Human Parvovirus B19 and Herpes Simplex Virus
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Questions and Answers

Which location is NOT mentioned as a site of viral entry for the described disease?

  • Oral mucosa
  • Genitalia
  • Soles
  • Nasal cavity (correct)
  • What is the correct order of lesions progression as mentioned?

  • Macule to pustules to papules to vesicles
  • Macule to papule to vesicles to pustules to crusts (correct)
  • Macule to crusts to pustules to papules
  • Macule to vesicles to pustules to crusts
  • What is NOT listed as a common complication of the described disease?

  • Pulmonary distress
  • Encephalitis
  • Kidney failure (correct)
  • Secondary bacterial infections
  • How long is the self-limited duration for the clinical disease to resolve?

    <p>2-4 weeks</p> Signup and view all the answers

    What phase occurs after primary multiplication in lymphoid tissue?

    <p>Transient viremia</p> Signup and view all the answers

    What vaccination is suggested to protect against or lessen disease severity?

    <p>Vaccinia vaccine</p> Signup and view all the answers

    What is the primary method of transmission for HSV-1?

    <p>Contact with infected saliva</p> Signup and view all the answers

    What percentage of humans are estimated to carry latent HSV-1?

    <p>Over 80%</p> Signup and view all the answers

    What condition is most commonly caused by HSV-2?

    <p>Genital infections</p> Signup and view all the answers

    What is Neonatal Herpes primarily caused by?

    <p>Either HSV-1 or HSV-2</p> Signup and view all the answers

    What technique can be used to distinguish between HSV-1 and HSV-2?

    <p>Restriction enzyme analysis</p> Signup and view all the answers

    What is a common symptom of HSV-1 reactivation?

    <p>Fever blisters or cold sores</p> Signup and view all the answers

    Which type of HSV is primarily transmitted through sexual contact?

    <p>HSV-2</p> Signup and view all the answers

    Which of the following is NOT a reason for reactivation of HSV?

    <p>Dietary impacts</p> Signup and view all the answers

    What is associated with oropharyngeal lesions?

    <p>HSV-1</p> Signup and view all the answers

    Which statement is true regarding the uniqueness of HSV types?

    <p>They exhibit substantial sequence homology.</p> Signup and view all the answers

    What is the primary characteristic of monkeypox compared to smallpox?

    <p>Monkeypox has a broad host range.</p> Signup and view all the answers

    Which of the following animals is known to potentially carry monkeypox?

    <p>Rabbits</p> Signup and view all the answers

    What is the incubation period for monkeypox?

    <p>5-21 days</p> Signup and view all the answers

    Which symptom is commonly associated with monkeypox?

    <p>Lymphadenopathy</p> Signup and view all the answers

    Which of the following statements is true about the variola virus?

    <p>Only infects humans and monkeys.</p> Signup and view all the answers

    What is the primary transmission route for monkeypox?

    <p>Direct contact with infected persons or animals</p> Signup and view all the answers

    Which regions are most affected by monkeypox?

    <p>Central and West Africa</p> Signup and view all the answers

    What type of virus is monkeypox classified as?

    <p>Orthopoxvirus</p> Signup and view all the answers

    Which feature distinguishes monkeypox from smallpox or chickenpox?

    <p>Skin rash appears later than fever.</p> Signup and view all the answers

    What is the primary reservoir host for monkeypox believed to be?

    <p>The primary reservoir host is unknown</p> Signup and view all the answers

    What is the primary site of latency for Human Parvovirus B19?

    <p>Dorsal root ganglia</p> Signup and view all the answers

    Which type of cells does Human Parvovirus B19 infect?

    <p>Immature red cells in erythroid lineage</p> Signup and view all the answers

    Which mode of transmission is NOT associated with Human Parvovirus B19?

    <p>Direct skin contact</p> Signup and view all the answers

    What type of virus is Human Parvovirus B19 categorized as?

    <p>ssDNA nonenveloped</p> Signup and view all the answers

    Which condition is specifically associated with HSV-1?

    <p>Gingivostomatitis</p> Signup and view all the answers

    What is the primary characteristic of conditions caused by HSV?

    <p>Chronic and recurrent infections</p> Signup and view all the answers

    Which of the following is NOT a ganglia associated with vertical transmission of infections?

    <p>Cervical Ganglia</p> Signup and view all the answers

    What is the most striking and common lesion seen in gingivitis?

    <p>Swollen, tender gums</p> Signup and view all the answers

    Which of the following is correctly paired with its associated HSV type?

    <p>HSV-1 – oropharyngeal lesions</p> Signup and view all the answers

    What is the most common cause of encephalitis in the US?

    <p>Herpes simplex virus (HSV) 2</p> Signup and view all the answers

    Which of the following is a common cause of neonatal herpes?

    <p>Herpes simplex virus (HSV) 2</p> Signup and view all the answers

    What is the primary transmission route for neonatal herpes?

