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Viruses and Prions
Lecture 9
43
Medical
Graduate
04/06/2011

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Cards

Term
4 acute neurological syndromes
Definition
encephalitis, meningitis, post-infectious encephalomyelitis, flaccid paralysis
Term
4 chronic neurological conditions
Definition
SSPE, PML, TSE, retrovirus diseases
Term
+ssRNA families
Definition
togaviridae, flaviviridae
Term
dsDNA families
Definition
herpes, polyoma
Term
bullet shaped virus
Definition
rhabdoviridae
Term
spherical viruses
Definition
arboviridae
Term
G protein is required for adsorption; virus?
Definition
rhabdoviridae
Term
M protein is required for budding
Definition
paramyxoviridae
Term
non enveloped virus
Definition
polyoma virus
Term
ascending paralysis, convulsions, no sphincter control; dx?
Definition
dumb rabies
Term
dysphagia, hydrophobia, hyperexcitability, insomnia, delirium; dx?
Definition
furious rabies
Term
1. host receptor for rabies virus 2. for CMV
Definition
1. nicotinic ACh receptors 2. C3d
Term
transmission of...
1. filovirus
2. of EEE
Definition
1. direct contact
2. Culiseta bird to Aedes mosquito
Term
active and passive immunization is available for...
Definition
rabies, measles
Term
production of N protein is [more/less] than production of L protein in rubeola virus
Definition
more
Term
replication in lymphoid tissue, primary viremia 2d post-exposure, then secondary viremia 7d post-exposure (symptom onset); bug?
Definition
rubeola
Term
incubation time for...
1. rabies
2. measles
3. mono
Definition
1. rabies: months to years
2. measles: 10d
3. mono: 6 wks
Term
child with maculopapular rash that begins on face and head and becomes confluent; dx?
Definition
measles
Term
complications of measles (5)
Definition
encephalites (PIE, MIBE, SSPE), pneumonia, otitis media, ocular defects, immune suppression
Term
1. what disease occurs weeks post-measles infection?
2. months?
3. years?
Definition
1. PIE
2. MIBE
3. SSPE
Term
AIDS pt presents with myoclonus and convulsions and hx of viral infection; dx?
Definition
MIBE
Term
autoimmune demyelinating disease with antibodies against MBP; dx?
Definition
PIE
Term
high anti-measles titers in CSF; personality changes, poor schoolwork; dx?
Definition
SSPE
Term
pathogenesis of SSPE
Definition
lack of M protein or mutant M protein creates a variant measles strain that is not cleared
Term
genome and structure of JC virus
Definition
dsDNA and nonenveloped
Term
chronic demyelination that is fatal within 3-6mo; latent in brain, kidney, and B cells; dx?
Definition
PML
Term
HSV encephalitis tropism
Definition
temporal lobe and olfactory cortex
Term
what strains are more likely to cause HSV encephalitis? meningitis?
Definition
HSV-1 -> encephalitis. HSV-1 and 2 -> meningitis
Term
what does HSV-6 infect?
Definition
B cells
Term
latency location for...
1. VZV
2. Japanese encephalitis
3. JC virus
Definition
1. trigeminal ganglion or DRG
2. lymphocytes
3. brain, kidney, B cells
Term
what viral infections present only in immunocompromised pts? (3)
Definition
MIBE, PML, CMV
Term
clinical presentation of congenital CMV (8)
Definition
epileptic, retarded, blind, deaf, hemolytic anemia, thrombocytopenic purpura, jaundiced, small for gestational age
Term
50% of pts have cold agglutinins, autoimmune hemolytic anemia, and mild thrombocytopenia; dx?
Definition
mono
Term
host response to EEE
Definition
humoral and cellular; dsRNA elicits IFN response
Term
what diseases do we have vaccines for the vector but not human? (4)
Definition
EEE, WEE, VEE, Japanese encephalitis
Term
severe disease in <1yo; commonly asymptomatic in adults; dx?
Definition
WEE
Term
fever, rash, polyarthritis; transmitted by rodent and mosquito; dx?
Definition
VEE
Term
age range affected by LaCrosse encephalitis and clinical S&S
Definition
<16yo, subclinical (fever, flu-like)
Term
which arbovirus is not arthropod borne?
Definition
hantavirus
Term
hemorrhagic fever and renal disease in Korea but lung disease in US; dx?
Definition
hantavirus
Term
1. MRI shows symmetrical high signal in pulvinar; dx?
2. MRI shows bilateral high signal in anterior basal ganglia; dx?
Definition
1. vCJD
2. sCJD
Term
age range for TSE and clinical presentation
Definition
40-70yo with rapid neurological degeneration, spongiosus on gross, amyloid plaques on biopsy
Term
encephalites that are particularly fatal (3)
Definition
TSE, SSPE, PML
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