially cause self limited febrile illness that may progress to neuroinvasive disease
West nile virus
bird-mosquito-man cycle
Flavivirus w/c is transmitted by Culex mosquitoes and causes thalamic infarcts on CT scan
Japanese B encephalitis
RNA virus that replicates in the anterior
horn of spinal cord causing paralysis
Poliovirus