PBL 2 Flashcards

1
Q

Outline the HIV life cycle?

A

bindng - HIV virus binds to the host cell
Fusion - virus fuses with cell membrane allowing contents to enter the cell
Reverse transcription - HIV RNA is converted to DNA
Integration - integrase enzyme allows HIV DNA to be integrated into host DNA
Replication - more HIV is created
Assembly - HIV proteins and RNA move to cell surface and are assembled into immature HIV
Budding - immature HIV is pushed out of the cell and proteases activate it into mature infectious HIV

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2
Q

what happens in the acute phase of HIV?

A

the immediate weeks after intil infection where the virus rapidly mulitplies and spreads, attacking CD4 cells. HIV levels are very high and theres a drop in CD4 count
antibodies to HIV are produced during the early weeks of infection creating flu-like symptoms

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3
Q

what happens in the chronic latent stage of HIV?

A

the body develops antibodies, slowing the viral replication

patients are usually asymptomatic but may experience minor symptoms as their CD4 count is slowly decreasng

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4
Q

what is AIDS?

A

without treatment, chronic infection progresses to AIDS in 8-10 years on average. The immune system is sevrrely damaged an unable to fight infections
people who have a CD4 count of <200 cells/mm cubed or develop certain opportunistic infectuns or cancers are diagnosed with AIDS

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5
Q

what are common opportunistic infections of HIV?

A
candidiasis
coccidioidomycosis 
cryptococcosis
cryptosporidiasosis
crystoisosporiasis
cytomegalovirus
encephalopathy
herepes symplex virus
histoplasmosis
tuberculosis
mycobacterium avium complex
pneumocystis pneumonia
pneumonia
progressive multifocal leukocencephalopathy
salmonella septicemia
toxoplasmosis
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6
Q

what are some AIDS-defining cancers?

A

kaposi sarcoma
aggressive B cell non-hodgkin lymphoma
cervical cancer

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7
Q

what is cryptococcosis?

A

a fungal infection caused by inhaling cryptococcus neoformans found in soils enriched with pigeon droppings

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8
Q

what is coccidioidomycosis

A

aka valley fever - caused by the fungus coccndioides in soil in SW US, mexico, central and south america

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9
Q

what is • Cryptosporidiosis?

A

a highly contagious intestinal infection resulting from exposure to cryptosporidium parasites

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10
Q

what is Cystoisosporiasis?

A

an intestinal disease caused by cystoisospora belli

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11
Q

what is • Encephalopathy?

A

damage or disease that affects the brain - altered mntal state, confusion and acting differently

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12
Q

what is histoplasmosis?

A

infection caused by the histoplasma fungus thats found in soil containing large amounts of bird or bat droppings

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13
Q

what is Kaposi sarcoma?

A

a rare type of cancer caused by a virus that affects the skin and the mouth

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14
Q

whos at risk of kaposis sarcoma?

A

those with immunosuppression

people with a genetic vulnerability to the virus that causes it (human herpesvirus 8)

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15
Q

what is Pneumocystis jiroveci pneumonia?

A

a fungal infection of the lungs caused by pneumocystis jirovecii

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16
Q

what is progressive multifocal leukocencephalopathy?

A

a neurological disorder characterized by destruction of cells that produce myelin - caused by the JC virus

17
Q

what is salmonella septicaemia?

A

a life-threatening salmonella infection that has spread to the bloodstream

18
Q

what is toxoplasmosis?

A

a disease that results from infection with the toxoplasma gondii parasite
usually occurs from eating undercooked meat or exposure from infected cat faeces

19
Q

in 2020, how many people died from TB?

A

1.5 million

20
Q

what are the 2 biggest infectious killers?

A

COVID-19

TB

21
Q

how is TB incidence changing currently?

A

its falling at a rate of around 2% each year

22
Q

when is the target to end TB epidemic?

A

2030

23
Q

what proportion of the worlds population has TB?

A

23%