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influenza
respiratory: influenza
3 types: A, B, C
type A causes most infections
virus attaches to, and multiplies in cells of the respiratory tract
segments of RNA genome enters the nucleus
finishes viruses are assembled and bud off the cell
hanta
respiratory:
hantavirus, pulmonary syndrome
family: bunyaviridae
characteristics:
RNA
negative strand genome
enveloped
replicates in cytoplasm
no arthropod vector
rodent hosts
mumps
cardiovascular/lymphatic/systemic: mumps
paramyxovirus
disease caused by infection with paramyxovirus and marked by swelling in and around the parotid salivary glands
rabies
nervous/muscle: rabies
rhabdovirus family
genus lyssavirus
enveloped, bullet-shaped virions
slow, progressive zoonotic disease
primary reservoirs: wild animals
can be spread by both wild and domestic by bites, scratches, and inhalation of droplets
SARS (covid) = severe acute respiratory syndrome
respiratory: severe respiratory distress (SARS, MERS)
airborne transmission
9% of total cases fatal
transmission: droplet or direct contact
fever, body aches, and malaise
may or may not experience respiratory symptoms with breathing problems
severe cases can result in respiratory distress and death
ebola
cardiovascular/lymphatic/systemic: ebola hemorrhagic fever
filovirus
enveloped nonsegmented ssRNA virus
hepatitis C
caused by a flavivirus (HCV)
acquired though blood contact - blood transfusions, needle sharing by drug abusers
infections with varying characteristics
- 75 - 85% will remain infected indefinitely
- possible severe symptoms without permanent liver damage
- more common to have chronic liver disease, without overt symptoms
cancer may also result from chronic HCV infection
treatment:
inferon and ribavirin to lessen liver damage
no cure and vaccine
measles
caused by morbillivirus
also known as red measles and rubeola
different from german measles
very contagious
transmitted by respiratory aerosols
humans are the only reservoir
<100 cases/yr in US; frequent cause of death worldwide
virus invades mucosal lining of respiratory tract
initial symptoms: sore throat, dry cough, headache, conjunctivitis, lymphadenitis, fever
HIV
acquired immunodeficiency syndrome
first emerged in early 1980s
severe pneumonia caused by pneumocystis jirovecii (ordinarily harmless fungus)
a rare vascular cancer called kaposi sarcoma
sudden weight loss, swollen lymph nodes
general loss of immune function
retrovirus, genus lentivirus
can only infect host cells that have the required CD4 marker plus a coreceptor
prions
nervous/muscle: creutzfieldt - jakob disease
spongiform encephalitis
antigenic shift
one of the genes or RNA strands is substituted with a gene or strand from another influenza virus from a different animal host cell
- genome of virus consists of 10 genes encoded on 8 separate RNA strands
antigenic drift
constant mutation
gradually change their AA composition
nonsegmented ssRNA viruses
paramyxoviruses
- paramyxovirus (parainfluenza and mump viruses)
- morbillivirus (measles virus)
rhabdoviruses
- rabies virus, genus lyssavirus
coronaviruses
- COVID-19
flaviviruses
- hepatitis C
filoviruses
- ebola virus
difference between measles and German measles
caused by a different virus than measles
measles: paramyxovirus; morbillivirus
german measles: togavirus; rubivirus
koplik spots
oral lesions
exanthem
characteristic red maculopapula
eruption on the head, progressing to trunk and extremities to cover most of the body
MMR vaccine
measles, mumps, rubella (German measles)
1st dose: 9-15 months
2nd dose: 15 months-6 years
clinical phases of rabies
prodromal phase
furious phase
dumb phase
progress to coma phase
prodromal phase
fever, nausea, vomiting, headache, fatigue; some experience pain, burning, tingling sensations at site of wound
furious phase
agitation, disorientation, seizures, twitching, hydrophobia
dumb phase
paralyzed, disoriented, stuporous
progress to coma phase
resulting in death
some common carriers of rabies
raccoons
skunks
bats
foxes
cats
cattle
dogs
west nile
most prevalent cause of arboviral disease in the U.S.
infected mosquitoes transmit virus by biting humans
80% show no symptoms
symptoms:
fever
headache
body aches
joint pains
vomiting
diarrhea
rash
dengue
flavivirus carried by aedes mosquito; not in US; usually mild infection
dengue hemorrhagic shock syndrome (breakbone fever): extreme muscle and joint pain; can be fatal
zika virus
produce symptoms very similar to dengue
transmissible through sexual intercourse and mosquitoes
retroviruses (HIV)
genus lentivirus
encode reverse transcriptase (RT) enzyme which makes dsDNA from a ssRNA genome
viral genes permanently integrated into host DNA
cause of AIDS
GP 41 and GP 120
envelope spike complex and formed as a heterotrimer of 3 GP 41 and 3 GP 120
found on the surface of HIV
responsible for attachment, fusion, and infection of host cells
SARS-CoV-2
spherical virus with crownlike appearance due to projection of spikes from viral envelope
identified by detection of viral antigens using antibody-based assays
nasopharyngeal swabs are normal source of sample for testing
primarily RT-PCR test
habitat: animals and humans with bats as natural reservoir
spread primarily by respiratory droplets, along with aerosol spread
virulence factors:
ability to induce systemic inflammation
rapid mutation in spike proteins results in multiple viral strains with differing degrees of infectivity, virulence, and ability to evade vaccine-induced immunity
primary infection/disease:
COVID-19
control and treatment:
frequent testing, isolation, masking, three vaccines (JJ, moderna and pfizer)
protease inhibitors
generic name:
atazanavir
darunavir
saquinavir
brand name:
reyataz
prezistia
invirase
prevents activation of assembled viruses
integrase inhibitors
generic name:
dolutegravir
raltegravir
cabotegravir
brand name:
tivicay
isentress
vocabria
prevent integration of HIV DNA into host cell DNA
HCoV-229E
genus: alpha
primary disease:
mild upper respiratory illness (colds)
HCoV-NL63
genus alpha
primary disease:
mild upper respiratory illness (colds)
HCoV-OC43
genus beta
primary disease:
mild upper respiratory illness (colds)
HCoV-
genus beta
primary disease:
mild upper respiratory illness (colds)
HKU1
genus betacoronavirus
SARS-CoV
genus: beta
primary disease:
severe acute respiratory syndrome (SARS)
case fatality rate: 9.6%
MERS-CoV
genus: beta
primary disease: middle east respiratory syndrome (MERS)
case fatality rate: 34.3%
SARS-CoV-2
genus: beta
primary disease:
COVID-19
case fatality rate:
1.64%
creutzfeldt-jakob disease
spongiform encephalopathy caused by infection with a prion
marked by dementia, impaired senses, and uncontrollable muscle contractions
PrP
normal host protein founce in mammalian brians
abnormal PrP
acquired a significant change in its shape through mutation or some other means
becomes catalytic and able to spontaneously convert other normal human PrP proteins into the abnormal form