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Viruses and Their Disease
Collection of Commons Viruses and their disease, symptoms, diagnosis, treatment and prevention
50
Microbiology
Graduate
10/18/2012

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Term
Smallpox Virus
Definition
Type: Enveloped DS DNA Virus cause by the Variola virus

Disease: Contracted through Respiratory route. Primary viremia leads to infection of macrophages. Replication occurs and secondary viremia occurs.
Symptoms: Skin rash after 9-12 days of infection. Contagious at onset of rash. progresses to papules which break in 4-6 days. 2-4 weeks for healing. Rash predominant in extremities.

Europeans have premunition

Diagnosis: Symptoms, serology

Treatment: None

Prevention: Vaccine from cow pox.
Term
Chicken Pox
Definition
DS DNA virus (Herpes)
Caused by Varicella-Zoster virus
connection to shingles
Disease: Respiratory Route, infections lymphs nodes and causes viremia. Virus is shed from 1-3 days before rash appears until rash subsides (1 wk) Lodges in neural ganglia and is latent. Reactivation results in shingles.
Diagnosis: Symptoms, Serology
Treatment: Chicken pox= none Shingles= antivirals
Prevention: Vaccines available
Term
Herpes simplex Type 1 and Type 2
Definition
Both are enveloped DS DNA viruses

Type 1 is transmitted via respiratory route

Type 2 is sexually transmitted

Both are latent.

Disease: Type 1 causes cold cores, keratoconjuctivitis (leading cause of acquired blindness) and encephalitis
Type 2 causes genital lesions.

Diagnosis: Symptoms, serology

Treatment: Acyclovir

Prevention: No vaccine. Watch who you kiss and have sex with
Term
Viral Latency
Definition
the ability of a pathogenic virus to lie dormant within a cell. Latent viral infections are persistent but differ from chronic infection
Term
Clinical latency
Definition
The incubation period where the virus is not dormant
Term
Episomal Latency
Definition
exists in the cytoplasm or in the nucleus as a separate extrachormosomal structure
Term
Proviral Latency
Definition
Integrates in the host genome and is considered "self"
Term
Epstein-Barr Virus
Definition
Enveloped, DS DNA virus
Responsible for infections mononucleosis, transmitted by direct contact and the respiratory route.

Disease: oropharynx where it multiplies and then infects the B-calls. Incubation from 30-50 days. First symptoms are fever, headache, fatigue, malaise and sore throat. 2-4 weeks for symptoms. Can be latent and cause chronic fatigue syndrome.
College students are predisposed
EBV can cause Burkitts lymphoma in blacks and nasopharyngeal cancer in Chinese.
Diagnosis: Symptoms, Serology

Treatment: Bed rest, symptomatic relief

Prevention: good health, avoid infected peeps
Term
HPV
Definition
SS DNA virus associated with plantar warts, genital lesions, oral lesions and cervical cancer.

