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SPM--Unit 1--Fever-Child with Fever & Rash
viruses that cause fever and a rash
47
Medical
Graduate
08/28/2010

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Term
What family of viruses does the virus Measles virus belong to?
Definition
Paramyxovirus ("like" + "mucous" + virus), aka parainfluenza family
Term
What family of viruses does the Mumps virus belong to?
Definition
Paramyxovirus ("like" + "mucous" + virus), aka parainfluenza family
Term
What family of viruses does the Rubella virus belong to?
Definition
Togaviridae (so called because some togoviridae have a loose-fitting envelope, like a toga; but Rubella's envelope is tight-fitting)
Term
What family of viruses does the Coxsackie A virus belong to?
Definition
Picornaviridae ("small" + RNA + "viruses")
Term
What family of viruses does the Parvovirus B19 belong to?
Definition
Parvoviridae (parvo-"small" + "viruses")
Term
What family of viruses does the Varicella-Zoster virus belong to?
Definition
Herpesviridae
Term
What family of viruses does the Roseola virus belong to?
Definition
Herpesviridae
Term
What genus of viruses does the Mumps virus belong to?
Definition
Rubulavirus ("reddish" + virus)
Term
What genus of viruses does the Measles virus belong to?
Definition
Morbillivirus (morbillus-"pustule" + virus)
Term
What genus of viruses does Rubella belong to?
Definition
Rubivirus ("red" + virus
Term
What genus of viruses does Coxsackie A virus belong to?
Definition
Enterovirus ("related to the gut" = virus)--but it's not related to the gut
Term
What genus of viruses does B19 (fifth disease) virus belong to?
Definition
Parvovirus ("small" + virus)
Term
What genus of viruses does the Varicella-zoster virus belong to?
Definition
HHV-3 (Human Herpes Virus 3)
Term
What 2 genuses of viruses do the rubeola viruses belong to?
Definition
HHV-6 & -7 (Human Herpes Viruses 6 & 7)
Term
What form is the Mumps genome in?
Definition
unsegmented (-)ssRNA
Term
What form is the Measles genome in?
Definition
unsegmented (-)ssRNA
Term
What form is the Rubella genome in?
Definition
unsegmented (+)ssRNA
Term
What form is the Coxsackie A virus in?
Definition
unsegmented (+)ssRNA
Term
What form is the genome of Parvovirus B19 in?
Definition
unsegmented ssDNA
Term
What form is the genome of Varicella-Zoster in?
Definition
unsegmented dsDNA
Term
What form is the Roseola virus genome in?
Definition
unsegmented dsDNA
Term
Is the Mumps nucelocapsid helical or icosahedral?
Definition
helical
Term
Is the Mumps virus enveloped or not?
Definition
enveloped
Term
Is the Measles nucleocapsid helical or icosahedral?
Definition
helical
Term
Is the Measles virus enveloped or not?
Definition
Enveloped
Term
Is the Rubella nucelocapsid helical or icosahedral?
Definition
Icosahedral
Term
Is the Rubella virus enveloped or not?
Definition
enveloped
Term
A problem with subunit gamma, found in a variety of interleukins & other cytokines, which results in very low survive & proliferation of T cells, little or no T cell-dependent immunity (low Ig of all types in serum) & low survive & proliferation of NK cells
Definition
X-linked Severe Combined ImmunoDeficiency (SCID), aka Gamma Chain SCID
Term
Signs & symptoms of X-linked SCID (aka Gamma Chain SCID)
Definition
Reduced T cells & Ig of all types in serum; recurrent, severe infections (fatal early in life if untreated)
Term
Inheritance pattern of Gamma Chain SCID
Definition
X-linked (it's aka X-linked SCID)
Term
Deficiency in adenosine deaminase (ADA) or purine nucleoside phosphorylase (PNP) that causes toxic amounts of purine build up in proliferating cells—especially affects T Cells, also affects B cells & NK cells somewhat. Little or no T cell-dependent immunity (low Ig of all types in serum)
Definition
Autosomal Severe Combined ImmunoDeficiency (SCID)
Term
What are the symptoms of Autosomal SCID?
