Viruses Flashcards
Hep B family and features
Hepadnavirus
DNA virus that is envloped
Env gene products
- gp120
- gp41
CMV Dx:
Owl-eye inclusion in biopsy material and urine
Parvovirus major family of
B19
Treatment of suspected Rabies
- Postexposure prophylaxis
- One dose of human Rabies Ig
- Five dose of rabies vaccine (day 3, 7, 14, 28)
- Killed virus vaccine
Mumps symptoms and complications
Symptoms
Bilateral parotitis with fever, headache, and malasie
Complications
Pancreatitis, orchitis, and meningoencephalititis
Only DNA virus NOT ds
Parvo
HIV capsid protein
p24
Hep D family and features
No family
Circular RNA in envelope
Peak incidence of Picornaviridae
Summer/fall
HIV core nucleocapsid protein
p7p9
Major viruses of Pox family
- Variola
- Vaccinia
- Molluscum contagiosum
Kaposi sarcoma caused by
AIDs pts with HHV-8
EBV Target cell and receptor
B lymphocytes
CD21=CR2
Hep B disease presentation
Acute, occasionally severe
Chronic
Primary hepatocellular carcinoma, cirrhosis
Rabies is what family of viruses
Rhabdovirus
Hemagglutinin is
Surface glycoproteins that bind to sialic acid receptors
Negative sense RNA
Template strand
Reovirus transmission and disease
- Fecal-oral/respiratory
- Common cold, gastroenteritits
B19 pathogenesis
Infects erythroid progenitor cells resulting in cell lysis causing Anemia only significant to pts with Sickle cell
School-aged child to adult
Acute viral gastroenteritis (noninflammatory)
Cruise ship
Norwalk
Calicivirdae
Meningoencephalitis due to HSV
Fever, headache, confusion
Focal temporal lesion
Plantar warts due to HPV are what serotype
1
Rubella disease
German measles
Positive sense RNA
Coding strand
Congenital Rubella syndrome symptoms
- PDA
- Pulmonary stenosis
- Cataracts
- Microcephaly
- Deafness
ss(-)RNA viruses carry
RNA-dependent RNA polymerase
Hep A family and features
Picornavirus
RNA virus in Naked Capsid
Koplik spots are
Seen in measles
Maculopapular rash from the ears down => giant cell pneumonia
Coxsackie A diseases
- Hand, foot and mouth
- Herpangina
- Aseptic meningitis
- Acute lymphoglandular pharyngitis
- Common cold
German measles symptoms
Erythematous rash begins on face and progresses to torso
- Young adult with ARD
- Swimmers and shipyard workers with nonpurulent conjunctivitis
- Daycare: viral gastroenteritis
Adenovirus
Which DNA virus has virion-associated polymerase
Hepadnavirus
Poxvirus
Pain Results From Our Bunions Always
ss(-)RNA viruses
- Paramyxovirus
- Rhabdovirus
- Filovirus
- Orthomyxovirus
- Bunyavirus
- Arenavirus
Hep C family and featuers
Flavivirus
RNA virus in Envelope
- Young adults (wrestling, swim team)
- Umbilicated warts
- Eosinophilic cytoplasmic inclusion bodies
Molluscum contagiosum
Poxviridae
VZV latent in
Dorsal Root Ganglia
EBV malignancies
- Burkitt lymphoma (c-myc oncogene)
- Nasopharyngeal carcinoma (Asia)
- Hodgkin lymphoma
- Synchronous rash begins in mouth and spreads to face and body
- Guarnieri bodies (intracytoplasmic inclusions)
Variola/smallpox
Poxviridae
Roseola cuased by
HHV-6
Paramyxovirus viruses
- Mumps
- Measles
- RSV
- Parainfluenza
Rabies virus binds to
Nicotinic Acetylcholine receptors
What is used to DX HSV?
