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28 Cards in this Set

  • Front
  • Back
Rhinovirus general characteristics
Picornavirus
SS + RNA
Rhinovirus surface cell receptor?
ICAM-1
Rhinovirus epidemiology
Hyperendemic in winter (common cold)
Causes of common cold?
50% rhinovirus (others can be adenovirus etc)
Cold temperature not direct cause
Common cold transmission?
Fomites (virus stable in environment)
Hands are major vector
Human carrier state is possible
(~50% of inf pts show symptoms, but shed virus)
Rhinovirus control
Symptom relief (Abx don't do anything)
Rhinovirus treatments
Cold fX (immune booster, benefit?)
Cold Eeze (may work against rhinovirus)
Zicam (snorted, and caused loss of smell)
Picovir
Picovir drawbacks?
Only targets 50% of cold causing viruses
Antag Birth control
The common cold is not dangerous and self limiting
Influenza Virus general description
Orthomyxoviruses
Segmented - ssRNA
helical symmetic capsid
enveloped virion
Influenza serotypes
3 (A, B, C)
Subtypes categorized by protein
Influenza H
Hemagglutinin (viral attachment)
Influenza N protien
Neuramidase (viral penetration and release from infected cell)
Influenza infection course
Short incubation (1-2 days)
Resp tract entrance
SEVERE (fever, aches chills, wish for death)
Lasts 1 week (recovery is often long 1 - 2 weeks)
List complications to Influenza infection
Primary influenza viral pneumonia
Secondary pulmonary infection from
Strep pneumo
Staph aureus
Hib
Reyes syndrome
Edematous encephalitis, fatty alteration of liver
Guillain-Barre syndrome
Demyelination disease, insult unclear (40% viral association)

1976 swine flu vaccine
Influenza vaccines
Multivalent
guess of what will be circulating in US
(vaccine includes two A viruses and dominant B virus)
What forms is the Flu vaccine available in?
Inactivated virus (inj)
live, attenuated (resp admin) Flumist
Both flu vaccines are produced in?
chicken eggs
The elderly get what type of flu vaccine?
high potency inactivated flu
Children under nine require how many immunizations to the flu?
Some may need TWO
What is quadrivalent flu vaccine?
Contains 2 A and 2 B viruses (should be used from 2013 onward)
Antigenic drift
Point mutations in N or H genes, minor variations (could be large problem)
Antigenic shift
recombination of entire segments encoding H and N proteins

Shuffling of genome segments in the virion

MAJOR variations
Influenza nomenclature
Type/Location/Year/Antigenic type
A/HK/98/H1N1
Influenza epidemiology (#of deaths)
10-40,000, mostly elderly
Flu season?
Winter occurence (December - March/April)
RSV
Respiratory synctical virus
Infx of epithelium of nose, throat, and bronchi