Microbiology Final

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emmaschultz  on April 10, 2011

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Microbiology Final

virus
small, obligate intracellular parasites-no capacity for independent metabolism
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virus small, obligate intracellular parasites-no capacity for independent metabolism
viruses lack machinery for generating energy and large molecules
viruses need a host eukaryote or prokaryote to replicate
the viral genome contains either DNA or RNA but not both
capsid protein coat made up of capsomeres
nucleocapsid capsid with its enclosed genome
some capsid proteins are spikes that help the virus attach to and penetrate the host cell
naked viruses are composed only of a nucleocapsid
viruses surrounded by an envelope are enveloped viruses
virion a completely assembled infectious virus outside its host cell
two shapes of viruses helical and icosahedral
helical viruses have helical symmetry
icosahedral viruses have icosahedral symmetry
icosahedral symmetry is a polyhedron with 20 triangular faces and 12 corners
complex viruses have both helica and icosohedral symmetry
a host refers to what organisms the virus can infect
host range depends on capsid structure
many viruses infect certain cell or tissue types within the host (tissue tropism)
international committee on taxonomy of viruses (ICTV) is developing a classification system
DNA viruses contain single or double stranded DNA
RNA viruses contain single or double stranded RNA
+RNA viruses have mRNA genome
-RNA viruses have RNA strands that would be complementary to mRNA
retroviruses are replicated indirectly through a DNA intermediate. uses reverse transcriptase to produce DNA from RNA genome.
replication of bacteriophages is a _ step process 5
T7 group bacteriophage are virulent viruses that carry out a lytic cycle of infection
the phage nucleic acid contains only a few of the genes needed for viral synthesis and replication
phase 1 of lytic cycle attachment occurs when a phage's tail fibers match with a receptor site on the bacterium's cell wall
phase 2 of lytic cycle penetration occurs when the phage tail releases lysozyme to dissolve a portion of the cell wall. phage DNA is injected into the bacterial cytoplasm
phase 3 of lytic cycle biosynthesis is the production of new phage genomes and capsid parts
phase 4 of lytic cycle maturation is the assembly of viral parts into complete virus particles
phase 5 of lytic cycle release is the exit of virions from the bacterium. also called the lysis stage when the cell is ruptured
temperate phages do not lyse the host.
temperate phages insert their DNA into the bacterial chromosome as a prophage (lysogenic cycle)
temperate phage= lysogenic cycle
virulent phage= lytic cycle
antiviral drugs can be used to treat a limited number of human viral diseases
why do antibiotics not work against viruses? viruses lack the elements with which antibiotics interfere
some antivirals exist to affect: 1. viral penetration/un-coating
2. genome replication
3. maturation/release
what do vaccines do? stimulate antibody production by the immune system and induce specific defense
vaccines stimulate the production of T cells
inactivated viruses dead virus that is treated with physical agent (mild heat or chemical such as formaldehyde)
what do inactivated viruses do? denature the viral genome preventing replication but the capsid remains intact and stimulates antibody production
example of inactivated vaccine salk vaccine (polio)
attenuated vaccine live virus that continues to replicate in the body cells but at an extremely low rate
attenuated viruses stimulate the immune system for a longer time than inactivated viruses, and the immune response is higher
example of attenuated virus sabin vaccine (polio)
viral subunits protein molecules produced by genetic engineering
example of viral subunit hepatitis b vaccine-altered DNA from hepatitis B virus (DNA vaccines)
most antivirals target the replication enzymes of the virus
how do antivirals target the replication enzymes? 1. inserting base analogs in the replicating DNA strand
2. Blocking replication of the viral genome
reverse transcriptase inhibitors prevent the synthesis of DNA in retroviruses
protease inhibitors impede the HIV protease that trims viral proteins in capsid construction
neuraminidase inhibitors block an enzyme in the spike of influenza viruses. this prevents the release of new virions into the body
interferon puts cells in an antiviral state
interferon (IFN) group of naturally produced proteins that alert cells to a viral infection
