Virology: SARS-CoV-2 and Enteroviruses

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Questions and Answers

The SARS-CoV-2 virus gains entry into host cells by binding to which receptor?

  • Interleukin-6 receptor
  • CD4 receptor
  • CD8 receptor
  • ACE2 receptor (correct)

Which of the following is NOT considered a primary portal of entry for the SARS-CoV-2 virus?

  • Respiratory tract
  • Skin (correct)
  • Mucosal membrane of the oral cavity
  • Eyes

A person transmits SARS-CoV-2 to another individual before showing any symptoms. This is an example of what type of transmission?

  • Asymptomatic transmission
  • Symptomatic transmission
  • Presymptomatic transmission (correct)
  • Environmental transmission

Which of the following transmission routes of SARS-CoV-2 involves spread that is NOT traceable to a specific, known infected individual?

<p>Environmental transmission (C)</p>
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Enteroviral infections, such as hand-foot-and-mouth disease, are primarily caused by which viruses?

<p>Coxsackie A and B viruses (A)</p>
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A patient presents with malaise, fever, and a vesicular rash on the buccal mucosa and tongue, as well as on their hands and feet. Which of the following is the most likely diagnosis?

<p>Hand-foot-and-mouth disease (C)</p>
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What is the primary treatment approach for enteroviral infections presenting with oral ulceration?

<p>Topical steroids (A)</p>
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Erythema infectiosum, characterized by a 'slapped cheek' rash, is caused by which virus?

<p>Parvovirus B19 (D)</p>
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A child presents with a vivid red rash on their cheeks, described as 'slapped cheeks,' and a maculopapular rash on their extremities. What is the most likely diagnosis?

<p>Erythema infectiosum (A)</p>
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Which form of active immunity involves the administration of a weakened form of a pathogen that can still stimulate an immune response without causing severe disease?

<p>Live attenuated vaccines (A)</p>
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Which type of vaccine utilizes inactivated bacterial toxins to stimulate an immune response?

<p>Toxoid vaccines (A)</p>
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Which of the following is an example of passive immunity?

<p>Natural transmission of antibodies from mother to fetus (B)</p>
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The administration of rabies immunoglobulin to an individual bitten by a rabid animal is an example of what kind of immunity?

<p>Passive immunity (A)</p>
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Which of the following is a primary mode of transmission for both Hepatitis B and Hepatitis C?

<p>Contact with infected blood (A)</p>
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Which of the following best describes Hepatitis B virus (HBV)?

<p>DNA virus (D)</p>
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What is the most effective method for preventing Hepatitis B infection?

<p>Vaccination (D)</p>
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What type of virus is Hepatitis C?

<p>RNA virus (A)</p>
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Which of the following conditions is most frequently associated with chronic Hepatitis C infection?

<p>Lichenoid reaction (D)</p>
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Which of the following oral conditions is strongly associated with HIV infection?

<p>Hairy leukoplakia (B)</p>
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Which of the following malignancies is most strongly associated with HIV/AIDS?

<p>Kaposi's sarcoma (A)</p>
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Flashcards

COVID-19 disease and virus name

Disease: COVID-19; Virus: SARS-CoV-2

How SARS-CoV-2 infects cells

It uses the membrane-bound angiotensin-converting enzyme 2 (ACE2) receptor of the host, to penetrate the cells.

SARS-CoV-2 portals of entry

  1. Mucosal membrane of the oral cavity 2. Respiratory tract 3. Eyes

SARS-CoV-2 transmission types

  1. Symptomatic transmission 2. Presymptomatic transmission 3. Asymptomatic transmission 4. Environmental transmission
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How enteroviral infections begin

Via coxsackie virus a and b

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Example of enteroviral infection

hand-foot-and-mouth disease.