    <p>Direct contact with infected secretions during birth</p> Signup and view all the answers

    What type of virus is herpes simplex virus (HSV)?

    <p>dsDNA virus</p> Signup and view all the answers

    What characteristic is associated with infections requiring mucosal surfaces?

    <p>Unbroken skin is resistant to infection</p> Signup and view all the answers

    What happens after the virus invades local nerve endings?

    <p>It is transported to dorsal root ganglia</p> Signup and view all the answers

    What is a common method used to avoid neonatal herpes infection during birth?

    <p>Cesarean section for women with genital herpes lesions</p> Signup and view all the answers

    Which of the following is a feature of Herpesviridae viruses?

    <p>Enveloped and icosahedral structure</p> Signup and view all the answers

    Which virus is commonly known as the primary cause of Japanese encephalitis?

    <p>Japanese encephalitis virus</p> Signup and view all the answers

    What type of inclusions are associated with herpes simplex virus infection?

    <p>Cowdry type A inclusions</p> Signup and view all the answers

    Study Notes

    Human Parvovirus B19 (Erythema Infectiosum)

    • A single-stranded DNA (ssDNA) non-enveloped virus belonging to the Parvoviridae family.
    • Parvovirus B19 is the only species within the Parvoviridae family that is pathogenic to humans.
    • Infects immature red blood cells in the erythroid lineage.
    • Transmission occurs through respiratory droplets, blood transfusions, and vertical transmission from mother to fetus.

    Herpes Simplex Virus (HSV) 1 and 2

    • A member of the Herpesviridae family, belonging to the alpha group.
    • Characterized by a double-stranded DNA (dsDNA) enveloped icosahedral structure.
    • Transmitted by direct contact with infected secretions.
    • HSV-1 is typically associated with oropharyngeal lesions (cold sores, fever blisters), while HSV-2 is associated with genital herpes and neonatal herpes.
    • HSV-1 and HSV-2 share substantial sequence homology but can be distinguished by sequence analysis or restriction enzyme analysis of viral DNA.
    • HSV-1 and HSV-2 can cross-react serologically, but each type has unique proteins.
    • Transmission patterns of HSV are evolving, with new species emerging through genetic recombination.

    Modes of Vertical HSV Transmission

    • Placental transmission during pregnancy.
    • Neonatal herpes is most commonly caused by HSV-2.
    • Neonatal herpes can be acquired in utero, during birth, or after birth.
    • The most common route of infection is during birth through contact with herpetic lesions in the birth canal.
    • Cesarean section is used in pregnant women with genital herpes lesions to prevent infection.

    HSV Pathology

    • Infection requires contact with mucosal surfaces or broken skin; unbroken skin is resistant.
    • Viral replication initially occurs at the site of infection.
    • The virus invades local nerve endings and is transported by retrograde axonal flow to dorsal root ganglia.
    • Latency is established after further replication.
    • Over 80% of humans carry latent HSV-1, but not all experience recurrences.
    • The reason for reactivation in some individuals is unknown.

    Monkeypox

    • An Orthopoxvirus belonging to the Poxviridae family.
    • A zoonotic disease, with the primary reservoir host unknown.
    • Squirrels, rabbits, and rodents can be infected.
    • Commonly found in Central and West Africa.
    • Transmission occurs through direct contact with infected persons, animals, or contaminated materials.
    • Incubation period is 5-21 days.
    • Symptoms include fever, intense headache, lymphadenopathy, back pain, and myalgia.
    • A prominent feature of monkeypox is pronounced lymphadenopathy, which is not observed in smallpox or chickenpox.
    • Skin rash appears 1-3 days after fever onset, typically on the face, palms, soles, oral mucosa, and genitalia.
    • Rash progresses from macules to papules to vesicles to pustules, ultimately forming crusts/scabs that dry up and fall off.
    • Monkeypox is a self-limited disease, lasting 2-4 weeks.
    • Complications are common and serious, including pulmonary distress, secondary bacterial infections, and encephalitis.
    • Vaccination with vaccinia can protect against monkeypox or reduce the severity of the disease.

    Variola Virus

    • Has a narrow host range, limited to humans and monkeys.
    • Primary infection occurs through the mucous membranes of the upper respiratory tract.
    • Viral replication occurs in the following stages:
      • Primary multiplication in the lymphoid tissue draining the site of entry.
      • Transient viremia and infection of reticuloendothelial cells throughout the body.
      • A secondary phase of multiplication in these cells, leading to a secondary, more intense viremia.
      • Clinical disease presentation.

    Variola Virus Clinical Findings

    • Incubation period is 10-14 days.
    • Lesions in the mouth ulcerate and discharge virus by the 6th-9th day.

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    Description

    Explore the characteristics of Human Parvovirus B19 and Herpes Simplex Virus types 1 and 2. This quiz delves into their classifications, transmission modes, and pathogenicity. Test your knowledge of these important viruses and their impact on human health.

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