some IFNs have anti-cancer properties
cells in an antiviral state can inhibit viral replication by preventing protein synthesis
IFNs bind to receptors on cells, triggering them to produce antiviral proteins
body fights virus by 1. interferons
2. neutralization with antibodies
3. phagocytosis
4. interactions with T lymphocytes
what is critical to disease identification? detection of viruses
what were rivers' postulates? 1. filtrates of infectious material shown not to contain bacterial or other cultivatable organisms must produce the disease or its counterpart
2. filtrates must produce specific antibodies in appropriate animals
cytology uses light microscopy to examine cells for cytopathic effects (CPEs) of viral infection
what is unusual about viruses? they can be observed directly by electron microscopy
what is visible by light microscopy? cytopathologic effects (CPE)
syncytium formation of multinucleate giant cells by fusion
example of inclusion rabies negri body
tissue hyperplasia (CPE) rapid cell proliferation
in a primary cell culture, cells form a monolayer in a culture dish
the type of cell culture depends on the virus to be cultivated in the monolayer
viruses can be detected by the formation of plaques
what is a plaque clear zone within the monolayer
serological tests to detect specific antibody in patients serum which indicates and immune response to recent infection
ways to diagnose viral disease 1. detection of viral antigen in tissue by fluorescent antibody methods
2. reactions with DNA probes to identify viral DNA in tissue
cancer uncontrolled growth and spread of cells
tumor clone of abnormal cells
benign tumor body surrounds a tumor with a capsule of connective tissue
malignant tumor tumor cells break free from the capsule of connective tissue and spread to other tissues of the body (metastasis)
viruses are responsible for __% of human tumors 20
__%-__% of human cancers are associated with carcinogens 60-90%
what are carcinogens? substance that can aggravate cancer (cigarettes, environment pollutants, radiation)
epstein-barr virus oncogenic virus that is linked to burkitt lymphoma, a tumor of the jaw
human papilloma virus oncogenic virus that is associated with cervical cancer. there is now a vaccine against the 2 most common strains of HPV
oncogene theory suggests that protooncogenes normally reside in the chromosomal DNA of a cell
protooncogenes can be transformed to oncogenes by radiation, chemical carcinogens, DNA damage, viruses
how do emerging viruses arise? through a natural phenomena
emerging viruses may spread to new populations, or may expand host range
genetic reconbination can lead to "new" viruses
mutation can occasionally be advantageous and create a new or new strain of virus
viroids infectious RNA particles
viroids are tiny fragments of RNA that cause disease in crop plants
introns non-coding section of DNA
the replication cycle and disease causation process of viroids are not understood, but then may have originated as introns
prions infected proteins
transmissible spongiform encephalopathies (TSEs) can occur in humans and other animals
example of TSEs mad cow disease
TSEs are neurological degenerative diseases that can be transmitted within or between species
scientists originally believed that TSEs were caused by a virus
what did stanley prusiner discover proteinaceous infectious particle (prion)
protein only hypothesis predicts that prions are composed only of protein and contain no nucleic acids
TSEs may spread when infectious prions bind to normal prions
when infectious prions bind to normal prions, normal prions change shape and become abnormal
abnormal prions do not trigger an immune response
death of the host occurs from nerve cell death leading to sponge-like holes in brain tissue
symptoms of nerve cell death dementia, weakened muscles, loss of balance
nerve cell death results from insoluble aggregates of abnormal prions in the brain
human form of TSE is called variant CJD (creutzfeldt-jakob disease)
influenza is a viral infection of the upper respiratory tract
influenza highly communicable acute respiratory infection. transmitted by airborne respiratory droplets. at least 32 influenza pandemics since 1510. belongs to the orthomyxoviridae family. contains H and N spikes
H spike hemagglutinin helps the virion attach and penetrate host cells
N spike neuraminidase helps release the virion from the host cell after replication and assembly
influenza A strikes every year and causes most pandemics. divided into subunits based on H and N surface proteins
influenza B strikes every year but is less common than type A. only circulates in humans
