Virology II - Mclean Flashcards

1
Q

Picornaviridae -> 2 types.

A

Enterovirus
Hepatovirus

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2
Q

Enterovirus -> 5 viruses. Which is different?

A

Poliovirus
Coxsackie virus A
Coxsackie virus B
Echovirus
Rhinovirus: cannot tolerate acid. still considered an enterovirus.

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3
Q

Rhinovirus facts:

A

Rhinovirus - grow best at 33 degrees C.
Acid labile
multiply in the nasal passages

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4
Q

Poliovirus facts:

A

Hardy survivor in water sources
Pathogenesis: Transmission: ingestion
Invades brain / spinal cord (1%)
Anterior horn cells of the spinal cord
Paralysis

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5
Q

Poliovirus
clinical findings:

A

Viral ASEPTIC meningitis
progressive postpoliomyelitis muscle atrophy (muscle deteriorates after infection)

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6
Q

Vaccines of Poliovirus:

A

Killed (Salk) vaccine - main one used
Live - attenuated (Sabin) Vaccine

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7
Q

Herpangina:

Hand / Foot / Mouth syndrome:

IMPORTANT

A

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

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8
Q

Coxsackie Viruses:

oral related stuff

very important

A

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)

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9
Q

Echoviruses (Enteric Cytopathic human orphans)

classic question:

A

Most common cause of Viral (aseptic) meningitis

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10
Q

Target question:
What is the main cause of common cold?

A

Rhinovirus

Only enterovirus caused from inhalation. all others are ingestion.

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11
Q

Coronaviruses:

general features

A

Glycoprotein spikes (appears as a halo) in envelope

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12
Q

Coronaviruses:

clinical findings, comparison to rhino:

A

Second main cause of common cold
more nasal discharge than rhino, but less coughing than rhino.

generally limited to upper respiratory tract

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13
Q

SARS-CoV-2:

A

Can cause pneumonia, multi-organ failure, this one generally targets LOWER respiratory tract. (lungs)

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14
Q

Orthomyxoviridae:

A

Influenza found in this family.

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15
Q

Influenza general features:

A

genetic reassortment: major exchange of genetic material

antigenic shift ^
(note: antigenic drift = minor changes, like point mutations)

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16
Q

Structure / composition of Influenza Viruses:

A

Unique feature: Multiple nuclear capsids (8). Each RNA associated protein has a gene, so you have segmented genes.

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17
Q

Influenza A, B, C:

A

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.

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18
Q

Hemagglutinin and Neuraminidase

A

Hemagglutinin: attachment, also fuses viral envelope to host cell

Neuraminidase: Release virions from host cell, also lowers viscosity of mucus film. increases susceptibility.

19
Q

Paramyxoviruses - types:
Togaviradiae:

transmitted via

A

Parainfluenza
Respiratory syncytial virus (RSV)
Mumps
Measles (Rubeola)

Togaviridae:
German Measles (Rubella)

Respiratory secretions

20
Q

What is one of the most contagious viruses?

A

Measles. R0 = 18

21
Q

Paramyxoviruses vs orthomyxovirus:

A

Hemagglutinin and Neuraminidase are on the same molecule for paramyxoviruses. They also have something called Fusion Protein (F), which promotes fusion of viral and host cell membranes.

22
Q

Paramyxoviruses properties:

A

Croup: Barking cough due to infection / swelling of larynx
U also see lower respiratory tract infections.

23
Q

Target Question:
What is the most important cause of lower respiratory tract illness in infants / young children?

A

Respiratory Syncytial Virus (RSV), a type of Paramyxiovirus.

24
Q

Measles Oral Infection: can follow something:

Classic Question:

A

Koplix spots: white center, red base lesions on oral mucosa near parotid duct

These are a characteristic of MEASLES (Rubeola)

A day or so after the spots, rashes start from hairline and moves down face and neck.

25
Q

German Measles Oral Infection: Types of spots:

Classic Question:

A

Forchheimer spots - red spots on palate. Not white.

