Microbiology Flashcard

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gp120
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docking protein; envelope protein, attachment to host T cell
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gp41
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transmembrane, envelope protein; fusion and entry
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env gene
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gp120 and gp41
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gag gene
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capsid protein p24
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pol gene
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reverst transcriptase
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immunity to HIV
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homozygous CCR5 mutation
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HIV virus binds ___ or ___ on T cells
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CXCR4 or CCR5
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HIV binds ___ on macropages
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CCR5
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HIV diagnosis
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ELISA (highly sensitive) and confirmed with western blot (highly specific)
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HIV/PCR/viral load
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monitory effect of drug therapy, newborns
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AIDS dx
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CD4 < 200 with aids defining illness
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acute HIV
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wide dissemination of virus, seeding of lymphoid organs, first couple months
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clinical latency
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several years
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4 stages of HIV infection
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Fluelike (acute), feeling fine (latent), falling count, final crisis
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HIV with fever, cough and hepatosplenomegaly
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histoplasma capsulatum; CD4 <100
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HIV with fluffy cottage-cheese lesions, pseudohyphae
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Candida; CDF < 400 esophageal if <100
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HIV with superficial vascular proliferation; biopsy reveals neutrophilic inflammation
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bartonella henselae (bacillary angiomatosis)
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HIV with CD4 <200 with chronic, watery diarrhea
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cryptosporidium
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HIV with encephalopay
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JC virus
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HIV with ring enhancing brain abscess
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toxoplasma gondii
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HIV with meningitis
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cryptococcus
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HIV with retinitis and cotton wool spots
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CMV
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HIV with retinitis and cotton wool spots
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CMV
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HIV with neoplastic proliferation of vasculature
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kaposi with HHV8
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HIV with hairy leuoplakia
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EBV
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HIV with non-hodgkin lymphoma
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EBV
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HIV with squamous cell carcinoma of anus or cervix
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HPV
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HIV with primary CNS lymphoma
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EBV
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HIV with interstitial pneumonia
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CMV
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HIV with pleuritic pain, hemptysis, infiltrates
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aspergillus
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HIV with CD4 < 200 and pneumonia
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pneumocystis jiroveci
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HIV with TB like disease with CD4 < 50
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MAC
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Hepatitis: RNA picornavirus
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HAV
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Hepatitis: fecal-oral
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HAV, HEV
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Hepatitis: short incubation
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HAV, HEV
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Hepatitis: no HCC risk
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HAV, HEV
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Hepatitis: usually asymptomatic or acute
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HAV
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Hepatitis: DNA hepadna
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HBV
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Hepatitis: parenteral
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HBV, HDV
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Hepatitis: sexual
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HBV, HDV
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Hepatitis: maternal-fetal
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HBV, HDV
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Hepatitis: long incubation
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HBV, HCV
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Hepatitis: HCC risk
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HBV (acts as oncogene) and HCV (chronic inflammtion)
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Hepatitis: RNA flavivirus
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HCV
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Hepatitis: blood transmission
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HCV
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Hepatitis: IVDU
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HCV
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Hepatitis: chronic
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HCV
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Hepatitis: no carrier state
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HAV, HEV
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Hepatitis: depends on HbsAg
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HDV
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Hepatitis: RNA delta virus
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HDV
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Hepatitis: RNA hepevirus
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HEV
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Hepatitis: high mortality in pregnancy
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HEV
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HBV: signifies active disease
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HbsAg
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HBV: signifies recovery
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anti-HbsAg
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HBV: shows new disease
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HBcAg
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HBV: history of disease
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anti-HBcAg
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HBV: high transmissibility
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HBeAg
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HBsAg +, HBeAg +, anti-HBcAb IgM +
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acute HBV
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anti-HBcAb +
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window period
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HBsAg +, HBeAg +, anti-HBcAb IgG +
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chronic HBV with high infectivity
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HBsAG +, anti-HBeAb +, anti-HBcAb +
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chronic HBV, low infectivity
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anti-HBsAb, anti-HBeAb +, anti-HBcAb +
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recovery
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only anti-HBsAb +
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immunized
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viral recombination
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exchange of genes between 2 chromosomes by crossing over within regions of significant base sequence homology
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reassortment
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viruses with segmented genres exchange segments; causes influenza pandemics
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complementation
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when 1 of 2 viruses that infect the cell has a mutation that results in a nonfunctional protein; the non mutated virus complements the mutated one by making a functional protein that serves both viruses
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phentypic mixing
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with simultaneous infection with 2 viruses;
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live attenuated vaccines
- immunity ilicited
- examples
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- humoral and cell mediated
- smallpox, yellow fever, chicken pox, sabin's polio, MMR
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killed vaccines
- immunity ilicited
- examples
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- humoral only
- rabies, influenxa, salk poilio and HAV
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recombinant vacines examples
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HBV, HPV
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DNA viral genomes:
- ds or ss- linear or circular?
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- all ds except parvovirus B19
- all linear except papilloma, polyoma and hepadna
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RNA viral genomes:
- ss or ds- positive sense examples
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- all ss except reoviridae
- retro, toga, flavi, corona, hepe, calici and picorna
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naked viral genome infectivity
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require enzymes contained in the complete vision for infectivity
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are viruses diploid or haploid?
