spreadsheet Flashcards
flaviviruses (virus types)
hep C; St louis encephalitis virus; west nile virus; yellow fever virus; dengue virus
flaviviruses (subclasses)
hepacivirus and arboviruses
arboviruses
st. louis encephalitis virus; west nile virus; yellow fever virus; dengue virus
arboviruses - enveloped?
enveloped
arboviruses - nucleic acid/structure
+ssRNA
arboviruses - virion structure
icosahedral
St. Louis encephalitis virus - transmission route
arthropods (mosquitoes; urban/rural habitat), wild/domestic birds
west nile virus - transmission route
arthropods (mosquitoes; urban/rural habitat), wild/domestic birds
dengue virus - transmission route
Aedes aegypti mosquito, humans
yellow fever virus - transmission route
humans, Aedes aegypti mosquito (jungle yellow fever can infect tree mosquito and monkeys…tree mosquito infects human, which then is bitten by Aedes aegypti)
st. louis encephalitis virus - diseases caused
encephalitis
west nile virus - diseases caused
encephalitis
yellow fever virus - diseases caused
yellow fever
dengue fever virus - diseases caused
Classical Dengue (“bone-break fever”), dengue hemorrhagic fever (fatal)
st. Louis encephalitis - general epidemiology
how long are the two incubation periods?
Are human’s dead end hosts?
requires multiplication in arthropod host (usually 2 incubation periods; intrinsic 7 days in humans; extrinsic 14 days in arthropod), humans are dead-end hosts b/c not high enough viremia
west nile virus - general epidemiology
How long are the two incubation periods?
Are humans dead end hosts?
requires multiplication in arthropod host (usually 2 incubation periods; intrinsic 7 days in humans; extrinsic 14 days in arthropod), humans are dead-end hosts b/c not high enough viremia
yellow fever virus - general epidemiology
Where is this virus endemic?
only in rural tropical Africa and South America
dengue fever virus - general epidemiology
Where is this virus endemic?
Are humans dead end hosts?
found in tropics/subtropics, esp in S.E. Asia and Caribbean islands, humans are not dead-end hosts
st. louis encephalitis - epidemiology
How old are the usual infected patients?
What percentage of cases are fatal?
Where is this virus endemic? Where is this virus found?
Generally infects adults over 50yo, 10% cases fatal (mostly in elderly), many subclinical infections, St Louis from N America, West Nile from N Africa and Middle East
west nile virus - epidemiology
What age are the infected patients?
What percentage of cases are fatal?
Where is this virus endemic? Where is this virus located?
Generally infects adults over 50yo, 10% cases fatal (mostly in elderly), many subclinical infections, St Louis from N America, West Nile from N Africa and Middle East
yellow fever virus - epidemiology
What is the mortality rate?
Are there ever subclinical infections?
High mortality, some subclinical infections
dengue virus - epidemiology
is this virus fatal?
how many subtypes of this virus exist?
severe but not usually life-threatening disease, 4 antigenic types
st. louis encephalitis virus - pathogenesis
how long is the incubation period?
Where does the virus first multiply during viremia?
What are the prodromal symptoms?
What are the full infection symptoms?
Encephalitis after 7 day incubation period, viremia from multiplication in vascular endothelium, prodromal febrile malaise followed by encephalitis with paralysis/coma/death
west nile virus - pathogenesis
Where does the virus first multiply during viremia?
What are the prodromal symptoms?
What are the full infection symptoms?
Encephalitis after 7 day incubation period, viremia from multiplication in vascular endothelium, prodromal febrile malaise followed by encephalitis with paralysis/coma/death
yellow fever virus - pathogenesis
Where is the primary infection?
Where are the secondary infection sites?
Primary infection in vascular endothelial cells, then viremia, then secondarily infects liver and other organs (spleen, kidney)
dengue fever virus - pathogenesis
Explain dengue hemorrhagic fever development
dengue hemorrhagic fever from massive macrophage infection –> cytokine storm (after sequential infections w/2 diff antigentically cross-reacting dengue viruses)
arboviruses - incubation period in humans?
about 7 days
st. louis encephalitis virus - signs and symptoms?
fever, malaise
west nile virus - signs and symptoms
fever, malaise
yellow fever virus - signs and symptoms
fever, nausea, jaundice
dengue virus - signs and symptoms
fevere, severe headache, muscle and joint pains, rash… dengue hemorrhagic fever causes patient to vomit blood/hemorrhage/go into shock (most often in native pop)
yellow fever virus - What kind of vaccine?
