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Viruses
Viruses MMG 2nd exam
Question | Answer |
---|---|
Mumps | Paramyxoviridae ss - RNA Enveloped Complications: oophoritis, orchitis CPE: Syncytial MMR Vaccine (LAV) -UR Tract, GI, Eye |
Parainfluenza | Paramyxoviridae ss - RNA unsegmented Enveloped (H-Hemagglutinin) Respiratory infections, croup, barking cough, bronchitis CPE= Syncytia |
Ebola and Marburg | Filoviridae ss - RNA Enveloped Hemorrhagic fever Zoonotic |
Measles | Paramyxoviridae First Disease- Childhood Exanthems Enveloped (H- Hemagglutinin) Host Receptor: CD46 3Cs and P = coryza, conjunctivitis, cough, photophobia Koplik's spot rash Complications: Subacute sclerosing encephalitis |
Influenza A,B,C | Orthomyxoviridae Enveloped HA/NA Host Receptor: Sialic Acid alpha 2,6-humans, alpha 2,3= birds Genetic Drift- highest in A genetic shift amantidine/rimantadin- inhibit M2 zanomivir/oseltamivir-inhibit NA replicates in the nucleus |
HIV | Retrovirus ss -RNA Enveloped: gp120 binds CD4, gp41 binds CCR5 or CCR4 RNA/DNA hybrid intermediate AIDS Antivirals: Fusion inhibitors, nucleoside analogues (AZT), non nucleoside RT inhibitors, integrase inhibitors, protease inhibitors |
Human T Cell leukemia Virus HTLV | Retrovirus ss -RNA T-cell leukemia and lymphoma tumor virus; Tax activation- T cell growth factor CD4+ T cell |
Cocksackie (Enterovirus) | Picornaviridae ss + RNA (VPg on 5' end) VP1-4, VP1 = attachment Host Cell - CAR receptor Unenveloped A- Herpangia, Hand and foot, Meningitis B- Carditis, Pleurodynia, Meningitis |
Echovirus | Picornaviridae (enterovirus) ss + RNA VPg on 5' end VP1-4, VP 1= attachment ICAM Host cell recptor Carditis, Meningitis Pleconaril targets VP1 |
Rhinovirus | Picornaviridae ss + RNA VPg on 5' end No envelope common cold Host cell receptor ICAM Pleconaril targets VP1 |
Rubella Virus | Togaviridae ss + RNA third disease childhood exanthems Enveloped Hemagglutinin Childhood/adult rubella Congenital: Hearing loss, mental retardation, eye problems Complications: arthritis, arthralgia |
Alphaviruses | Togaviridae ss + RNA Enveloped Encephalitis Arboviruses: vector borne- probably mosquitos |
West Nile, Dengue, Yellow fever | Flaviviridae ss + RNA Enveloped Encephalitis, Hemorrhagic fever Arboviruses- vector borne- mosquitos |
Rotavirus | Reoviridae DS RNA segmented Double layer capsid VP4= hemagglutinin no envelope rotavirus A = mainly in infants; diarrhea day care Rotavirus NSP4 has cholera like toxin activity Vaccines: Rotateq, Rotarix |
Rabies | Rhabdoviridae ss - RNA Envelope, G-protein zoonotic, host receptor - AchR and NCAM Negri bodies seen in brain Vaccination can be given after infection |
Arenaviridae | ss - RNA 2 circular single stranded RNA Ambisense Usually rodent vector encephalitis, hemorrhagic fever, shock |
Bunyaviruses | Hantavirus ss - RNA Enveloped Mainly encephalitis Arbovirus - vector borne: mosquitos |
Human Corona Virus | Coronaviridae ss + RNA enveloped: E1 (M) E2(S) Hemagglutinin Looks like a solar corona 15-20% of common colds -can cause rare GI infections |
SARS - Severe Acute Respiratory Syndrome | Coronaviridae ss + RNA Enveloped SARS- high fever- China Liver damage CPE: syncytial cells |
Norovirus | Calciviridae ss + RNA no envelope gastroenteritis-most often in adults often transmitted via contaminated food or H2O |
Poliovirus | Picornaviridae ss + RNA No envelope Polio PVR Receptor Can cause: Abortive infection, aseptic, meningitis Inactivated salk vaccine Live Attenuated Vaccine |
Adenovirus | Adenoviridae ds DNA Capsid: fiber protein attachment to host, base protein No envelope Host Receptor: CAR Inadequately chlorinated pools Tumor Virus: E1A inactivates pRb, E1B inactivates p53 Resp. infections, pharyngoconjunctival fever, eye and GI |
HSV-1 | Herpesviridae ds DNA enveloped Above the belt Latent- trigeminal ganglion Tzank smear- Cowdry type A inclusions Acyclovir: nucleoside analogue needs viral Thymidine kinase for activation |
HSV -2 | Herpesviridae ds DNA Enveloped Below the belt- genital/neonatal latent- sacral ganglia Tzank Smear cowdry type a inclusion bodies Acyclovir: Nucleoside analogue needs viral thymidine kinase for activation |
Varicella Zoster | Herpesviridae dsDNA enveloped chickenpox, shingles latent- DRG Pustules erupt at different times/stages |
Epstein Barr Virus EBV | Herpesviridae ds DNA enveloped infectious mono, burkitt's lymphoma, nasopharyngeal carcinoma latent- B lymphocytes, heterophile Ab (IgM) atypical lymphs |
Cytomegalovirus CMV | herpesviridae ds DNA enveloped congenital: microcephaly, rash, hepatosplenomegaly Latent- T lymphs, cytomegalic inclusions "Owl's eye" |
HHV 6-7 | Herpesviridae dsDNA enveloped Roseola infantum "6ths Disease" spiking fever, febrile seizures, mild rash Latent B and T lymphocytes |
Parvovirus | Parvoviridae B19 ss DNA No envelope Erythema Infectiosum (5ths Disease) slapped cheeks Congenital Infections- anemia, hydrops fetalis Host Receptor: P globuloside, infects actively replicating cells (RBC precursors) arthritis, arthralgia, aplastic a |
Smallpox | Poxviridae ds DNA enveloped Replicates entirely in cytoplasm Papules erupt at same time Bioterrorism |
Molluscum Contagiosum | Poxviridae dsDNA Enveloped wart like lesions replication in cytoplasm |
HPV | Polyomaviridae ds DNA no envelope Plantar and Genital warts 16, 18 = high risk cervical cancer 6,11 = low risk Tumor virus inactivates p53, E7 inactivates pRb |
BK | Polyomaviridae dsDNA cystitis Healthy-asymptomatic Latent activation in immunocompromised Tumor viruses: Large T inactivates p53 and pRb |
JC | Polyomaviridae dsDNA CNS and possible PME Kidneys, B cells, monocyte lineage Healthy-asymptomatic latent activation immunocompromised Tumor virus: Large T antigen inactivates p53 and pRb |
RSV (Respiratory Syncytial VIrus) | Paramyxoviridae ss -RNA unsegmented Enveloped Hemagglutinin Mainly in kids- eyes and nose-main cause of bronchiolitis CPE = syncytia Ribovirin= nucleoside analogue |