Virus Flashcards
DNA virus
Enveloped
HHP
Hepadna (Hep B)
Herpes (1-8)
Pox (a/e chicken pox, vaccinia Variola MC)
DNA
Non enveloped
PAP
Papova (HPV, JC, SV40)
Adeno
Parvo (B19)
Smallest overall
Parvo B19
Pox symmetry
Only virus with Complex symmetry
RNA enveloped
RFT
Retro (HIV, HTLV)
Flavi (HepC)
Toga (chikunginia, rubella)
Arena - lassa Bunya - hanta Orthomyxo - influenza Paramyxo LARGEST RNA Rhabdo Rabies Filo ebola Corona Delta - HepD
Largest virus overall
Pox virus
KFD JE Dengue Yellow fever Zika HEP C
Arbovirus 🦔
⬇️
FLAVI
RNA non enveloped
PCR
Picorna SMALLEST RNA Hep A Polio
Calci - Hep E
Reo - rota
Picorna
- Entero
- Rhino
Entero -
Polio
Cocksackie
Hep A
Rhino 🤷🏻♀️
RNA or DNA
RNA and DNA
Or VIRUS
And BACTERIA
Symmetry is given by?
Capsid (protein) around the NA
Icosahedral
HH
PAP
RFT
PCR
Complex
Pox and
Helical
Extra enveloped RNA list
Segmented virus
RAMBO Rota/reo 11 - HIGHEST Adeno 2 M Bunya 3 Orthomyxo 8
Rest ALL non segmented
ds RNA
Reovirus
ss DNA
Parvo
All have linear NA except helical NA by?
DNA
- Hep B
- HPV
RNA
- Arena
- Bunya
HA - hemagglutination
NA - elution by binding to SIALIC ACID RS ON RBC
HA - all virus NA - IMP Influenza Parainfluenza Mumps
RNA negative 🎞 sense strand
Arena Bunya Orthomyxo Paramyxovirus Rhabdo Filo
Intranuclear
Intracytoplasmic
Both
Intranuclear COWDRY
Intracytoplasmic CPR
Both MEASELS
Intranuclear
HAY BAP
Cowdry A - Herpes and Yellow fever
B - Adeno and Picorna/polio
Intra cytoplasmic
CPR
Chlamydia
Pox
Rabies
Torres bodies
Yellow fever
Owl eye 👁
CMV
Lipshutz
HSV
Paschen
Variola
Guarneri
Vaccinia
HPaterson
MC
Bollinger
Fowl pox
Warthin finkedly
MEASELS
Negri
Rabies
Adsorption Penetration Uncoating - reveals NA Biosynthesis Assembly Mature Release
Steps of viral replication
Penetration via Endocytosis Pino Phagocytosis EXCEPT
Hiv - membrane fusion
Bacteriophage - never enters
Release by
Lysis
Budding
Lysis - non enveloped
Budding - enveloped (HOST DERIVED )
Animal inoculation
Embryonated egg Cx
Tissue Cx
Viral culture methods
NEED LIVE CELLS
Animal inoculation MICE mc
Embryonated egg Cx
Tissue Cx MC
Sucking mice
- cerebral
- foot pad
Cerebral - Coxsackie
A - flaccid paralysis
B - spastic
Foot pad - Mleprae
Parts of embryonated egg
Yolk sac
Amniotic cavity
Allantois (C shape)
CAM
CAM
HSV
Pox mc
Allantois
Amniotic cavity
Influenza
Mumps
Yolk sac
HSV
Arbo
Chlamydia
Ricketssia
Vaccines cultured in
Allantoic cavity
Allantoic cavity (large)
YIR
Yellow fever
Influenza
Rabies
Tissue culture
- organ Cx
- explant
- cell Cx
- organ Cx Tracheal ring
- explant Minced adenoid
- cell Cx mc
•primary
•diploid
•continuous
Chick embryo fibroblast 🐥
Rhesus monkey 🐒 kidney
Human embryonic kidney
Primary cell Cx
Human diploid fibroblast (lung )
Diploid cell Cx
Lung
WI38
MRC5
Hela Hep 2 Mc coy BHK Vero MC
Continuous cell line
African green monkey 🐒 kidney cells
Vero
Detection of viral growth
Cytopatho effect
Viral interference (one virus with another)
IF
CPE of Entero
Rapid crenation
CPE of MEASELS
Syncitium formation
CPE of HSV
Ballooning of cells
