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Microbiology RNA Viruses
RNA Viruses
28
Art/Design
12th Grade
05/18/2012

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Term
Non enveloped
Primary cause of fatal diarrhea in children in winter months. Causes villous destruction with atrophy to decrease absorption of Na and H20
Definition
Rotavirus

Outbreaks occur in winter months
Term
Effects the grey matter of the anterior horn. Can cause paralysis.
Definition
Poliovirus, a type of enterovirus from
Picornavirus family
Term
Killed virus for polio
Live virus for polio
Definition
Salk
Sabin
Term
Aseptic meningitis in the summer months
Definition
Picornavirus:
Echovirus

PCR the RNA in the CSF to identify
No management needs to take place.
Term
Viruses and bacteria that causes meningioencephalitis
Definition
Hand foot and mouth disease
coxackie virus
Meningococcus
Syphillis
Term
Cause of the common cold.
About 100 different immunotypes
Definition
Rhinovirus
Term
Major cause of viral gastro-enteritis. Causes vomiting and diarrhea, major outbreaks occur rapidly
Definition
Norwalk Virus
Term
Causes yellow fever (because of jaundice). Transmitted by iibes mosquitos in subsaharan africa and south america

High fever, hemorrhagic disease and jaundice. Hematemasis causing ground coffee vomit/black vomit
Definition
Flavivirus:
Yellow fever virus caused by arboviruses (spread by arthropods)

Vaccine preventable disease.
Term
Mosquito viral born
Rising prevalence due to overcrowding

Break bone fever (from severe muskuloskeletal pain)
and retroorbital headache
Definition
Arbovirus:
Dengue fever

Complications:
Dengue hemorrhagic fever

Turniquit test - BP cuff inflated between systolic and diastolic. Increased petechiae indicates excess capillary fragility
Term
Birds are amplifying host. Mosquitos are the bridging factor to transmit virus from bird to humans.

Acute flulike illness. But in about 1 in 150 patients you see severe neurologic symptoms (encephalitis, flaccid paralysis)
Definition
Flavivirus:
West nile virus

Dx:
IgM against west nile virus in CSF
Term
Fever, lymphadenopathy, rash, arthralgia
Causes PDA and pulmonic stenosis when aquired in utero
Definition
Togavirus:
Rubella (german measels)

One of the TORCH infections
Term
RNA retrovirus that use reverse transcriptase
Definition
HIV and HTLV
Term
Two most common causes of common cold
Definition
Rhinovirus
Coronavirus
Term
Enveloped, single stranded RNA.
Contains hemaglutinin (attachment) and Neuraminadase (promotes viral progeny virion release)
Definition
Orthomyxovirus:
Influenza
Term
Propensity to rapid genetic change

Patients often become superinfected with a bacterial infection which kills them.
Definition
Paramyxovirus:
Influenza
Term
Pandemics result from genetic shifts (complete reassortment from different viruses

Seasonal epidemics result from genetic drift (human immune system better to deal with)
Definition
Paramyxovirus:
Influenza
Vaccines:
Injectable (killed)
Intranasal (live attenuated)
Term
Avian influenza (bird flu).
Transmitted from bird to human. Great fears of mutation that would allow human to human spread
Severe flu like symptoms.
Definition
H5N1

Tx: osetamivir
Term
Swine flu
Sx: typical flu and GI symptoms
Definition
H1N1

Tx: oseltamivir
zanamivir
Term
Causes croup - inflammation of pharynx, larynx and
Causes respiratory ditresss and asthma.

Steeple sign seen.
Definition
Parainfluenza

Tx: cool air mist humidifier
Term
Enveloped virus that causes bronchiolitis, pneumonia, asthma sounding infection. Primary cause of pneumonia outbreaks in hospitalized children
Definition
Respiratory syncitial virus (RSV)

Has Fusion protein (F protein) that allows it to spread to nearby

Tx: Do not use bronchodilators
Palivizumab (monoclonal Ig against F protein)
Term
Summer months
Definition
Echovirus
Coxackie virus
Enterovirus
Term
Coryza (runny nose), cough, conjunctivitis

Koplik spots (blue grey specks on buccal mucosa)

Widespread maculopapular rash starting from head, progresses downward
Definition
Paramyxovirus:
Rubeola (measels)
Term
Enveloped SS RNA
Parotitis, orchitis, aseptic meningitis
Definition
Paramyxovirus:
Mumps
Term
Occurs after exposure to infected animal (dog, skunk, raccoon)

Negri bodies - bullet shaped capsid

Fever, malaise, NV, agitated with hallucination and ultimately hydrophobia (fear of water), coma and death
Definition
Rhabdovirus:
Rabies


Virus gets into peripheral nerve, travels retrograde

Tx:Immunoglobulin to rabies
Term
Drug used to treat influenza A.
Blocks fusion of virus with host cell membrane/uncoating with the M2 protein
Definition
Amantadine

Resistance is widespread since its an older drug. Used more for

Crosses the BBB: Releases dopamine in brain, used for parkinsons disease. Causes some CNS side effects as a result
Term
Drugs that blocks Neuraminidase (blocks release of virions from host cell)
Definition
Oseltamivir, anamivir

Must be administered in first 48 hours of symptoms for best effect.

Good for influenza A and influenza B
Term
Guanosine analog that blocks synthesis of guanine nucleotides by competitively inhibiting IMP dehydrogenase
Definition
Ribavirin

Used for Chronic hepatitis C

Side effects: teratogen, can cause for hemolytic anemia
Term
Derivative of amantadine with fewer CNS side effects.
Definition
Rimantidine

Does not cross the BBB
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