Virology II - Mclean Flashcards
Picornaviridae -> 2 types.
Enterovirus
Hepatovirus
Enterovirus -> 5 viruses. Which is different?
Poliovirus
Coxsackie virus A
Coxsackie virus B
Echovirus
Rhinovirus: cannot tolerate acid. still considered an enterovirus.
Rhinovirus facts:
Rhinovirus - grow best at 33 degrees C.
Acid labile
multiply in the nasal passages
Poliovirus facts:
Hardy survivor in water sources
Pathogenesis: Transmission: ingestion
Invades brain / spinal cord (1%)
Anterior horn cells of the spinal cord
Paralysis
Poliovirus
clinical findings:
Viral ASEPTIC meningitis
progressive postpoliomyelitis muscle atrophy (muscle deteriorates after infection)
Vaccines of Poliovirus:
Killed (Salk) vaccine - main one used
Live - attenuated (Sabin) Vaccine
Herpangina:
Hand / Foot / Mouth syndrome:
IMPORTANT
BOTH FROM COXSACKIE A VIRUS:
Herpangina: ulcers / sores inside mouth. Mainly oral cavity thats affected. Have PAPULOVESICULAR LESIONS
HFM syndrome: lesions in oral cavity, hands and feet. GINGIVA NOT AFFECTED
Coxsackie Viruses:
oral related stuff
very important
Coxsackie A: Herpangina - ulcers and sores inside the mouth, **: not associated with gingivitis. mainly posterior portion of mouth
- Hand, foot, and mouth syndrome. Note: Gingiva not infected
Coxsackie B: Pleurodynia (pain when breathing - lungs affected) Myocarditis/ Pericarditis. (heart infected)
Echoviruses (Enteric Cytopathic human orphans)
classic question:
Most common cause of Viral (aseptic) meningitis
Target question:
What is the main cause of common cold?
Rhinovirus
Only enterovirus caused from inhalation. all others are ingestion.
Coronaviruses:
general features
Glycoprotein spikes (appears as a halo) in envelope
Coronaviruses:
clinical findings, comparison to rhino:
Second main cause of common cold
more nasal discharge than rhino, but less coughing than rhino.
generally limited to upper respiratory tract
SARS-CoV-2:
Can cause pneumonia, multi-organ failure, this one generally targets LOWER respiratory tract. (lungs)
Orthomyxoviridae:
Influenza found in this family.
Influenza general features:
genetic reassortment: major exchange of genetic material
antigenic shift ^
(note: antigenic drift = minor changes, like point mutations)
Structure / composition of Influenza Viruses:
Unique feature: Multiple nuclear capsids (8). Each RNA associated protein has a gene, so you have segmented genes.
Influenza A, B, C:
Only Influenza A and B cause significant human disease
Only influenza A have subtypes based on hemagglutinin and neuraminidase (outer proteins)
Typically, the inner proteins are whats responsible for different types, but for type A, outer proteins are responsible too.