CPE of SV40
Vacuolation
CPE of adeno
Grape like clusters 🍇
GRANULOMA CLUMPS
Virions vs Viroids
Virions - infectious virus
Viroid- plants 🪴 infections
Viral assay
Quantal
Quantitative
Quantal - presence or absence
EM PCR HA
QUANTITATIVE- exact no of virions
POCK - CAM
PLAQUE - Tissue Cx Monolayer Cx
Types of interferons
iF- cytokines (human proteins)
Host specific not virus 🦠 specific
Type 1 INF alpha and beta
2 INF gamma
3 no name
INF alfa - leukocytes
INF beta - fibroblasts
Innate immunity
Both TYPE 1
INF alpha and beta MOA
Induces host cell ⬇️ TIPS translational inhibition proteins ⬇️ Aborts disease
Acquired immunity
5-7 days to develop Ab
⬇️
Activated T cells
INF gamma
Type 2
IgM disappears in
5-6 months
INF Alfa and beta ⬇️ Stimulate NK cells ⬇️ INF gamma
🧗🏻♀️
Virus infects SPECIFIC bacteria
Bacteriophage via bacterial identification
C diph
Transduction
Phage cycles
Phage injects Nucleic acid
⬇️
1. Lysogenic
2. Lytic
NA of phage incorporated into bac
as prophage
⬇️
Bacteria has property of phage
Lysogenic conversion
12 Live vaccines
BCG, OPV, Rota and MMR
Small pox, Chicken pox, typhoid and cholera
Flavi😷: JE, Dengue FDA ❌, yellow fever, influenza (intranasal spray)
Culex (2)
JE
FILARIA
Quadrivalent
Penta
Hexa ?
Quad- DPT and Hib
Penta - DPT Hib and Hep B
Hexa - Rota
Aedes aegypticus > albopictus
Dengue
Yellow fever
Chikunguinia
Zika
Hep A Family Stability Enveloped Symmetry Genome Age Route IP Onset Complication Chronicity Carrier state Rx
Family PICORNA Stability STABLE Enveloped NON Symmetry ICOSA Genome SS LINEAR NON SEGMENTED RNA Age YOUNG ADULTS AND CHILDREN Route FECO ORAL IP 15-45 Onset ACUTE Complication NO Chronicity NO Carrier state NO Rx SYMPTOMATIC
Hep B
Family Stability Enveloped Symmetry Genome Age Route IP Onset Complication Chronicity Carrier state Rx
Family HEPADNA Stability LABILE Enveloped ENVELOPED Symmetry ICOSA Genome DS DNA CURCULAR Age ALL AGES Route BBB IP 3m Onset GRADUAL Complication YES/HCC Chronicity YES Carrier state YES Mc Rx Peg INF and LAMI
Hep C
Family Stability Enveloped Symmetry Genome Age Route IP Onset Complication Chronicity Carrier state Rx
Family FLAVI Stability LABILE Enveloped ENVELOPED Symmetry ICOSA Genome SS LINEAR RNA Age ALL AGES Route BBB IP 3m Onset GRADUAL Complication CRYOGLOBULINEMIA Chronicity YES Carrier state YES Rx Protease inhibitors
Hep D
Family Stability Enveloped Symmetry Genome Age Route IP Onset Complication Chronicity Carrier state Rx
Family DELTA Stability LABILE Enveloped YES Symmetry HELICAL Genome SS LINEAR RNA Age ALL Route BBB IP 3m Onset GRADUAL Complication HCC Chronicity YES Carrier state YES Rx hep B
Hep E
Family Stability Enveloped Symmetry Genome Age Route IP Onset Complication Chronicity Carrier state Rx
Family CALCI Stability STABLE Enveloped NON Symmetry ICOSA Genome SS LINEAR RNA Age YOUNG ADULTS Route FECO ORAL IP 1m Onset ABRUPT Complication NO Chronicity NO Carrier state NO Rx SYMPTOMATIC
Only cultivable Hep virus
Hep A
IOC for Hep A
IgM
Not PCR ❌ (Hep C ✅)
S gene