Tzank smear to show the formation of multinucleated giant cells and Cowdry type A intranuclear inclusion
Flavivirus viruses
- Yellow fever
- Dengue
- St. Louis encephalitis
- Hep C
- West Nile Virus
Call Henry Pico Flo To Come Rightaway
Positive Sense Viruses
- Calici virus
- Hepevirus
- Picorna
- Flavivirus
- Togovirus
- Corona virus
- Retro virus
Only DNA virus not Icosahedral
Pox: brick-shaped
- Heterophile-negative mononucleosis in children and adults
- Neonate with Jaundice, hepatosplenomegaly, thrombocytic purpura
- Owl-eye intranuclear inclusion bodies
CMV
Ebola is what type of virus
Filovirus
HIV target cell and receptor
Th cells, Macrophages, Microglia
CD4 plus CCR5 or CXCR4
CMV latency in
Mononuclear cells
Rhinovirus target cell and receptor
Resp epithelial cells
ICAM-1
Fusion proteins action
destabilizes host membrane
Phenotypic mixing
When related viruses coinfect cell then the resulting proteins on the surface are a mixture capsid of the two viruses
Internal NA remains the same
Hepevirus viruses
Hep E
Most +ssRNA viruses intermediate Replicative form
-ssRNA
Downey cells
Atypical reactive T cells due to EBV latency in B cells
Measles virus distinguishing characteristics
Hemagglutinin glycoprotein and fusion protein
No neuraminidase
Rotavirus transmission and disease
Fecal-oral
Gastroenteritis with no blood or pus
Only dsRNA virus
Reovirus
CMV disease
- Cytomegalic inclusion disease
- Mononucleosis
- Interstitial pneumonitis
- CMV retinitis
Hep E family and features
Hepevirus
RNA virus in Naked capsid
+RNA virus mRNA transcribed from
-RNA made
Antigenic drift
- Influenza A and B
- Slight changes in antigenicity due to mutation in H and/or N
- Causes epidemics
B19 disease in fetus
- Sever anemia
- Congestive heart failure
- Hydrop fetalis
- Spontaneous abortion
B19 disease in children/adults
- Fifth diesase causing Erythema infectiosum, slapped cheek fever
- Flu-like symptoms with facial rash
Togovirus viruses
- Rubella
- WEE, EEE
- Venezuelan encephalitis
Polyomaviridae viruses
BK (Renal disease in AIDs)
JC (PML in AIDs)
HIV matrix protein
p17
HSV is latent in
Trigeminal ganglion
Measles virus pathogenesis
Ability to cause cell:cell fusion leading to giant cells
Viruses can escape immune detection
PEE Co Rn A Viruses
Picornaviruses
- Polio
- Entero
- Echo
- Coxsackie
- Rhino
- A Hep
Which Hep is transmitted fecal-oral
Hep A and Hep E
Pardon PaPa As He Has Pox
DNA virus
- Parvo virus (Naked)
- Papilloma (Naked)
- Polyoma (Naked)
- Adenovirus (Naked)
- Hepadna (Envoloped)
- Herpes (Envoloped)
- Pox (Envoloped)
Neuraminidase is
clips off sialic acid thus aiding in release of virus
Reoviridae viruses
- Reovirus
- Rotavirus
- Colorado Tick Fever Virus
Rabies target cell and receptor
Neurons
Ach receptors
Pharyngoconjunctivitis chx
Swimming pool conjunctivitis, pink eye
Fever, sore throat, coryza and red eye
NONPURULENT
Calicivirus viruses
Norwalk
Noro-like virus
Only DNA virus that doesn’t replicate in nucleus
Pox
- Young adult with fever, lymphadenopathy, splenomegaly
- Downey type 2 atypical T lymphocytes
- Heterophile (monospot) postive
EBV
Polio pathogenesis
Virust targets anterior horn motor neurons
Antigenic shift
- Influenza A only
- Genetic reassortment
- Coinfection with 2 different strains of Influenza A with reasortment of segments of genome
- Produce new agent
- Pandemics
Only naked RNA viruses
- Picornavirus
- Calicivirus
- Hepevirus
- Reovirus
Genital HSV latent in
Sacral Nerve Ganglia
Virion-associated polymerase carried by
- Reovirus
- Arenavirus
- Retrovirus
Cytomegalic inclusion disease
- Jaundice
- Hepatosplenomegaly
- thrombocytic purpura (Blueberry muffin baby)
- Penumonitis
- CNS damage
Hep A disease presentation
Mild acute
No chronic
No sequellae
Rabies symptoms
- Flu-like
- Hydrophobia
- Seizures
- Disorientation
- Hallucination
- Coma
- Death
Arboviruses are
- Togavirus encephalitis
- Flavivirus
- Bunyavirus
EBV diseases
- Heterophile-positive mononucleosis, “kissing disease”
- Lymphoproliferative disease
- Hary oral leukoplakia
What is found in DX of HPV
Koilocytic cells (cells with perinuclear cytoplasmic vacuolization)
Negri bodies found in
Rabies
ROBA
Segmented RNA viruses
- Reovirus
- Orthomyxovirus
- Bunyavirus
- Arenavirus
Common warts due to HPV are what serotypes
2 and 4
Pol gene products
- Reverse transcriptase
- Integrase
- Protease
Hep B intermediate replicative form
ssRNA
In +RNA retrovirus mRNA transcribed from
dsDNA intermediate
Herpesviridae viruses
- HSV
- VZV
- EBV
- CMV
- HHV-6
- HHV-8
Herpesviridae features
Intranuclear inclusion bodies
Establishes latency
Adenovirus diseases
- ARD and pneumonia
- Pharyngoconjunctivitis
- Epidemic Keratoconjunctivitis
- Acute hemorrhagic cystitis
- Gastroenteritis
Mumps distinguishing characteristics
Single Hemagglutinin Neuraminidase glycoprotein and Fusion protein
Adenovirus pathogenesis
Penton fibers act as hemagglutinin
Gag gene products
- Group-specifc antigens
- p24
- p7p9
- p17
Measles presentation
3 C’s
- Cough
- Coryza
- Conjunctivitis
Hep C disease presentation
Acute is usually subclinical
Most chronic
Primary hepatocellular carcinoma, cirrhosis
Coxsackie B disease
- Bornholm disease (Devils Grip)
- Aseptic meningitis
- Severe sytemic disease of newborn
- Myocarditis