medically important viruses Flashcards
HIV disease
AIDS
Human Immunodeficiency Virus diseases
Retrovirus
HIV
transfer of body fluids, transplacental and perinatal
HIV transmission
attaches to CD4 cell on helper T cells and other cells
HIV pathogenesis
HIV Ab tests
PCR-based assays for confirmation and to asses viral load (the amount of HIV RNA in the plasma)
HIV lab dx
DNA viruses (8)
Herpes simplex virus (HSV) type 1 Herpes simplex virus (HSV) type 2 Varicella-Zoster virus Human Papillomavirus (HPV) Epstein-Barr Virus (EBV) Cytomegalovirus (CMV) Adenovirus Parvovirus B 19
RNA viruses (5)
Rhinoviruses Coronavirus Respiratory Syncytial Virus (RSV) Parainfluenza Virus Influenza Virus
fever blisters
cold sores
keratitis
encephalitis
Herpes simplex virus type 1 (HSV type 1) diseases
saliva or direct contact with vesicle
HSV type 1 transmission
initial vesicular lesion of mouth or face
latent in trigeminal ganglia
HSV type 1 pathogenesis
PCR-based assays
viral cultures
serologic tests
HSV type 1 & type 2 lab dx
Varicella-Zoster virus lab dx
CMV lab dx
herpes genitalis
aseptic meningitis
neonatal infection
HSV type 2 diseases
via sexual contact and birth canal
HSV type 2 transmission
initial vesicular lesions on genitalia
latent in ganglia
HSV type 2 pathogenesis
chickenpox (varicella) and shingles (herpes zoster)
Varicella-Zoster virus diseases
varicella by respiratory droplets
herpes zoster is not transmitted but occurs by reactivation of latent virus
Varicella-Zoster transmission
initial infection begins in oropharynx and spreads to skin
latent in ganglia after initial chickenpox infection
Varicella-Zoster pathogenesis
warts (verrucae)
genital warts (condyloma acuminata)
associated with cervical cancer and cancer of penis
Human Papillomavirus (HPV) diseases
direct contact of skin or genital lesions
HPV transmission
clinical dx
PCR-based assays for HPV DNA are used
HPV lab dx
infectious mononucleosis
Burkett’s lymphoma in E. African kids
Epstein-Barr Virus (EBV)
by saliva
EBV transmission
initial infection begins in pharynx and spread to cervical lymph nodes, then travels to liver and spleen
establishes latency in B lymphocytes
EBV pathogenesis
heterophil Ab positive (mono-spot test)
lymphocytosis with atypical lymphocytes on CBC smear
EBV Ab tests
PCR-based assays
EBV lab dx