Viruses Flashcards

(81 cards)

1
Q

herpes simplex virus 1

features / diseases

A
DNA enveloped
herpes labialis - waist up
eicosahedrical core
latent
cold sores, corneal ulcers, encephalitis, neonatal herpes
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2
Q

herpes simplex virus 1

pathogenesis

A
lytic in epithelial cells
vesicular rash (lips and nose)
lysogenic in trigeminal ganglia
no integration
herpatic neuritis
herpes whitlow
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3
Q

herpes simplex virus 1

transmission

A

saliva
80% americans, 40% recurrent
60% asymptomatic

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4
Q

herpes simplex virus 1

prevention / treatment

A

avoid contact with lesions

antiviral

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5
Q

herpes simplex virus 2

features / diseases

A
DNA enveloped
herpes genitalis - waist down
eicosahedrical core
latent
neonatal herpes
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6
Q

herpes simplex virus 2

pathogenesis

A
lytic in epithelial
vesicular rash (genitals)
lysogenic in sacral ganglia
no integration
herpatic neuritis
herpes whitlow
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7
Q

herpes simplex virus 2

transmission

A

sexual contact

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8
Q

herpes simplex virus 2

prevention / treatment

A

avoid contact with lesions

antiviral

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9
Q

varicella - zoster

features / diseases

A
DNA enveloped
latent (same as herpes)
chicken pox
shingles
viremia
systemic infection
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10
Q

varicella - zoster

pathogenesis

A

same as herpes
no integration
repetitive shingles in elderly, can lead to neuritis

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11
Q

varicella - zoster

transmission

A

respiratory droplets

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12
Q

varicella - zoster

prevention / treatment

A

live attenuated virus vaccine
avoid contact with lesions
no drugs necessary if immunocompetent
antivirals

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13
Q

epstein barr virus

features / diseases

A

DNA enveloped
acute / latent
infectious mononucleosis
lymphomas and cancer

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14
Q

epstein barr virus

pathogenesis

A

integration
60-70% asymptomatic
sometimes symptoms for up to 1 year
increased number of lymphocytes is a sign
tonsils/spleen become enlarged, can cause strep
infects WBCs

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15
Q

epstein barr virus

transmission

A

saliva

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16
Q

epstein barr virus

prevention / treatment

A

don’t share food/ kiss infected person

spontaneous recovery

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17
Q

cytomegalovirus

features / diseases

A

DNA enveloped
most common cause of congenital abnormalities
acute / latent
fever, lethargy in healthy
pneumonia, hepatitis, retinitis in immunocomp

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18
Q

cytomegalovirus

pathogenesis

A

lytic in epithelial cells
lysogenic in neurons and WBCs
no integration
histology- owl eye inclusion

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19
Q

cytomegalovirus

transmission

A

early- placenta
children- saliva
adults- sexual contact
80% of adults have had contact

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20
Q

cytomegalovirus

prevention / treatment

A

pregnant women without CMV stay away from kids
exposure before pregnancy does not transfer to baby
isolation of shedding individuals
antivirals (same as herpes)

