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81 Cards in this Set

  • Front
  • Back
What do virus virulence factors promote?
1. efficiency of viral replication
2. viral transmission
3. access and binding of virus targets
4. escape of virus from host defenses
What is viremia?
Its when a virus becomes free in the plasma
What virus has no preference for a tissue?
Herpes simplex virus type 1
What is a non-permissive cell to viral replication?
The cell doesn't allow replication of a particular strain
What is a permissive cell to viral replication?
The cell provides machinery for complete replication cycle of virus
What does a semi-permissive cell provide for viral replication?
It is a cell that may support some but not all steps of replication
What is Syncytia?
Its when cell to cell fusion happens allowing a virus to spread and escape infection
What is a latent virus infection?
Its when a cell is infected, but no ongoing virus synthesis occurs
What is a recurrent infection?
Its the reactivation of a latent virus occurs due to immune suppression or some other event
What cells are affected by the antigen-nonspecific (innate) system?
Macrophages and NK cells
- limit and control local replication and spread
What cell are affected by the antigen-specific system?
Antibodies
- effective against extracellular viruses and cytolytic viruses
What cells are affected by the Cell-mediated immunity?
Cytotoxic T cells
- required for lysis of cells infected by non-cytolytic viruses
Viruses affect which age population the most?
Infants/Children and elderly
Do respiratory viruses happen in the summer more?
No they happen in the winter
What is an outbreak?
intro of a new virus into a new location
What is an epidemic?
Its a new strain of a disease into an immunologically naive population, usually a larger geographic area
What is a pandemic?
Worldwide epidemic
Which virus is associated with cervical cancer and warts?
Papilomavirus (HPV)
HPV has what characteristics?
Small, capsid, DNA genome and has oncogenic potential
Which HPV viruses are associated with oncogenic potential?
HPV -16 and HPV-18
How is HPV acquired?
1. Direct contact through small break in skin
2. during intercourse
3. while an infant passes through an infected birth canal
4. chewing warts
Are Laryngeal papilomas associated with HPV?
Yes
How can a person diagnose HPV in the lab?
1. Microscopy for excess keratin
2. PAP smears detect abnormal epithelial cells
3.DNA probes and PCR
What are characteristics of Adenovirus?
DNA virus, non-enveloped capsid, encodes its own DNA polymerase
How is Adneovirus spread?
Spread exclusively through human to human contact by fecal-oral, fingers and fomites
What virus is a major cause (15%) of gastroenteritis?
Adenovirus
What treatments can be given to a patient with adenovirus?
No treatment or vaccine, but should keep patients separate
What virus is associated with the largest area of viruses?
Herpesvirus
What are the characteristics of Herpes viruses?
DNA genome, enveloped capsid, Large and common
Which Herpes simplex is associated with infections above the waist?
HSV-1
What virus avoids antibody cell to cell spread by syncytia?
Herpesviruses
Herpesvirus have an enveloped capsid has to stay ______ in order to have its serious effects?
Wet
What does Herpetic keratitis effect?
Eye
What does Herpetic whitlow effect?
Finger - especially with doctors
What does Herpes gladiatorum effect?
Body
Is Genital herpes caused by HSV 1 or 2?
HSV -2 mainly and HSV-1
Herpes encephalitis is caused by HSV -1 or HSV-2?
HSV-1, has significant morbidity and mortality
Is Herpes meningitis caused by HXV 1 or 2?
HSV 2
Does HSV 1 or 2 cause Neonatal HSV?
HSV 2
What treatments are available for HSV?
1. antivirals
2. contact precaution with gloves, antiseptics and abstinence
3. C-section
How is Varicella-Zoster Virus transmitted?
primarily by respiratory route
What virus is similar to HSV?
Varicella-Zoster Virus
Is Varicella-Zoster Virus contagious?
Yes, 90% infection rate among household contacts
Diseases associated with Varicela-Zoster virus?
Chickenpox, Interstitial pneumonia, Herpes Zoster, postherpetic neuralgia
How do you treat Varicella-Zoster virus?
Treat adults and immunocompromised shinges, and with vaccine
What parasite is associated wtih Epstein-Barr virus?
B-lymphocyte parasite
How is EBV transmitted?
Transmitted by saliva
What virus gives a person a lifelong infection?
EBV
How do you treat EBV?
no treatment or vaccine available
Is Cytomegalovirus an oppertunistic pathogen?
Yes
Is Cytomegalovirus a common human pathogen?
Yes
What virus causes hearing loss and mental retardation?
Cytomegalovirus
Is the STD of cytomegalovirus symptomatic?
No usually asymptomatic
What antibody is high in AIDS patients with Cytomegalovirus infection?
IgM
How do you treat Cytomegalovirus?
Specific antivirals- Ganciclovir, foscarnet, contact precautions, no vaccine available
What are the characteristics of Picornavirus?
Small, RNA based and has a naked capsid
What virus is associated with hand-foot-and-mouth disease?
Coxsackievirus A16 and there is no treatment or vaccine for disease
Which virus is associated with the common cold?
Rhinovirus
What are the characteristics of Rhinovirus?
RNA, capsid, non-enveloped and transmitted by aerosols and on fomites
cargo hook reach pendant
two types
25,000lbs black bottom loop
11,000lbs green bottom loop
What treatments are there for Rhinoviruses?
1. experimental drugs
2. vaccine unlikely
3. hand washing and disinfection most effective
4. may need to use decongestants in appropriate age groups
What are characteristics of paramyxoviruses?
RNA based and enveloped
Are paramyxoviruses contagious?
Yes, passed by resp drops
What virus provides lifelong immunity after recovery of rash?
paramyxovirus
Is there a vaccine for Paramyxovirus?
Yes and its highly effective
Koplik's spots are associated with what virus?
Paramyxovirus
What is the main cause of death of paramyxovirus?
Pneumonia causes 60% of deaths associated with measles
Croup or seal bark is associated with what virus?
Parainfluenza
How is parainfluenza transmitted?
Transmitted by person to person contact and via respiratory droplets
Infection of the parotid gland is associated with what virus?
Viral parotitis (mumps)
How is the mumps spread?
By person to person and via respiratory droplets
How do you treat mumps?
Prevention is difficult but vaccine is highly effective - MMR
What anibody is found with infection of mumps and serologic testing?
IgM
What virus is associated with the most common cause of fatal acute respiratory tract infection in infants and young children?
Respiratory syncytial virus
Is RSV contagious?
Yes, transmitted by hands, fomites and respiratory routes
What virus causes bronchiolitis in infants?
RSV
What drug can you give a premature infant or immunocompromised patient with RSV?
Ribavirin
What are chacteristics of Influenza?
enveloped RNA viruses
Does influenza A or B cause minor antigenic changes?
Influenza B
When an antigenic shift occurs association with influenza, there is a mutation in what?
Hemagluttin (HA)
What drugs treat influenza and what are they are targets?
Amantadine and rimantidine, they target Membrane (M2) proten