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all haploid except retroviruses
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viral replication:
- DNA
- RNA
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- all in nucleus except poxvirus
- all in cytoplasm except influenza and retroviruses
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naked viruses
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calici, picorna, reo, parvo, adeno, papilloma and polyoma
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where does the herpes envelope come from?
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nucleus
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icisahedral DNA viruses
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all except pox
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DNA viruse examples
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HHHAPPPPy = hepadna, herpes, adeno, pox, polyoma, papilloma, parvovirus
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types of herpes viruses
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HSV1, HSV2, HHV3 = VZV; HHV4= EBV, HHV5 = CMV, HHV6 = roseola, HHV7 =insignificant, HHV8 = kaposi
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hepadnavirus example
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HBV
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adenovirus diseases
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febrile pharyngitis, acute hemorrhagic cystitis, pneumonia, conjunctivitis
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parvovirus B19 symptoms
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aplastic crises; slapped cheeks in children; RA like symptoms in adults
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HPV
- wart subtypes
- cervical cancer subtypes
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- 1, 2, 6 and 11
- 16, and 18
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types of polyomaviruses
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JC virus= PML
BK virus= transplant patients in kidney
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types of poxviruses
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smallpox, vaccinia (cowpox), and molluscum contagious
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flesh colored dome lesions with central dimple
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molluscum contagiosum
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temporal lobe encephlitis
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HSV1
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latent in:
- trigeminal ganglia
- sacral tanglia
- dorsal root ganglia
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- HSV1, VZV
- HSV2
- VZV
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spread by respiratory secretions
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HSV1, EBV, VZV
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owls eye inclusions
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CMV
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monospot negative mono
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CMV
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retinitis in AIDS patients
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CMV
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high fevers for several days then diffuse macular rash
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HHV6; roseola
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tzanck test
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smear of vesicle shows multinucleate giant cells; for HSV1, 2 and VZV
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cowdry A inclusions
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HSV1, and 2
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atypical lymphocytes: B or T cells?
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T cells that are reactive to the infected B cells
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heterophile antiodies
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detected by agglutination of sheep or horse RBCs in EBV
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cancers with EBV
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burkitts, hodgkins, nasopharyngeal carcinoma
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medically important reoviruses
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coltivirus and rotavirus; DS!
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#1 cause of fatal diarrhea in children
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rotavirus
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medically important pirocnraviruses
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polio, echo, rhino, coxsackie and HAV
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aseptic meningitis
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echovirus, coxsackie, mumps and enterovirus
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hand foot and mouth disease
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coxsackievirus
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medically important hepevirus
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HEV
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medically important calicivirus
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Norwalk virus = viral gastroenteritis
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medically important flaviviruses
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HCV, yellow fever, dengue, st louis encephalitis and west nile virus
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medically important togaviruses
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rubella, easter equine encephalitis and western equine encephalitis
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medically important retroviruses
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HIV and HTLV
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medically important paramyxoviruses
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parainfluenza, RSV, rubella and mumps
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medically important filoviruses
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ebola/marburg hemorrhagic fever
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medically important arenaviruses
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LCMV and lassa fever encephalitis
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encephalitis from mice
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lassa fever
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medically important bunyaviruses
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california encphalitis, sandfly/rift valley fevers, crimean-congo hemorrhagic fever, hantavirus
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medically important deltavirus
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HDV
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negative strand viruses
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arenavirus, bunyaviruses, paramyxoviruses, orthomyxoviruses, filoviruses and rhabdoviruses
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segmented viruses
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bunyaviruses, orthomyxoviruses, arenaviruses and reoviruses
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enteroviruses
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fecal oral = polio, echo, coxsackie and HAV
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rhinovirus disease
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common cold >100 serologic types
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rhinovirus: acid stable or labile?
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labile
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yellow fever
- transmission
- symptoms
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-Aedes mosquito
- high fever, black vomit and jaundice
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rotavirus
- epidemiology
- mechanism
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- inter months in day care centers
- vilous destruction with atrophy leads to dec absorption of Na and water
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influenza virus
- virulence factors
- inc risk of
- vacine
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- hemagglutinin (viral entry) and neuraminidase (virion release)
- bacterial superinfection
- killed with 2A and 1B
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genetic shift vs drift
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shift = reassortment of viral genomes
drift= minor changes with random mutation
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symptoms of rubella
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fever, postauricular adenopathy, LAD, arthralgias, truncal rash that starts at head and moves down
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symptoms of parainfluenza
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seal-like barking cough
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symptoms of RSV
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bronchiolitis, pneumonia in infants
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virulence of paryamysoviruses
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surface F protein which causes respiratory epithelial cells to fuse and form multinucleate cells
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symptoms of measles
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kplic spots, cough coryza and conjunctivitis; descending maculopapular rash
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measles complications
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SSPE, encephalitis and giant cell pneumonia (IS)
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symptoms of mumps
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parotitis, orchitis and aseptic meningitis; can cause sterility
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negri bodies
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rabies virus
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symptoms of rabies
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fever, malaise -> agitation, photophobia, hydrophobia -> paralysis , coma -> death
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bullet shaped capsid
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rabies virus
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mechanism of rabies
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travels to CNS by migrating in a retrograde fashion up nerve axons
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prions
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PrPc -> PrPsc = transmissible; dementia ataxia and death with spongiform encephalopathy
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