25. Flavivirus Flashcards
(76 cards)
what is a well-known flavivirus?
yellow fever
describe the clinical features of yellow fever
PERIOD OF INFECTION:
- minor symptoms: headache, nausea, dizziness
Some can resolve infection but some progress to
PERIOD OF INTOXICATION:
- severe infection: jaundice, haemorrhage, malaise
- 50% recover, 50% die
what was the Yellow Fever Commission? what were the results?
to prove that yellow fever was transmitted by mosquitos
volunteers were bitten by mosquitos that had fed on yellow fever patients –> got mild disease but quickly recovered –> still insufficient evidence
what were the Mosquito Brigades?
fumigate mosquitos to eradicate disease in Panama –> it worked!
why did yellow fever remain in areas where they eliminated the mosquitos?
mosquitos were only a vector –> non-human primates are the stable and persistent reservoir
development of YFV vaccine (4 stages)
- isolated virus from yellow fever survivor
- grew virus in mice
- passaged in monkeys
- > 100 passages in chicken eggs to form 17D vaccine strain
describe the 17D vaccine strain of yellow fever
attenuated virus that can grow and replicate without pathogenesis –> but still had some neurotropism and viscerotropism
baltimore class of flavivirus?
class 4 (+RNA)
is flavivirus enveloped or naked?
enveloped
shape of flavivirus capsid?
icosahedral
size of flavivirus capsid?
40-60nm diameter
3 characteristics of flavivirus
- monopartite
- linear
- 9.6 - 12.3 kb
6 main viruses in flaviviridae family
- mosquito-borne flavivirus
- insect-specific flavivirus
- tick-borne flavivirus
- NKV flavivirus
- hepacivirus
- pestivirus
what does NKV mean?
no known vector flavivirus
biggest group of flavivirus?
mosquito-borne flavivirus
who does Japanese encephalitis affect?
Children and immunocompromised adults
who does West Nile encephalitis?
Elderly, immunocompromised, and chronically ill patients
what transmits the Japanese Encephalitis Virus?
mosquitos –> JEV = arbovirus
2 primary hosts of JEV
- birds
- pigs
1 incidental/dead-end host of JEV
Humans
number of JEV cases in humans each year? mortality?
30,000 - 50,000 cases in humans each year –> 25-30% mortality
4 symptoms of JEV
- fever
- headache
- vomiting
- neurologic symptoms
JEV treatment?
no treatment –> just supportive care
JEV vaccine?
either formalin inactivated or live attenuated
recommended for travel >1 month