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23 Cards in this Set

  • Front
  • Back
Naked viruses
Contain DNA or RNA and a protein coat called a capsid = nucleocapsid. Do not have phospholipid layer
Specimen collection for virus
Viral shedding highest at beginning of disease. Swabs (calcium alginate can inhibit replication of virus).
Herpes viruses
dsDNA, icosahedral capsid, envelope, and latent and lifelong persistence.
Herpes simplex viruses
Adults: 80% infected w/ type 1 (mouth lesions and blisters) and 20% w/ type 2 (genital herpes). Spread by contact w/ secretions. Usually asymptomatic w/ mucous lesions.
Varicella Zoster
Herpes virus. Varicella (chicken pox) usually in children and highly contagious. Zoster (shingles) is reactivation of varicella; lesions very painful.
Ebstein-Barr virus
Herpes virus. Cause of infectious mononucleosis aka "kissing disease". Transmission by infected saliva. Associated w/ Burkitts lymphoma.
Cytomegalovirus
Herpes virus. Spread by close contact (saliva or blood). Mostly asymptomatic. Slow growing (takes up to 3 weeks to see CPE).
Human papilloma virus (HPV)
DNA virus, icosahedral, envelopes. Genital warts, cervical cancer. Pap smears for dx. Vaccine available (preteens 11-12).
Noroviruses
ssRNA. Naked virus. Most common cause of gastroenteritis in US.
Ebola virus
ssRNA. The Hot Zone. Highly infectious and deadly. Causes hemorrhagic fever. Possibly from infection by monkeys.
Influenza viruses types A and B
ssRNA. Surface antigens: hemagglutinin and neuraminidase for attaching to RBC surfaces and respiratory epithelial cells.
Antigenic shift
Major changes of surface antigens. Only associated w/ Influenza A.
Respiratory Syncytial Virus (RSV)
Single-stranded RNA. Most common virus isolated from infants w/ lower respiratory tract infections. By 2 years almost all children infected w/ RSV. Highly contagious and spread via aerosols.
HIV
ssRNA retrovirus. Attacks CD4 T cells. Weakens immune system. Confirmatory dx by Western blot.
Hepatitis A
Naked, icosahedral, ssRNA. Associated w/ food-borne illness. Fecal-oral route. Self limiting symptoms. Vaccine available.
Hepatitis B
dsDNA, enveloped. Transmitted sexually or blood.
Hepatitis C
ssRNA w/ lipid envelope. Cause of blood transfusion hepatitis. No vaccine. Increased liver enzymes, including ALT.
Prions
Proteinaceous infectious particles. Lack nucleic acid. Creutzfeldt-Jakob disease and "mad cow disease".
Adenovirus
DNA, icosahedral, no envelope.
Hepatitis B serological indicators
HBsAg: first positive marker; negative after pt recovers (remains positive in chronic infections)
Anti-HBsAg: positive for life, but indicates recovery or immunity
Anti-HBcAg-IgM: recent acute infection
Anti-HBcAg: positive in acute infection but does not indicate recovery or immunity
HBeAg: positive in acute/chronic stages
Anti-HBeAb: associated w/ good prognosis
Hepatitis D
RNA. HBV present before HDV is infective.
Hepatitis E
RNA. Spread by contaminated water.
Retrovirus
RNA virus, icosahedral, envelopes. Have reverse transcriptase (transcribes RNA into DNA)