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Herpes/EBV/CMV/HIV
CLS 308 - Herpes, EBV, CMV, VZ, and HIV
Question | Answer |
---|---|
List the viruses in the Herpes Virus group | Epstein-Barr Cytomegalovirus Herpes Simplex Varicella-Zoster |
What are the characteristics of the Herpes virus? | DNA viruses. Replicate in the nucleus of the cell. |
What diseases are caused by Epstein-Barr? | Infectious Mono Burkitts Lymphoma Nasopharyngeal Carcinoma B-Cell lymphoma |
What are the symptoms of Infectious Mono? | Fever, Fatigue, Sore Throat, Swollen Lymph nodes |
What are the EBV specific antibodies? | Anti-VCA (viral capsid antigen) Anti-EA (early antigen) Anti-EBNA (epstein-barr nuclear antigen) |
What antigens can be tested in EBV? | EA-R (early antigen restricted) EA-D (early antigen diffuse) VCA - (viral capsid antigen) MA- (membrane antigen) EBNA- (epstein-barr nuclear antigen) EBNA-1 LYDMA- (lymphocyte determined membrane antigen) |
How is Cytomegalovirus transmitted? | Saliva Sexual contact Parenterally Blood/Organ transplants |
What are the clinical manifestations of CMV? | Encephalitis Retinitis Pneumonia Gastroenteritis |
What is the immune response for CMV? | IgM is produced against early infection. IgG peaks at 2-3 months CD8 and NK cellular response |
What testing is done for CMV? | ELISA - Confirm RIA IHA |
What are the types of Herpes Simplex? | HSV-1 and HSV-2 |
How is herpes transmitted? | Sexually or mother-to-infant |
What is the lab diagnosis of HSV-1 and HSV-2? | Culture Immunofluorescence PCR DNA probes ELISA Latex Agglutination |
What is the Tzanck Smear? | Stain lesion material with Sedi or Wrights stain. Examine for multinucleated giant cells |
What is the problem with using a Tzanck smear? | It does not distinguish between HSV-1 and HSV-2, nor does it differentiate Vericalla-Zoster. It is just a screening test. |
What is Primary Varicella-Zoster? | Chicken Pox |
What is secondary Varicella-Zoster? | Shingles |
What is the lab diagnosis of V-Z? | Culture Tzanck smear ELISA PCR |
How is HIV transmitted? | Unprotected sex Sharing needles Mother-to-fetus Infected Blood products |
What are the immunological manifestations of HIV? | Slight decrease in CD4 T-cells p24 appears 6 weeks ab are detected |
What are the clinical symptoms of HIV? | Mono-like symptoms for 6-12 weeks Latent period up to 10 years Chronic lymphadenopathy "Full Blown" AIDS |
How is HIV replicated? | HIV attaches to the host CD4 antigen receptor on T Cells, macrophages, monocytes, B cells, and GI cells. Monocytic line serves as a reservoir. |
What are the structural genes of HIV? | p15, p17, p24, p7, and p9 gp160, gp20, gp41 p66, p51, p31 |
What are the regulator genes of HIV? | VPU codes for p16 NEF codes for p27 TAT codes for p14 VIF codes for p23 |