P gene
X gene
C gene
S gene Pre S1 Pre s2 and S
P gene LARGEST
X gene HCC
C gene 🧬 Pre c and C
Pre c - HbEAg
Spherical particle
HbSAg
Filamentous particle identical to this
Dane particle
Hbsag ➕ hbeag ➕ hbcag
Sero types of Hep B in India
Mc - adr and ayw
Others Adw Ayr Adr Ayw
Daw Ray dar way (the radar way)
Qualitative and quantitative Hep B markers
Quality- Hbeag
Quantitative- hbv copy number
1st to appear epi marker
HbSAg
Easy to detect epi marker
Anti hbc IgM
Hep B immunisation
0,3,6
Mc indication of liver transplant
HCC
HHV1
HSV 1
Above umbilicus - orofacial
HHV 2
HSV 2
mc below umbilicus
70% genitals
Mc than HSV 1
HHV 3
VZV
10% chicken pox
90% reactivation Herpes zoster/shingles
HHV 4
EBV
IMN
HHV 5
CMV
mc torCh
Mc post transplant
HHV 6
HBLV
6th disease
Exanthema subutum
HHV 7
RK virus
HHV 8
Kaposi sarcoma
Sporadic encephalitis
Temporal lobe
MOLLARET MENINGITIS
WHITLOW
HSV 1
CNS # children
Resp tract # adults - pneumonia
Preg - Fetal varicella syndrome (lips 💋 hypoplasia)
Chicken pox
No complication after which herpes
HSV 2
Latency
HSV 1
2
VZV
HSV 1- orofacial so Trigeminal
HSV 2 - dorsal root or sacral ganglia
VZV - both
Trigeminal - herpes zoster or shingles
Geniculate - Ramsay hunt
Sacral
Dx of herpes
Tzanck smear
⬇️
Multinucleate giant cells
Preg mom infection with herpes 2-0-5 days peri partum Rx?
Baby
VZIG
VZV oka vaccine
Atypical lymphocytosis
IMN EBV
EBV receptors CD21 CR 2 LMP 1 EBNA 2
CR 2 - in infected cell
LMP and EBNA - malig transform
Nasopharyngeal CA Gastric CA Lymphoma Oral hairy leukoplakia DUNCAN SYNDROME
LMP1 and EBNA 2
⬇️
EBV
B cell lymphoma
Hodgkins
Burkitts
CNS lymphoma
Heterophile Ab
Sharing epitopes of Ag of 2 diff virus (EBV and Sheep)
Paul bunnel test
IMN/ atypical lymphocytes
Paul bunnel ➖
Mc post transplant
Mc immunocomp
CMV
Small pox vaccine by ?
Edward Jenner
Pearly white umbilicated lesion
Molluscum contagiosum
MCV1 mc
MCV 2 - STD
3,4
Cervical cancer HPV
Genital warts
16, 18, 31,38,48
6,11
Cervarix
Gardasil
Cervarix - 16.18
Gardasil- 6.11.16.18
0,2,6
Adeno
RTI children
1,2,5,6
Adeno 4,7
ARDS
Adeno 3,7,14
Acute follicular conjunctivitis
Adeno 11,21
Hemorrhagic cystitis
Adeno 40,41
Diarrhoea
Parvo
- normal and healthy
- immunocomp
- preg
Normal -
Children - 5th disease (ery infectiosum)
Adults - Joints #
Immunocomp- Aplastic anemia, sickle cell, hemolysis
Preg - non immune hydrops
Simian virus Chimpanzees
Central Africa CD-R Congo
More virulent
HIV 1
Simian SOOTY MAGABAY
West Africa
Resistant to NNRTI
HIV 2
Gag gene
P18 - shell 🐚
P24 - core
P15
Pol gene
3 enzymes ♾
Polymerase
RT
Integrase
Tat / tex HIV HTLV
Vpx HIV 2
Vpu HIV 1
Others vpr, vif, rev, nef.
Non structural genes
HIV receptors
CD 4
Ccr5 - resistant to HIV
Cxcr4
Sequence of HIV replication
RNA
DNA
DNA
RNA
Acute IMN
Glandular fever, kissing disease
Acute hiv syndrome
Opportunistic CNS hiv
Cryptococcosis meningitis
Opp eye infection hiv
CMV retinitis mc
Candida endoph
Oral hiv opp inf
Candidiasis mc
Hairy leukoplakia
Window period 3w-3m no Ab in this stage. Tested via ?
