htlv Flashcards

1
Q

htlv stands for

A

human t cell lymphotropic virus

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2
Q

what kind of virus is htlv

A

retrovirus - first one discovered

RNA virus- same 3 genes as HIV

-found in people who had leukemia

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3
Q

disease state of HTLV

A

-tends to remain latent in person for long time
-always will have once you get it
-can be asymptomatic for life

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4
Q

how will you know if you have HTLV

A

display symptoms or donate blood and find it

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5
Q

how is HTLV transmitted

A

sexual transmission, contaminated blood, mother to baby (breast milk)

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6
Q

HTLV1 causes

A

adult t cell leukemia

-characterized by lobed flower nucleus

-very progressive once you show symptoms

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7
Q

in HTLV1 if latent for a long time, increased risk of

A

developing t cell leukemia

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8
Q

MADDIEEE

A
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9
Q

HTLV2 transmitted during

A

sexual transmission

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10
Q

HTLV2 leads to

A

different pulmonary diseases and neurological disorders

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11
Q

where is HTLV found

A

Africa, middle and far east, Caribbean

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12
Q

testing for HTLV starts with

A

testing for the antibody

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13
Q

for HTLV if positive, follow up with

A

western blot (confirmatory)

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14
Q

for HTLV If positive on antibody, and negative on western blot=

A

repeat western blot again

-if negative it was a false positive

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15
Q

for HTLV if positive and indeterminate on WB

A

go to molecular

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16
Q

is blood tested for HTLV

A

yes

-look for antibodies and follow the algorithm

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17
Q

leading cause of mosquito borne diseases in US

A

West Nile Virus

18
Q

primary reservoir for west nile

19
Q

vector for west nile

A

culex mosquito - can survive in dry climates

20
Q

accidental host for west nile

A

human and horses - we become dead end host

21
Q

less than 1% of people who get west nile contract

A

meningoencephalitis (most deadly form of virus)

22
Q

is west nile state reportable

23
Q

IgM antibodies in west nile appear

A

3-8 days after onset of illness

-persist up to a year after illness

24
Q

IgG antibodies in west nile

A

persist for life

25
in west nile a Very good indicator of meningoencephalitis
IgM in CSF- too big to cross the blood brain barrier
26
how long are virus particles seen in blood for west nile
very short -PCR/antigen testing should not be only means for testing virus
27
how to screen for west nile
NAT -pool blood together
28
If viremia is so short why don't we just do antibody testing?
only time you transmit is if the antigen particle is present -if blood + discard blood
29
how long is deferral for donating blood is have west nile virus
120 days
30
when is organ screening done in US for west nile
-if live donor!! no organ testing on dead people
31
Causes one of the most deadly arthropod borne viral diseases
dengue fever
32
culprint of dengue fever
ades mosquito -found mainly in tropical and subtropical areas
33
how many sero types of dengue fever
4 types
34
classic dengue fever
-seen the most -abrupt onset of high fever, headache, stomach ache, rash, ache and pain
35
classic dengue fever sometime known as
break bone diease
36
Dengue hemorrhagic fever
Bleeding, severe thrombocytopenia-- can lead to organ damage
37
Dengue Shock Syndrome
Can follow the hemorrhagic form -Continue to hemorrhage--- then cardio vascular involvement --shock and then die
38
post dengue syndrome
Mired of symptoms after you recover for the first time
39
only way to control dengue fever
control the mosquitos
40
testing for dengue fever
Looking for IgM antibodies and/ or virus doing nucleic acid testing