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78 Cards in this Set

  • Front
  • Back

Rubeola is measles, Rubella = ? measles

German

Rubeola has ____ RNA, is ___________, enveloped with _____ & ___ spikes

Negative, helical, H & F spikes

Rubeola was eliminated in

2000

Most cases of rubeola in us are imported from

Europe or Asia

The reservoir for both Rubeola and Rubella is

Humans

Rubeola and Rubella are both transmitted via aerosols but Rubella is also

Congenital

Rubeola is contagious ___ days before rash and __ days after

4

Rubella is contagious ___ days before rash and __ days after

7

While rubeola and rubella have the same average incubation times, which is usually longer?

Rubella

Which disease results in koplik spots in mouth before rash?

Rubeola

Symptoms of Rubeola include

Headache, pink eye, cough, high fever, raised rash, and kopek spots

Rubeola complication 7-10 years later

Subacute sclerosing panencephalitis

How many cases will have encephalitis after rubeola

1/1000

Rubeola has a raised rash while rubella has a

flat rash

Rubella's rash begins on the

face

Complications of rubeola include ____________ infection & __________________

middle ear infection, pneumonia

Encephalitis can result in

permanent brain damage

Before measles vaccine most people got disease by age

15

Subacute sclerosing panencphalitis is rare and occurs in

males

Rubella has ____, enveloped, _________________ RNA with __________________ spikes

Positive RNA, icosahedral, E glycoproteins

The family of Rubeola

Paramyxoviridae

The family of rubella

Togaviridae

Rubella eliminated from US in

2004

US cases from Africa, SE Asia, East Mediterranean are

Rubella

Symptoms of Rubella include ______ fever, ________ rash on face to trunk, and ____________________________

mild fever, flat rash, congenital rubella syndrome

Congenital rubella syndrome can effect

heart, eyes, ears. Causes deafness, cataracts, heart defects, mental impairment or death

The last major epidemic of Rubella Cong. syndrome was in

1960s

Prevention of Rubeola and Rubella includes

MMR vaccine at 12-15 months, second at 4-6 years

Rabies family

Rhabodoviridae

Genus of rabies

Lyssavirus

Rabies is ________ stranded, ___________ RNA that is enveloped

Single stranded (-) RNA

Rabies shape

bullet/helical

Source of rabies (3)

saliva in bite/scratch from infected animal, corneal transplant, solid organ transplant

Reservoirs of rabies

bats, raccoons, fox, coyote, skunks

Rabies replicates in?

muscles/connective tissues

In this disease, incubation varies depending on site of infection

Rabies

90% of rabies worldwide is from

dogs

2 kinds of rabies

paralytic (dumb) or furious

Furious rabies

excited/hyperactive state, hydrophobia, aerophobia

Paralytic/dumb rabies

depressed activity, lethargic, uncoordinated, paralyzed throat/jaw, trouble swallowing

Diagnosis of Rabies includes

DFA test for proteins, Negri bodies, FA test of brainstem

Diagnosis of rubella and rubeola

IgM antibodies & PCR

Treatment of Rabies includes these

HDCV, HRIG

HDCV or "Human diploid cell" vaccine

given 5 injections over 28 days

HRIG

Based on body weight, "human rabies immunoglobulin"

Areas free of rabies because of ?

GB, NZ, Hawaii b/c rigid quarantine

Arbovirus

Arthropod borne

WNV is an

arbovirus

WNV is transmitted via what species of mosquito? or from?

Culex spp. or organ/blood donations

WNV is tested for using

PCR

Family of WNV

Flaviridae

Genus of WNV

Flavivirus

WNV is _______ stranded, __________ RNA & enveloped

Single stranded (+) RNA

WNV incubation is _____-_____ days, but can last for several _____________

3-14 days, several weeks

1937 started WNV in

Uganda

First case of WNV in us was in

1999

Primary cycle of WNV

Mosquito -> bird -> mosquito

Dead end hosts of WNV

horses, humans

Most WNV are

Asymptomatic

20% of WNV experience

headache, fever, rash on trunk, swollen lymph glands

0.7% WNV experience

Neuroinvasive symptoms (Encephalitis/meningitis) = fever, stiff neck, headache, coma, tremors, muscle weakness

WNV is a Febrile illness meaning

you have a fever but cause is uncertain

WNV diagnosis

Isolating Antigen from blood, tissue, CSF or other, Demontrating IgM to WNV in CSF, or Elisa method

Prevention of WNV

DEET, protective clothing, avoid feeding times, drain standing water

Reservoir of WNV

Birds = amplifier

Polio family

Picornaviridae

Polio genus

Enterovirus

Polio is __________ stranded, ______ RNA with no ______________. it is very ___________

single stranded (+) rna, no envelope, very small

Original purpose of march of dimes in 1938 was

Polio reserach

Polio has ______________ transmission

fecal/oral

Polio is viremic meaning it is present in

blood

Polio replicates in

throat & small intestine

Polio invades ______________ tissues

lymphatic - tonsils, peyer patches, neck lymph nodes

Most people with polio are asymptomatic or experience ______ before recovery

Sore throat/mild nausesa

If viremia persists in polio patients... (1%)

Penetration of CNS occurs, motor nerve cells of upper spinal cord are infected, cells die producing paralysis

Salk vaccine for polio is __________, _____________

Oral, attenuated

Which polio vaccine is still alive?

Salk

Sabin vaccine for polio is ____________, __________

inactivated, injectable