influenza C causes a mild respiratory illness but not epidemics
which influenza viruses have vaccines A and B. mixture of last years most prevalent strain
symptoms of influenza incubation period of 1 to 4 days, sudden chills, fatigue, headache, chest, back and leg pain, body temp can be 40 degrees C, severe cough, sore shroat, nasal congestion, sneezing, tight chest. short lived and self-limiting
why would people die of influenza? if they developed pneumonia caused by virus spreading to the lungs
complications from influenza, such as pneumonia and secondary infections, occur in children, elderly, immunocompromised people
guillain-barre syndrome occurs when the body damages its own peripheral nerve cells (muscle weakness and paralysis)
reye syndrome often occurs in children who take aspirin to treat pain and fever. begins with nausea and vomiting to mental changes (delirium, confusion)
who should get vaccinated for influenza children 6+ months and older adults, anyone at risk for complications from influenza, anyone who lives with or cares for people at high risk, students in dorms
who is a risk for complications from influenza? women who will be pregnant, long term health problems (heart, lung, kidney, asthma), people with weakened immune systems (AIDS, cancer treatments)
example of antiviral drug for influenza tamiflu
what does tamiflu do? targets N spikes blocking release of new virions
when was H1N1 swine flu detected April 2009
when was H1N1 declared a pandemic June 11, 2009
why called swine flu? many genes were similar to influenza viruses that normally occur in pigs (swine), birds (avian), and humans
how does H1N1 spread human to human
symptoms of H1N1 fever, cough, sore throat, body aches, headaches, chills, and fatigue
other H1N1 facts deaths associated, mild to severe cases, flu vaccine available
rhinovirus infections produce inflammation in the upper respiratory tract
rhinovirus family? paramyxoviridae family
how are rhinoviruses transmitted? by airborne respiratory droplets or contact with contaminated objects
where do rhinoviruses thrive? in the nose
more than ___ different rhinovirus strains can cause ____ ____ common colds
rhinoviruses are infections of nose, sinuses, throat, and upper airways
1. incubation, 2. symptoms, and 3. duration of rhinovirus 1. 1 to 3 days after infection
2. sore throat, runny or stuffy nose, mild aches and pain, cough, earaches
3. 7 to 10 day duration
symptoms of adenovirus similar to common cold
adenovirus family? adenoviridae
how many different adenovirus antigenic types? 50+
what do adenoviruses do? induce the formation of inclusion bodies in host tissues
how are adenoviruses transmitted and to whom? respiratory droplets and common in infants and young children
what can adenovirus infection cause? acute febrile pharyngitis (inflammation of throat or pharynx), pharyngoconjuctival fever (inflammation of eye), acute respiratory disease (inflammation of lung), pneumonia
paramyxovirus infections affect lower respiratory tract
respiratory syncytial (RS) disease caused by respiratory syncytial virus (RSV). usually occurs in children under age 1. flu-like symptoms in adults. infects the bronchioles and alveoli of the lungs, causing cells to fuse like syncytia. treatment: ribavirin
parainfluenza caused by human parainfluenza viruses 1 and 3. symptoms are milder than influenza. bronchitis and croup may accompany infection
human metaneumovirus (Hmnv) a RSV like virus. symptoms are similar to RS disease
severe acute respiratory syndrome (SARS)spreads through contact with an infected person or object. emerging infection in the coronaviridae family. bats may be the natural host. mild upper respiratory infection can lead to severe respiratory infection or pneumonia. symptoms: dry cough for 2-7 days, overall body discomfort, fever of 38+ degrees C, labored breathing. patient should be isolated for 10 days after fever breaks to prevent spreading.
cold sore/fever blister caused by herpes simplex virus 1 (HSV-1). after primary infection, virus is latent in sensory ganglia. lasts for 7-10 days without treatment. recurrence occurs if the virus is reactivated and move to the epithelium
genital herpes STD caused by HSV-2. symptoms: itching and throbbing of genital areas followed by blisters. latent and reactivated periods. no cure, but you can treat it with antivirals (acycolvir) that reduces and shortens the outbreaks
herpes keratitis herpes of the eye. can cause scarring on the cornea can lead to blindness
neonatal herpes passed from infected mother to newborn baby during childbirth. can cause developmental delays in child and can cause seizures or blindness.
