Podcast
Questions and Answers
What is the most common method of transmission for Norovirus?
What is the most common method of transmission for Norovirus?
- Airborne transmission
- Direct contact with infected individuals
- Fecal-oral route through contaminated food or water (correct)
- Vector-borne transmission by insects
Which of the following symptoms is NOT commonly associated with acute 2019-nCoV infections?
Which of the following symptoms is NOT commonly associated with acute 2019-nCoV infections?
- Cough
- Nausea (correct)
- Hemoptysis
- Shortness of breath
What is a significant characteristic of the Orthomyxovirus family?
What is a significant characteristic of the Orthomyxovirus family?
- They cannot mutate or reassort their genes.
- Their genomes are single-stranded (+) RNA.
- They have a segmented (-) RNA genome. (correct)
- They are resistant to detergents and drying.
What is the estimated percentage of gastrointestinal outbreaks in the USA caused by Norovirus?
What is the estimated percentage of gastrointestinal outbreaks in the USA caused by Norovirus?
Which complications indicate the need for urgent medical attention in acute 2019-nCoV cases?
Which complications indicate the need for urgent medical attention in acute 2019-nCoV cases?
Which of the following polyomaviruses is known to cause progressive multifocal leukoencephalopathy (PML) in immunocompromised hosts?
Which of the following polyomaviruses is known to cause progressive multifocal leukoencephalopathy (PML) in immunocompromised hosts?
What is the primary mode of transmission for polyomaviruses?
What is the primary mode of transmission for polyomaviruses?
Which clinical syndrome is NOT typically associated with adenoviruses?
Which clinical syndrome is NOT typically associated with adenoviruses?
Which of the following statements about adenoviruses is true?
Which of the following statements about adenoviruses is true?
What is the average lifespan of patients diagnosed with progressive multifocal leukoencephalopathy (PML)?
What is the average lifespan of patients diagnosed with progressive multifocal leukoencephalopathy (PML)?
Which of the following herpesviruses belongs to the gammaherpesviruses subfamily?
Which of the following herpesviruses belongs to the gammaherpesviruses subfamily?
What prevention strategy can help control adenovirus infections?
What prevention strategy can help control adenovirus infections?
What type of infections are herpesviruses known to establish after primary infection?
What type of infections are herpesviruses known to establish after primary infection?
What additional symptoms are commonly seen in children with acute influenza infection compared to adults?
What additional symptoms are commonly seen in children with acute influenza infection compared to adults?
Which of the following is NOT a complication associated with acute influenza infection?
Which of the following is NOT a complication associated with acute influenza infection?
What is the primary action of amantadine and rimantadine in influenza treatment?
What is the primary action of amantadine and rimantadine in influenza treatment?
Which virus is associated with the maculopapular rash seen in measles?
Which virus is associated with the maculopapular rash seen in measles?
What complication can result from measles infection that affects the brain?
What complication can result from measles infection that affects the brain?
Which of the following vaccinations protects against measles, mumps, and rubella?
Which of the following vaccinations protects against measles, mumps, and rubella?
What is one of the most notable features of atypical measles?
What is one of the most notable features of atypical measles?
Which of the following viruses is a respiratory pathogen that can lead to multinucleated giant cells?
Which of the following viruses is a respiratory pathogen that can lead to multinucleated giant cells?
What is a common opportunistic infection in patients with a CD4 lymphocyte count between 50 and 200 per microliter?
What is a common opportunistic infection in patients with a CD4 lymphocyte count between 50 and 200 per microliter?
Which of the following is true regarding Hepatitis B?
Which of the following is true regarding Hepatitis B?
Which treatment option is classified as a protease inhibitor?
Which treatment option is classified as a protease inhibitor?
What is a significant challenge in developing a vaccine for HIV?
What is a significant challenge in developing a vaccine for HIV?
Which of these conditions occurs at a CD4 lymphocyte count of less than 50 per microliter?
Which of these conditions occurs at a CD4 lymphocyte count of less than 50 per microliter?
Which type of viral structure does Hepatitis C have?
Which type of viral structure does Hepatitis C have?
What is the mode of transmission for Hepatitis D?
What is the mode of transmission for Hepatitis D?
What is a characteristic of Moraxella catarrhalis?
What is a characteristic of Moraxella catarrhalis?
