Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
-Norwalkvirus
-Hepatitis virus
(HAV,C,D,E,G,)
-Flavivirus (YFV,
DENV,WNV, JEV,
SLEV)
-Bunyavirus
(Orthobunyavirus,
Hantavirus,
Nairovirus,
Phlebovirus)
-Togavirus (AV-
WEE,VEE,EEE,
Rubella virus)
-Filovirus (Ebola
virus,
Marburgvirus)
ssRNA ssRNA dimer dsRNA ssDNA dsDNA
SEGMENTED NON-SEGMENTED
Orthomyxovirus Paramyxovirus
Rotavirus Coronavirus
Bunyavirus Poliovirus
Arenavirus Norwalkvirus
Hepatitis
Rhabdovirus
Filovirus
Bornavirus
Enterovirus
Retrovirus (HIV)
Papovavirus
Poxvirus
*Extremely
fastidious
VIROLOGY
GASTROINTESTINAL VIRUSES
Family Virus Cx by Disease Details IP Lab dx
Replicates in
Poliovirus One of Poliomyeli the tonsils -Cell culture
the tis and peyer’s -CPE
Genus: most -acute patches
Enterovirus simples illness,
t and destroys s/s: fever,
smalles lower headache, neck
t virus motor and back pain,
neurons= pleocytocis-
3 flaccid increased
serotyp asymmetri WBCs in the
es cal CSF.
Picornavir paralysis
idae 1. Abortive
Paralytic Polio (mild):
-a very polio asymptomatic
small size of -starts with / mild febrile
20-30 nm a mild illness, most
“piccolo” febrile common
illness, manifestation
fever (5-10
days), and 2. Aseptic
then meningitis/
followed by non-paralytic
meningesm polio: Fever
us and
(inflammati meningismus-
on of infection of
meninges) meninges,
and flaccid RECOVERY IS
asymmetric COMPLETE IN
al paralysis. 1 WEEK
-Paraplegia,3. Paralytic
quadriplegi poliomyelitis:
a destruction of
the motor
Bulbar neurons in the
poliomyelit spinal cord.
is -Presynaptic:
-most central motor
severe case neuron deficit
of paralytic -Postsynaptic:
polio, virus peripheral
attacks motor neuron
brainstem. deficit
VIROLOGY
GASTROINTESTINAL VIRUSES
Family Virus Cx by Disease Details IP Lab dx
30 serotypes
AST/SGOT-MI
ALT/SGPT- MI
GGT- SI
ALP- SI
Bilirubin- SI
Hepadnaviridae Hepatitis B Virus “Ground glass Acute Site of latency: 4-26 -Serology
(HBV)/ Hepadnavirus appearance disease Liver wks -Liver enzymes
w/ Dane -PCR (to identify
(Serum Hepatitis) Particles” Chronic Oncogenic form: viral type)
disease Liver
Carcinoma HBsAg/ HBV
DNA- 1st marker
-Acute disease to appear,
present onset of
Pre icteric the infection;
phase: days- Active state
weeks, mild
fever, anorexia, Anti-HBsAg-
malaise Recovery,
immunity after
Icteric phase: HBV vaccination
1-2 mos, dark
urine due to HBcAg-present
bilirubinuria, in serum but
pale colored undetectable.
stool, jaundice,
enlarged liver. Anti-HBcAg
IgM- First
-Chronic antibody to
disease appear; indicates
Current/recent
-Fulminant acute infection.