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21
Q

herpes virus 8

features / diseases

A

DNA enveloped
latent
Kaposi’s sarcoma

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22
Q

herpes virus 8

pathogenesis

A

lysogeny in neurons and WBCs
integration
sometimes asymptomatic

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23
Q

herpes virus 8

transmission

A

saliva
increased risk if immunocomp (HIV)
5-20% incidence

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24
Q

herpes virus 8

prevention / treatment

A

avoid direct contact
chemotherapy
antivirals

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25
papillomavirus (HPV) | features / diseases
``` DNA non-enveloped chronic 100 types of virus (30 genital, 70 skin) papillomas: benign skin tumor, genital warts cervical/ penis cancers ```
26
papillomavirus (HPV) | pathogenesis
slow replication hard to grow in lab lysogeny with integration inhibits checkpoint proteins in cell cycle HPV 16/18 inactivate tumor suppressor genes (p53, Rb), increase risk of mutations increase in number and size of lesions increases risk of cancer 80% of cases are single small lesions
27
papillomavirus (HPV) | transmission
skin to skin contact | genital contact
28
papillomavirus (HPV) | prevention / treatment
vaccine (3 doses) antivirals liquid nitrogen for lesions
29
influenza | features / diseases
RNA enveloped genome in 8 segments hemagglutinin (16) and neuraminidase (9) in envelope acute animals and humans respiratory infection only (A- most common, humans, can cause pandemic B- limited epidemics in humans C- mostly in animals) seasonal flu pandemic flu (every 20 years, killed 4% world pop in 1918)
30
influenza | pathogenesis
replicates in nucleus lytic in lungs antigenic shift: avian flu + regular flu -> new deadly virus host immune response worse than infection
31
influenza | transmission
airborne droplets
32
influenza | prevention / treatment
vaccine (2 A, 1 B isolates) | tamiflu (some A's resistant)
33
mumps | features / diseases
RNA enveloped non-segmented genome paramyxovirus mumps- parotid gland swelling
34
mumps | pathogenesis
upper respiratory tract first viremia to parotid, testes/ ovaries, pancreas
35
mumps | transmission
respiratory droplets | highest spread in winter
36
mumps | prevention / treatment
live attenuated vaccine lifelong immunity no treatment
37
measles | features / disesases
``` RNA enveloped non-segmented genome single stranded RNA (negative) paramyxovirus measles ```
38
measles | pathogenesis
lytic in immune cells viremia to skin starts in upper respiratory tract rash caused by cytotoxic T clls
39
measles | transmission
airborne droplets 30 million cases/year worldwide causes epidemics
40
measles | prevention / treatment
live attenuated vaccine lifelong immunity no treatment
41
rubella | features / diseases
RNA enveloped single stranded RNA (positive) togavirus rubella and congenital rubella syndrome
42
rubella | transmission
airborne droplets transplacenta eliminated from US
43
rubella | pathogenesis
lytic in nasopharynx and lymph nodes | spreads via blood to organs and skin
44
rubella | prevention / treatement
live attenuated vaccine lifelong immunity no treatment
45
human immunodeficiency virus | features / diseases
``` lentivirus (retrovirus) single stranded RNA has GP120 and GP41 glycoproteins to regulate inflammation = GP120 attacks CD4 cells = CP31 attacks CCR5, CXCR4 diploid virus HIV-1, HIV-2 ```
46
human immunodeficiency virus | pathogenesis
``` infects WBCs, destroys helper T cells lysogeny- hides in host chromosome integration steps: 1. virus fuses, enters cell 2. reverse transcriptase converts RNA to DNA 3. DNA becomes double stranded 4. DNA carried into nucleus by integrase (lysogeny) 5. copies make viral RNA and mRNA 6. protease breaks DNA to make proteins 7. viral assembly and budding healthy: 120-1500 CD4 cells/ul AIDS: 200-500 CD4 cells/ul acute retroviral syndrome: 3 months asymptomatic: 7-10 years, decrease 50 CD4 cells/ year AIDS: several years until death ```
47
human immunodeficiency virus | transmission
unprotected sex (receptive and anal are riskier) other STDs increases risk sharing needles transplacental
48
human immunodeficiency virus | prevention / treatment
condoms | reverse transcriptase or protease inhibitors in cocktail of drugs
49