What is a significant outcome of respiratory syncytial virus infection in infants?
What is a significant outcome of respiratory syncytial virus infection in infants?
Which statement accurately describes rabies progression?
Which statement accurately describes rabies progression?
What is true about the prevention of rabies?
What is true about the prevention of rabies?
Which of the following is NOT true about filoviruses?
Which of the following is NOT true about filoviruses?
What is the primary type of animal in which Ebola virus is endemic?
What is the primary type of animal in which Ebola virus is endemic?
What clinical syndrome is associated with respiratory syncytial virus in children?
What clinical syndrome is associated with respiratory syncytial virus in children?
Which is a potential consequence of vaccination against rabies?
Which is a potential consequence of vaccination against rabies?
How do filoviruses primarily replicate within the body?
How do filoviruses primarily replicate within the body?
What is the primary cause of diarrhea in children attributed to reovirus?
What is the primary cause of diarrhea in children attributed to reovirus?
Which symptom is NOT commonly associated with hemorrhagic fever?
Which symptom is NOT commonly associated with hemorrhagic fever?
What is a significant characteristic of togaviruses and flaviviruses?
What is a significant characteristic of togaviruses and flaviviruses?
In rotavirus infection, which mechanism leads to the loss of electrolytes and water?
In rotavirus infection, which mechanism leads to the loss of electrolytes and water?
Which of the following is a prevention method for yellow fever?
Which of the following is a prevention method for yellow fever?
What is the estimated mortality rate associated with hemorrhagic fever?
What is the estimated mortality rate associated with hemorrhagic fever?
Which clinical syndrome is commonly linked to Chikungunya virus?
Which clinical syndrome is commonly linked to Chikungunya virus?
Which of the following diseases is NOT included in the classic childhood exanthems?
Which of the following diseases is NOT included in the classic childhood exanthems?
Which symptom is particularly severe in infants infected with rotavirus?
Which symptom is particularly severe in infants infected with rotavirus?
How is the Zika virus primarily transmitted?
How is the Zika virus primarily transmitted?
Flashcards
Norovirus
Norovirus
A positive-sense, single-stranded RNA virus that is highly resistant to detergents, drying, and acidic environments. It is spread primarily through the fecal-oral route, often through contaminated food or water.
Orthomyxovirus
Orthomyxovirus
A group of enveloped viruses with segmented negative-sense RNA genomes. The three main types are Influenza A, B, and C, with only A and B causing human infections. This segmented genome allows for rapid evolution through mutations (drift) and reassortment (shift), leading to annual epidemics and occasional pandemics.
Influenza A
Influenza A
A type of influenza virus that can cause pandemics. It's characterized by its ability to reassort its genetic material, leading to potentially highly contagious and deadly strains.
Influenza Virus
Influenza Virus
A large, complex virus with a segmented genome that allows for rapid evolution through mutations and reassortment, leading to annual epidemics and occasional pandemics.
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Influenza B
Influenza B
An influenza virus that is less severe than influenza A. Still causes seasonal outbreaks, but pandemics are less common.
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Acute Influenza Infection in Adults
Acute Influenza Infection in Adults
A viral respiratory infection characterized by fever, chills, muscle aches, cough, sore throat, and fatigue. Children often experience a higher fever and gastrointestinal symptoms.
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Primary Viral Pneumonia
Primary Viral Pneumonia
A serious complication of influenza infection that can be caused by bacteria, viruses, or a combination of both. It is characterized by inflammation of the lungs and can lead to respiratory failure.
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Secondary Bacterial Pneumonia
Secondary Bacterial Pneumonia
A complication of influenza infection that is caused by bacteria entering the lungs after the initial viral infection. It can be life-threatening, especially in individuals with weakened immune systems.
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Amantadine and Rimantadine
Amantadine and Rimantadine
An antiviral medication that inhibits the uncoating of influenza A virus, preventing it from entering and replicating in cells.
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Zanamivir and Oseltamivir
Zanamivir and Oseltamivir
Antiviral medications that block the neuraminidase enzyme, preventing the release of new influenza viruses from infected cells, hindering the spread of infection.
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Influenza Vaccination
Influenza Vaccination
A vaccine containing hemagglutinin (H) and neuraminidase (N) antigens from three influenza virus strains. It aims to prepare the immune system to fight off the flu virus.