Hepatitis:
caused by Anti-HBcAg IgG-
severe acute indicates
hepatitis, chronic
intensive infection
necrosis of the
liver HBeAg- Marker
for Infectivity;
-Liver Cancer: acute/chronic
complication of highly infectious
chronic disease=
Cirrhosis Anti-HBeAg-
(permanent Marker for
scarring of the recovery
liver)
Hepatitis C virus Most frequent Acute/chronic From chronic 2-26 -Serology
(HCV)/ Hepatitis cause of post Hepatitis to cirrhosis wks -PCR (to
cirrhosis virus/ non-A transfusion identify viral
non-B hepatitis hepatitis 7-8 type)
(old name) wks-
avg. HCV RNA-
indicates 100%
8-9 infective
wks-
WP Anti-HCVAg-
detected by EIA
Flaviviridae *Recombinant
immunoblot
assay (RIBA)-
Confirmatory
test
Anti-E2 w/ (-)
PCR: indicates
a past
infection/
recovery (GBV-
C/HCV RNA)
None Hepatitis D Virus “Delta Severe Coinfection 6-26 Anti-HDV
(HDV)/ Delta Virus Antigen” Chronic of HBV wks IgG/IgM
hepatitis
Requires HDAg
HBsAg
HDV RNA
Hepeviridae Hepatitis E Virus “Water Self limiting 2-6 Anti-HEV
/Caliciviridae (HEV)- Enteric Virus borne hepatitis wks IgM/IgG
hepatitis” (1-4 wks)
Same with
HAV
VIROLOGY
HERPESVIRUSES
Family Virus Cx by Disease Details IP Lab dx
Subfamily:
Alphaherpesvirinae
Encephelitis:
untreatable, the
virus spreads in
tha brain
Herpetic
whitlow-
infection of the
fingers
-Herpetic
keratitis
-Sporadic
encephalitis
VIROLOGY
HERPESVIRUSES
Family Virus Cx by Disease Detai I Lab dx
ls P
Herpesviridae Varicella Skin Varicella/chick Lesio -Cell
/ Zoster virus rash en pox- ns culture
Herpatovirida (VZV)/HHV-3 w/ childhood appea -IF
e raised disease rance -PCR
Latency: fluid Complications:
- -Stains
Dorsal root filled -Reye's
"dew (most
ganglia skin syndrome: acute
lesions encephalopathy drop rapid)
w/ fatty on a
liver rose
-Varicella petal"
pneumonia: most
common and Lesio
serious ns are
complication full of
pustu
les----
ruptu
re
scabi
ng/cr
usting
phase
- final
stage
and
most
infect
ious
stage
Family Virus Cx by Disease Det I Lab dx
ails P
Herpesvi Subfamily: -Slow 1.CID con Specimens
ridae/ Betaherpesvirinae( replication (Cytomegali geni :
Herpato Cytomegalovirus cycle c Inclusion tal - URINE
viridae group) - disease): infe -saliva
multinuclea liver,spleen ctio -tears
Human ted giant and CNS ns- -milk
cytomegalovirus cells components - -semen
(hCMV)/ HHV- "cytomegal damage. mos -vaginal
5/CMV/ salivary o” 2.Congenital t secretions
glands virus -Swollen CMV: com
*one of the torches- cells and jaundice, mo -ELISA: can
most common viral multinucleat hepatosplen n det.
cause of mental ed omegaly, inta primary
retardation "cytomegaly mental rut from
deafness and " retardation erin recurrent
intellectual -"immune 3.Marrow e infection
impairment. evasion": transplant- vira (IgG/
*CMV causes an allows the CMV l hCMV-
immunosuppressive virus to pneumoniti infe specific
effect by inhibiting T maintain the s: manifest ctio IgM)
cells latent as n -Cell
state for pneumonia - culture:
Latency: T cells long periods. for a month uri using
-"Owl's eye after the ne diploid
appearance transplant. is fibroblast
" in CPE "40 day the cell lines
fever" mos (embryonic
4.Cytomegal t lung or
ovirus com foreskin)
mononucle mon -CPE: 3
osis:fever, sour weeks
chills, sweat ce before
and very of results
painful spec appear.
phrangytis, ime (rounding
no presence n. of infected
of cells)
"heterophil -Viral
e antigenemi
antibodies" a: specific,
sensitive,
rapid and
easy to
perform
(65-kDa
lower
matrix
phosphopr
otein
(p65)--->
nuclie of
infected
peripheral
WBCs)
Subfamily: “Heterophi -
Gammaherpesviri le 1. Burkitt's Hematolog
nae antibodies lymphoma ic
(lymphoproliferat ” (B cell approach:
ive group) lymphoma detects
-Replicate in ) atypical
mucosal epithelium -Malignant lymphocyt
-induce cell disease of e
proliferation in lymphoid (Lobulated
lymphoblastoid tissue nucleus,
cells (immature -found in and
lymphocytes) lower jaw, vacuolated
kidneys, basophilic
Latency: B cells liver and cytoplasm
adrenal )
Epstein-barr virus glands -
(EBV) -Pxs w/ Immunolo
-shed in saliva malaria and gic test:
HIV are at heterophil
risk e Ab test->
1 -Monospot
2. - test: rapid
Infcetious 2 screening
mononucle m test for IM
osis (IM) o (Horse
-"Kissing n RBC) may
Disease" t interfere
-fever, h with HBV
chills, sweat s
and very -Paul
painful Bunnel
phrangytis test
(Sheep
3. EBV- RBC)
assoc.
Nasophary -David
ngeal sohn
carcinoma differentia
-most l test
common (Kidney
cancer in extract:
south east guinea pig
asia, north and Cow
africa RBC)
-no
chromoso Heterophil
mal e Ab tests
alteration may
interfere
4. Chronic with
Fatigue
Syndrome -Forssman
(CFS) Ag
- -IM
overwhelm -Serum
ing fatigue sickness
-low fever
-muscle EBV
pain specific Ab
test:
5. Oral
Hairy Anti VCA
Leukoplaki IgM
a (OHL)
-seen in Anti EA
AIDS pxs IgG
-CD4 count
is <400 Anti EA/D-
-white Nasophary
hair-like ngeal
projection carcinoma
s arising on
the side of Anti EA/R-
the tongue Buritts,
Acute
phase rxn.
