+ RNA Viruses – Flashcards

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Examples of enveloped +sense RNA viruses
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Toga

flavi

corona(helical)

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Examples of non enveloped +RNA viruses
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Picorna

calici

astro

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features to + sense RNA viruses
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Cubical nucleocapsid

translation first step

cytoplasmic life cycle

 Non segmented single strand one RNA genome

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Positive RNA viruses
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Carry a mRNA type positive RNA gneome
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Examples of togaviruses
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Rubella 

alphavirus

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How are alphaviruses transmitted
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Mosquitos
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What does rubella virus infect
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Humans only
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Rubella virus
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Positive sense RNA virus

single serotype

infects humans only

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how is rubella transmitted and replicated
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Droplet infections/respiratory replication in respiratory tract viremia
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German measles
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Acute disease/self limiting disease in adults

rubella, 3 days measles, third disease

blotchy, non confluent rash-appear on the face and descend to body

rashes stay for 3 days

cervical lymphadenopathy

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Congential rubella syndrome
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Teratogenic effect of rubella 

first trimester infections of the fetus cause severe damage

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Permanent defects of congential rubella
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Congential heart disease (ductus arteriosis)

total or partial blindness: cataract, chorioretinitis, glaucoma

neurosensory deafness

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Transient defects of congential rubella virus
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Thrombocytopenic purpura

hepatospleenomegaly

meningoencephalitis

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CNS involvement in congenital rubella virus
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Mental retardation 

progressive rubella panencephalitis

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Vaccine for rubella virus
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Live attenuated virus
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How do you diagnose rubella virus
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Elisa for rubella antibodies
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Alphaviruses
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Mosquito transmitted togavirus

mostly subclinical or inapparent infections

eastern equine encephalitis(eee)

western equine encephalitis (wee)

venezuelan equine encephalitis (vee)

chikungunya: arthropathy

causes viremia

enecphalitis of horses, birds and humans

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Arbovirus infections
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Encephalitis 

rash fevers

hemorrhagic fevers

virus introduced in bloodstream

viremia produced

fever, chills, aching, rapid onset

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Arboviruses
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Insects (mosquito, sandfly, ticks)

toga, flavi, rhabdo, reo and bunya

all are RNA viruses

cytoplasmic life cycle

summer, fall, water stagnation, insect activity 

abandoned tires, rainfall, mosquito eggs

multiply in insects, heavy load in saliva

persistent infection in insects, no disease

viremia in insects and vertebrate host

overwintering in eggs

jungle cycle, urban cycle

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Flaviviruses
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Single transcription, translation unit
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St. Louis Encephalitis
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Mosquito-borne flavivirus

birds as reservoir 

east coast, Midwest, endemic in the usa

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Japanese Enceohaphalitis
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Mosquito borne flavivirus

many Asian countries

Pigs, birds as reservoirs 

killed virus vaccine 

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Ticked borne encephalitis
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Mostly in Europe
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Yellow fever
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Mosquito Borne flavivirus

single serotype

live attenuated vaccine (17D)

endemic in South America, Africa

thousands died in the USA in the past

hepatitis, hemorrhage into stomach (black vomitus)

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Dengue
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four different serotypes/vaccine hard

mosquito borne flavivirus

acute infection

dengue H shock syndrome

immune complex involving two different serotypes

asain countries, south america(Nicaragua)

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Hepatitis c
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Flavivirus, not transmitted by insects

multiple serotypes

most common cause of transfusion-associated non-A, non-B hepatitis

by sexual activity, I/V drug use, blood products

both acute and chronic infection

major cause of hepatocellular carcinoma

alpha interferon treatment

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Coronaviruses
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The only enveloped helical (+) sense virus

respiratory and gi infections

an important cause of common cause

infects animals and humans

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SARS
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Type of coronavirus

severe acute respiratory syndrome

flu like symptoms, pneumonia 

feb 2003, Asia, 12 countries

10,000 infected, 900 died

2004 very few cases

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Picorna virus
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Smallest group of RNA virus

genome:single transcription, translation unit

protein linked at 5' end

Cap independent translation

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Three subgroups of picoranaviruses
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Enteroviruses

rhinoviruses

heparnaviruses

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examples of enteroviruses
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Polio 1,2,3

coxsackie a and b

echoviruses

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Enteroviruses
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Cubical, non enveloped viruses

polyprotein produced from genome 

resistant to acid pH of stomach 

oral-fecal route of transmission

most infections in children

replicate in oropharynx, gut mucosa viremia, spread to CNS 

 

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What is the host for polio virus
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Humans only
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Polio virus
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1,2,3 serotypes, human only host 

hematogenous and neuronal spread to CNS

anterior horn of brain stem or spinal cord infected 

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Abortive poliomylitis
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No CNS involvement
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Aseptic meningitis
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Stiff neck, meningeal irritation
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Paralytic poliomyelitis
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Assymmetric flaccid paralysis sensory perception intact
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Bulbar polio
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Paralysis of muscles of the soft palate, pharynx (9;10 cranial nerves severely affected)
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Coxsackie A
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Herpangina: sore throat, vesicles on soft palate similar to HSV-1
Acute hemorrhagic conjunctivitis
Hand foot mouth disease: vesicular lesions on hand and face
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Coxsackie B
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Pleurodynia (muscle pain in the chest, epidemic myalgia, Bornholm disease) Aseptic meningitis and mild paresis Neonatal myocarditis, pericarditis, Myocardiopathy,

Diabetes Mellitus

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ECHO virus
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enteric human orphan virus

aseptic meningitis

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rhinovirus
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picorna virus, +stranded RNA, cytoplasmic cycle

unstable to acid pH of stomach (enteroviruses are acid stable)

more than 100 serotypes known, vaccine development difficult

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rhinovirus epidemiology and disease
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most frequent cause of common cold

school children are considered to transmit this virus most efficiently

respiratory route of enter, personal contact

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hepatitis A structure and biology
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picorna, +sense RNA

no envelope, stable to ether, acid, and heat

relatively stable to disinfectants

only one serogroup

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hepatitis a epidemology and disease
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infectious hepatitis or short incubation hepatitis

no chronic hepatitis or parentaral

oral-fecal route (rarely by parentaral)

raw seafood probably derived from feces contaminated water

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hepatitis a vaccine
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inactivated viral vaccine for foreign travellers
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caliciviruses/norwalk virus (ohio)
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epidemic gasterenteritis

non-enveloped plus RNA

waterborne, food borne, (oral-fecal route) and shellfish associated

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caliciviruses/norovirus
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gastroenteritis
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hepatitis E
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+ RNA, no envelope

oral-fecal route of transmission

raw seafood associated gastroenteritis and hepatitis

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characteristic of most viruses that infect the gut
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they dont have an envelope
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astroviridae
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non-enveloped + RNA virus

oral-fecal route of transmission

infantile diarrhea

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