chickenpox is also called varicella
when did vaccine become available? attenuated vaccine available in 1995
chickenpox is a highly communicable disease caused by the varicella-zoster virus (VZV)
chickenpox is transmitted by skin contact and respiratory droplets
incubation period and duration of chickenpox 2 weeks
symptoms of chicken pox begin in respiratory tract and signs of fever, headache, malaise
signs of chickenpox itchy, red rash spreads across the entire body and turns into fluid filled vesicles
what happens to itchy vesicles they break open and yield highly infectious virus-laden fluid
antivirals and vaccine for chickenpox antivirals: acyclovir hastens recovery
vaccine: varivax is 85% effective
most common complication of chickenpox bacterial infection of the skin, pneumonia, encephalitis, or reye syndrome from giving child aspirin
shingles an adult disease caused by the same virus as chickenpox (varicella-zoster virus)
after infection, ZVZ can remain in nerve cells for many years and can reactivate
if nerve cells are reactivated, they can travel to the body trunk and cause blisters and patches of red, or facial paralysis and severe "ICE PICK" PAINS
complications of shingles postherapeutic neuralgia is the persistence of shingles pain for years after the blisters have disappeared
vaccine for shingles zostavax for people over 60 years old
roseola infantum human herpesvirus 6 infection
herpesvirus 6 primarily occurs in infancy (6mo to 3 years old)
symptoms of roseola infantum (HHV-6) high fever and subsequent red body rash
duration of roseola infantum one week
many bone marrow transplant recipients suffer HHV-6 viremia (virus in bloodstream) after transplantation
some researchers believe that roseola infantum lies dormant for years and may be associated with multiple sclerosis later in life
some herpesvirus infectious are oncogenic
oncogenic viruses epstein-barr virus (EBV) and human herpesvirus-8 (HHV-8)
kaposi sarcomic an angiogenic tumor of the blood vessel walls
kaposi sarcomic is most commonly seen in immunocompromised individuals, such as HIV/AIDS patients
kaposi sarcomic is caused by HHV-8
HHV-8 forms dark or purple skin lesions
another name for measles rubeola
measles is caused by highly contagious disease caused by paramyxoviridae family
transmission of measles through respiratory droplets
symptoms of measles hacking cough, sneezing, nasal discharge, eye redness, sensitivity to light, high fever
signs of measles koplik spots
what are koplik spots? red patches with white grain-like centers that appear along the gum line. appear 2-4 days after the onset of symptoms
measles red rash begins as maculopapules at the hairline and spread to face, trunk, and extremities
complications of measles include bacterial disease in the respiratory tissue and panencephalitis (affects both gray and white matter of brain)
vaccine for measles MMR (mumps, measles, and rubella) inoculation
mumps enlarged jaw tissues caused by swollen salivary glands. swelling is caused by blockage of ducts leading from the parotid glands. spread by respiratory droplets or contact with contaminated objects. swelling and damage may occur in the testes (orchitis). MMR vaccine
rubella (german measles) acute, midly infectious disease cause by togaviridae family. transmitted by respiratory droplets or contact. symptoms are occasional fever and pale-pink maculopapular rash. prompt recovery but relapses occur.
congenital rubella occurs when the fetus is infected through placenta. children born with ear, eye, and heart problems
fifth disease also called erythema infectiosum and slap cheek disease
fifth disease produces mild rash and caused by parvoviridae (parvovirus B 19). transmission through respiratory droplets. symptoms: fiery red rash on cheeks, ears and trunks--disappears after a few days. adults symptoms similar to rheumatoid arthritis
some human papillomavirus infections cause warts
common warts usually genign skin growths resulting from a specific strain of HPV
plantar warts occur on the soles of the feet
warts are transmitted by contact with affected person or contaminated object
genital warts (condylomata) transmitted through sexual contact
some HPV are associated with cervical cancer
genital warts can be transmitted from infected mother to newborn during delivery
vaccine for HPV gardasil recommended for 11-12 year olds
smallpox (variola) contagious and sometimes fatal. pink-red macules appear on the face and trunk then become papules and fluid-filled vesicles. vesicles beome pustules that break open and emit puss, leaving pitted scars (pocks).
why are many people not immune to smallpox (poxvirus) vaccinations ceased in the U.S. in 1972 after eradication occurred
what is the most dangerous weapons of bioterrorism smallpox
mulluscum contagiosum viral disease that causes mildly-contagious, wart-like skin lesions. transmitted by sexual contact. lesions are firm, waxy, elevated, usually flesh toned, emit a mikly substances.
affected areas for mulluscum contagiosum facial skin in children and genitals in adults
infectious mononucleosis is a blood disease
mononucleosis affects B lymphcytes in lymph nodes and spleens, spread by contact with saliva, caused by Epstein-Barr virus (EBV), children are infected and show no symptoms, symptoms: sore throat, swollen glands, fever; duration of 3-4 weeks.