Anti
EBNA-
Past infxn
*Anti VCA
IgM-Anti
EA/R:
indicates
current
infxn
VIROLOGY
ARBOVIRUSES
Family Virus Cx Disease Details IP Lab dx
Togaviri Genus:
dae Alphaviru
ses
-can -Cell
cross the culture
placenta= (Throat
congenita swab and
l urine)
infection
-HA
*Cataract inhihbitio
s, n test
glaucoma
,
deafness,
and death
may
occur in
severe
cases.
*Polyarth
ritis
(Adults:
women)
VIROLOGY
ARBOVIRUSES
Family Virus Cx by Disease Details IP Lab dx
Flaviviri Genus:
dae Flaviviru
s
“Black Jungle Reservoir -CPE:
Yellow vomit” Yellow : Humans “Council
fever fever- life and man
virus Sylvatic- threateni monkeys bodies”
yellow ng
fever is disease, Vector:
maintain fever, Mosquito
ed in jaundice, es
monkeys, and (Haemog
humans massive ogus spp,
are NOT hemorrh Aedes
the usual age africanus
host. (Hemate and
mesis) Aedes
Urban- Aegypti
Occurs tn
cities/to *Chronic
wns carrier
Intermed
iate-
Occurs in
smaller
villages
in Africa
Vectors:
Aedes
aegypti
(Day
biting
mosquito
) and
Aedes
albopictu
s
DENV-2
most
prevalent
strain
*Not
contagiou
s, not
spread
from
person-
person
- -Classic -4-7 days -
Influenza Dengue - tourniqu
like Fever Petechiae et test (+)
syndrom “Breakbo (3-4 days -
e, severe ne fever” after Leukopen
joint and onset of ia
muscle fever) -NS1 Ag
pain -Self -IgM Ab
limiting to DENV
-pleural
effusion
**Low plt
-Grade 1: and WBC
Easy count
bruising
-Grade 2:
spontane
ous
bleeding
-Grade 3:
DENV
shock
syndrom
e
-Grade 4:
DSS
(severe
syndrom
e), BP
and pulse
cannot be
detected
*Most
common
in
children
St. Louis *1st
Encephali recognize
tis Virus in St.
Louis,
Missouri
*Transmi
tted by
Bird
biting
culex
mosquito
es
*Most
common
flavivirus
in the US
*Elderly
pxs have
the
greatest
risk of
serious
illness
and
death
VIROLOGY
BUNYAVIRUS
Family Virus Cx by Disease Details IP Lab dx
Bunyavir Genus:
idae Orthobun
(Pleomo yavirus
rphic)
California - Encephali -targets
Encephali Mosquito tis the brain
tis Virus borne
encephali
La Crosse tis
virus
(LaCV)
Genus: -Rodent Hemorrh -RT-PCR
Hantavir borne agic
us hemorrh fever w/
agic fever renal
-Hantaan syndrom
virus e (HFRS)
-Seoul
virus Respirat
-Puumala ory
virus distress
-Dobrova syndrom
virus e
-Hantana
pulmona
ry
syndrom
e (sin
nombre
virus):
hemorrh
agic
fever,
kidney
disease
and RT
acute
failure
Genus: Crimean- Targets
Nairoviru congo the
s hemorrh vascular
Crimean- agic fever endotheli
congo (CCHF) um and
hemorrh liver
agic fever
virus
Genus: Sandfly Targets
Phlebovir and brain and
us mosquito liver
borne causing
Riff fever encephali
Valley tis and
Fever hepatitis
Virus
VIROLOGY
ZOONOTIC VIRUSES
Family Virus Cx by Disease Details IP Lab dx
Filovirid Genus: Long Hemorrh Severe
ae Ebolaviru curly agic fever hemorrh
(Filoviru s rope like age and
ses) shape Liver
necrosis
*requires
biosafety
level 4
Ebola- -From
Reston philippin
Virus es
-Macaca
fascicular
is
(Cynomol
gus
monkey)
Genus:
Marburgv
irus
Lake
Victoria
virus
Rabbits
brain:se
mples
vaccine
Embryon
ated
eggs-
duck
embryo
vaccine
Wi-38
cells-
human
diploid
cell
vaccine
Chick
embryo-
flurry's
vaccine
in
animals
New
world:
Tacaribe,
Guanarit
o
Junin,
Machupo