Rubella Flashcards

1
Q

What family of virus is this deck about?

A

Togaviridae

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2
Q

What two viruses are included in the Togaviridae family

A
  1. Rubella(German Measles)

2. Alphavirus

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3
Q

Genome of Rubella

A
  • positive
  • single stranded
  • RNA
  • 1segment
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4
Q

Capsid shape of Rubella

A

Icosahedral

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5
Q

Is it enveloped?

A

Yes

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6
Q

Inactivated by what?

A
  • chemical agents
  • UV
  • Low pH
  • heat
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7
Q

Replication process for Rubella

A

-positive RNA so immediately binds to ribosome

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8
Q

How is the mRNA of rubella translated

A
  • 2/3 genome is translated into one polypeptide protein
  • polypeptide protein cleaved into 4
  • protease and RNA dependent RNA polymerase
  • 1/3 genome into capsid, envelope
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9
Q

Risk to pregnant woman

A
  • pregnant women: fetal death or congenital defects

- congenital rubella syndrome

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10
Q

Transmission of Rubella

A

-person to person via droplets from respiratory tract

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11
Q

Incubation period of Rubella

A

14 to 21 days

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12
Q

Symptoms of Rubella in children

A
  • rash, low fever, mild conjunctivitis
  • rash on face, neck then body for 1-3 days
  • swollen lymph nodes behind ears and in neck
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13
Q

Additional symptoms of Rubella typically in adults

A
  • arthritis
  • painful joints
  • 3 to 10 days
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14
Q

Description of congenital rubella syndrome

A
  • hearing impairments
  • eye and heart defects
  • autism, diabetes mellitus, thyroid dysfunction
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15
Q

Most common complications from congenital rubella syndrome

A
  1. hearing loss
  2. congenital heart disease including PDA
  3. ocular abnormalities ie cataracts
  4. Microencephaly
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16
Q

Reservoir of rubella

A

Only humans

17
Q

Location of infection by the rubella virus

A
  1. nasopharynx and lungs
    followed by
  2. lymph nodes and monocyte macrophage system
18
Q

Antibodies can prevent which symptoms of rubella

A
  1. primary viremia
  2. secondary viremia
  3. transmission to fetus
19
Q

Epidemiology of Rubella

A
  • eliminated within the United States

- endemic in parts of the world

20
Q

Diagnosis of Rubella

A
  • titres of antibody IgG

- rebulla specific IgM + rash confirms diagnosis =

21
Q

Control for Rubella

A
  • MMR vaccine(measles, mumps, rubella)

- MMRV vaccine(adds varicella)

22
Q

Does Rubella have viremia

A

Yes