Virology Flashcards
(22 cards)
Hepatitis B
- Infectious family?
- Transmission?
- Symptoms?
- Duration?
- Complications?
Hepatitis B = sex and drugs
- Infectious family: Hepadnaviridae family
- Transmission:
- Vertical (mother to baby)
- Parenterally (needles)
- Sexual contact
- Symptoms:
- Fatigue, anorexia, nausea, RUQ pain, arthralgia, rash, clay colored stools, dark urine, jaundice
- Duration:
- Severl months
- Complications:
- Fulminant hepatitis leading to liver necrosis and death
- Chronic hepatitis associated with cirrhosis
- Liver failure
- Hepatocellular carcinoma (liver cancer)
Hepatitis C
- Infectious family?
- Why is it difficult to make a vaccine?
- Transmission?
- Symptoms?
- Complications?
Hepatitis C = leading cause for liver transplants, drugs and sex, screen in baby boomer patients
- Infectious family:
- Flaviviridae family
- 11 genotypes - difficult to make vaccine
- Transmission:
- Parenterally (45% of cases caused by needle sharing)
- Sexually transmitted
- Symptoms:
- Usually asymptomatic
- 10-18 years to develop chronic hepatitis
- Complications:
- Cirrhosis
- Increased risk for hepatocellular carcinoma (HCC)
Mumps
- Infectious agent?
- Transmission?
- Epidemic peaks?
- Symptoms:
- Complications?
- Treatments?
Mumps = orchitis, meningitis, MMR
- Infectious agent:
- Mumps virus
- Transmission:
- Respiratory droplets
- Direct contact or fomites
- Affects upper respiratory tract
- Epidemic peaks:
- Later winter to early spring
- Symptoms:
- Fever, malaise, anorexia
- Tender salivary gland swelling
- Complications:
- Orchitis in post pubertal males
- Meningitis
- Treatments:
- MMR vaccine
- No antivirals and no passive immunity
Hepatitis A
- Infectious family?
- Transmission?
- Symptoms?
- Duration?
Hepatitis A = acute hepatitis, fecal oral route
- Picornaviridae family
- Transmission:
- Fecal oral route
- Contaminated food or water
- Symptoms:
- RUQ pain (where liver is)
- Hepatomegaly
- Jaundice
- Dark urine
- Clay colored stools
- Fever
- Nausea
- Anorexia
- Duration:
- Days to weeks
Herpes zoster (Shingles)
- Part of which family?
- Transmission?
- Symptoms?
- Complications?
Herpes zoster (Shingles) = vesicles along dermatome
Same as Varicella
- Herpesvirus family (latent infections)
- Transmission:
- Respiratory droplets
- Direct contact with lesions
- Symptoms:
- Painful vesicles along course of sensory nerve of the head or trunk
- Complications:
- Postherpetic neuralgia
- Pneumonia
HIV - 1
- Infectious family?
- Genome?
- Transmission?
- What kind of cells does it infect and kill?
- Describe host cell and virus relationship
- Describe the infectious cycle
HIV - 1 = infects helper CD4 T lymphocytes
- Infectious family: Retrovirus family
- Genome: Lentivirus genome
- Transmission:
- Requires intimate contact with infecting source
- Sexual contact
- Perinatal transmission (mother to baby)
- Virus has been detected in saliva, tears, and urine, but these sources have not been shown to be infectious
- Primarily infects and kills helper CD4 T lymphocytes
- HIV is NOT transmitted by:
- Insects, toilet seats, kissing, sharing cutlery, touching
- HIV IS transmitted by:
- Unprotected sex, pregnancy, breast feeding, injecting drugs, blood transfusions, organ transplants
- Host cell and virus relationship
- Viral latency
- Virus becomes cytopathic, killing infected and uninfected T cells
- Infectious cycle
- Acute stage
- Symptomatic
- 2 weeks
- Latent stage
- Asymptomatic
- 7-10 years
- Virus is being produced and sequestered in lymph nodes
- Immunodeficiency stage (AIDS)
- Decline in CD4 cells
- Increased frequency of opportunistic infections
*
- Acute stage
Roseola (Exanthem subitum)
- Infectious agent?
- Transmission?
- Symptoms?
Roseola (Exanthem subitum) = human herpesvirus 6 or 7, faint maculopapular rash
- Infectious agent:
- Human herpesvirus 6 or 7
- Transmission
- Saliva
- Symptoms:
- Fever
- Faint maculopapular rash spreading from trunk to extremities
Prions
- What are they made of?
