The 4 major hemorhagic viruses Flashcards
All VHF viruses are what kind of viruses?
RNA
Name the 4 VHF viruses
Arenaviridae, bunyaviridae, Floriviridae, flavivirida
Arena, bunya, flora, flavi
Two flaviviruses
Dengue fever and yellow fever
What is the structure of flavi?
enveloped +RNA
Describe the flavivirus replication process
- Enters via pH dependent receptor mediated endocytosis
- +RNA genome is translated into one polyprotein which is cleaved to give viral polymerase and structural proteins
- Virions bud into intracellular organelles and are transported to surfact via exocytic pathway
What happens in a flavivirus infection?
Mosquito bites, virus initially replicates at the site.
Virus seeds itself in secondary target tissue, Macrophage, spleen, lymph….This is when you get flu-like symptoms
Secondary viremia starts, if no immune response you get yellow fever hepatitis….Dengue virus infects endothelial cells and leads to hemorrhagic feartures.
Dengue Fever
Mostly aquired abroad…four serotypes (1,2,3,4)
Infection with one serotype does not provide protection to the others.
True
If you have been infected with dengue once, it is more serious the second time.
True
Dengue symptoms
Flu like, rash, treatement with fluids and tylenol
What is the more severe form of Dengue fever
Dengue hemorhagic fever…characterized by severe thrombocytopenia, leads to intense capillary leakage
Is it important to get a lab confirmation for Dengue fever?
Yes…it can appear very similar to other illnesses like malaria.
How do you test for Dengue
Look for 4 fold raise in antibody titer in IgG or IgM.
How do you treat Dengue hemorrhagic fever
Platelett transfusion and fluid
What does yellow fever presesnt as?
flu-like, progresses to hemorhagic fever, jaundive (hence the yellow), black vomit