look like cauliflower florets

Prevention: Abstinence, vaccine called Gardasil
Term
Rubeola virus
Definition
Causes measles (hard measles)
Enveloped SS RNA virus
Contracted through the respiratory route
Extremely contagious
Disease: 0-11 day incubation leading to fever, malaise, coughing, sneezing, conjuctivitis, photophobia and Koplik's spots in mouth.
2-3 days after infection, skin rash occurs on head and moves toward body
Diagnosis: Symptoms, Serology
Treatment: None
Prevention: MMR vacine
Term
Mumps
Definition
Enveloped SS RNA virus
Respiratory Route
Disease: 7-25 day incubation, swelling of the parotid glands is the tell tale sign lasting about a week
May have testicular damage in 20% of males. Can kill fetus.
Diagnosis: Symptoms, serology
Treatment: None
Prevention, MMR vaccine
Term
Rubella
Definition
German, or soft measels
enveloped, SS RNA virus
Respiratory Route
Disease: 2 week incubation period, 5-7 viremia, skin rash and fever occur for 2-3 days.
Diagnosis: Symptoms, Serology
Treatment: None
Prevention: MMR vaccine
Term
Influenza Virus
Definition
Enveloped ss RNA virus. Specific receptors called nauraminidase and hemagglutinin.
Very rapid antigenic variation
Three types, A, B, C.
Disease: 1-2 incubation, fever malaise myalgia, sore throat, coughing, sneezing and prostration, nausea and vomiting may occur. No aspiring for kiddies, Reye's syndrome.
Diagnosis: Symptoms, Serology
Treatment: ANti-flu
Prevention: Hand washing
Term
Polio Virus
Definition
non-enveloped ss RNA virus
Fecal-oral route
3 types, 1,2,3
Disease: 1-2 week incubation. May have mild fever or diarrhea. In 1%, viremia occurs leading to motor neuron infection and neck pain, fever and paralysis occur due to demyelination
Contagious: about 1 week before onset to 3-6 weeks in stool
Diagnosis: Symptoms, serology
Treatment: none
Prevention: Hygiene, Salk and Sabin.
Term
Rabies
Definition
hydrophobia is the biggest indicator
SS RNA virus that is bullet shaped
transmitted by animal bites and bat poop inhalation
Disease: 1-3 month incubation, closer bite to head, shorter incubation. nearly 100% fatal in humans. Fever, malaise, and headache followed by neurological changes (mood swings, depression, mania, forgetfulness, etc)
Terminal symptoms include delirium and coma.
Diagnosis: Test offending animal for rabies.
Treatment: vaccine given after bite.
Prevention: Don't get bit
Contagious:no human to human unless you eat or bite them
Term
Coxsackie Virus
Definition
non-enveloped SS RNA virus that causes hand-foot-and-mouth disease
Two serogroups of the enteric virus, A and B.
Type A causes hand-foot-and-mouth.
Symptoms include fever, sore throat and herpangina (painful blisters in mouth) and blisters on the hands or feet.
Transmitted by direct contact, fecal/oral route and respiratorally. Most are contagious within first week of infection.
Diagnosis: Symptoms, serology
Treatment: None
Prevention: none, wash hands.
Term
Hepatitis
Definition
The major hepatitis infections are caused by non-enveloped SS RNA picorna virus (Hep A) or by an enveloped DS DNA hepadnavirus (Hep B)
Term
Hep A
Definition
SS RNA picrona Virus
Disease:short incubation transmitted by fecal/oral route. nausea, vomitting, anorexia, prostration and fatigue. Viremia probably occurs. Symptoms gone in 1-2 weeks.
Diagnosis: Symptoms, serology
Contagious: 15-45 days before onset, 1 week during
Treatment: none
Prevention: hygiene and gamma globin prophylactic therapy. There is a vaccine.
Term
Hep B
Definition
fecal/oral, respiratory, parental and sexual transmission.
long incubation period, jaundice, fever, elevated transaminases, prostration and fatigue occur. Associated with liver cancer.
Diagnosis: Symptoms, serology
Treatment: None
Contagious: whole life is they have chronic version
Prevention: Vaccines available
Term
Hep C
Definition
positive stranded RNA virus spread paternally, sexually and vertically.
Diagnosis: Symptoms, Serology
Contagious: whole life
Treatment: None
Prevention: Avoid high risk behavors
Term
Lentiviruses
Definition
enveloped ss RNA viruses that employ reverse transcriptase, retroviruses.
Term
HIV
Definition
Human Immunodeficiency virus causing AIDS. Two subgroups, HIV 1 and HIV 2.
Disease: sexually, paternally and horizontally transmitted from mother to fetus. Poorly transmitted by saliva and casual contact. 100X more likely to transmit if other STD present
Ten year incubation. Viremia for about a month. Mimic mono. Monocytes which express CD4+ are infected. Attacks neural cells leading to AIDS dementia.
Immune system shuts down and victim is succeptiable to cancers (Kaposi's Sarcoma, Burkitt's Lymphoma.)
Diagnosis: Symptoms, serology
Treatment: nucleic acid analogs or protease inhibitors.
No vaccine
Prevention: Education, no high risk behaviors.
Term
Viral Oncogenesis
Definition
all tumor-associated viruses have a DNA genome or DNA provirus.
Term
Proto-oncogenes
Definition
naturally occurring genes, found in our genome or in retroviral genomes, which when activated, result in cancer
Term
Tumor-suppressor genes
Definition
genes which encode proteins that inhibit expression of oncogenes.
Term
Promotor
Definition
regulatory site on DNA upstream of a gene where the polymerase binds to initiate transcription.
Term
Gram positive
Definition
single membrane, thichk cell wall and teichoic acids.
Term
Gram negative
Definition
Inner and outer membrane, thin cell wall and lipopolysaccharide.
Term
Diagnosis of bacterial disease
Definition
-Patient History
-Symptoms (pathognomonic is one specific to the infectious agent)
-Direct Examination of infected sites
-changes in normal tissues
-samples taken and placed in enriched medium
-Cultivation to check for hemolysis (beta is complete, alpha is partial, gamma is none)
-Biochemistry for metabolic functions using Bergey's Manual
-Serology
-Animal Testing (rare)
-Antibiotic sensitivity testing
Term
Staphylococcus aureaus
Definition
Gram + and found everywhere, Has coagulase, is aerobic to microaerophilic. resistant to drying. Drug resistant because of beta-lactamase production.
Virulence Factors: Toxins/enzymes (catalase, coagulase, hyaluronidase, staphylokinase, etc)
Disease:food poisoning to bateremia to disseminated abscesses. Dermonecrosis and inflammation lead to pus and often carbuncles. Can onset toxic shock syndrome.
Diagnosis: Symptoms, smears, cultivation, catalase test, coagulase test, serology
Treatment: Antibiotics
Prevention: no vaccine. Transmitted by direct contact, nasal droplets, fomites, etc, so proper hygiene.
Term
Streptococcus pyogenes
Definition
Gram +. Small spheres, grow poorly on solid media, considered fastidious.
Virulence Factors:
Streptokinase- dissolves blood clots
Stretodornase- Dnase
Hyaluronidase- degrades hyaluronic acid
Pyrogenic toxins A-C- cause fever and rash in scarlet fever
Hemolysins-
Streptolysin O- inactivated by O2
Streptolysin S- O2 stable
Term
Common tests for strep
Definition
Bacitracin Test/Hemolysis Test
Catalse Test
Oxidase Test
Term
Diseases caused by group A S Pyogenes
Definition
Erysipelas, Puerperal Fever, Sepsis, Sore Throat, Scarlet Fever, Impetigo, Acute endocarditis, Streptococcal Toxic shock syndrome, Necrotizing fasciiitis, Rheumatoid arthritis
Term
Diseases caused by group A S Pyogenes
Definition
Erysipelas, Puerperal Fever, Sepsis, Sore Throat, Scarlet Fever, Impetigo, Acute endocarditis, Streptococcal Toxic shock syndrome, Necrotizing fasciiitis, Rheumatoid arthritis
Term
Rheumatic Fever
Definition
1-4 weeks following respiratory infections like strep
Term
Glomular Nephritis
Definition
1-4 weeks following skin infection especially M 12, 4 2, 49
Term
Diagnosis, treatment and prevention of Streptococcus pyogenes
Definition
D: Symptomology, smears, culture, serology
Treat: antibiotics, penicillin G and erythromycin (inhibits protein synthase)
Prevention: No vaccines, hygiene, isolation, antisepsis, early diagnosis/treatment.
Term
Other Streptococci
Definition
S. Mutans- cause of dental caries
S. pneumonia- bacterial pneumonia in children.
Term
Gram - diplococci
Definition
Description: diplococci that appear kidney shaped, sharing a cytoplasm, they are small, fastidious, and possess cytochrome oxidase.
Term
N. meningitidis
Definition
Causes inflammation of the meninges
Transmission: respiratory droplets, tranformation. 13 unique polysaccharide capsules.
Term
N meningitidis- Disease
Definition
Disease: causes nasopharyngitis (sore throat), can cause meningococcemia (miningitidis in blood), petechial lesions, shock occu. If adreanal glands are infect, can lead to waterhouse-frederichsen syndrome (death in 2 hours)
Spinal meningitis follows meningococcemia, 85% chance of death.
Term
N. Meningitidis Diag, treat and prev
Definition
Diagnosis: Symptoms, presence of gram - diplococci in smears, cultivation of oxidase and catalase positive bacteria.
Treatment: Antibiotics
Prevention: Vaccination with capsular polysaccharide

