RNA viruses Flashcards

1
Q

What are the reoviruses and their structures?

A

dsRNA, non-enveloped
icosahedral
Coltivirus
Rotavirus

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2
Q

What is Coltivirus?

A

Colorado Tick Fever

acute flu illness

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3
Q

What is rotavirus?

A
#1 cause of fatal diarrhea in children
increases in winter months in day care centers
infantile gastroenteritis
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4
Q

What are the picornaviruses and their structure?

A
non-enveloped
ssRNA linear
PERCH
poliovirus
echovirus
rhinovirus
coxsackievirus
HAV
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5
Q

What happens w/ polio?

A

damage to the anterior motor horns
motor neurons are damaged in the pons and medulla
paralysis

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6
Q

What’s the deal with echovirus?

A
picornavirus
aseptic meningitis
myocarditis
URI
**get outbreaks in the summer months
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7
Q

What are the 2 causes of the common cold?

A

rhinovirus–picornavirus

coronavirus

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8
Q

What’s the deal with the coxsackie virus?

A
hand foot and mouth disease
aseptic meningitis
myocarditis
pericarditis
herpangina
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9
Q

Which of the picornaviruses are enteroviruses?

A

poliovirus
echovirus
coxsackievirus

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10
Q

What is the structure/function of the hepevirus?

A

non-enveloped
ssRNA, linear
HEV

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11
Q

What’s the deal with the caliciviruses?

A

non-enveloped
SSRNA, linear
norovirus–viral gastroenteritis
**Taking a cruise off the coast of California

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12
Q

What is the structure of flaviviruses?

A
enveloped
SSRNA linear
HY DSW shoes
HCV
Yellow fever
Dengue
St. Louis Encephalitis
West Nile Virus
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13
Q

What’s the deal with yellow fever?

A

flavivirus
aedes mosquitoes
monkey or human reservoir
Fever, black vomit (coffee ground emesis)
Jaundice
Hemorrhagic disease-purpura, petechiae, epistaxis
Histo: councilman bodies (eosinophilic apoptotic globules) in liver

Subsaharan Africa
South America

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14
Q

What is the deal with dengue?

A

mosquito-form
Break bone fever–muscle/joint pain
Retro-orbital HA
Hemorrhagic fever

Tourniquet test–see petechiae when you leave the BP cuff on

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15
Q

What are the arboviruses that can cause encephalitis?

A
arbovirus-arthropod vector
St. Louis encephalitis-flavivirus
Eastern Equine Encephalitis-toga virus
Western Equine Encephalitis-toga
California Encephalitis--bunyavirus
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16
Q

What is the structure of toga viruses? What are they?

A
enveloped 
SSRNA linear
Rubella
Eastern Equine Encephalitis
Western Equine Encephaliits
17
Q

What’s the deal with rubella?

A

Fever
LAD
arthralgias
fine rash

Congenital Rubella Syndrome (toRch)

18
Q

What are the features of congenital rubella syndrome?

A
blueberry muffin
extramedullary hematopoiesis
cardiac defects: patent ductus arteriosus, pulmonic stenosis
cataracts
deafness
19
Q

What are the retroviruses?

A

enveloped
SSRNA linear, 2 copies
HTLV-T cell leukemia
HIV-AIDs

**have reverse transcriptase

20
Q

What are the features of the orthomyxo viruses?

A

enveloped
SS neg. linear

Influenza virus

21
Q

What are the 2 important components of the influenza virus?

What is the risk of the influenza virus?

Who should get it?

A

hemagglutinin–promotes viral entry
neuraminidase–promotes release of viral progeny

**could get super infections w/ S. aureus, S. pneumo, H. influenza pneumonias

> 6 mo you should have it!

22
Q

What is the makeup of the vaccine for flu?

A

Trivalent: 2A, 1 B
Quadrivalent: 2A, 2B

**can get intranasal LAV if you are>2yo and less than 50 yo and not sick or pregnant

23
Q

What are the features of the paramyxoviruses?

A
enveloped
SS neg. strand linear
PaRaMyxovirus
Parainfluenza-Croup
RSV
Measles, Mumps
24
Q

What are the features of croup?

A
caused by parainfluenza virus
laryngeo-tracheo-bronchitits
seal-like barking cough
inspiratory stridor
steeple sign on X-ray

**severe: pulsus paradoxus

Treatment: epi, dexamethasone, O2

25
What are the important features of RSV?
bronchiolitis and pneumonia brassy cough, expiratory wheezing, resp distress seen in winter months F fusion protein fuses w/ other cells and get a giant syncytium
26
What is the treatment sometimes used for RSV?
palivizumab | but mainly supportive
27
Which conditions are caught during the winter months? Summer months?
Winter months: RSV ROtavirus Influenza Summer: Enteroviruses, coxsackie, polio Arboviruses
28
What is ribavirin and what does it help with?
guanosine analog drug competitively inhibits IMP dehydrogenase helps w/ Hep C and RSV SE: teratogen, hemolytic anemia
29
What are the 2 drugs to treat Hep C?
ribavirin | IFNalpha
30
What are the important features of measles?
``` aka RUbeola 3Cs cough coryza-runny nose conjunctivitis Koplik spots maculopapular rash head-->feet ``` Vit A may help
31
What are the important features of mumps?
Mumps uses POM POMS Parotitis Orchiitis-->infertility Meningitis
32
What are the rhabdoviruses?
enveloped SS neg. linear RNA Rabies
33
What are the important features of rabies?
bullet-shaped capsid negri bodies on histo Fever, malaise N/V-->agitation, photophobia, hydrophobia, hallucinations, hypersalivation-->paralysis, coma, death **travels up peripheral nerves to CNS via retrograde transport
34
What are the important features of the filoviruses?
encapsulated single stranded neg. RNA Ebola Marburg
35
What are the important features of Ebola virus?
targets endothelial cells, phagocytes, hepatocytes begins with fever, myalgia then D/V diffuse hemorrhage, DIC, shock *transmission via direct contact w/ bodily fluids
36
Which viruses and bacteria can you contract from animal urine?
hantavirus lass virus LCM virus bacteria-leptospirosis
37
What are the important features of the hantavirus?
bunyavirus hemorrhagic fever pulmonary syndrome: fever, pulmonary edema, resp failure spread by aerosolized mouse urine
38
What are the important features of H1N1?
Swine flu flu + GI symptoms give oseltamivir or zanamivir
39
What are the important features of H5N1?
Avian flu severe URI, GI, fever, pancytopenia, increased ALT/AST treat w/ oseltamivir