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Virus Transmission and Pathogenesis

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36 Questions

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.

respiratory

Antibodies of the ______ isotype bind to virus particles in the respiratory tract.

IgA

The ______ macrophages are specialized in phagocytosis in the respiratory tract.

alveolar

Viruses are able to gain entry into the body through the ______ tract, among other portals.

gastrointestinal

The small intestine contains ______ cells that secrete mucus, which lines the epithelium.

goblet

Successful viruses must be resistant to the low pH of ______ acid in the gastrointestinal tract.

stomach

Localized infections occur when viruses infect and replicate only within ______ at the site of infection.

cells

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

fetus

Intrapartum transmission occurs when the child is infected during the ______ process due to contact with the mother's infected blood, secretions, or biological fluids.

birthing

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

breastfeeding

Pregnant mother may be encouraged to deliver the child by ______ if there are active signs of maternal infection.

C-section

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

tissues

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

epithelial

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

blood

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

virus

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

incubation

During the prodromal period, the virus is replicating quickly within the ______.

host

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

occur

During the convalescent period, the symptoms of the disease ______ as the host begins feeling better.

subside

Rhinovirus is a cause of the common ______.

cold

The average incubation period of the Rhinovirus is around ______ hours.

24

The period of communicability for Influenza A virus is from ______ hours before to 5-10 days after symptoms begin.

24

The contagious period for measles starts ______ days before the onset of rash.

5

The period of communicability for HIV is from early during infection and continues ______.

indefinitely

The hepatitis A virus is communicable from the last half of the ______ period to a week into jaundice.

incubation

The average incubation period of the Hepatitis B virus is around ______ months.

4

The replication and persistence of a virus within a host generally follow one of two different patterns of ______.

disease

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

7-10

Some acute infections are inapparent or ______, meaning that they produce no symptoms of disease

subclinical

Persistent infections can also result from ______ or slow infections.

viral latency

Viral latency is a state in which the virus becomes ______ within host cells.

dormant

For example, varicella zoster virus that causes chickenpox; Later in life, reactivation occur causes the painful skin rash known as ______.

shingles

HIV establishes a slow infection: it takes around 8–10 years for an individual to progress to a stage of disease where symptoms are ______.

apparent

Due to ______ of the immune system, HIV infects immune cells and interferes with their proper functioning.

immunosuppression

Study Notes

Virus Transmission

  • Viral pathogenesis is the process by which viruses cause disease within a host.
  • For a virus to initiate a successful infection, sufficient numbers of virions must enter the host, and the host cells must be accessible to the virus and susceptible to infection.

Portals of Virus Entry

  • Respiratory tract: the most common portal of entry, with viruses contained in larger droplets being deposited in the upper respiratory tract, and smaller aerosolized particles or liquids traveling into the lower respiratory tract.
  • Gastrointestinal tract: viruses must be resistant to the low pH of stomach acid and the detergent qualities of bile.
  • Skin: viruses can gain entry through the skin, including through cuts or wounds.
  • Placenta: congenital infections occur when a mother infects a fetus before its birth, which can lead to severe effects such as miscarriage, low birth weight, intellectual deficiencies, hearing loss, and death of the infant.
  • Transplants: viruses can be transmitted through blood transfusions, including hepatitis A, B, and C viruses, HIV, West Nile virus, and dengue virus.

Dissemination Within a Host

  • Localized infections: viruses that infect and replicate only within cells at the site of infection, causing localized infections.
  • Systemic infections: viruses that spread throughout the body, causing systemic infections.

Patterns of Infection

  • A host typically goes through four stages of disease development when infected with a virus:
    • Incubation period: the time between when the virus initially infects the host and when symptoms appear.
    • Prodromal period: occurs after the incubation period and is when symptoms first appear.
    • Illness period: occurs when specific symptoms of the disease occur.
    • Convalescent period: the symptoms of the disease subside as the host begins feeling better.

Replication and Persistence of a Virus

  • Acute infection: the virus replicates rapidly within the host and is spread to other individuals, but the immune system clears the virus within 7-10 days.
  • Persistent infections: occur when the host immune system is unable to effectively clear the virus, but the virus does not replicate to levels that kill the host.
  • Viral latency: a state in which the virus becomes dormant within host cells.
  • Slow infections: viruses can take years to reach a symptomatic phase, such as HIV, which takes around 8-10 years to progress to a stage of disease where symptoms are apparent.

Learn about the steps of virus transmission, from entering a host to spreading and causing disease, and the factors that affect viral infection.

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