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Measles
Measles
One of the five classic childhood exanthems, characterized by a maculopapular rash, cough, conjunctivitis, coryza, photophobia, and Koplik spots. Complications include otitis media, croup, bronchopneumonia, and encephalitis.
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Subacute Sclerosing Panencephalitis (SSPE)
Subacute Sclerosing Panencephalitis (SSPE)
A severe complication of measles that affects the brain and can cause neurological damage. It can occur years after the initial measles infection.
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Polyomaviruses
Polyomaviruses
A group of viruses that includes BK, JC, and SV40. They are acquired through the respiratory route and typically cause asymptomatic infections. These viruses establish latent infections, which can reactivate in individuals with weakened immune systems, leading to serious conditions like progressive multifocal leukoencephalopathy (PML).
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Progressive Multifocal Leukoencephalopathy (PML)
Progressive Multifocal Leukoencephalopathy (PML)
A serious brain infection caused by the reactivation of JC virus, particularly in individuals with weakened immune systems, such as those with AIDS. The virus affects the brain's white matter, leading to neurological symptoms like speech, vision, and coordination problems. PML typically results in death within 1 to 4 months.
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Naked Double-stranded DNA Viruses
Naked Double-stranded DNA Viruses
A type of viral DNA that is not enclosed within a membrane. Adenoviruses are known for causing respiratory infections and other diseases in infants, children, and immunocompromised individuals.
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Lytic Infections
Lytic Infections
These infections are characterized by the destruction of infected cells, often seen in mucosal epithelial cells. Adenoviruses commonly cause lytic infections in the respiratory tract.
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Latent Infections
Latent Infections
These infections occur when the virus remains dormant within the host's cells, without causing immediate harm. Adenoviruses can establish latent infections in lymphoid and adenoid cells in the body.
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Herpesviruses
Herpesviruses
A family of enveloped DNA viruses with three subfamilies: alphaherpesviruses, betaherpesviruses, and gammaherpesviruses. They are known for establishing latent or persistent infections following primary infection.
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Alphaherpesviruses
Alphaherpesviruses
The subfamily of herpesviruses that includes HHV1, HHV2, and HHV3. They are responsible for conditions like chickenpox (HHV3), shingles (HHV3), cold sores (HHV1), and genital herpes (HHV2).
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Betaherpesviruses
Betaherpesviruses
The subfamily of herpesviruses that includes HHV5, HHV6, and HHV7. They are associated with diseases like cytomegalovirus (CMV) infection (HHV5), roseola (HHV6), and HHV7, which is rarely associated with disease.
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Respiratory Syncytial Virus (RSV)
Respiratory Syncytial Virus (RSV)
Viral infection causing bronchiolitis and pneumonia in infants, characterized by fever, cough, difficulty breathing, and bluish skin.
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How does RSV cause illness?
How does RSV cause illness?
A highly contagious virus forming mucus plugs in the airways, potentially causing death in infants by blocking airflow.
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Rhabdovirus
Rhabdovirus
A bullet-shaped virus with a single-stranded RNA genome, most notably known for causing rabies.
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What are the stages of rabies?
What are the stages of rabies?
The rabies virus causes a range of symptoms from mild fever and headache to paralysis and coma, ultimately leading to death.
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Filoviruses
Filoviruses
A group of filamentous viruses with single-stranded RNA genomes, responsible for deadly hemorrhagic fevers like Ebola and Marburg.
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How do Filoviruses invade the body?
How do Filoviruses invade the body?
Filoviruses target and replicate within specific cells of the immune system, such as monocytes, macrophages, and dendritic cells, disrupting the body's defense.
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Prodrome phase in rabies
Prodrome phase in rabies
The initial stages of rabies, characterized by nonspecific symptoms such as fever, nausea, vomiting, headache, and fatigue.
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Neurological phase of rabies
Neurological phase of rabies
The neurological stage of rabies, characterized by distinctive symptoms like fear of water (hydrophobia) and excessive excitement or agitation.
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Pneumocystis jiroveci Pneumonia
Pneumocystis jiroveci Pneumonia
Opportunistic infection common in late-stage HIV (CD4 count < 200 cells/µL), caused by a fungus that infects the lungs, leading to pneumonia.
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Toxoplasma gondii Encephalitis
Toxoplasma gondii Encephalitis
Opportunistic infection common in late-stage HIV (CD4 count < 200 cells/µL), caused by a parasite that infects the brain, leading to encephalitis.
