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Questions and Answers

Which of the following risk groups is particularly susceptible to Epstein-Barr Virus (EBV)?

  • Elderly individuals
  • Individuals with diabetes
  • Adolescents and young adults (correct)
  • People with asthma

What is the primary mode of transmission for Epstein-Barr Virus (EBV)?

  • Direct blood contact
  • Contaminated surfaces
  • Airborne particles
  • Saliva and close contact (correct)

Which of the following conditions is associated with latency of Epstein-Barr Virus (EBV)?

  • Hypothyroidism
  • Type 2 diabetes
  • Chronic bronchitis
  • Burkitt's lymphoma (correct)

What is a key characteristic of Infectious Mononucleosis caused by Epstein-Barr Virus?

<p>Lymphocytosis (D)</p> Signup and view all the answers

What approach is emphasized for the prevention of Epstein-Barr Virus exposure?

<p>Avoiding exposure for immunocompromised individuals (C)</p> Signup and view all the answers

What genetic material do human herpesviruses possess?

<p>Double-stranded DNA (A)</p> Signup and view all the answers

Which mechanism is NOT used by herpesviruses for release from host cells?

<p>Cell division (B)</p> Signup and view all the answers

What triggers the reactivation of latent herpesviruses?

<p>Stress and immunosuppression (A)</p> Signup and view all the answers

What type of infections can herpesviruses cause?

<p>Lytic, persistent, latent, and immortalizing infections (B)</p> Signup and view all the answers

Which of the following populations is at risk for HSV-1 infection?

<p>Children (D)</p> Signup and view all the answers

What feature is commonly associated with herpesviruses regarding their lifecycle?

<p>They establish latency in neurons and immune cells. (A)</p> Signup and view all the answers

How is transmission of HSV primarily achieved?

<p>Direct contact with lesion fluids or secretions (B)</p> Signup and view all the answers

Which herpesvirus is associated with the capability to immortalize host cells?

<p>Epstein-Barr virus (EBV) (C)</p> Signup and view all the answers

Which clinical manifestation is commonly associated with HSV-1?

<p>Cold sores (D)</p> Signup and view all the answers

What is the primary diagnostic method for HSV infections?

<p>PCR and culture methods (D)</p> Signup and view all the answers

What preventive measure can healthcare workers take when dealing with HSV?

<p>Wearing gloves (A)</p> Signup and view all the answers

Which of the following correctly describes the pathogenesis of Varicella-Zoster Virus (VZV) during initial infection?

<p>Starts in respiratory tract and spreads via viremia (D)</p> Signup and view all the answers

What is often observed during the reactivation of VZV later in life?

<p>Painful dermatomal rashes (B)</p> Signup and view all the answers

What is the most common cause of viral birth defects in the US?

<p>Cytomegalovirus (A)</p> Signup and view all the answers

Which statement about CMV transmission is correct?

<p>Via direct contact with body fluids (A)</p> Signup and view all the answers

Which population is at higher risk for Shingles?

<p>Immunocompromised individuals (B)</p> Signup and view all the answers

Flashcards

Epstein-Barr Virus (EBV)

A type of herpesvirus that can cause infectious mononucleosis and certain cancers.

Infectious Mononucleosis

An illness caused by EBV, marked by swollen lymph nodes and fatigue.

Latency

A hidden stage of viral infection where the virus exists in cells without causing noticeable symptoms.

Transmission of EBV

Mostly through saliva, or close contact.

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Risk groups EBV

Young adults, adolescents, and immunocompromised individuals are more susceptible.

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HSV-1

Herpes Simplex Virus type 1, often causing oral herpes (cold sores).

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HSV-2

Herpes Simplex Virus type 2, often causing genital herpes.

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Herpesviruses

A diverse group of viruses causing various diseases, from mild to severe.

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Varicella

Chickenpox, a widespread vesicular rash, typically in children.

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Herpesvirus structure

Large, enveloped viruses with an icosahedral capsid, lipid envelope, and double-stranded DNA genome. Replication occurs in the nucleus.

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Herpes Zoster

Shingles, a painful dermatomal rash, a reactivation of VZV.

