+ve sense RNA Viruses Flashcards
Flavi viruses and diseases
Hep c , dengue fever , yellow fever , West Nile virus
Dengue fever symptoms
Thrombocytopenia , hemorrhagic fever , renal failure
Dengue fever other name is
Break bone fever
Yellow fever symptoms
Jaundice , Back ache , bloody stool , black vomitus
Yellow fever has
Live attenuated vaccine
West Nile virus symptoms
Encephalitis , meningitis , seizures
Flaccid paralysis , coma
Hepatitis C is a member of
Flavivirus family
Hepatitis C transmission
Blood transfusion , needle sharing or sticks, placental , breast feeding and sex
Hepatitis C show ,,,,,,,
Antigenic variability of enveloped proteins
Antigenic variability of hep C due to
No proofreading of 3-5exonuclease activity
Hep C outcomes
Cirrhosis
Hepatocellular carcinoma
During acute infection of Hep C
ALT will rise and fall by 6 months
Hep C associated with
Cryoglobulins
Hep C treatment
Ribavirin + interferon alpha
Protease inhibitors
Picorna family transmitted by
Feco-oral route “except Rhino virus”
Picorna family include
Hepatitis A , Enteroviruses , Rhinovirus
Enteroviruses include
Poliovirus , Coxsackie A and B , Echovirus
Enteroviruses are the number one cause of
Aseptic meningitis (CSF glucose normal , No organisms , elevated protein) , children are at high risk
Rhinovirus is acid ……..
Labile
Rhinovirus transmitted by
Fomites أدوات معدية or contaminated hand of respiratory secretions
Rhinovirus enter the host cell by
Attachment to ICAM-1
Rhinovirus grow best at
Cooler temperature (around 33c)
Rhinovirus cause
URI
Rhinovirus has different
many serotypes
Hepatitis A is acid ……..
Stable
Picorna family are
Naked viruses
Picorna family
Produce one long polyprotein cleaved by viral protease
Hepatitis A transmitted by
Feco-orally and contaminated water , shellfish in developing countries
Hepatitis A commonly seen in
Travelers to endemic areas
Hepatitis A cause
Jaundice is adults , acute anecteric hepatitis in infants and young children
Smokers with Hepatitis A develop
Aversion (كره) to smoking
Notes about Hep A
One month only of symptoms
Self limiting
No carrier
Inactivated vaccine for
Hep A
Poliovirus is ………………. and transmitted by
Acid stable , feco-oral route
Replication of polio occurs in
Peyer’s patches
Poliovirus affect
The anterior horn of spinal cord
Poliovirus symptoms
Asymmetric paralysis , respiratory insufficiency , viral meningitis
Polio vaccines
Oral Sabin (live attenuated ), injectable Salk (killed)
Oral Sabin vaccine create
IgA response
Coxsackie A associated with
Hand , foot and mouth disease(Red vesicular rash), aseptic meningitis
Coxsackie A infection common in
Summer months
Coxsackie B cause
- Dilated cardiomyopathy
2. Devils grip(Bornholms disease/pleurodynia)
Calicivirus is
Naked virus
The most common calicivirus is
Norovirus
Norovirus outbreaks common in
Daycare centers and schools
Consumption of shellfish is associated with
Norovirus infection
Norovirus cause
Explosive watery diarrhea
Calicivirus produce
One long polyprotein cleaved by viral protease
Togavirus has two types
Arbovirus , Rubella virus
Arbovirus subtypes
Western , eastern and Venezuelan
Arbovirus cause
Encephalitis
Rubella Childhood exanthem “skin rash” it’s symptoms :
.Postaurciular and occipital lymphadenopathy
.Rash starts at the head and move downward
(Move Faster than measles)
Rubella transmission via
Respiratory droplets
Congenital rubella classic triad:
- patent ductus arteriosus
- congenital cataract
- sensory-neural deafness
Other congenital rubella symptoms :
Blueberry muffin rash , Jaundice
Adult rubella cause
Polyarthritis
HIV positive patients should receive MMR vaccine only when
CD4 count above 200
Like picorna , Togavirus produce
One long polyprotein that cleaved by viral protease
Big Buzzword(key word ) about Rubella infection
Immigrant
Rubella other name
German measles
Diploid RNA positive virus is
Retro virus
Gag gene make
P24 , which is the capsule for RNA strands
Env gene make
Gp120 surface protein and Gp41 transmembrane protein
HIV one of the ………… infection
TORCHES
HIV initially infect
Macrophages
HIV infections first symptoms
Flu or mono-like symptoms , lymphadenopathy
AIDS diagnosed when
CD4+ cells <200
HIV associated disease
Diffuse large B cell lymphoma
HIV gains entry via
CCR5 in early stages and CXCR4 in late stages
Screening test for HIV by………… and confirmation done with…………..
ELISA test , western blot
HAART
NRTIs (nucleotide reverse transcriptase inhibitors )like zidovudine for pregnant patients.
NNRTIs(non-nucleotide reverse transcriptase inhibitors)
Protease inhibitors
CCR5 inhibitors like Maraviroc
Corona virus is
Helical Encapsulated +ve sense RNA virus
Corona virus cause
Common cold
Acute bronchitis can lead to acute respiratory distress syndrome