rotavirus | features / diseases
RNA non-enveloped gastroenteritis most common cause of gastroenteritis in children
50
rotavirus | pathogenesis
lytic in intestinal tissue causes lesions in intestines diarrhea
51
rotavirus | transmission
fecal oral (water)
52
rotavirus | prevention / treatment
vaccine (esp for kids in developing countries) personal hygiene water treatment self-resolving
53
norovirus | features / diseases
RNA non-enveloped gastroenteritis ("stomach flu") most common viral gastroenteritis in adults
54
norovirus | pathogenesis
lytic in intestinal tissue causes lesions in intestines diarrhea
55
norovirus | transmission
``` fecal oral (water) cruise ships ```
56
norovirus | prevention / treatment
personal hygiene water treatment self-resolving
57
rhinovirus | features / disesases
``` RNA non-enveloped 100+ types in upper respiratory tract mild resistance to detergents/ bases susceptible to acid common cold ```
58
rhinovirus | pathogenesis
lytic in lungs
59
rhinovirus | transmission
``` airborne droplets hands can survive in environment for a few days via fomites americans have 3 infections / year ```
60
rhinovirus | prevention / treatment
wash hands no vaccine because too many types symptomatic treatment
61
hepatitis (all types) | symptoms
``` inflammation of liver jaundice hemoglobin -> bilirubin, biliverdin recycling liver inflam -> deposit intermediates in liver -> jaundice fever lack of appetite nausea dark urine pale feces infection resolves in 2-4 weeks ```
62
hepatitis A | features
``` RNA non-enveloped enterovirus acute denatured capsid proteins by boiling survives weeks in environment and stomach ```
63
hepatitis A | pathogenesis
infects enterocytes, also mouth and throat spreads through blood to liver lytic in liver cleared by infected cells, can cause further damage no chronic infection
64
hepatitis A | transmission
``` fecal oral direct or indirect contact sometimes saliva 50% US pop exposed, 90% developing countries low mortality ```
65
hepatitis A | prevention / treatment
``` formaldehyde killed vaccine travelers, children, anal-oral sex proper hygiene sewage disposal no antivirals lifetime immunity ```
66
hepatitis B | features
DNA enveloped double stranded DNA in liver cells
67
hepatitis B | pathogenesis
``` RNA -> DNA with reverse transcriptase DNA -> viral proteins sometimes lysogeny with integration DNA -> viral DNA polymerase -> DNA lytic in liver cells ```
68
hepatitis B | transmission
``` blood sex during birth direct transmission only asians more susceptible 90% infected neonate -> chronic carriers cirrhosis: liver tissue replaced by scar tissue; or liver failure or cancer ```
69
hepatitis B | prevention / treatment
virus subunits vaccine health professionals, STDs, IV users, transfusions treatment only for chronic carriers alpha interferon inhibitors of reverse transcriptase and viral DNA polymerase
70
hepatitis C | features
``` RNA enveloped single stranded RNA hypervariable genome in liver cells persistant chronic ```
71
hepatitis C | pathologenesis
RNA -> DNA reverse transcriptase lysogeny with integration hard to control replication because virus keeps changing immune system attacks alcoholism increases disease 75% infected become chronic carriers 10% of cases cause cancer, cirrhosis, liver failure
72
hepatitis C | transmission
blood transfusion rare: sex or during birth 4 million americans infected direct contact only
73
hepatitis C | prevention / treatment
avoid blood contact (drug users) alpha interferon reverse transcriptase inhibitors new drugs with 50%+ cure rate
74
hepatitis D | features
``` RNA enveloped defective virus only infects HBV individuals no capsid protein genome persistant chronic ```
75
hepatitis D | pathogenesis
uses capsid of HBV | increases liver damage speed
76
hepatitis D | transmission
same as HBV | direct contact
77
hepatitis D | prevention / treatment
prevent HBV | no treatment
78
hepatitis E | features
RNA non-enveloped acute major cause of enteric transmitted hepatitis in asia, africa, india, mexico, but rare in US (diff from HAV) can infect pigs
79
hepatitis E | pathogenesis
20% infected pregnant women -> fatal hepatitis (75% mortality)
80
hepatitis E | transmission
fecal oral same as HAV direct and indirect contact
81
hepatitis E | prevention / treatment
vaccine avoid contaminated water/food no treatment