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Viral Transmission and Pathogenesis

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Viral pathogenesis refers to how viruses cause _______________ within a host.

disease

For a virus to initiate a successful infection, sufficient numbers of _______________ must enter the host.

virions

The affinity for susceptible tissues is known as _______________.

tropism

The most common portal of entry for viruses is the _______________ tract.

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

Alveolar _______________ are immune system cells that are specialized in phagocytosis.

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

Ciliated epithelial cells of the respiratory tract display receptors for respiratory viruses, such as _______________ or rhinovirus.

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

The small intestine contains M (microfold) cells, goblet cells, and glands that secrete _______________.

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

Peyer’s patches contain millions of antibody-secreting _______________ (of the IgA antibody variety).

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

The membrane envelopes of most enveloped viruses are disintegrated by ______.

<p>bile acid</p> Signup and view all the answers

Acid-labile viruses are unable to withstand the low pH of the ______.

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

Viruses can be transmitted from mother to child in ______ milk.

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

The flow of fluid over the skin makes viral attachment difficult due to the presence of ______.

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

HPV can gain access through small cuts or ______ in the skin.

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

Tears function by washing away any potential ______.

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

Infection of the cornea can occur with ______ simplex virus (HSV).

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

Viral conjunctivitis, also known as “pink eye,” is usually caused by ______.

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

Viruses that infect and replicate only within cells at the site of infection cause ______ infections.

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

Congenital infections occur when a mother infects a ______ before its birth.

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

Rhinovirus infects the epithelial cells of the upper ______ tract and replicates there.

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

Horizontal transmission, meaning that direct ______-to-host transmission occurs.

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

Vertical transmission of HIV most often occurs by ______ transmission, although breastfeeding can also transmit the virus via the gastrointestinal tract.

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

Several viruses can be transmitted through ______, including hepatitis A virus, hepatitis B virus, and hepatitis C virus.

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

Herpesviruses, which remain in tissues or cells in a dormant state after infecting a healthy host, are common viral pathogens in ______.

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

Shows ______, the inflammation of the conjunctiva, caused by accidental infection with vaccinia.

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

A host typically goes through four stages of disease development when it is infected with a ______.

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

The time between when the ______ initially infects the host and when symptoms appear is called the incubation period.

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

The rhinovirus, a cause of the common cold, has an incubation period of about ______ days.

<p>1-3</p> Signup and view all the answers

During the prodromal period, nonspecific, mild symptoms such as ______, muscle aches, or a low-grade fever may occur.

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

The ______ period occurs when specific symptoms of the disease occur.

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

The symptoms of the disease subside as the host begins feeling better, having entered into the ______ period.

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

Rhinovirus has an incubation period of approximately _______________ hours.

<p>24</p> Signup and view all the answers

Influenza A virus has a period of communicability from _______________ hours before to 5-10 days after symptoms begin.

<p>24</p> Signup and view all the answers

Variola virus, also known as _______________, has a period of communicability from 24 hours before fever begins until disappearance of all scabs.

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

Ebola virus has an incubation period of approximately _______________ days.

<p>8-10</p> Signup and view all the answers

Measles virus has a period of communicability from _______________ days before to four days after onset of rash.

<p>5</p> Signup and view all the answers

HIV has a period of communicability that begins _______________ during infection and continues indefinitely.

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

Hepatitis A virus has a period of communicability that begins in the _______________ half of the incubation period and continues for a week into jaundice.

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

Acute infection is typically cleared by the immune system within _______________ days.

<p>7-10</p> Signup and view all the answers

Study Notes

Virus Transmission

  • Viruses enter the host through various portals, including the respiratory tract, gastrointestinal tract, genital tract, skin, and eyes.

Portals of Virus Entry

  • Respiratory Tract:
    • Most common portal of entry
    • Viruses are trapped by mucus in the upper and lower respiratory tract
    • Antibodies (IgA isotype) bind to virus particles
    • Alveolar macrophages and ciliated epithelial cells play a role in virus entry
  • Gastrointestinal Tract:
    • Viruses must be resistant to low pH of stomach acid and detergent qualities of bile
    • Acid-labile viruses are unable to withstand low pH of stomach
    • Acid-resistant viruses contain capsid proteins that are not denatured by low pH
  • Genital Tract:
    • Viruses are sexually transmitted diseases
    • Human papillomavirus (HPV) has tropism for the epithelium of the cervix or penis
  • Skin:
    • Viruses gain access through small cuts or abrasions in the skin
    • Bites of insect vectors (mosquitoes, ticks, mites) can introduce viruses into the dermis
  • Eyes:
    • Tears wash away potential pathogens
    • Traumatic events (puncture wounds) provide entry of virus into the eye
  • Placenta:
    • Congenital infections occur when a mother infects a fetus before its birth
    • Vertical transmission leads to long-term persistence of the virus within the child

Dissemination Within a Host

  • Localized infections:
    • Viruses infect and replicate only within cells at the site of infection
    • Example: Rhinovirus infects the epithelial cells of the upper respiratory tract
  • Systemic infections:
    • Viruses spread throughout the body

Patterns of Infection

  • Incubation period:
    • Time between viral infection and symptom appearance
    • Example: Rhinovirus (1-3 days)
  • Prodromal period:
    • Nonspecific, mild symptoms appear
    • Virus replicates quickly within the host
  • Illness period:
    • Specific symptoms of the disease occur
    • Virus is multiplying to high levels, and immune system is activated
  • Convalescent period:
    • Symptoms subside as the host begins feeling better

Incubation Period and Period of Communicability for Selected Human Viruses

  • Table 1 lists the incubation period and period of communicability for various viruses, including Rhinovirus, Influenza A virus, Variola virus (smallpox), Ebola virus, Measles virus, Rubella virus, HIV, Mumps virus, Hepatitis A virus, Hepatitis C virus, and Hepatitis B virus

Replication and Persistence of a Virus Within a Host

  • Acute infection:
    • Virus replicates rapidly within the host and is spread to other individuals
    • Immune system clears the virus within 7-10 days
  • Persistent infections:
    • Virus persists in the host for an extended period
    • Examples: HIV, Hepatitis B virus, and Hepatitis C virus

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