- What is the clinical significance of this?
- What part of the body do they affect?
- What diseases does it cause?
Prions
- Composed entirely of protein
- This is the exception to the basic viral structure
- Since there is no genetic material (DNA/RNA), you cannot dx it and it is usually found on autopsy
- Disrupts neuron function
- Diseases:
- Mad cow disease
- Creutzfeldt-Jakob disease (human form of mad cow)
- Kuru (cannabalism)
Arboviruses
- Transmission?
- What are the three families?
- What is the clinical presentation?
- Prevention?
Arboviruses = Arthropod borne
- Transmission:
- Infected blood sucking insects (mosquitos, ticks, sandflies)
- Primarily occurs in the tropics
- Families:
- Togavirus
- Flavivirus
- Bunyavirus
- Clinical presentation:
- Acute febrile illness
- Encephalitis
- Meningitis
- Prevention:
- Immunizations for yellow fever, tick born, and Japanese B encephalitis
Enterovirus
- Infectious family?
- Transmission?
- Increased prevalence when?
- What diseases does this cause?
Enterovirus = Polio, Coxsackievirus, Echovirus
- Infectious family: Picornaviridae family
- Transmission: fecal/oral route
- Increased prevelance: Summer and Fall
- Causes:
- Poliovirus
- Coxsackievirus
- Echovirus
Measles (Rubeola)
- What is the infectious agent?
- Transmission?
- Epidemic peaks?
- Symptoms?
Measles (Rubeola) = Morbillivirus, Koplik spots (white sand with surrounding erythema on buccal mucosa), droplets in air up to 2 hours
- Infectious agent: Morbillivirus
- Transmission:
- Person to person contact
- Respiratory droplets - can remain in air for 2 hours!
- Epidemics:
- Winter
- Spring
- Symptoms:
- Koplik spots - white sand with surrounding erythema on buccal mucosa
- Fever, cough, coryza, conjunctivitis, rash on head, then trunk and extremities
- MMR vaccine
Rubella
- Also know as?
- Infectious agent?
- Transmission?
- Symptoms?
- Complications?
- What is the risk of fetal damage?
Rubella = German measles, petechial lesions on soft palate, risk of fetal damage
- Infectious agent: rubella virus
- Transmission:
- Respiratory droplets
- Upper respiratory tract
- Spreads through blood to lymphoid tissue, skin, and organs
- Transplacental spread to fetus is congenital rubella
- Symptoms:
- Petechial lesions (do not blanch when touched) on soft palate
- Macular rash, faint located over head, neck and trunk
- Complications:
- Arthritis
- Thrombocytopenic purpura (bleeding disorder, easily bruised)
- Encephalitis
-
Risk of fetal damage
- Fetal malformation
- Chronic fetal infection
Varicella (Chickenpox)
- Part of which family?
- Transmission?
- Where does virus become latent?
- Symptoms?
- Complications?
- Vaccine can help prevent what?
Varicella (Chickenpox) = papulovesciular rash, dorsal root ganglia
- Herpesvirus family (latent infections)
- Transmission:
- Respiratory droplets
- Direct contact with lesions
- Virus travels via sensory neurons to the dorsal root ganglia and becomes latent
- Symptoms:
- Papulovesciular rash - starts on trunk, then spreads to head and extremities
- Pruritis
- Fever, malaise
- Complications:
- Varicella pneumonia
- Encephalitis
- Reye’s syndrome (in children)
- Vaccine can help prevent post herpatic neuralgia
Rotavirus
- Infectious agent?
- Affects who the most?
- Transmission?
- Symptoms?
- Complications?
- Prevention?
Rotavirus = affects baby animals and children, fecal/oral, vomit, watery brown stools, dehydration
- Infectious agent: Rotavirus
- Affects baby animals and children
- Transmission:
- Fecal oral route
- Cooler months
- Symptoms:
- Abrupt onset
- Vomiting
- Watery, brown stools
- Complications:
- Dehydration
- Prevention:
- Rigorous hygiene measures
- Live, oral rotavirus vaccine
Norwalk virus
- Infectious agent?
- Transmission? Consumption of?
- Symptoms? Incubation?
- Complications?
