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76 Cards in this Set

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Viruses

Non-living antagonists


Icosahedral


Helical

Icosahedral

20 sides; triangular

Helical

Spiral

Components of viruses

All have:


Genome


Capsid



Only some:


Envelope


Spikes

Genome

Central core


Holds genetic info (DNA or RNA)


Same as bacteria nucleoid

Capsid

Surrounds the genome


Gives shape & structure


Same as bacteria cell membrane

Envelope

Outside the Capsid


Protects virus from antibodies


Same as bacteria capsule

Spikes

Allow virus to stick to and penetrate the host cell


Must have envelope to have spikes


No bacterial equivalent

Virus vs Retrovirus

Virus = DNA


Retrovirus = RNA

Pathogenicity of Viruses

Highly contagious


Not easy to treat


Serious S/S


Teratogenic


Carcinogenic


Teratogenic

Capable of causing birth defects in pregnant women

Carcinogenic

Capable of causing cancer

Lysis

Replication of virus

Stages of Lysis

Attachment


Penetration


Transcription


Synthesis


Assembly


Release

6 stages

Attachment (lysis)

Attaching to the cell

Penetration (lysis)

Entering host cell

Transcription (lysis)

Taking information from DNA of virus and transcribing it to RNA of host cell

Synthesis (lysis)

Host cell produces proteins to make the replicated virus

Assembly (lysis)

Viral cells put together to form replicated virus

Release (lysis)

Host cell breaks apart & releases new viruses

Inactivation

Changes virus so it can't replicate


-Formaldehyde


-Phenol


-Heat


-UV light


-Alcohols


-Heavy Metals

Vaccines

Inactivated - can't replicate


Attenuated - weakened but can still replicate

Antiviral medication

Lessens symptoms


Chain Terminators


Interferon

Chain Terminators

Alter DNA or RNA virus


Usually end in -vir

Interferon

Produced by cell infiltrated by virus


Very successful


Small quantities


Species specific

Measles

Virus: Paromyxovirus


Causes: Measles


CN: Rubeola


Entry: respiratory


Exit: respiratory secretions


Lifetime immunity


Vacc: MMR


DS: Koplik's spots in throat

Rubella

Virus: Paromyxovirus


Causes: German Measles


CN: rubella


Entry: inhalation


Exit: respiratory secretions


Highly teratogenic

Variola

Virus: pox


Causes: small pox


CN: variola


No entry/exit


Totally eradicated

Vaccinia

Virus: pox


Causes: cow pox


CN: vaccinia


Entry: break in skin


Non-communicable


Zoonosis: cows

Molluscum contagiosum

Virus: pox


Causes: molluscum contagiosum


CN: molluscum contagiosum


Entry: break in skin


Exit: discharge from lesions

Varicella

Virus: herpes


Causes: chickenpox; shingles (after dormant)


CN: herpes zoster


Entry: respiratory


Exit: respiratory and drainage from lesions


Chickenpox Vaccine: 60% effective


Shingles vaccine highly effective

Herpes simplex 1

Cold sores and fever blisters


Keratitis (eye)


Majority of adults are exposed


Entry: respiratory or contact

Herpes Simplex 2

Genital herpes


Infant can contract through birth canal (very serious in newborns

Similarities of herpes simplex 1 & 2

Getting one lessens your chances of getting the other


Can be cross spread


Triggered by: stress, sunlight, cold, menstruation & fatigue

Influenza

Virus: myxovirus


Causes: flu


CN: influenza


Entry: inhalation


Exit: respiratory secretions


Always respiratory


May cause death in young/elderly


Can cause pneumonia

Types of Flu

A: most common cause of epidemics


B: milder, less virulent


C: least common, mildest


Most are retroviruses (have RNA)

Common cold

Virus: rhinovirus


Causes: common cold (coronavirus)


CN: acute coryza


Entry: inhalation


Exit: respiratory secretions & contact

Rabies

Virus: rhabdovirus


Causes: rabies


CN: rabies


Entry: bite/saliva from rabid animal


Exit: saliva


Zoonosis: usually raccoon or bat


Almost 100% fatal

Stages of Rabies

Prodromal: just don't feel well


Excitation: symptoms start


Terminal: systems start shutting down


DS: negribodies (dark spots on brain)


If you reach the Prodromal stage, you will die

Polio

Virus: picornavirus (smallest)


Causes: polio


CN: poliomyelitis


Entry: ingestion


Exit: GI discharge


Vaccine


Wide range of effects


Only found in few areas of the world

Silent polio

No signs or symptoms

Post-polio

20-30 yrs after contracting

Encephalitis

Virus: togavirus (arbovirus)


