(2) Herpes, and Poxvirus Flashcards
(113 cards)
Cytomegalovirus (CMV)
Official name
Human Herpesvirus 5
Cytomegalovirus (CMV)
Most common cause of
iral congenital infection (Infection of the newborn babies)
can lead to severe abnormalities
Cytomegalovirus (CMV)
nfection is common during?
during childhood and adolescence
Cytomegalovirus (CMV)
infections are typically?
asymptomatic
(severe infections can occur in immunocompromised patients)
Cytomegalovirus (CMV)
Mode of transmission
transplacental, oral, sexual and by blood and tissue transplant
CMV: Pathogenesis
what happen when the virus is acquired from the blood, tissue or other body fluids
CMV cause a productive infection of the epithelial cells
CMV: Pathogenesis
In immunoncompromised patients, reactivating CMV diseases develops?
severe presentation
CMV: Pathogenesis
Site of latency
T-cells, macrophages, monocytes, and renal tubules
CMV: Clinical Manifestation (findings)
Enumerate the disease involve:
- Congenital Infection
- Postnatal Infection
- pneumonitis, gastrointestinal infection and encepalopathy
CMV: Clinical Manifestation (findings)
Can result in death of the fetus in utero
Congenital Infection
CMV: Clinical Manifestation (findings)
for congenical infection, the Cytomegalic inclusion disease of newborns Characterized by
involvement Of the central nervous system and reticuloendothelial systems
CMV: Clinical Manifestation (findings)
clinical findigns under the congenital infection
- ntrauterine growth
- retardation
- jaundice
- hepatosplenomegaly
- thrombocytopenia
- microcephaly
- retinitis
CMV: Clinical Manifestation (findings)
infections mononucleosis like illness (heterophil antibody negative)
Postnatal infection
main distinction from IM of the EBV
CMV: Clinical Manifestation (findings)
TOF
Signs and symtoms are alike with IM of the EBV
T - heterophil antibody negative yung main difference
CMV: Clinical Manifestation (findings)
pneumonitis, gastrointestinal infection and encepalopathy
Immunocompromised Patients
Lab Diagnosis: CMV
enumerate
- Isolation of Virus
- Direct Microscopy Examination
- Serology
- Molecular Assay
- Antigemia Test- Rapid test in serology
Lab Diagnosis: CMV (isolation)
what should be isolated from the virus?
Human Diploid Fibroblast (HDF) cell
Lab Diagnosis: CMV (isolation)
appearance of cytologic changes occurs after 2-3 weeks
Human Diploid Fibroblast (HDF) cel
Lab Diagnosis: CMV (isolation)
Cytopathic effect?
SWOLLEN TRANSLUCENT CELLS WITH LARGE INTRANUCLEAR INCLUSION
Lab Diagnosis: CMV (isolation)
For rapid method
DEAFF TEST (Detection of early antigen fluorescent foci)
Lab Diagnosis: CMV (isolation)
process of DEAFF Test
Specimen is inoculated into cell culture and examined after 24 hours by immunofluorescence for expressed CMV encoded early proteins (this is what looked for)
Viral proteins fluoresce
Lab Diagnosis: CMV (Direct microscopic)
what are the specimen for GIEMSA Stain
Urine or tissue
Lab Diagnosis: CMV (Direct microscopic)
what inclusion should be seen from PAP or Giems stain (Urine/tissue)
“OWL EYE” inclusion
Lab Diagnosis: CMV (Serology)
ANtibody tests
serology