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Viral Infections of the Respiratory Tract and Skin
- Pneumotropic Viral Diseases
- Influenza
- Adenoviruses
- Rhinoviruses
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Influenza virus description
- Orthomyxoviridae
- 8 ssRNA segments
- Envelope with spikes
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Influenza symptoms
Fever, Fatigue, headache, pain
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Influenza Complications
- Reye's syndrome
- Guillian Barre
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Influenza complications such as pneumonia or secondary infections occur in
- Infants
- Elderly
- Immunocompromised people
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Influenza Transmission
Respiratory droplets
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There have been at least __ influenza pandemics since 1510
31
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Rhinovirus infection
- Icosahedral picornaviridae
- ssRNA
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Rhinovirus symptoms
- Common colds�head colds
- Headache, chills, dry-scratchy throat, runny nose, plugged nose
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Rhinovirus Transmission
Spread hand to hand, sneezing, coughing
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Adenovirus infections
- Icosahedral virions
- dsDNA
- Show inclusion bodies
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Adenovirus diseases
- Common cold
- Keratoconjunctivitis
- Viral meningitis
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Adenovirus Symptoms
- Fever, sore throat, cough, swollen lymph nodes
- They induce the formation of inclusion bodies in host tissues
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Adenovirus Infection can cause:
- Acute febrile pharygitis
- Pharyngoconjuntival fever
- Acute respiratory disease
- Any of these can progress to viral pneumonia
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Dermotropic Viral Diseases
- Herpes Simplex
- Chicken Pox
- Measles (Rubeola)
- Rubella (German Measles)
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Human Herpesvirus 6 Infections Primarily Occur
in Infancy
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HH6 causes
- roseola infantum, marked by:
- high fever
- subsequent red rash
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Human Herpesvirus 6 is spread through
contact with respiratory secretions or saliva
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Many bone barrow transplant recipients suffer an ___ after transplantation
HHV-6 viremia
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Some researchers believe HHV-6 lies dormant for years and may be associated with ___
multiple sclerosis later in life
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Herpes simplex description
- Icosahedral with envelope and spikes
- dsDNA
- Lipschutz bodies
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Herpes Simplex Diseases
- Cold sores
- Neonatal herpes
- Gingivostomatitus
- Keratitis
- Genital herpes
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Cold sores are contagious sores caused by
- HSV-1
- After primary infection, the HSV-1
- Becomes latent in sensory ganglia
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Recurrence of cold sores occurs when
Viruses are reactivated and move to the epithelium
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Genital Herpes Symptoms
Itching and throbbing in the genital area followed by blisters
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Genital Herpes Treatment
Acyclovir
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Genital herpes is a common STD, caused usually by
HSV-2
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There is no cure for genital herpers but antivirals can
Shorten and decrease the number of outbreaks
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Infection of the eye is called
- Herpes keratitis
- It can cause scarring of the cornea and blindness
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Neonatal herpes is
- A life-threatening disease passed from infected mothers to newborns during childbirth
- The child's mental development can be delayed
- Blindness and seizures can occur
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Chickenpox (Varicella)
- Icosahedral, with envelope
- dsDNA
- It is a highly communicable disease caused by the varicella-zoster virus (VZV)
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Chickenpox Vaccine
A vaccine using attenuated viruses became available in 1995
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Chickenpox Symptoms
- Fever, headache, general malaise
- Teardrop-shaped fluid-filled vesicles
- A red, itchy rash spreads across the entire body and turns into fluid-filled vesicles
- The itchy vesicles break open and yield highly infectious virus-laden fluid
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Chickenpox transmission
It is transmitted by skin contact and respiratory droplets
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Chickenpox Incubation
2 weeks
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Chickenpox complications
- The most common complication is bacterial infection of the skin
- Pneumonia, encephalitis, or Reye syndrome may also occur
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Herpes zoster (shingles)
- If they are reactivated, they can travel to the body trunk and cause blisters and patches of red
- It can also cause facial paralysis and severe 'ice-pick� pains
- It can occur repeatedly
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Postherpetic neuralgia is the
Persistence of shingles pain for years after the blisters have disappeared
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Kaposi's sarcoma and human herpesvirus 8
- Kaposi sarcomic is an angiogenic tumor of the blood vessel walls
- It is most commonly seen in immunocompromised individuals, such as AIDS patients
- It is caused by HHV-8, forming dark or purple skin lesions
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A Few Herpesvirus Infections Are Oncogenic
The Epstein-Barr virus (EBV) and the human herpesvirus-8 (HHV-8) are oncogenic
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B Virus
B virus, or Cercopithecine herpesvirus 1, is an infectious agent that is commonly found among macaque monkeys, including rhesus macaques, pig-tailed macaques, and cynomolgus monkeys. Monkeys infected with this virus usually have no or mild symptoms. In humans, however, B virus infection can result in a fatal encephalomyelitis. B virus disease in humans is extremely rare, but often fatal -- an estimated 80% of untreated patients die of complications associated with the infection.
