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25 Cards in this Set

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HHV?

p97
human herpesvirus. fragile, enveloped and becomes latent throughout life. 8 types. periods of transmissibility/replication
where might HHV camp out?

how are they spread?

p97
will be latent in neurons, macrophages, or lymphocytes (t or b cells)

spread via mucosal-mucosal contact (exception: varicella/zoster, via respiratory droplets to lung mucosa)
1. T/F HHV are extremely common
2. t/f aren't uiquitous, benign or morbidity
3. ssDNA genome, suseptable to antiviral therapy

p98
1. t
2. f . are ubiquitous
3. f . dsDNA
1. t/f fully assembled before reaching cytoplasmic memB
2. t/f typical secondary mucosal epithelium infection
3. t/f multiple relapses common
4. t/f acyclovir is antibiotic for HHV
p98
1. t
2. f - 1' mucosal epithelium infection
3. t
4. antivirus used in therapy
common names for HHV #1-8?

p98
1.) herpes simplex virus 1
2.) '' '' 2
3.) Varicella Zoster virus
4.) Epstein Barr Virus
5.) Cytomegalovirus (6-7 none)
8.) Kaposi's Saroma Virus
Imprtant dieseases of HHV from #1-8

p98
1. cold sore, oral ulcers
2. genital herpes
3. chicken pox, shingles
4. Mono, burkitt's lymphoma
5. congenital infection
6 - 7. roseola nfantum
8. kaposi's sarcoma
initial virual infection usually on mucosa, spread via blood (viremia) to other organs. dangerous to fetus? what's body's immune response?

p99
during viremia stage, can be dangerous to fetus. Th, Tc, B cells clone. TC (&NK) kill 'virual factories'. B cells Ab's neutralize virus particles. some virus hides in host DNA latently, and cold sores regularly
latent viruses become reactivated, ie coldsore - causing release of many new viral particles - viremia?

p99
not this time.
Memory T and B cells respond so quick it keeps everything local. Local damage seen b/c virus & b/c Tc killing spree
mechanism of viral entry into a cell, occurs how?

p100
via interaction of viral spike proteins with cell surface Receptors. nucleocaspid thru cytoplasm and fuses envelope with Nu, releasing genome.
viral mechanism within infected host cell and viral exit?

p100
DNA (viral) - immediate early genes, delayed early genes and late genes. IN nucleus acquire envelope (and spikes) and head out
what is the #1 leading cause of blindness in the USA?

p 101
herpes simplex virus - 1. keratitis. common cause for corneal transplantation.
1. t/f 60-80% usa get HSV-1.
2. t/f 80-100% get HSV - 2
3. t/f encephalitis is from HSV-2
4. t/f herpes genitalis is STI from HSV - 2

p101
1. t, most before adulthood
2. f - 20-25%, typically aquired post adolescence
3. f - from HSV - 1
4. t - genital ulcer diseas from HSV-1 is rising too. increases risk of getting HIV 2-4 fold
t/f vaccines fro HSV 1 & 2 are greatly encouraged for those in the HIV category

p 101
f - a vaccine is urgently needed
if the mucoepithelium is initally infectd, what is latently infected?

p102
the sensory ganglia
what's the difference of spreading HSV-1 vs HSV-2?

p102
both mucosal/mucosal. HSV-1 most often in children (oral, oral).
HSV-2 via sexual contact (genital-genital, genital-oral)
what makes VZV unique among HHV's?

p 103
Varicella-zoster v's have 1' infection of chicken pox, and 2' of Shingles. Only one spread via respiratory droplets, no intimate mucosal contact required. PLUS a vaccine is availible.
progression of varicella ('pox') zoster ('shingles')?

p 103
infects lung mucosal epithelium, then local lymph nodes, then enters blood and finally skin epithelial cells, then pox seen.
skin area by single nerve root gets recurrent
immunosupressed treatment for someone coming down with VZV?
p104
anti-VZV antibody

anti-viral acyclovir
what are the symptoms of the "kissing disease"?

p105
fever, sore throat, swollen lymph nodes (lymphadenopathy) and more mononuclear cells (infected B and Tc (attacker) cells. FATIGUE. >95% population has previous infection
african children and epstein barr virus, what's the association with malignancy?

p105
EBV was found in malignant tissues, first virus related to malignancy. associated with malaria.
also associated with Hairy Leukoplakia and nasoplaryngeal cancers
1. t/f EBV linked with burkitts lymphoma & nasopharyngeal carcinoma
2. t/f kaposis sacoma causes liver cancer (chronic infection)
3. hep B/C viruses causes kaposi's sarcoma
4. HTLV-1 - like to cervical/oral cancers
p105
1. true. 2. kaposi's sarcoma = kaposi's sarcoma
3. Hep b/c = linked with liver cancer in people with chronic infections
4. HTLV - a retrovirus linked to T-cell leukemia
HPV - liked with cervical/oral cancers
why is saliva contact going to spread EBV?

p 106
the latent lifelong infection continually shed into saliva
what is the most common virus transmitted to a fetus, causing permanent diabilities to child? where's this problems seen?

p107
Cytomegalovirus - common, infected small children mostly (no symptoms). in Developed country problem b/c we don't get infection as a young child (thus develop no neutralizing Ab's)
how is Cytomegalovirus spread?

p107
CMV is spread via all bodily fluids including saliva and semen. usually asymptomatic disease
although usually asymptomatic disease, when is CMV dangerous?

p107
for pregnant ladies (if they get it for the first time while prego)
reactivation problem in immunospressed (transplant pt's, AIDS) may = death.