How long is protection?
live-attenuated vaccine (17-D vaccine) gives lifelong protection
togaviruses - subclasses
1) arboviruses (zoonoses)
2) nothing (Rubella is a Togavirus, but not an arbovirus)
togaviruses - virus types
western equine encephalitis virus; eastern equine encephalitis virus; rubella
togaviruses - enveloped?
enveloped
togaviruses - nucleic acid/structure
+ssRNA
togaviruses - virion structure
icosahedral
western and eastern equine encephalitis virus - transmission route
wild birds, mosquitoes (humans and horses dead-end hosts)
rubella virus - transmission route
airborne
western and eastern encephalitis virus - diseases caused
encephalitis
rubella virus - diseases caused
Rubella (German Measles), congenital rubella
western equine encephalitis virus - general epidemiology
What is the habitat of this virus?
mosquito habitat - rural
eastern equine encephalitis virus - general epidemiology
How dangerous is this virus?
How old are the usual infected patients?
In what habitat is this virus found?
most deadly arbovirus encephalitis in US, mostly infects children in swampy/wetland areas (mosquito habitats)
rubella virus - general epidemiology
how is this virus spread?
Where in the body does the virus multiply?
Does viremia occur?
Is rubella more or less contagious than measles?
airborne
after multiplies in respiratory epithelium
viremia develops
less contagious than measles
western equine encephalitis virus - epidemiology
What percentage of cases are fatal?
Are there subclinical infections?
What age groups (name two) are the infected patients?
10% clinical cases fatal
many subclinical infections
infects infants and adults over 50 yo
eastern equine encephalitis virus - epidemiology
What percentage of cases are fatal?
Are there subclinical infections?
What age group are the usual infected patients?
75% clinical cases fatal, some subclinical infections, generally infects children under 10 yo
rubella virus - epidemiology Are there subclinical infections? How severe in adults? What is a common symptom? How long is immunity after infection?
sometimes subclinical infection
can be more severe in adults
can cause transient arthritis
all infections produce lifelong immunity
western equine encephalitis virus - pathogenesis
Who are dead-end hosts?
Who are the vectors?
humans and horses are dead-end hosts, virus maintained by birds and mosquitoes
eastern equine encephalitis virus - pathogenesis
Who are the dead end hosts?
Who are the vectors?
humans and horses are dead-end hosts, virus maintained by birds and mosquitoes
rubella virus - pathogenesis
Where does this virus multiply?
Is there vertical transmission? If so, what type of vertical transmission?
multiplies in respiratory epithelium… can cross placenta during pregnancy to cause congenital rubella (earlier infectied, more likely to have defects -esp 1st trimester)
eastern and western equine encephalitis virus - incubation period in humans?
7 days
rubella virus - incubation period in humans?
18 days
rubella virus - signs and symptoms
rash lasts 3 days with fever/lymphadenopathy…
congenital rubella can cause cataracts/heart defects like patent ductus arteriosus/deafness/retardation of child (also spontaneous abortion)
rubella virus - vaccines
What type?
How many doses?
live-attenuated vaccine (MMR; 2 doses)
parvovirus - virus type
parvovirus B-19
parvovirus B-19- enveloped?
non-enveloped
parvovirus B-19 - nucleic acid/structure
linear ssDNA
parvovirus B-19 - virion structure
icosahedral
parvovirus B-19 - transmission route
airborne
parvovirus B-19 - diseases and symptoms caused
Transient aplastic crisis
erythema infectiosum (childhood rash = slapped cheek)
hydrops fetalis if infected in first or second trimester
parvovirus B-19 - general epidemiology
Are there subclinical infections?
What is the most common symptom?
What is effect of infection during pregnancy?
often subclinical infection, can cause acute arthritis (most common symptom), infection during pregnancy can cause fetal death via edema (hydrops fetalis)
parvovirus B-19 - epidemiology
Who is affected most severely?
Patients with pre-existing RBC deficit (anemia, sickle cell anemia) have more severe infection = Transient Aplasic Crisis
parvovirus B-19 - pathogenesis
What cells does paro B-19 infect?
Why are certain patients more susceptible to consequences?
infects RBC precursors (inhibits RBC production during incubation)
patients with either anemia or sickle cell anemia are susceptible due to their already low RBC counts.
parvovirus B-19 - incubation period
7 days
parvovirus B-19 - signs and symptoms
normal people have asymptomatic infection OR ///fever, malaise, rash (erythema infectiosum caused by immune complexes)… keratitis presents with red eye/irritation/photophobia (can cause blindness)
parvovirus B-19 - chemotherapy ie what is treatment?
Passive immunization with pooled IgG for people with immunological defects that result in prolonged anemia
papovaviruses - subclasses
Polyomavirus (now its own family apart from Papovaviruses but this is not in our notes)
papovaviruses
What viruses are part of papovirus class?
papilloma virus (HPV); JC virus
papovaviruses - enveloped?
non-enveloped
JC virus - nucleic acid/structure
circular dsDNA