URTI Flashcards
Describe rhinovirus
Icosahedral, non-enveloped positive sense single-stranded linear RNA virus
What family does Rhinovirus belong to?
Picornavirus
Rhinovirus is the most common cause of what?
common cold (more common in fall and winter)
T or F. Rhinovirus is acid labile
T. Destroyed by stomach acid
How is rhinovirus transmitted?
person-to-person via respiratory droplets or indirectly by respiratory droplets on hands
Pathogenesis of rhinovirus
virus binds to ICAM-1 on respiratory epithelial cells and elicits inflammation to cause vasodilation, mucous secretion, and stimulation of sneeze and cough reflexes
What is the incubation period of rhinovirus?
2-4 days (illness lasts about 1 week)
Treatment of rhinovirus?
Supportive only
Describe coronavirus
Helical, enveloped, + sense single-stranded linear RNA that accounts for 15-20% of URTIs
active in winter in a 2-3 yr cycle
T or F. Coronavirus does NOT cause LRTIs
T. except SARS and MERS
What else can coronavirus cause?
GI illness
Describe Bordetella pertussis
small coccobacillary, encapsulated gram negative rod
What disease does Bordetella pertussis cause?
Whooping Cough
What major toxin does Bordetella pertussis use?
A-B toxin
What does A-B toxin do?
stimulates adenylate cyclase by catalyzing the addition of ADP-ribosylation to the inhibitory subunit of the G protein complex, resulting in overactive cAMP- dependent protein kinase activity which impairs phagocytosis
How is Bordetella pertussis transmitted?
airborne droplets (very contagious)
What are the stages of Bordetella pertussis infection?
- catarrhal (2 wks of mild URT symptoms)
- paroxysmal (2-3 months of severe cough)
- Convalescent (1-2 wks of cough reducing)
How is Bordetella pertussis diagnosed?
- Nasopharyngeal swab (PCR)
- Culture
- CBC With LYMPHOCYTOSIS
Why is lymphocytosis seen Bordetella pertussis?
pertussis toxin inhibits signal transduction by chemokine receptors, resulting in failure of lymphocytes to enter lymphoid tissue such as spleen and lymph nodes
How is Bordetella pertussis treated?
-Azithro for all regardless of age or symptom presentation (if given very early it can shorter course duration but if given later the toxin has probably already damaged the respiratory mucosa BUT will reduce risk of complications such as PNA or respiratory failure)
Describe Corynebacterium diphtheriae
gram + pleomorphic bacillus, club shaped
Pathogenesis of Corynebacterium diphtheriae
A-B toxin blocks protein synthesis by inactivating elongation factor 2 (EF-2) by ADP ribosylation AND
can induce formation of a pseudomembrane
How does Diphtheria present?
gradual onset of:
- sore throat
- malaise/fatigue/fever
- cervical LAD (‘bull neck’)
- neuropathies
How does Diphtheria affect the heart?
myocarditis 7-14 days after onset of respiratory symptoms