Causes: Encephalitis


CN: Encephalitis


Vector: mosquitos & ticks


No exit


Non-communicable


Inflammation of the brain; leaves permanent damage

Mumps

Virus: Paromyxovirus


Causes: mumps


CN: parotitis


Entry: inhalation


Exit: respiratory secretions


Inflammation of parotid glands


Unilateral: permanent immunity


Vaccine: MMR


Can stay dormant in body

Cytolomegalovirus

Virus: Herpes


Causes: cytolomegalic inclusion disease


CN: cytolomegalic inclusion disease


Entry: various


Exit: various


Can affect any part of the body

Epstein-barr virus

Virus: herpes virus


Causes: mononucleosis


CN: mononucleosis


Entry: close salivary contact


Exit: saliva


Aka kissing disease


Long recovery period


Carcinogenic - lymphoma

Human Papilloma Virus

Virus: papovavirus


Causes: Genital warts


CN: Condyloma


STI


Highly communicable


Carcinogenic - cervical/testicular cancer


Vaccine


Verruca

Virus: papovavirus


Causes: warts


CN: verruca


Entry: unknown


Unknown communicability

Yellow Fever

Virus: togavirus


Causes: yellow fever


CN: yellow fever


Entry: break in skin


Vector: mosquitos (biological)


Exit: secretions


High fever & jaundice

Denge fever

Virus: togavirus


Causes: Denge fever


CN: Denge fever


Entry: break in skin


Vector: mosquito


Exit: secretions


Usually only in tropical environments

Ebola

Virus: filovirus


Causes: hemorrhagic fever


CN: hemorrhagic fever


Entry: break in skin


Exit: secretions


Extremely deadly

Lassa Fever

Virus: filovirus


Causes: Lassa Fever


CN: Lassa Fever


Entry: skin/respiratory


Exit: secretions


Not seen often

Hanta virus

Virus: filovirus


Causes: Hantavirus Pulmonary Syndrome


CN: Hantavirus Pulmonary Syndrome


Entry: inhalation


Exit: respiratory secretions


Can be fatal w/ underlying pulmonary diseases


Usually carried by rodents


Echovirus, Enterovirus, Coxsecki virus

Virus: Enterovirus


Causes: Gastroenteritis


CN: Gastroenteritis


Entry: ingestion


Exit: GI secretions


Very common

Norwalk

Virus: Enterovirus


Causes: Gastroenteritis


CN: Gastroenteritis


Entry: ingestion


Exit: GI secretions


Spreads quickly and easily


Usually seen on ships & in schools

Hepatitis

Inflammation of the liver


Causes anorexia, nausea/vomiting, abdominal pain, fever, jaundice, photophobia and light colored feces

HAV

RNA, no envelope


Spread by Fecal-oral route


Incubation: 2-6 weeks


--virus replicating, no s/s


Symptoms last 10-22 days


1 dose vaccine (short term immunity)

HBV

DNA, envelope


Spread by blood, saliva, breast milk, semen


Incubation: 4-20 weeks


Usually asymptomatic


Can have active carriers


3 shot vaccine (permanent immunity)

HCV

RNA, envelope


Blood borne


Rapid mutation


No vaccine but meds can cure some people


Can become chronic


Can result in cirrhosis or cancer

HDV

RNA


Blood borne


No vaccine


Must have had Hep B first to get it

HEV

RNA, no envelope


Spread by Fecal-oral


From poor sanitation


Milder form of Hep except in young/elderly

Non-viral Hepatitis

Chemicals/Drugs


--Phenol, alcohol, acetaminophen, tetracycline

Autoimmune Hepatitis

Own body attacks liver


Always chronic

HIV

Human Immunodeficiency Virus


Virus: Lentivirus (retrovirus)


RNA only, mutates quickly


Has all 4 virus components


Receptor sites on Helper T-cells, macrophages & dendrites

AIDS

Acquired Immunodeficiency Syndrome


--prognosis: death

Time frame from HIV to AIDS

7-10 yrs in adults


1-2 yrs in babies

Spread of HIV

STD, Blood, Breast milk, Semen



Cannot spread by: sweat, tears, vectors, casual contact

HIV inside the body

Remains hidden in host cell as a provirus


--not detected by immune system



Latent virions remain in vacuoles of the cell & replicate



Cells fuse and virus spreads to adjacent cells

Categories of HIV

A: no symptoms or lymphadenopathy



B: persistent infection of yeast infection mouth/throat


--thrush



C: yeast moves down esophagus & Causes other infections


--disease is now AIDS

Groups of HIV

1: Acute illness


--night sweats, relapsing fever, Respiratory problems



2: No symptoms but can still spread it



3: Generalized lymphadenopathy



4: Superimposed infections throughout body


--is now AIDS

# of helper t-cells

Normal: 800-1,000/cc blood


AIDS: Below 200

Testing for HIV

Detect antibodies


--seroconversion: 1-2 months into disease



--Maternal antibodies are false in fetus



--used for transplants/transfusions



Detect virus


--within 48-72 hrs into disease


--very expensive

Treatments for HIV

Chemotherapy


--reverse transcriptase



Protease inhibitors


--inhibits virus from producing proteins



Cocktails


--5 or more drugs being taken


Forms of infection

Immunodeficiency: no antibodies, low phagocytes



Autoimmunity


Neurologic dysfunction

PCP

Pneumocystitis carnii pneumonia


Most common infectious cause of death in AIDS

Kaposi sarcoma

Cancer of the capillaries


Most common cancer cause of death in AIDS