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16 Cards in this Set

  • Front
  • Back
What is the influenza A virus?
orthomyxovirus - segmented genome
virus encoded in glycoproteins involved in adhesions to host mucous membranes
vicus evades population immunity by constant antigenic change
How is influenza A transmitted?
direct contact (aerosol)

recongnise repiratory tract receptors (N and H genes)

natural reservoirs - domestic poultry, wild fowl
How do you control the flu?
poultry are slaughtered
reduce exposure to wild birds and to viruses introduced from other poultry facilities

Annual vaccine for humans (3 strains)
What is avian influenza?
H5N1

first outbreak in 1997 - hong kong
caused pneumonia with high fatality rate in humans

2002 china created their own in house killed H5N1 vaccine and was using it to vaccinate all domestic poultry

2004 began to spread, multiple countries affected - pneumonia in 60% of people

people get it from chickens but no human human spread
What was the Pandemic H1N1 of 2009?
swine influenza

rapid global spread
-began in Mexico in April '09
-WHO declared pandemic in June '09
pathogenicity similar to seasonal influenza but much higher number of cases

affected people with reduced lung capacity
-pregnant
-COPD
-Asthma
-Obese
What is transmissible spongiform encephalopathy?
subviral particles ' infectious protein"
characterized by vacuolation of brain tissue
can be transmitted between species
genetic predisposition for developing overt disease

well known in sheep
-scrapie was the first described
What is the pathogenesis of transmissible spongiform encephalopathy?
abnormal prion proteins

conformation is different PrPsc

cannot be broken down in the body like PrPc and accumulates to toxic levels in the neurologic system
How is transmissible spongiform encephalopathy transmitted?
ingestion of spongiform brain tissue usually transmit disease within members of the same species

experimental inoculation of spongiform brain into the brain of other mammal species
What is chronic wasting disease?
found in deer, sometimes elk and rarely moose

increase testing has corresponded with increased acknowledge geographic range of CWD
-people handling cervid tissue or eating meat could be exposed
What are the species barriers for chronic wasting disease?
CWD is experimentally spread within herds of cervids although the exact route is poorly understood

attempts to infect carnivores via ingestion of CWD material has so far been unsuccessful
-cattle were not infected by mule deer CWD when housed together for years
-so far no human cases of vCJD associated with deer/elk cnsumption have been reported
What is Dermatophytosis?
ringworm

-superficial fungal skin infectious
-infectious are generally self limiting
-spreads by contact and by spores on fomites
-immunity requires a strong cell mediated immune response
What is microsporum canis?
most common dermatophytosis in the developing world

cats are usually asymptomatic carriers

humans immune response against M canis is usually long lasting
What are causes of fungal pulmonary infections?
infections from spores in the environment that become aerosolized and are inhaled

birds and bats can be reservoirs
fecal exceretion = soil contaimination

infected humans, dogs and cars are generally not infectious, body temperature is to high for sporulation of these fungi

histoplasma and cyptococcus are opportunistic
How do you identify Histoplasma capsulatum?
ID based on culture, microscopic appearance of spore-forming colonies or upon detection of DNA using PCR
What do you see with acute fungal pulmonary infections?
extensive inflammation often pneumonia

symptoms: high fever, night sweats, enlarged pulmonary lymph nodes, see radiographic masses
What happens if the immune system fails to control acute pulmonary infections?
becomes chronic

spreads to other tissues
more likely with compromised immunity or with more pathogenic fungal species