Definition
Reduced T cells & Ig of all types in serum; recurrent, severe infections (fatal early in life if untreated)
Term
What happens if there are defects in RAG-1 or RAG-2?
Definition
No recombination of lymphocyte antigen means that T cells & B cells don’t mature. RAG-1 & RAG-2 defects are a rare cause of SCID (Severe Combined ImmunoDeficiency). Reduced T cells, B cells & Ig of all types in serum; recurrent, severe infections (fatal early in life if untreated)
Term
A syndrome caused by a missing thymus. T cells don’t mature; little or no T cell-dependent immunity. Reduced T cells & Ig of all types in serum; recurrent, severe infections (fatal early in life if untreated)
Definition
DiGeorge Syndrome
Term
DiGeorge Syndrome is caused by a missing thymus. What problems does this cause?
Definition
T cells don’t mature; little or no T cell-dependent immunity. Reduced T cells & Ig of all types in serum; recurrent, severe infections (fatal early in life if untreated)
Term
Defect in B cell Tyrosine Kinase (BTK). B cell can’t get signal to live; all B cells die. Reduced B cells & Ig of all types in serum; recurrent bacterial infections with pus
Definition
X-linked Agammaglobulinemia (Bruton’s disease)
Term
Signs & Symptoms of X-linked Agammaglobulinemia (Bruton’s disease)
Definition
Reduced B cells & Ig of all types in serum; recurrent bacterial infections with pus
Term
Inheritance pattern of Bruton's disease
Definition
X-linked (it's aka X-linked Agammaglobulinemia)
Term
Defect in Activation-Induced Deaminase (AID). AID normally induces B cell hypermutation, which allows B cell class switching & affinity maturation. Normal amounts of B cells & T cells in serum; lots of IgM in serum; no Ig of any other types.
Definition
Autosomal Recessive Hyper-IgM syndrome (defective Activation-Induced Deaminase)
Term
When does transient hypogammaglobulinemia of infancy occur?
Definition
3-6 months (antibodies from mother are starting to decrease & baby hasn't started making its own antibodies)
Term
Why do Severe primary immune deficiencies often first present with infections at about 3-6 months?
Definition
because antibodies from mother are decreasing at that point
Term
Mutations on CD40L (CD40 ligand) on CD4+ Helper T Cell (or CD40). T cells can’t tell B cell to hypermutate. Normal amounts of B cells & T cells in serum; lots of IgM in serum; no Ig of any other types
Definition
X-Linked HyperIgM syndrome
Term
What is the most important effect if CD40L on T cells is mutated & can’t bind to CD40 on B cells?
Definition
T cells can't tell B cells to hypermutate. Therefore, all antibody is IgM (and hasn't undergone affinity maturation)
Term
Normal amounts of B cells & T cells in serum, but low amounts of one type of Ig (IgA is most common)
Definition
Selective Ig Deficiency (most common is selective IgA deficiency)
Term
An immune defect B cells of unknown cause. The “miscellaneous” of immune deficiencies. Normal amounts of B cells & T cells in serum; Low serum levels of some types of Ig; recurrent infections, autoimmune disease, lymphomas
Definition
Common Variable ImmunoDeficiency (CVID)
Term
Mutation in transcription factors for MHC II. T cells need to react to MHC II to receive signal to live, so no T cell maturation. Llittle or no T cell-mediated immune response. Often clinically characterized as a form of SCID (severe recurrent infections; death if untreated)
Definition
Bare Lymphocyte Syndrome (BLS)
(so-called because B cells & other APCs are bare of MHC II)
Term
Prozone
Definition
When either antigen or antibody is in vast excess in an antigen-antibody precipitation test. Almost no precipitate is formed because antigens stick to antibodies, but antibodies don’t stick to antibodies, and soluble antigens don’t stick to antigens.
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