also look for brudzinski's sign for severe case.
Term
N gonorrhoeae
Definition
only in humans
veneral or sexually transmitted disease, can infect any mucosal surface. First known example of HGT of human to a bacterial pathogen. No capsule, but has a polyphosphate coat
Term
Virulence factors of N. Gonorrhoeae
Definition
Pilli for attachment
IgA protease- destroys IgA
Sialyltranferase- adds sialic acid to host
Term
Why is N. gonorrhoeae hard to control?
Definition
Remarkable Antigenic variation
No diagnostic screening test
No effective vaccine
Term
N gonorrhoeae
Definition
only in humans
veneral or sexually transmitted disease, can infect any mucosal surface. First known example of HGT of human to a bacterial pathogen. No capsule, but has a polyphosphate coat
Term
Diseases associated with N. Gonorrhoeae
Definition
Gonorrhea- std in genitals or throat
Pelvic Inflammatory Disease-Infection in lover female reproductive tract spreading to upper female reproductive tract.
Disseminated gonoccal infection- bateremic spread of STD leading to inflammation of tendons and skin, skin rash, 4x more likely in women
Opthalmia neonatorum-Blindness in infants
Term
Disease in Males from N. Gonorrhoeae
Definition
uncomplicated male urethritis- pus and pain on urination, overactive PMNS, resolve in several months untreated.
Can lead to sterility by moving up the urethra into the vas deferens where epididymtis leads to blockage of sperm ducts.
Term
Disease in Females from N. gonorrhoeae
Definition
Urethritis can occur but more commonly its cervicitis.
Can infect the salpinges leading to salpingitis, called Pelvic Inflammatory Disease. Chronically it can lead to sterility. 1 in 100 lead to disseminated gonococcal infection by bacteremia, leading to rare encephalitis and death.
Term
N. Gonorrhoeae Diag, treat, prev.
Definition
Diagnosis: Symptoms, the presence of gram neg diplococci and colutivation of oxidase positive bacteria.
Treatment: Antibiotics
Prevention: abstinence, barrier contraceptives, no vaccine
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