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Congenital CMV

Cytomegalovirus infection in a newborn, a leading cause of birth defects.

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Latency Infections

Herpesviruses can establish a period of inactivity (latency) in specific cells.

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CMV

Cytomegalovirus, can cause mild or severe disease in adults & newborns

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Reactivation triggers

Stress, UV exposure, and immunosuppression can trigger herpesvirus reactivation.

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Chickenpox

A viral infection causing a widespread rash of blisters.

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HSV-1 and HSV-2

Two types of Herpes Simplex Virus; HSV-1 typically causes oral herpes, HSV-2 genital herpes.

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HSV transmission

HSV transmission primarily occurs through direct contact with oral/genital secretions or lesion fluids.

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shingles

A painful rash, reactivation of the varicella-zoster virus

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Lifelong HSV Infections

Herpes simplex virus infections, once contracted, can persist for life, with potential for recurrent outbreaks.

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Immune system manipulation

Herpesviruses produce proteins that interfere with the host immune response to evade detection or destruction.

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Study Notes

Herpesviruses: A Comprehensive Overview

  • Herpesviruses are a diverse group of viruses causing various diseases, from mild to severe.
  • They possess an icosahedral protein capsid and a lipid envelope with glycoprotein spikes.
  • Their genetic material is double-stranded DNA.
  • Replication occurs intracellularly within the nucleus, with mechanisms like exocytosis and cell-to-cell spread.
  • Herpesviruses can cause a range of infections, including; lytic, persistent, latent, and immortalizing infections.
  • Examples of infections include Epstein-Barr virus.
  • Herpesviruses manipulate the host's immune response by synthesizing proteins that interfere with the host immune system.
  • Latency is established in neurons and immune cells, such as B cells.
  • Reactivation is triggered by factors like stress, ultraviolet B exposure, and immunosuppression.

Herpes Simplex Virus (HSV)

  • HSV-1 and HSV-2 establish lifelong infections with recurrent outbreaks.
  • Transmission primarily occurs through oral and genital secretions/lesion fluids.
  • Transmission can also be via direct contact.
  • At-risk populations include children with HSV-1, sexually active adults with HSV-2, healthcare workers, immunocompromised individuals, and neonates.
  • HSV-1 is commonly associated with oral herpes (cold sores).
  • HSV-2 is commonly associated with genital herpes.
  • Diagnosis is usually via PCR and culture methods.
  • Treatment involves antiviral drugs such as acyclovir, valacyclovir, and famciclovir, which inhibit viral DNA polymerase. However, these do not eliminate latent infections.
  • Preventive measures include antiviral prophylaxis, wearing gloves (for healthcare workers), and avoiding contact during active lesions.

Varicella-Zoster Virus (VZV)

  • VZV can cause chickenpox (varicella) in children as a widespread vesicular rash, and shingles (herpes zoster) in individuals later in life, characterized by painful dermatomal rashes.
  • VZV establishes latency and can reactivate in dorsal root and cranial nerve ganglia (shingles). This is commonly seen in the elderly and immunocompromised.
  • Transmission occurs via respiratory droplets and direct contact.
  • Vaccines are available for preventing zoster.
  • Young children, adults, immunocompromised individuals, and the elderly are at risk.

Cytomegalovirus (CMV)

  • CMV is a common cause of congenital birth defects, especially in the US.
  • Symptoms in neonates: include hearing loss, microcephaly (small head), and retinitis.
  • Symptoms in adults can range from asymptomatic to mononucleosis-like illness and severe disease in immunocompromised individuals.
  • Transmission occurs via direct contact with body fluids (saliva, urine, breast milk, and sexual contact).
  • Emphasis on avoiding exposure, particularly for pregnant women and immunocompromised individuals is a key preventive measure.

Epstein-Barr Virus (EBV)

  • EBV causes infectious mononucleosis (glandular fever) characterized by lymphocytosis and symptoms arising from a robust T-cell response that targets infected B cells.
  • EBV establishes latency in memory B cells and is linked to cancers such as Burkitt's lymphoma, nasopharyngeal carcinoma, and other lymphomas in immunocompromised individuals.
  • Transmission occurs primarily through saliva ("kissing disease") and close contact.

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