Viral Zoonoses II Flashcards

1
Q

What are characteristics of poxviruses?

A

BIG brick-shape particles

Complex (neither icosahedral nor helical)

Genome = double-stranded, linear DNA

Only DNA virus that replicates solely in the cytoplasm

Resistant to inactivation

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2
Q

What are the symptoms of smallpox?

A

Disfiguring disease with high mortality

Spread by secretions from mouth and nose and by material from pocks or scabs

Flesh colored pocks cover the body, mostly on the face and trunk
- also cover palms and soles of feet

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3
Q

What are the symptoms of Molluscum contagiosum infection?

A

Wart-like, 2-5mm papular lesions on the face, back, and buttocks

  • mainly on children

Spread via towels in swimming pools and gymnasiums (direct contact)

Self-limiting after 4-6 months, but second attacks are common

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4
Q

What are symptoms of tanapox and yabapox?

A

Skin infection (fairly common) in Africa

Transmission from infected animals by contaminated arthropods

Infection begins with a fever and severe headache fro 3-4 days before 1-2 papular, but never pustular, lesions

Self limiting (5weeks)

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5
Q

What is an Orf lesion?

A

Vessicular lesion caused by a poxvirus of sheep or goats

cowpox and vaccinia can cause lesion as well

(often seen in farmers/taxidermists)

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6
Q

What is monkeypox?

A

Pox virus infection (vaccinia immunization is protective)

Serious (1-15% fatality)

Very rare

Reason for exotic animal control

Primary lesions may show dark ulceration and spread to secondary lesions

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7
Q

How is diagnosis of rabies made?

A

Staining the brain

  • Direct Fluorescence antibody stains used
  • H&E shows eosinophilic cytoplasmic inclusion bodies known as negri bodies
    (aggragate of viral protein)
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8
Q

What are characteristics of SARS?

A

caused by SARS coronavirus

Symptoms of Acute Respiratory Distress Syndrome (ARDS)

Diagnosis should be considered only in patients who require hospitalization for radiographically confirmed pneumonia and who have epidemiologic history that raises suspicion

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9
Q

What are symptoms of arbovirus infections?

A

Flu-like symptoms - usually non-specific, resembling other viral illnesses such as influenza (fever, rash, aches, chills)

Encephalitis may occur in:
VEE/EEE/WEE
West nile
St. Louis encephalitis
California sero-group
Japanese encephalitis

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10
Q

How are arboviruses diagnosed?

A

Serology

Direct detection tests - assays for detection of antigen or nucleic acids are available

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11
Q

What are characteristics of West Nile Virus?

A

Arthropod borne flavivirus

+ sense RNA

Spread by Culex mosquito

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12
Q

What are important flaviviruses?

A

West Nile virus

Japanese encephalitis

Yellow fever

Dengue fever

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13
Q

What are symptoms of Japanese encephalitis?

A

Transmitted by Culex mosquitos

Most infections are subclinical
1 in 300 develop life-threatening encephalitis

Diagnosis by serology

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14
Q

What are characteristics of Yellow Fever?

A

A flavivirus

Occurs in two forms:
Jungle YF is the natural reservoir
- non-human primate/mosquito life cycle
human infection is incidental

Urban YF is transmitted between humans by Aedes aegypti mosquito

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15
Q

What are symptoms of Yellow Fever?

A

Chills

Fever

Headache

Generalized myalgias

GI complaints (N/V)

GI hemorrhage leads to “black vomit”

Liver involvement causes jaundice

50% mortality - no antiviral tx

Affective live attenuated vaccine

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16
Q

What are characteristics of Dengue?

A

Flavivirus

4 serotypes

Transmitted by Aedes mosquitos

Human infections arise from human-mosquito-human cycle

17
Q

What are symptoms of Dengue?

A

High fever

lymphadenopathy

Myalgia

Bone and joint pain

headache

maculopapular rash

Severe cases may present with hemorrhagic fever and shock

Diagnosis made by serology

No nativiral therapy or vaccine available

18
Q

What are the symptoms of the equine encephalitis viruses?

A

Flu-like symptoms may progress to encephalitis

Generally resolves w/o sequelae, but may result in:
paralysis
mental disorders
death

(togaviruses transmitted by insects)

19
Q

What are characteristics of Colorado Tick Fever virus?

A

Reovirus

Icosahedral

Non-enveloped, dsRNA, 12 segments

Transmission: Wood tick

Infects erythroid precursor cells and persists
Serious hemorrhagic disease from infection of vascular endothelium

20
Q

What are symptoms of Colorado Tick Fever?

A

Usually mild or subclinical

Symptoms of acute disease resemble dengue and include:
fever
chills
headache
myalgia
athralgia
photophobia
lethargy