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40 Cards in this Set

  • Front
  • Back
Respiratory Syncytial Virus (RSV)
Characteristics
pleomorphic
ss -RNA
non-segmented
G glycoprotein - attachment
Fusion glycoprotein - pathologic fxn
Respiratory Syncytial Virus (RSV)
Epi
early spring
global
children under 2
Respiratory Syncytial Virus (RSV)
pathophysiology
ciliated resp. epi
destruction of cilia
obstruction of small airways
Respiratory Syncytial Virus (RSV)
clinical
URI, pneumonia
exacerbation of asthma in old
Respiratory Syncytial Virus (RSV)
diag.
ELISA, DFA
Respiratory Syncytial Virus (RSV)
treatment
no steroids
ribavirin for very sick
Respiratory Syncytial Virus (RSV)
preventative
RSV vaccine
cohort patients
Respiratory Syncytial Virus (RSV)
transmission
direct contact
airborne transmission rare
nosocomial common
Influenza
characteristics
orthomyxo family
pleomorphic, segmented, ssRNA
A,B,C, enveloped
Hemagglutanin H1-3, binds sialsilic acid
Neuraminidase N1-2
Influenza
Drifts
Shifts
drifts: minor changes in surface spikes (H1-2,N1-2) without changing subtype
shifts: major change; change in subtype. Only in A
Influenza
Epi
mid winter
animal host
Influenza
Pathophysiology
resp. tract
necrosis of ciliated epi
bacterial superinfection
Influenza
clinical
chills, nonproductive cough, headache, sore throat
fever, rales and weezing
Influenza
diagnosis
presumptive
ELISA
Influenza
treatment
amantadine
ramatadine - A only
zauamivir
oseltamivir
Influenza
prevention
vaccine
amantadine or ramantadine
Parainfluenza
characteristics
paramyxovirus family
nonsegmented, -ssRNA
types 1-4
neuroaminidase, hemagglutinin, fusionn protein
No drifts or shifts
Parainfluenza
epi
type 2 less severe
person to person transmission
Parainfluenza
clinical
URI, acute otitis media
Croup in young kids, type 1
Parainfluenza
diagnosis
presumptive
IF, EIA
serologic for outbreak
Parainfluenza
treatment
antibiotic only with superinfection
ribavirin
warm air for croup
Rhinovirus
characteristic
picornavirus family
cytopathic effect (CPE)
nonenveloped, +ssRNA
100+ serotypes
Rhinovirus
epi
common cold
spring to early fall
high in young children
person to person aerosol
50% family, 100% daycare
Rhinovirus
pathophysiology
2-3 d incubation
shed up to a month
IgA at 1 week
Rhinovirus
clinical
young infants: febrile, URI
child/adult: afebrile, URI
sequelae: exacerbate asthma, otitis media
Rhinovirus
diagnosis
presumptive
don't to tissue culture b.c takes too long
Rhinovirus
treatment
symptomatic
Rhinovirus
prevention
hygiene, no vaccine
Coronavirus
characteristics
+ssRNA
enveloped with spikes
3 antigens
strains: 229E, OC43
Coronavirus
epi
winter peak
person to person - aerosol
Coronavirus
clinical
URT - cold
LRT - pneumonia
GI - watery, nonbloody
can lead to MS
Coronavirus
diagnosis
presumptive
difficult to isolate
Coronavirus
treatment
symptomatic
interferon
Coronavirus
prevention
hygiene
no vaccine
Adenovirus
characteristics
large, naked, dsDNA
100+ serotypes, 47 humans
enteric: types 40 and 41
Adenovirus
epi
global
year round
fecal to oral (40 &41)
Adenovirus
pathophysiology
replication in epi
necrosis of epi
aseptic menengitis
Adenovirus
GI Disease
System Disease
GI: acute gastroenteritis, hemorrhagic, ocular, CNS
System: meningoencephalitis, cardiac
Adenovirus
diagnosis
ELISA, culture
DNA hybridization
Adenovirus
treatment/vaccine
no vaccine or treatment