Ag detection
P24
NA PCR
Reservoir : Rats and squirrels 🐿
Amplifier - Monkeys
Vector - hard tick
KFD
Reservoir - birds ducks and heron Amplifier - Pig Vector - culex 5-15 years <15 days
JE
Live - SA14142
Killed - Beijing and nakayama
Iceberg phenomenon which virus 1:1000
JE
Polio
A aegypticus
Den 2 most virulent
1-5 5 strains
Dengue
Saddle back
Break bone 🍖 fever
Rash
LN pathy
Classical dengue fever
Mechanism of complication
DHF
DSS
ADE
Ab dependent enhancement
Macrophage protects the new Ag that’s bound to old Ab
Thrombocytopenia (<1 lakh)
Raised hematocrit (>20%)
Tourniquet test (>20)
Spontaneous bleeds
Dengue
Dengue
Most specific
Most sensitive
Most accurate(sensitive +Specific) 🏅 std
Most specific - NS1
Most sensitive MAC ELISA
Most accurate(sensitive +Specific) Neutralisation test
Yellow fever
Congo CF
Zika
Flavi
Adult - Guillian barre
Baby - microcephalic
Zika
Mutation in EI A 226 V
Dx - MAC ELISA
Chuckunginua
German measles
FORSHEIMER SPOTS in soft palate
Rubella
Early CRS
Late CRS
Early - triad SNHL, PDA and SALT AND PEPPER
Late - no Cong. Only blue berry muffin rash
Live mr strain
RA 27/3
Entero virus in picorna
⤵️
All cause aseptic meningitis 🧠
Poilio Cocksackie a and b Echo Entero 70 Hep A
Entero virus 72
Hep A
Acute hemorrhagic conjunctivitis
Entero virus 70
Picorna
Muscle diseases
Cocksackie B
Picorna
Herp angina and Hand foot and mouth
Cocksackie A
Wild - Type 1
VDPV - 2
VAPP - 3
Polio
Earliest change in polio
Chromatolysis
Degen of nissl granules
Polio
Mc muscle
1st muscle
Only muscle affected in hand
Mc muscle - Quadriceps
1st - tibialis anterior
Hand - opponens pollicis
Herd immunity %?
66%
Cart wheel
3 layer capsid
11 segments ds RNA
Rota
Live oral - intussusception
Mc sero type - G1P8
H1N1 - swine
H3N2 seasonal flu
H5N1 avian or bird flu MC
- pandemic
- pneumonia
Influenza A humans
Rye syndrome
GI symptoms
Epidemic
Influenza B
Endemic
No complications
Influenza c
Ag Shift
Sudden change
⤵️
Genetic 🧬 recombination
PANDAMIC
Ag Drift
GraDual change
⤵️
Point mutation
Endemic
Gold std Dx influenza
Neutralisation
Genetic recombination of 4 strains
2 swine
1 human
1 bird
Pandemic H1N1 strain
Free from rabies
Australia
Andaman and Nicobar
All except MICE
Never a viremia
Rabies
⤵️
Neurotropic (3mm/h)
Isolated from naturally infected person Pathogenic Encephalitis IP>1wk Negri bodies ➕Hippo and cerebellum
Street virus
Wild polio
Serially intracerebral passage in rabbit 🐇
Non path
Encephalitis <1wk
No negri
Fixed virus
Antemortem rabies Dx
Post mortem
Saliva parotid
Corneal smear
Skin form nape of neck
CSF
Post - brain bx
Bleeding 🩸 in animal bite
Cat 3
Wound ➕ RIG ➕ ARV
Cat 2
Wound ➕ ARV
Adult sheep brain
Sucking mice brain
Neural ARV
Egg based - duck/chick
Tissue Cx - primary chick embryo, HDCV, vero cell
Recombinant subunit
Non neural rabies
Essen
IM
0.3.7.14.21/28
11111
Thai Red Cross
ID
0.3.7.21/28
2222
Pre ex Px
0.3.7.14.21/28
1-0-1-0-1
Pre ➕ post ex Px
0.3.7.14.21/28
1-1-1-0-0
Filamentous structure
Fruit bats
Ebola