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Clinical features of erythema infectiosum

  1. Rash- livid erythema of cheeks (slapped cheeks) 2. Maculo-papular rash on feet and hands
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Erythema infectiosum cause

Via parvovirus B19

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Active immunity components

  1. Live attenuated vaccines 2. Inactivated organisms 3. Immunising components of organism 4. Toxoid (inactivated toxin)
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Passive immunity components

  1. Natural transmission from mother to foetus 2. Artificial (high levels human/non-human immunoglobulin)
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Hepatitis B and C transmission

Hep B and C- via contact with infected blood. Just Hep B- saliva

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Hepatitis B virus type

DNA virus

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Hepatitis B incubation period

45 to 180 days.

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Hepatitis B prevention

Vaccination.

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Hepatitis C virus type

RNA virus

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Individuals with overt Hep C

10%- acute phase is usually asymptomatic

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Clinical features of Hep C

  1. Lichenoid reaction 2. Xerostomia
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Diseases associated with HIV

  1. Candidiasis 2. Hairy Leukoplakia 3. Kaposi's Sarcoma 4. Non-Hodgkin's Lymphoma
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Study Notes

  • Disease: COVID-19
  • Virus: SARS-CoV-2

SARS-CoV-2 Virus Mechanism

  • Penetrates cells utilizing the host's membrane-bound angiotensin-converting enzyme 2 (ACE2) receptor.

SARS-CoV-2 Virus Entry Points

  • Mucosal membrane of the oral cavity
  • Respiratory tract
  • Eyes

SARS-CoV-2 Virus Transmission Categories

  • Symptomatic transmission: Direct contact from a COVID-19 patient
  • Presymptomatic transmission: Direct contact from a SARS-CoV-2 positive individual not yet showing symptoms
  • Asymptomatic transmission: Direct contact from a SARS-CoV-2 positive individual who never develops symptoms
  • Environmental transmission: Indirect transmission not traceable to a specific patient

Enteroviral Infections

  • Caused by coxsackie virus A and B

Enteroviral Infection Example

  • Hand-foot-and-mouth disease

Enteroviral Infections: Clinical Features

  • Malaise, fever, anorexia
  • Sore mouth and throat
  • Vesicular rash involving the buccal mucosa, possibly extending to the tongue, palate, or gingiva
  • Hands affected in 65% of cases
  • Feet often affected

Enteroviral Infections: Treatment

  • Topical steroids to alleviate ulceration

Erythema Infectiosum

  • Caused by parvovirus B19

Erythema Infectiosum: Clinical Features

  • Rash presenting as livid erythema on cheeks ("slapped cheeks")
  • Maculo-papular rash on both hands and feet

Erythema Infectiosum: Diagnosis and Treatment

  • Diagnosed clinically
  • No specific treatment available

Active Immunity Components

  • Live attenuated vaccines:
    • Oral poliomyelitis, measles, mumps, rubella, yellow fever, BCG
  • Inactivated organisms:
    • Whooping cough, typhoid, cholera, poliomyelitis, hepatitis B, rabies
  • Immunizing components:
    • Influenza, pneumococcal, meningococcal C conjugate (surface polysaccharide with protein)
  • Toxoid (inactivated toxin):
    • Tetanus, diphtheria

Passive Immunity Components

  • Natural transmission: Mother to foetus
  • Artificial transmission: Human/non-human immunoglobulin (high levels)
    • Human normal immunoglobulin from pooled plasma (e.g., Hep A)
    • Specific immunoglobulin from convalescent patients' blood (e.g., Tetanus, Hep B, rabies, varicella/zoster)

Hep B and Hep C Transmission

  • Hep B and C: Contact with infected blood
  • Hep B also transmitted via saliva

Hep B: Virus Type

  • DNA virus

Hep B: Incubation Period

  • 45 to 180 days

Hep B Prevention

  • Vaccination

Hep C: Virus Type

  • RNA virus

Hep C: Overt Cases

  • 10% of individuals display overt symptoms, as the acute phase is typically asymptomatic

Hep C: Clinical Features

  • Lichenoid reaction
  • Xerostomia

Diseases Strongly Associated with HIV

  • Candidiasis
  • Hairy Leukoplakia
  • Kaposi's Sarcoma
  • Non-Hodgkin's Lymphoma

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