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CMV Retinitis
CMV Retinitis
Opportunistic infection that can occur in late-stage HIV (CD4 count < 200 cells/µL), affecting the eyes, causing inflammation and vision loss. It often occurs in individuals with weakened immune systems.
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Cryptococcus neoformans Meningoencephalitis
Cryptococcus neoformans Meningoencephalitis
Opportunistic infection that can occur in late-stage HIV (CD4 count < 50 cells/µL), affecting the brain and causing meningitis and encephalitis. It often occurs in individuals with severely weakened immune systems.
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Highly Active Antiretroviral Therapy (HAART)
Highly Active Antiretroviral Therapy (HAART)
A type of HIV treatment using a combination of drugs to suppress the virus's replication. This highly effective approach can significantly improve the quality of life and longevity of individuals living with HIV.
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Nucleoside Analogue Reverse Transcriptase Inhibitors (NRTIs)
Nucleoside Analogue Reverse Transcriptase Inhibitors (NRTIs)
A class of HIV drugs that inhibit the enzyme reverse transcriptase, preventing HIV from converting its RNA into DNA.
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Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
A class of HIV drugs that directly bind to the reverse transcriptase enzyme, interfering with its function and preventing HIV from making new copies of itself.
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Protease Inhibitors (PIs)
Protease Inhibitors (PIs)
A class of HIV drugs that block the activity of HIV protease, an enzyme essential for assembling new viruses. By inhibiting this enzyme, protease inhibitors prevent the production of new viruses.
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Reoviruses
Reoviruses
A group of non-enveloped viruses that are characterized by a double-layered protein capsid and a double-stranded RNA genome. They are known for causing various diseases, including diarrhea in children, primarily through the rotavirus.
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Rotavirus
Rotavirus
A highly contagious virus that is the most common cause of severe diarrhea in young children. It spreads through the fecal-oral route and infects the epithelial cells of the small intestine, leading to electrolyte loss and dehydration.
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Togaviruses and Flaviviruses
Togaviruses and Flaviviruses
A group of enveloped viruses with a single-stranded RNA genome. They are characterized by their positive sense, meaning their RNA can be directly translated into proteins.
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Alphaviruses
Alphaviruses
An important genus within the Togaviridae family, known for causing various diseases transmitted by arthropods (insects). They are characterized by their ability to establish systemic infection and viremia.
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Rubivirus
Rubivirus
The virus responsible for Rubella (German Measles), a classic childhood exanthem. It enters the body through the respiratory tract, then progresses to lymph nodes, and finally causes viremia.
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Flaviviruses
Flaviviruses
A significant genus within the Flaviviridae family, known for causing various diseases transmitted by arthropods (insects). Like Alphaviruses, they spread through bites and cause systemic infection.
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Arboviruses
Arboviruses
Viruses transmitted by arthropods (insects) and known to cause various diseases including dengue fever, yellow fever, Japanese encephalitis, chikungunya, and Zika.
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Dengue Fever
Dengue Fever
A serious disease transmitted by the Aedes mosquito, causing flu-like symptoms, hepatitis, hemorrhage, and shock. It can lead to severe complications or even death if left untreated.
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Yellow Fever
Yellow Fever
A severe disease transmitted by the Aedes mosquito, causing flu-like symptoms, hepatitis, hemorrhage, and shock. There is a live vaccine available for protection against this dangerous virus.
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Zika Virus
Zika Virus
A viral infection transmitted by the Aedes mosquito, known for causing flu-like symptoms, hepatitis, and occasionally shock. It can also lead to hemorrhage and neurological complications.
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Clinical Virology
- Focuses on various viruses and their clinical implications.
- Covers different virus types (DNA, RNA, etc.) and their associated diseases.
- Includes information on pathogenesis, clinical syndromes, treatment, prevention, and control.
DNA Virus: Papillomavirus
- At least 100 types identified.
- Naked double-stranded DNA virus.
- Can be cutaneous or mucosal.
- A group associated with mucosal HPV is linked to cervical cancer.
- HPV genome is circular and has approximately 8,000 base pairs.
- HPV DNA encodes early genes (E1 to E8) and late/structural genes (L1 and L2).
