West Nile Virus Integration Flashcards

1
Q

structure of west nile virus

A

single stranded RNA
negative sense
enveloped
continuous genome w/ 10 major genes

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2
Q

what do the 10 major genes code for

A

1/3 code for structural proteins
2/3 code for replication proteins (non-structural)

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3
Q

how does the outer surface of WNV change

A

changes when released

intracellular: spiked outer surface
extracellular: flat outer surface

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4
Q

how did WNV spread to the US

A

entered in New York from a closely related strain from Israel

unknown transmission - migratory birds, infected mosquitoes, illegal pets, tourists, commerce, domestic animals, etc

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5
Q

reservoir for WNV

A

all bird species

causes high mortality in American crows

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6
Q

vector for WNV

A

mosquitoes

can from from birds to mosquitoes and mosquitoes to birds

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7
Q

dead end hosts for WNV

A

humans and horses

do not achieve high enough viremia to spread to mosquitoes during a bite

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8
Q

what time of year is WNV most common

A

June through November due to mosquito transmission

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9
Q

where is WNV most common

A

Midwest

abundant in dry places due to limited water resources bringing birds and mosquitoes in close proximity

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10
Q

how can transmission risk be tracked for WNV

A
  1. clinical confirmed human and equine infections
  2. viral isolation or RNA in mosquitoes and dead birds
  3. sentinel chicken seroconversion (chickens do not achieve high viremia)
  4. wild bird seroconversion
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11
Q

equine WNV

A
  • low morbidity (majority are asymptomatic)
  • high mortality

WN fever: febrile, mild depression

CNS disease: depression or anxiety, ataxia, paresis, paralysis, muscle fasciculation, recumbency
- acute onset most common

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12
Q

WNV diagnostics

A
  1. IgM capture ELISA (differentiates infected vs vaccinated)
  2. PCR
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13
Q

WNV treatment

A
  • supportive therapy
  • anti-inflammatories
  • sling
  • hyperimmune plasma

prognosis is poor if CNS disease

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14
Q

WNV prevention

A

vaccination w/ annual booster in the spring

want to boost adaptive immunity right before mosquito season

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