EBV disease precursor of mononucleosis
complications of mono heart defects, facial paralysis, rupture of the spleen, jaundice (hepatitis)
individual with mono remains carrier for several months and can shed virus in their saliva
diagnosis of mono involves observation of elevated lymphocyte levels and presence of downey cells (damaged B cells)
what is detected by monospot test antibodies of mono
EBV is associated with burkitt lymphoma
burkitt lymphoma tumor of jaw prevalent in Africa. malaria parasite might help stimulate tumor development
EBV is associated with T cell malignancies, including nasopharyngeal carcinoma; B cell lymphomas; hodgkin disease; multiple sclerosis
cytomegalovirus (CMV) can produce serious birth defects
symptoms of CMV mononucleosis like
virus may pass to fetus of pregnant woman, causing mental impairment
why is CMV dangerous for immunocompromised people can reactivate and accelerate progression of HIV/AIDS and infecting many bodily tissues
HBV (hepatitis b virus) is a global health problem
family of HBV hepadnaviridae
virions of HBV nucleocapsid surrounded by a core antigen, envelope containing a surface antigen
transmission of HBV direct or indirect contact with bodily fluid
incubation period of HBV 1-6 months, virus infects liver
symptoms of HBV fatigue, loss of appetite, nausea, vomiting
what occurs after primary symptoms jaundice and abdominal pain
recovery for HBV 3-4 months after onset of jaundice, after which an immunity is developed
rare complications of HBV persistent infections, cirrhosis, liver cancer
vaccines for HBV? yes, several vaccines and drugs
Hepatitis C virus (HCV) family flaviviridae
HCV transmitted by blood
symptoms of HCV few symptoms, most cases develop symptomless chronic infection, involving cirrhosis and other complications
HCV is the primary reason for liver transplants in the U.S.
how is HCV damage accelerated alcoholism and drug use
what causes hepatitis D virus HBV and HDV
when can HDV damage the liver only when HBV is present
hepatitis G another chronic liver disease transmitted by blood for sexual contact
flaviviruses are also called arboviruses because they are arthropodborne
yellow fever was the first human disease associated with a virus
yellow fever transmission person to person via blood sucking mosquitos, stegomyia aegypti
symptoms of yellow fever abrupt headache, fever, muscle pain. most patients recover after symptoms abate for 3-5 days
illness may appear as nausea, uncontrollable hiccups, black vomit/jaundice, delirium, hemorrhaging of the gums/mouth/nose
vaccine for yellow fever? yes, but not therapeutic drugs exist
dengue fever occurs in four types. transmitted by 2 species of mosquito, s. aegypti and s. albopicta
signs of dengue fever high fever and prostration, then sharp pains and sensations like bones are breaking
complications of dengue fever unusual, unless one of the 3 other types of dengue fever enters the body later.
