Viruses Flashcards
Adenovirus Basics
Where: upper + lower respiratory tract
What type: naked DNA
Geography/season: worldwide, no seasonality
Risk: younger than 14, crowded areas
Transmission: contact with respiratory secretions, contaminated swimming pools, fingers to eyes, infects mucoepithelial cells in respir. and GI tract
Adenovirus Infection
Infants/young: respiratory disease
Children: pharyngoconjunctival fever (flu + pink eye)
Infants, young, military, immunocomp.: pneumonia
GI virus: types 40 and 41
Adenovirus Laboratory
Molecular detection*
Antibody/antigen
Cell culture
Antiviral: none
Vaccine: serotypes 4,7
Human Bocavirus Basics
Where: upper and lower respiratory
What type: naked DNA
Geography/season: worldwide, late winter/spring
Risk: children
Transmission: contact with respiratory secretions
Human Bocavirus Infection
Self limiting
Wheezing/bronchiolitis in young children
Gastroenteritis in children (~30%)
Most prevalent in children 6 months - 3 years
Human Bocavirus Laboratory
Molecular, ab/ag
Antiviral: none
Vaccine: none
Coronavirus Basics
Where: upper + lower respiratory tract
What type: enveloped RNA
Geography/season: worldwide, fall/winter but can be whenever
Risk: unvaccinated, younger/infants, cardiopulmonary disease, elderly, immunocomp.
Transmission: contact with respiratory secretions, direct exposure to droplets on mucous membranes, touching membranes with hands
Coronavirus Infection
Common cold (2nd most common cause)
15% of upper respir. tract infections
SARS (atypical pneumonia)
Gastroenteritis
Coronavirus Laboratory
Molecular, antigen POCT
Antivirals: yes
Vaccine: yes
Enterovirus Basics
What type: naked RNA
Geography/season: worldwide, summer/autumn
Risk: everyone, <18 yo more likely to show symptoms
Transmission: fecal-oral, contact with secretions (fomites possible)
Asymptomatic shedding up to 1 month
Enterovirus Infection
and laboratory
Fever, runny nose, sneeze, cough
Asthmatic children: wheezing, breathing problem
Acute flaccid myelitis: sudden onset limb weakness (outbreaks)
Antivirals: yes
Vaccine: no
Molecular
Hantavirus Basics
What type: enveloped RNA
Geography/season: common in summer
Risk: everyone
Transmission: rodent contact, inhaling aerosolized excretions
Sin Nombre and Seoul virus
Hantavirus Infection
HANTAVIRUS PULMONARY SYNDROME (HPS)
- caused by Sin Nombre virus
1-8 weeks post exposure, a lot in western US
Fatigue, fever, muscle ache, cough, shortness of breath, respiratory failure, death within days (38% fatality)
HEMORRHAGIC FEVER WITH RENAL SYNDROME
- caused by Seoul virus
Many mild cases, headache, back and abd. pain, fever, nausea, blurred vision, rash
Low blood pressure, vascular leakage, acute kidney failure (1-15% fatality)
Hantavirus Laboratory
Antibody, molecular
Antiviral: no
Vaccine: no
Influenza Basics
Where: upper and lower resp. tract
What type: enveloped RNA, type A and B
Geography/season: worldwide, winter
Risk: unvaccinated, elderly, immunocomp., cardiac or respiratory problems
Transmission: contact with secretions, school children, infectious aerosols
Influenza Antigenic Changes
Shifts: major change in surface antigens
Genetic recombination, can cause pandemic
Drifts: minor change in surface antigens
Point mutations in gene segment
Influenza Infection
Acute influenza (adults): rapid fever, malaise, myalgia, sore through, cough
Acute (children): like adults, higher fever, GI tract symptoms, vomiting, otitis media, myositis, croup
Complications: primary pneumonia, secondary bacterial pneumonia, cardiac problems, encephalitis, neurological issues
Influenza Laboratory
Antigen POCT, molecular, cell culture, EIA
Antiviral: yes
Vaccine: yes
Human Parainfluenza Basics
Where: upper + lower resp. tract
What type: enveloped RNA
Respirovirus 1 and 3
Rubulavirus 2 and 4
Geography/season: worldwide
Respirovirus 1 - autumn every other year
3 - spring, summer
Rubulavirus 2 - autumn every other year
4 - autumn, winter
Risk: all, more severe for infants
Transmission: contact with respir. secretions
Human Parainfluenza Infection
Cold like symptoms
Croup (barking cough) - respirovirus 1, rubulavirus 2
Bronchiolitis, bronchitis + pneumonia - respirovirus 3
Human Parainfluenza Laboratory
Molecular, culture