- Viral pathogenesis includes inoculation, local multiplication, wart formation, and potential cell transformation.
- Clinical syndromes include warts (benign, self-limited skin proliferations), oral papillomas (benign epithelial oral tumors), and laryngeal papillomas (common benign epithelial head and neck tumors).
- Anogenital warts (condylomata acuminata) are almost exclusively on the squamous epithelium of the external genitalia and perianal regions, caused by HPV 6 and 11.
- Cervical dysplasia/neoplasia associated with high-risk HPV types (HPV 16 and 18) can cause cervical neoplasia and cancer.
- Mild dysplasia often spontaneously regresses (approximately 40-70%).
DNA Virus: Polyomavirus
- Includes BK, JC, and SV40 viruses.
- Acquired by respiratory route, is typically asymptomatic.
- Establishes latent and persistent infections.
- Reactivates in immunosuppressed hosts and can cause progressive multifocal leukoencephalopathy (PML).
- Viral pathogenesis involves inoculation, multiplication in the respiratory tract, potential multiplication in kidney, possible viruria, and reactivation within the CNS.
- Primary infection is usually asymptomatic.
- Activation in immunocompromised patients, indicated by virus detection in urine, as in up to 40% of patients
- PML is a growing concern due to increasing AIDS cases.
- PML causes multiple neurological symptoms, eventually followed by paralysis, and typically results in death within 2 years.
DNA Virus: Adenovirus
- First isolated in human adenoid cell culture.
- Naked double-stranded DNA viruses.
- Spread through aerosols, close contact, or fecal-oral routes.
- Can cause lytic infections (mucoepithelial cells), latent infections (lymphoid and adenoid cells), and transforming infections (animal cells only).
- Clinical syndromes include undifferentiated upper respiratory tract infections, pharyngoconjunctival fever, acute respiratory disease, pertussis-like syndrome, pneumonia, acute hemorrhagic cystitis, epidemic keratoconjunctivitis, gastroenteritis, hepatitis and meningoencephalitis in infants and children.
DNA Virus: Herpesviruses
- Enveloped double-stranded DNA viruses.
- Three subfamilies: alphaherpesviruses (HHV1, 2, and 3), betaherpesviruses (HHV5, 6, and 7), and gammaherpesviruses (HHV4 and 8).
- Establish latent or persistent infections.
- Reactivation is more likely during immunosuppression.
- Table summarizing different Herpes virus types, target cells, sites of latency, and transmission routes.
DNA Virus: Herpes Simplex Virus 1 and 2
- Disease initiated by direct contact on infected tissue.
- Establishes latency in neurons.
- Reactivated by stress.
- HSV-1 commonly causes oral infections.
- HSV-2 typically associated with sexual infections.
- Clinical presentations include acute gingivostomatitis, herpes labialis (cold sores), ocular herpes, genital herpes, and other forms of cutaneous herpes.
DNA Virus: Varicella-Zoster Virus (HHV-3)
- Transmitted via respiratory droplets.
- Infects epithelial cells, fibroblasts, T cells, and neurons.
- Causes lifelong latent infection in neurons.
- Manifest as chickenpox (varicella) in initial infection.
- Reactivation as shingles (herpes zoster), affecting the sensory dermatomes.
DNA Virus: Epstein-Barr Virus (HHV-4)
- Initiates infection by saliva contact and spreads to B cells.
- Establishes latency in B cells.
- Clinical manifestations include infectious mononucleosis, Burkitt's lymphoma, and nasopharyngeal carcinoma in China.
DNA Virus: Cytomegalovirus (CMV)(HHV-5)
- Acquired by blood, body fluids, or vertical transmission.
- Infects epithelial and other cells.
- Establishes latency in T cells, macrophages, and other cells.
- Clinical manifestations include cytomegalic inclusion disease (congenital), usually asymptomatic perinatal or postnatal infections.
- Can cause infections in immunocompromised hosts: pneumonia, retinitis, colitis, and encephalopathy.
DNA Virus: Herpes Viruses 6 and 7
- Transmitted in saliva.
- Cause roseola in children (rash and fever).
- In immunocompromised individuals can lead to mononucleosis syndrome and HIV co-factor.
DNA Virus: Herpes Virus 8
- HHV-8 found in almost 100% of Kaposi's sarcoma cases.
- Tumor of blood vessels (Kaposi's sarcoma).