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Measles (Rubeola) Description
- Paramyxoviridae
- s.s.RNA helical virion with envelope and spikes
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Measles Symptoms
- Coughing, sneezing, runny nose, red eyes, high fever (104)
- Koplik spots
- Red rash starts at hairline
- No sore throat as found in scarlet fever
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Measles Complications include
- Bacterial disease in the respiratory tissue
- Panencephalitis
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Rubella (German measles) Description
- Togaviridae
- s.s.RNA icosahedral virion with envelope and spikes
- Dangerous to pregnant women in first trimester
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Rubella Transmission
Spread by contact or resp. droplets
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Rubella (German measles) Symptoms
- Variable fever
- maculopapular rash: head to rest of body
- mild cold symptoms
- swollen lymph nodes
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Rubella (German measles) Incubation:
- 1 day, lasts 1-2 days
- Recovery is usually prompt, but relapses can occur
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Rubella (German measles) Vaccine
MMR
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Congenital rubella occurs when
The fetus is infected through the placenta
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Children with congenital rubella may be born with problems in the:
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Mumps Transmission
It is spread by respiratory droplets or contact with contaminated objects
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Mumps (infectious parotitis) is characterized by
- enlarged jaw tissues caused by swollen salivary glands
- The swelling is caused by blockage of ducts leading from the parotid glands
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Mumps virus
Paramyxovirus
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Mumps complications
In males, swelling and damage may occur in the testes (orchitis)
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Fifth Disease
- (Erythema Infectiosum) Produces a Mild Rash
- It is caused by a member of the Parvoviridae
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Fifth Disease Transmission
Transmission occurs through respiratory droplets
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Fifth Disease Symptoms include
- A fiery red rash on the cheeks and ears, and trunk
- It disappears within a few days
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Fifth Disease in Adults
Can experience symptoms similar to those of rheumatoid arthritis
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Fifth Disease Virus
Human parvovirus B19
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Warts
- Planter warts
- Genital warts
- Human papilloma virus
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Wart virus
- Human papilloma virus
- Icosahedral DNA
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Common warts are usually
Benign skin growths resulting from a specific strain of HPV
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Warts Transmission
- An affected person
- A contaminated object
- Genital warts (condylomata) are often transmitted through sexual contact
- They may be transmitted to newborns during delivery
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Smallpox
- Vaccinations ceased in the U.S. in 1972 after eradication occurred, so many people are not immune
- Smallpox is one of the most dangerous weapons of bioterrorism
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Hemagglutinin
- It facilitates the attachment and penetration of influenza viruses to host cells.
- It's shape determines the host range and tropism
- An enzyme in one of the two spikes projecting from the envelope of the influenza virus.
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Neuraminidase
- A protein assisting the release of the virions from the host cell when replication is complete.
- An enzyme in one of the two spikes projecting from the envelope of the influenza virus.
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Antigenic shift
- An abrupt major change in structure to influenza A viruses.
- It may give rise to new strains that can now jump to another species to which everyone is totally defenseless, and from which a pandemic may ensue.
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Guillaine-Barre syndrome
The body mistargets the influenza infection and instead damages its own peripheral nerve cells causing muscle weakness and sometimes paralysis
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Reye syndrome
- Usually appears in young people after taking aspirin to treat fever or pain associated with influenza or chicken pox.
- It begins with nausea and vomiting but progressive mental changes may occur such as confusion or delirium.
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Pharyngoconjunctival fever
- Caused by an Adenovirus
- A form of conjunctivitis most commonly contracted by swimming in virus contaminated water.
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Viral pneumonia
- Caused by respiratory syncytial virus (RSV)
- An infection takes place in the bronchioles and air sacs of the lungs
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Herpes keratitis
- A herpes infection of the eye.