Norwalk virus = fecal/oral, uncooked shellfish, vomiting, diarrhea, short incubation, cruise ships
- Infectious agent: Norovirus
- Transmission:
- Fecal oral route
- Consumption of uncooked shellfish, contaminated food or water
- Symptoms:
- Abrupt onset of vomiting and diarrhea
- Incubation: 10-51 hours
- Complications:
- Dehydration
Rabies encephalitis
- Infectious family?
- Transmission?
- Multiples where and travels where?
- Usually spread by what animals now?
- How long do people survive after becoming symptomatic?
- Prevention?
Rabies encephalitis = rapidly fatal, inactivated vaccine for pre-exposure
- Infectious family: Rhabdoviridae family
- Transmission:
- Infected secretions (usually a bite)
- Multiples in muscle cells, then travels to central nervous system to replicate in brains
- Usually spread by raccoons and coyotes now
- Median survival after becoming symptomatic:
- 4 days
- Maximum is 20 days
- Prevention:
- Pre exposure - inactivated vaccine
- Post exposure - globulin plus rabies vaccine
Hepatitis E
- Transmission?
- Symptoms?
- Duration?
- Complications?
Hepatitis E = fecal/oral, can be fatal especially in pregnancy
- Transmission: fecal oral route
- Symptoms:
- Often subclinical - symptoms are not always readily observable
- Jaundice, anorexia, hepatomegaly, nausea, vomiting, fever
- Duration:
- 1-2 weeks
- Complications:
- Can be fatal when symptomatic, especially in pregnancy
Common cold
- What is the most common infectious agent?
- What is the entry point?
- Symptoms?
- What symptoms are not associated with common cold?
- Epidemic peaks?
Rhinovirus = common cold
Common cold
- Infectious agent: Rhinovirus
- Entry point is upper respiratory tract via direct or indirect respiratory droplets
- Symptoms: sneezing, nasal discharge, sore throat, cough, headache
- Few systemic symptoms
- Epidemic peaks: early fall and spring
Viral phayngitis
- Infectious agent?
- Symptoms?
- Diagnostic testing?
Viral phayngitis
- LOTS of infectious agents
- Symptoms: sore throat, nasal congestion, hoarseness, coryza, ear pain, cough, headache, malaise, fever
- Diagnositc testing:
- Rapid strep to r/o bacterial infection
- Throat culture to r/o bacterial infection
Hepatitis D
- What does this require for transmission?
- What is the greatest at risk population?
- Symptoms?
- Complications?
Hepatitis D = can only occur in patients with Hep B
- Requires Hep B surface antigen for transmission
- Injection drug users are at the greatest risk
- Symptoms:
- Simultaneous Hep D and B infection - looks like Hep A or Hep B
- Chronic Hep B with superimposed Hep D - jaundice replapse and high risk chronic cirrhosis
- Complications:
- Progressive liver disease
- Chronic cirrhosis
Fifth disease (erythema infectiosum)
- Infectious agent?
- Transmission?
- Symptoms?
- What can it cause?
- Complications?
- What complications does it cause in fetuses?
Fifth disease (erythema infectiosum) = Parvovirus B19, slapped cheeks, can cause hydrops fetalis in fetuses
- Infectious agent: Parvovirus B19
- Transmission:
- Respiratory route
- Direct contact or fomites
- Blood
- Vertical transmission (mother to baby)
- Symptoms:
- Characterisic rash - confluent indurated rash on face, then macular, reticular rash on arms and legs
- Fever, malaise, headache, myalgia, pruritis
- Causes:
- Lymphadenopathy
- Splenomegaly
- Milkd leukopenia
- Anemia
- Complications:
- Hepatitis
- Thrombocytopenia
- Nephritis
- Encephalitis
- Complications in pregnancy:
- Anemia of fetus leading to stillbirth, damage to liver, heart, and other tissues causing extensive edema (hydrops fetalis)
Influenza
- What type is the most widespread?
- When is the epidemic peak?
- Transmission?
- Symptoms?
- Complications? Biggest complication?
- What does the vaccine do?
- What does antiviral do?
Influenza = hit by a truck, step pneumonia
- Influenza A, B, and C
- A is most widespread
- Epidemic peak: winter
- Transmission: direct droplet spread, enters respiratory tract
- Symptoms: “hit by a truck,” abrupt onset of fever, myalgia, headache, and chills
- Complications:
- Strep pneumonia - biggest complication!
- Bacterial superinfection
- Reye’s syndrome (in children)
- Biggest thing that vaccine does is prevent strep pneumonia
- Antiviral / Tamiflu only shortens the course