Session 6 Flashcards
What is the basic structure of Blood bourne viruses?
Nucleic acid Capsid (Protein around genome) Envelope (Some only) Glycoprotein Enzymes
What is a Virion?
The Genome and Capsid of a virus
Which of IGG and IGM comes first in a response?
IGM - First response and acute
IGG - Secondary
What investigations can you do of Blood Bourne Viruses?
Culture
Immunofluorescent
Polymerase Chain Reaction (Have specific primers for the DNA of the virus)
Microscopy
What is important to remember about Blood Bourne Viruses?
Can have an asymptomatic period
What is the genome type in HIV?
It is a single stranded RNA virus
What are the 2 types of HIV virus?
HIV 1
HIV 2
What cells are targeted by the HIV virus & Why is this so dangerous?
Host CD4 cells. It is so dangerous because these cells are critical to the immune system and they orchestrate it. So when they are all gone, the system is in trouble
What is the general pathogenesis of HIV?
The Virus and CD4 levels are stable until a certain point, and then they fall apart. The immune system becomes very weak and prone to opportunistic infections
How can HIV present?
Fever Rash Flu like Weight loss Pharyngitis Lymphadenopathy
What should you examine extra closely in a patient who may have HIV?
Mouth Eye Skin Lymphs Genitals Also do usual examinations
Why would you do a resistance profile when deciding how to treat a patient with HIV?
It sequences the DNA to look for mutations. This allows us to decide what drugs we can use that will be effective
What is the aim when treating HIV?
To maintain the immune system (Keep CD4 high)
How do we treat HIV?
Highly Active Anti Retroviral Therapy - 3 drugs that act in different sections of the drug cycle (1 to block the virus going into the cell, 2 to stop it making proteins, 3 to block the virus exiting the cell)
What is the prognosis for HIV?
It is dependent on time of diagnosis. The later the diagnosis, the lower the life expectancy