Antivirals: no
Vaccine: no
Human Metapneumovirus
Where: lower respir. tract
What type: enveloped RNA
Geography/season: worldwide, late winter/spring
Risk: all, more severe for infants
Transmission: contact with secretions
Human Metapneumovirus Infection
and laboratory
Cold like symptoms
Bronchitis or pneumonia
Antiviral: no
Vaccine: no
Molecular, antigen
Respiratory Syncytial Virus (RSV) Basics
Where: upper and lower respir. tract
What type: enveloped RNA
Geography/season: worldwide, winter
Risk: all, more severe for infants and elderly
Transmission: contact with secretions
Respiratory Syncytial Virus (RSV) Infection
and lab
Most common cause of severe lower respir. tract disease in infants + young children
Cold like symptoms, bronchiolitis, pneumonia
Molecular, antigen POCT, culture
Antiviral: no, monoclonal antibody yes
Vaccine: for >60 y/o in 2023
Mumps Virus Basics
Where: upper respir. tract
What type: enveloped RNA
Geography/season: worldwide, late winter/spring
Risk: unvaccinated, immunocompromised
Transmission: contact with secretions (droplet)
Mumps Virus Infection
and lab
Asymptomatic to mild, flu-like, parotitis
Severe: inflammation of testicles, ovaries, pancreas, meningitis, deafness
Molecular, antibody, presentation, culture
Antiviral: no
Vaccine: MMR vaccine yes
Rhinovirus Basics
Where: upper resp. tract
What type: naked RNA
Geography/season: worldwide, early autumn/spring
Risk: all, children 2 colds a year, adults 1 cold a year
Transmission: contact with secretions
Rhinovirus Infection
and lab
Most common cause of cold
>100 serotypes
Asymptomatic to mild
Severe lower resp. disease
Molecular, presentation, culture
Antivirals: no
Vaccine: no
Arbovirus Basics
Type: enveloped RNA, CNS
La Crosse, St. Louis Encephalitis, West Nile, Zika
When: summertime
Risk: outdoors, age, endemic travel
La Crosse Virus General
Type: arbovirus
Where: eastern half of US, wooded areas
Transmission: mosquito
Infection: mostly asymptomatic, fever
* Severe: encephalitis, comas and siezures, younger than 16 biological risk for severe disease
Antivirals: no
Vaccine: no
St. Louis Encephalitis Virus General
Type: arbovirus
Where: throughout USA
Transmission: mosquito
Infection: mostly asymptomatic, fever, headache
* Severe: >60 years old riskier, encephalitis/meningitis, death
Antivirals: no
Vaccine: no
West Nile Virus General
Type: arbovirus
Where: worldwide
Transmission: mosquito, blood transfusion
Infection: mostly asymptomatic, West Nile Fever
* Severe: >60 years old, encephalitis
Antivirals: no
Vaccine: no
Zika Virus General
Type: arbovirus
Where: South America
Transmission: Aedes mosquito, congenital, blood transfusion, sexual
Infection: mostly asymptomatic, fever, Guillain-Barre syndrome
* Pregnant women: microcephaly newborns, fetal loss, preterm
Antivirals: no
Vaccine: no
Cytomegalovirus Basics
Type: enveloped DNA
Herpes family
Transmission: body fluid contact, transplants/fusions, congenital
Risks: neonates
Cytomegalovirus Infection
Life long, reactivation possible
Mononucleosis: fever, sore throat
Congenital: rash, jaundice, microcephaly, hearing loss common
Immunocompromised: pneumonia, failure of organ transplants, retinitis
Cytomegalovirus Laboratory
Molecular, antibody
Antivirals: yes
Vaccine: no
Poliovirus Basics
Type: enveloped RNA, CNS
Enterovirus family
Transmission: fecal oral, resp. secretions
Risk: endemic travel
Poliovirus Infection
Flu like symptoms
Severe: meningitis, paralysis, muscle pain weakness
Poliovirus Laboratory
Stool culture, molecular in stool, antibody
Antivirals: no
Vaccine: yes
Echovirus and Parechovirus Basics
Type: enveloped RNA
Entervirus family
Transmission: respi. secretion
Risk: older children, all at risk
Echovirus and Parechovirus Infection
and lab
Flu like if mild
Severe: meningitis, rare paralysis
Molecular, antibody, culture
Antivirals: no
Vaccine: no
John Cunningham Virus Basics
Type: naked DNA
Transmission: urine or respir. secretions
Where: worldwide, no seasons
Risk: everyone
John Cunningham Virus Infection
Lifelong, reactivation possible in immunocompromised
Progressive multifocal leukoencephalopathy (PML) damages myelin that covers nerves in brain
AIDS, organ transplants, cancers, immunosuppressed patients at risk