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Virology - MMR
Measles, Mumps, and Rubella
17
Other
Not Applicable
11/28/2006

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Cards

Term
Mumps
Family?
Age of infection?
Definition
Paramyxoviridae
5-15 years
Term
Mumps
Structure
Replication
Definition
SS (-) RNA Virus
Enveloped
Has 2 spikes: 1 with H and N activity, 1 with F activity
Replicates in cytoplasm like normal RNA (-) virus
Term
Mumps
Describe the clinical disease.
Definition
Enter respiratory tract where it replicates and spreads to lymph nodes. 12-29 days after exposure, one has parotiditis and symptoms last 7-10 days.
Term
Mumps
What are some of the common complications?
Definition
1. Meningitis
2. Encephalitis
3. Pancreatitis
4. Orchitis (10-20% of men)
5. Oophoritis
6. Myocarditis
Term
Measles
Genus?
Family?
Definition
Genus Morbillivirus of paramyxoviridae family
Term
Measles
Describe the structure and replication
Definition
1. SS (-) RNA virus
2. Nucleoprotein complex
3. Enveloped
4. Has 2 spikes: One has H and N activity and the other is called F (fusion) protein.
5. Replicates in cytoplasm like a normal (-) RNA virus.
6. No neuramindase activity in envelope
Very similar to Mumps, b/c they are both paramyxoviridae
Term
Measles
Describe the clinical disease
Definition
1. Enters respiratory tract and replicates
2. Spreads to local lymph nodes
3. Transported to all body organs, symptoms occur 7-18 days post exposure
4. Koplik spot first appear in mouth as small bluish yellow spots 1-2 days before rash
5. Rash first appears on head, then trunk and extremities
Term
Measles
What are some of the symptoms?
Definition
1. High fever, delirium, cough, photophobia, conjunctivitis.
Term
Measles
What are some of the complications?
Definition
1. Encephalitis
2. Bacterial superinfection: otitis media, mastoiditis, pneumonia, sinusitis.
3. Death: extensive progressive viral infection
Term
Rubella
What is the family?
Describe the structure and replication.
Definition
Togaviridae

1. Icosahedral, enveloped virus
2. SS (+) RNA
3. Enters by receptor mediated endocytosis
4. Produces its own RNA polymerase
5. Virus assembly takes place at golgi or plasma membrane
Term
Rubella
Describe the clinical course of the disease.
Definition
1. Virus enters through inhalation
2. Multiplies in upper respiratory tract
3. Spreads to regional lymph nodes
4. Symptoms appear 14-21 days post infection.
5. Mild fever with rash.
6. Rash first appears on head, neck, and trunk
7. Symptoms persist 1-3 days
8. Contagious from 7 days before to 7 days after the onset of rash
9. Immunity life-long
10. Mainly seen in the winter-spring season.
11. Can be contracted through maternal pacental.
Term
Rubella
What are some of the clinical manifestations of congenital rubella?
Definition
1. Cardiac defects
2. Ocular defects
3. Hearing loss
4. Liver/spleen enlargement
5. Thrombocytopenia
6. Failure to thrive
7. Low birth weight
8. Mental retardation
9. Mortality during first year of life
Term
How is rubella diagnosed
Definition
Hemagglutination inhibition test
Term
Erythema Infectiosum
Family?
Definition
Parvoviridae
Term
Erythema Infectiosum
Structure and replication?
Definition
1. Small, iscoahedral, single-stranded DNA virus
2. Replicates in nucleus of dividing cells
3. Virus assembly takes place in the nucleus
4. Virus released by cell disruption
Term
Erythema Infectiosum
Describe the clinical disease.
Definition
1. Mild fever, headache, rash
2. Slapped face rash persists 1-2 weeks, may recur
Term
Roseola infantum
What is the agent of disease
Definition
i. Agent human herpes virus type 6, adenovirus, coxsackievirus, echovirus
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