RNA Virus: Poxvirus
- Large, complex viruses.
- Linear double-stranded DNA genome with fused ends.
- Includes variola virus (smallpox), molluscum contagiosum, and other zoonotic viruses.
- Smallpox has been eradicated.
RNA Virus: Parvovirus
- Smallest DNA virus.
- Naked icosahedral capsid.
- Single-stranded (plus or minus) DNA strand.
- Transmitted via respiratory droplets.
- Infects mitotically active erythroid precursor cells in bone marrow.
- Only B19 can cause disease in humans
RNA Virus: Picornavirus
- Small RNA viruses.
- Naked icosahedral capsid.
- Includes enteroviruses (poliovirus, coxsackie A & B, echovirus, enterovirus, rhinovirus 1-100+, cardiovirus, aphthovirus, and hepatitis A virus).
RNA Virus: Coronavirus
- Are named for the solar corona-like appearance.
- Single-stranded (+) RNA.
- Spreads via respiratory droplets, but also found in sweat, urine, and feces.
- Four subfamilies: alpha, beta, gamma, and delta.
- Primarily from mammals (alpha and beta) and other animals (gamma and delta).
- Clinical syndromes include mild-moderate common colds, and severe forms like SARS (severe acute respiratory syndrome), MERS (Middle East respiratory syndrome), and COVID-19.
RNA Virus: Norovirus
- Positive (+) RNA viruses.
- Resistant to detergents, drying, and acid.
- Transmitted through fecal-oral routes in contaminated food or water.
- Causes 50% of gastrointestinal outbreaks in the USA.
- Clinical manifestations consist of diarrhea, nausea, and vomiting.
RNA Virus: Orthomyxovirus (Influenza)
- Enveloped viruses with segmented (-) RNA genomes.
- Three types: Influenza A, B, and C (only A and B cause disease in humans).
- Segmented genome facilitates new strains through mutation (drift) and reassortments (shift).
- Spanish flu pandemic (1918-1919) was highly lethal.
RNA Virus: Paramxyovirus
- Large virion particles with negative-sense single-stranded RNA genomes.
- Transmitted through respiratory droplets and initiate infection in the respiratory tract.
- Cause cell-cell fusion, resulting in multinucleated giant cells.
- Includes measles, parainfluenza, mumps, and respiratory syncytial viruses (RSV).
RNA Virus: Filovirus
- Filamentous, enveloped, single-stranded (-) RNA viruses.
- Cause hemorrhagic fever.
- Includes Ebola and Marburg viruses.
- Ebola endemic in some parts of Africa.
RNA Virus: Reovirus
- Non-enveloped viruses.
- Double-layered protein capsid and double-stranded RNA.
- Rotavirus is the main pathogen, causing diarrhea in children.
RNA Virus: Togavirus and Flavivirus
- Enveloped viruses with positive-sense single-stranded RNA genomes.
- Transmitted by arthropods (arboviruses).
- Togaviridae and Flaviviridae are significant for diseases like Chikungunya, Dengue, Yellow Fever, Japanese Encephalitis, Zika virus, and Hepatitis C.
RNA Virus: Bunyaviridae
- More than 200 viruses, enveloped viruses with segmented (-) RNA.
- Transmitted by arthropods or ticks (mosquitoes, etc.).
- Clinical manifestations include flu-like syndromes, encephalitis, and hemorrhagic fever.
RNA Virus: Arenaviridae
- Enveloped viruses with two circular, (-) RNA genome segments.
- Infections are zoonoses with a rodent reservoir.
- Includes Lymphocytic choriomeningitis (LCM) and hemorrhagic fever viruses (Lassa, Junin, Machupo).
Retrovirus
- Enveloped (+)-sense single-stranded RNA viruses.
- Replication through a DNA intermediate.
- HIV (Human Immunodeficiency Virus) is a lentivirus associated with AIDS.
- Composition: lipid envelope, glycoprotein (gp120 and gp41), nucleocapsid (protein p24), and RNA with enzymes supporting replication.
- Genetic Diversity: HIV has high genetic diversity, necessitating combination therapy.
- Clinical Manifestations: Acute (retroviral syndrome), Chronic, and Final/Crisis (severe immunosuppression).
Hepatitis Viruses
- Table summarizing Hepatitis A, B, C, D, and E virus characteristics.
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