- Causes scarring of the cornea and is a leading cause of blindness in the US
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Croup
An inflammation of the larynx and trachea causing cough, hoarseness and breathing difficulties.
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TORCH
- A test which focuses on diseases that have congenital significance.
- Toxoplasmosis
- Other
- Syphilis
- Rubella
- Cytomegalovirus
- Herpes
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Shingles
- An adult disease produced by the same virus causing chickenpox.
- The virus causes blisters with blotchy patches of red that appear to encircle the trunk
- Headache, facial paralysis, and very debilitating ice pick pains
- Linked to physical and emotional stress
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Kaposi sarcoma
A highly angiogenic tumor of the blood vessel walls most commonly seen in those with weakened immune systems such AIDS patients
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Angiogenic
Refering to the generation of many blood cells
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Koplik spots
Red patches with white grain-like centers appear along the gum line in the mouth 2-4 days after the onset of measles symptoms.
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MMR
Measles, Mumps & Rubella vaccine
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Infections parotitis
Mumps
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Orchitis
- Mumps infection of the testicles
- The sperm count may be reduced but sterility is not common.
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Plantar warts
Warts on the foot
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Pocks
The pitted scars left by the smallpox pustules
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Mulluscum bodies
- A characteristic feature of the viral disease Molluscum contagiosum
- Large cytoplasmic bodies in the infected cells from the base of the lesion.
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Significant features of influenza
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Significant features of mumps
Enlarged jaw tissue arising from swollen salivary glands
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Significant features of chickenpox
- Begins in the respiratory tract with a fever, headache and malaise.
- Moves from the bloodstream to nerves to localize on the skin.
- An itch red rash on the face, scalp, chest and back is produced that can spread across the entire body.
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Significant features of measles
- Hacking cough, sneezing, nasal discharge, eye redness, sensitivity to light and high fever
- Koplik spots appear along the gum line 2-4 days after the onset of symptoms.
- The red rash begins as pink-red pimple like spots (macropapuals) and breaks out at the hairline. It then covers the face and spreads to the trunk and extremities.
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Significant features of congenital rubella
- Can lead to destruction of fetal capillaries and blood insufficiency follows.
- The organs most often affected are the eyes, ears, and cardiovascular organs.
- Children may be born with cataracts, glaucoma, deafness or heart defects.
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Pneumotropic viral diseases are those that occur in the ___ tract of the body
Respiratory
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One viral disease of the respiratory tract, influenza is transmitted by ___
Airborne respiratory droplets
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The spikes of an influenza virus contain the enzymes ___ and ___
- Hemaglutinin
- Neuraminidase
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Chemical changes is the spikes of the influenza virus are responsible for ___.
Antigenic variation.
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The three major types of influenza are __, __, __
- A - strikes every year and causes most flu epidemics. Divided into subtypes bases on H & N surface glycoproteins
- B - strikes every year but is less widespread than type A. Only humans. No subtypes
- C - causes a mild respiratory illness but not epidemics
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How many hemaglutinin subtypes are there?
15 known
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How many neuraminidase subtypes are there?
9 known
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Although influenza is a mild disease, secondary complications may arise from infection with ___
Bacteria
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Active cases of type A influenza may be treated with the drug ___
Amantadine
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Among the common cold viruses are a collection of multiple types of icosahedral DNA viruses called ___
Adenovirus
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Icosahedral DNA viruses may also cause an eye infection known as ___ when transmission occurs by contaminated water
Pharyngoconjunctival fever, AKA keratoconjunctivitis
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One of the most common lower respiratory tract diseases in infants is caused by the respiratory ___ virus
Syncytial
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The RS virus derives its name from the observation that the virus causes infected tissue cells to fuse and form ___
Syncytia: giant multinucleate cells caused by tissue cells fusing together
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Rhinoviruses cause respiratory viral infections mainly in the ___.
Lining of the nose, sinuses, throat and upper airways, AKA the upper respiratory tract
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Prospects for developing a cold vaccine are not promising because ___.
There are more than 200 viruses and strains that cause the common cold.
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The mortality rate for SARS in 2003 was about ___ percent.
10%
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In the most serious cases of SARS, ___ develops.
Pneumonia
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Rhinovirus infection
Common cold
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