26
Q

Rubeola
Rubella
Roseola Infantum

A

Rubeola: (Measles): Koplic spots
Rubella: (German Measles): Forchheimer spots
Roseola Infantum: Caused by human herpes virus 6

All have rashes

27
Q

Mumps - host response:

A

Swelling of parotid gland. Due to blockage of efferent ducts. Other glands swell too, testes can swell too

28
Q

Papovaviridae

A

HPV part of this family
^ Human Papilloma Virus. This is an STI

29
Q

Infection of HPV mechanism:

A

Infection of basal cells. Begin to multiply.
Migrating to surface, at same time, keratinization going on. Makes warts

Typically u need microbreak in skin that allows virus through to basal cells.

30
Q

Different types of HPV

Important ones:
Classic Question

ORAL RELATED

A

Types 16 and 18: Associated with cervical cancer. can also cause oral cancer.

Gardasil: vaccine towards type 6,11,16,18
Cervarix: vaccine towards type 16, 18.

31
Q

Viral Hepatitis:

Which ones can cause acute vs chronic hepatitis:

Target Question:

A

Acute: ABCDE
Chronic: BCD

32
Q

Jaundice:

A

high level of bilirubin. Yellow eyes. This is a type of hepatitis. Liver is not working properly.

33
Q

How to treat HBV

A

Treat via antivirals such as interferons

34
Q

Hepatitis A:

how is it spread? important

A

PicoRNAviridae family

Transmission: ingestion. enterally.

Note: enterally: ingestion.
parenterally: not ingestion

A and E are spread via ingestion.

35
Q

Hepatitis B:

key features

structure:

A

HepaDNAviridae family

Still has DNA polymerase with RT activity, because in this one it goes from DNA to RNA to back to DNA.

Structure: contains a Dane Particle. only in Hepatitis B
Between capsid and envelope, contain an E antigen.
S antigen = surface antigen. Outer.
C antigen = core antigen, associated with Capsid. Present within Dane particle.

36
Q

structure of Hepatitis B:

important antigens:

Very important slide:*

A

Structure: contains a Dane Particle. only in Hepatitis B

HBsAg: S antigen = surface antigen. Outer.
HBeAg: E antigen = Between capsid / envelope. InbetwEEn.
HBcAg: C antigen = core antigen, associated with Capsid. Present within Dane particle.

When screening for Hepatitis B: U screen for S antigen (surface).

37
Q

When screening for Hepatitis B: how to tell if you have active disease?

A

When screening for Hepatitis B: U screen for S antigen (surface). If you have this antigen, you have active disease. It could be acute or chronic.

If you have antigens for ur S antigen, then there is no active disease.
Note: u will not see both antigens and antibodies together.

If you see IgM: New infection
IgG: Old infection.

If you see E antigen, person is generally very infectious. If you see antibodies for E antigen, then they are not infectious.

38
Q

When screening for Hepatitis B, how do you know if it is acute or chronic disease?

Target question.

A

If S antigen is there for more than 6 months, it is chronic.

Chronic Hepatitis B is when u have S antigen more than 6 months.

39
Q

Most common cause of chronic hepatitis?

A

Hepatitis C

40
Q

Hepatitis C:

transmission:

A

parenterally, sexual contact
primarily transmitted through blood.

41
Q

Hepatitis D:

facts

A

Defective Virus

coinfects with Hepatitis B. Requires it.

42
Q

Hepatitis E:

transmission:

A

transmitted Enterally.

43
Q

Picornaviridae
Coronaviridae
Orthomyxoviridae
Paramyxoviridae
Togaviridae
Papovaviridae

A

Picorn: Entero / Hepato.
- Entero -> Poliovirus / Coxsackie virus A / Coxsackie virus B / Echovirus / Rhinovirus
- Hepato -> HAV
Coronaviridae: SARS CoV-1 / SARS CoV-2
Ortho: Influenza A / B / C
Para: Parainfluenza / Respiratory syncytial virus (RSV) / Mumps / Measles (Rubeola)
Toga: German Measles (Rubella)
Papo: Human Papilloma Virus (HPV)

Hepatitis viruses: HAV, HBV, HCV, HDV, HEV