Little boy, daycare, horrible diarrhea. Viral infection. What is the structure of the virus he is infected with?
Rotavirus: (Reovirus)
dsRNA linear
NO envelope
iscosahedral
What is the strcture of the Picornaviruses?
What the Picornaviruses?
are they ds or ss?
+ssRNA: linear and Icosahedral, NO env
PERCH
Poliovirus—polio-Salk/Sabin vaccines—IPV/OPV
Echovirus—aseptic meningitis in the summer
Rhinovirus—“common cold”
Coxsackievirus—aseptic meningitis;
Herpangina (mouth blisters, fever); hand, foot, and mouth disease; myocarditis; pericarditis HAV—acute viral hepatitis
Common cause of aseptic meningits in the summer?
What is this viral structure?
Echovirus: +ssRNA; linear and icosahedral; no envelope
This nasty virus causes aseptic meinigit, herpangina (mouth blisters, fever); hand foot adn mouth disease and myocarditis; pericardits
Strcture of virus?
Coxsackievirus
(type of Picornovirus = ssRNA linear with icosahedral and no envelope)
GI upset on a cruise ship
Bug?
genetics?
Norovirus (Calicivirus)
+ssRNA; linear with NO envelope
What do the following viruses all have in common?
HCV
Yellow fevera
Denguea
St. Louis encephalitisa
West Nile virus
All Flavivirus:
+ssRNA, Linear and Icosahedral,
ENVELOPED
Friend was in Thailand and comes back very ill. She is experienceing severe bone pain. What is the virus responsible?
ss or ds?
env or not?
Dengue fever
Flavivirus
ssRNA Linear Icosahedral
ENVELOPED
Little boy with fever, swollen lymph nodes then developes rash starsts on face and then on body
As rash disappeares, skin flakes off.
Dx?
Structure of virus?
Rubella or German Measels
Togavirus:
+ssRNA Linear virus
Icosahedral
ENVELOPED
Virus that causes common cold and is responsible for SARS?
Structure?
Coronavirus
+ssRNA linear and Helical
Enveloped
What is the structure of the Influenza virus?
What family is it in?
Enveloped?
-ssRNA linear with 8 segments
Helical and ENVELOPED
from orthomyxofamily
What all diseases belong in the Paramyxoviruses?
What is their strcture?
PaRaMyxovirus:
Parainfluenza—croup
RSV—bronchiolitis in babies;(ribavirin )
Measles, Mumps
-ssRNA linear with Envelope
Baby with seal bark cough. What virus do they have? what's it's structure?
Croup = paramyxovirus
-ssRNA linear with capsid
ENVELOPED
MMR vaccine covers what viruses?
What are their strctures?
Measels and Mumps = Paramyoviruses ; -ssRNA linear with helical caspid and ENVELOPED
Rubella = German measels= Toga virus and +ssRNA linear Icosehedral with ENVELOPE
What is the most common cause of viral pneumonaie in children around two ages?
What can you tx it with?
RSV; paramyxovirus = +ssRNA linear with helical capsid and Envelope
tx RSV with Ribavirin
Virus that causes fear of water and death!
family?
strcture?
Rabies = Rhabdoviruse
-ssRNA linear with ENVELOPE adn helical capsid
California encephalitisa
Sandfly/Rift Valley feversa
Crimean-Congo hemorrhagic fever
Hantavirus—hemorrhagic fever, pneumonia
Bunyavirus: -ssRNA
enveleoped with 3 segments
-ssRNA circurlar virus, Enveloped and is known as a 'defective' virus
Hepatitis D
Pneumonic for (-) virus
What do they need to bring with them to infect cells?
Always Bring Polymerase Or Fail Replication.
must transcribe ⊝ strand to ⊕.
Virion brings its own RNA-dependent RNA polymerase.
They include Arenaviruses, Bunyaviruses, Paramyxoviruses, Orthomyxoviruses, Filoviruses, and Rhabdoviruses.
What viruses are segmented viruses?
BOAR
All are RNA viruses. They include
Bunyaviruses,
Orthomyxoviruses (influenza viruses),
Arenaviruses
Reoviruses
Picornavirus: Poliovirus, Echovirus, Rhinovirus, Coxsackievirus, and HAV.
RNA is translated into 1 large polypeptide that is
cleaved by proteases into functional viral proteins.
What diseases are caused by the Picornaviruses?
PERCH: Picornavirus, Echovirus, Rhinovirus, Coxsackievirus, HAV
Can cause aseptic (viral) meningitis (except rhinovirus and HAV).
All are enteroviruses (fecal-oral spread) except rhinovirus.
Rhinovirus causes shit tons of colds. What is route of transmission? What type of virus is it? Why does it cause enteral illness like all the other Picornoviruses?
Rhinovirus = picornovirus
+ssRNA linear; non-enveloped
Acid labile! = destroyed by stomach acid
Pt with expansive travel hx comes to office with high fever and is jaundice. She is freaking out because she puked up stuff that look like ground coffee!
dx?
What is the vector?
Yellow fever: Flavivirus = +ssRNA linear and is Enveloped
transmitted by Aedes mosquitos
Rotavirus A , the most important global cause of infantile gastroenteritis, is a segmented _____ virus (a reovirus). Major cause of acute diarrhea in the United States during winter, especially in day care centers, kindergartens. Villous destruction with atrophy leads to ?
dsRNA
absorption of Na+ and loss of K+.
*CDC recommends routine vaccination of all infants.
What are two structures unique to influeza virus?
What is their function?
What severe complications do we worry about with influenza virus infection?
Orthomyxoviruses. Enveloped, ⊝ ssRNA viruses with 8-segment genome.
Hemagglutinin (promotes viral entry)
Neuraminidase (promotes progeny virion release)
Contain antigens. Patients at risk for fatal bacterial superinfection, most commonly
S. aureus, S. pneumoniae, and H. influenzae.
What structure promotes H.flu entry into the cell?
What promotes virion release?
hemagglutinin (promotes viral entry)
neuraminidase (promotes progeny virion release) antigens
Reformulated vaccine (“the flu shot”) contains viral strains most likely to appear during the flu season.
Which vaccine is most commonly used?
Which one is administered intra-nasaly?
Killed viral vaccine is most frequently used.
Live attenuated vaccine contains temperature- sensitive mutant that replicates in the nose but not in the lung; administered intranasally.
Compare and contrast genetic drift and shift
Shift = pandemics. Reassortment of viral genome segments, such as when segments of human flu A virus reassort with swine flu A virus.
Drift=epidemics. Minor (antigenic drift) changes based on random mutation in hemagglutinin or neuraminidase genes.
A little boy coes in with mother. He spiked a high fever and had a rash on his face but now it has spread to the rest of the body. You note lymphademopathy as well.
Dx?
What if the mother contracts this while she is pregnant?
German (3-day) measles: Togavirus--rubella
Congenital rubella findings include “blueberry muffin” appearance, indicative of extramedullary hematopoiesis
MOther delivers her baby and you are concerned she may have gotten ill with something while pregnant. Below is a picture of the infant.
What was the cause of the rash?
What would this look like in a young child?
Congenital Rubella = Togavirus (+ssRNA linear and enveloped)
Blueberry muffin rash = extramedullary hematopoeisis
causes German measels or Rubella = fever with rash starting on face and spreading to body