in dengue hemorrhagic fever... the immune system allows the new infection to replicate. a rash from skin hemorrhages appear, followed by severe vomiting and shock, and decreased blood pressure
bunyaviruses are spread by infected animals
hantavirus pulmonary syndrome (HPS) caused by strain of hantavirus named "sin nombre"
host of HPS deer mouse sheds the virus in saliva, urine, and feces
how do humans get infected with hantavirus? inhaling dried, aerosolized urine or feces
symptoms of HPS headaches, dizziness, difficulty breathing, low blood pressure. respiratory failure can occur as lungs fill with fluid
sandfly fever transmitted by sandflies of the genus phlebotomus
symptoms of sandfly fever similar to dengue fever--fever, headache, flu like symptoms, muscle and joint pain
rift valley fever affects livestock animals
rift valley fever transmission mosquitos pass it to humans
symptoms of rift valley fever very mild..fever, headache, muscle and joint pain. recovers in 2-7 days
some people progress to hemorrhagic fever, meningocephalitis
ebola hemorrhagic fever (EHF) has outbreaks in africa, 50-90% mortality
possible host for EHF fruit bats
transmission of EHF contact with blood or secretions from infected person or contaminated object
symproms of EHF fever, headache, joint/muscle aches, sore throat, weakness
EHF damages what? endothelial cells, causing massive internal bleeding and hemorrhaging
marburg hemorrhagic fever (MHF) first identified in tissues of green monkeys
how is marburg spread bodily fluids
symptoms of marburg similar to ebola but fatality is lower. fever and after 5 days a maculopapular rash appears on trunk. late stage includes jaundice, weight loss, delirium, hemorrhaging, and pancreatitis
arenaviridae are associated with chronic infections in rodents
lassa fever caused by zoonotic virus carried by rodents
transmission of lassa fever aerosol or direct contact with rodent excreta or contaminated food
infection leads to severe fever, exhaustion, patchy blood filled hemorrhagic lesions
hepatitis A and E are transmitted by GI tract
hepatitis A acute inflammatory liver disease
hep A is transmitted by food or water contaminated by the feces of infected individual. or raw shellfish
hep A family picornaviridae family
what follows initial symptoms enlargement of the liver and jaundice
what's needed to prevent transmission high standards of personal and environmental standards
vaccines or treatment? 3 vaccines for different age groups, no treatment
hepatitis E opportunistic, emergent disease
family of hep E caliciviridae family
who's most susceptible to hep E pregnant women and young adults
viral gastroenteritis is a general name for illnesses involving diarrhea, vomiting, nausea, fever, cramping, headache, malaise
rotavirus infections (what it is, how transmitted, what it invades, and vaccines?) deadly infection in children. transmission is ingestion of contaminated food or water. virus invades small intestine, inducing diarrhea. 2 vaccines available.
norovirus infection (what it is, how transmitted, recent outbreaks, incubation time/symptoms, complication, prevention)common cause of nonbacterial gastroenteritis in adults. transmission through fecal-oral route, direct person to person contact, contact with infected surfaces. outbreaks on cruise ships. highly contagious. incubation of 15-48 hours, symptoms last 12-60 hours. dehydration is complication. washing hands and safe food and water is prevention
coxsackie virus enterovirus infection
coxsackie causes gasteroenteritis and other serious diseases
echovirus is also an enterovirus and occurs in many strands
echovirus causes gastroenteritis, aseptic meningitis, exanthemas
rabies virus has the highest mortality rate of any human disease
animal rabies occurs in warm blooded animals
how does rabies enter the body through a skin wound
incubation time of rabies 6 days to 1 year (depends on location of entry and amount of virus entering the body)
symptoms of rabies fever, headache, increased muscle tension
patients become alert and aggressive, followed by paralysis and brain degeneration
immunization? post immunization can be done immediately after exposure
furious rabies violent symptoms like wide eyes, drooling, unprovoked attacks
dumb rabies docile and lethargic animals
vaccine? wild animals are vaccinated with inoculated dog food and fish meal
polio virus infects poliomyelitis infects the gay matter of the spinal cord and brain
polioviruses enter the body through contaminated food and water
polioviruses multiply in tonsils, lymph tissue, gastrointestinal tract
virus may pass through bloodstream to the meninges
this results in paralysis of limbs and trunk
bulbar polio viruses infect the medulla, affecting nerves in neck, face, and upper torso
trivalent vaccines contain all 3 types of polioviruses
postpolio syndrome occurs in individuals who had the disease decades ago
flaviviruses can be carried by blood sucking arthropods
encephalitis acute inflammation of the brain
arboviral encephalitis patients suffer pain in head and neck, convulsions, coma
those who recover from flaviviruses may have paralysis and mental disorders
most flaviviruses transmitted by mosquitos and ticks
west nile virus can infect birds, mosquitoes, humans, and some other mammals
humans get west nile from mosquito bites
many infected with west nile are asymptomatic or are ill for a few days
patient may develop encephalitis or menintiis, which can result in permanent neurological effects on brain
vaccine/treatment for west nile? no
lymphocytic choriomeningitis (LCM) found in rodents
LCM transmitted to humans through urine and feces
symptoms of LCM fever, malaise, headache, drowsiness, stupor, meninges inflitrated with large number of lymphocytes
overall affect symptoms gone in a week, low mortality

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