Flashcards in CNS Viruses Deck (38)
What is neurotropic virus?
can replicate in nerve cells
can enter/infect CNS
can cause disease within nervous system
infection of spinal cord
brain and spinal cord infected
primary vs. secondary encephalitis?
1. primary: direct viral infection
2. secondary: post-infectious via past viral infection
viral vs. bacterial meningitis?
viral less severe but more common
main cause of viral meningitis?
2. mumps, varicella zoster, influenza, HIV, HSV1,2
most likely cause of most serious viral encephalitis?
post infectious encephalomyelitis? eg.?
inflamm and demyelination, no virus present, autoimmune, Guillan-Barre
Reye's Syndrome is? who? fatality? when took what med made it worse?
Kids, post infection with influenza/varicella/25% fatality, parents gave aspirin during initial fever
what is a late sequel to measles?
chronic demyelinating disease, takes 30 years
HIV can progress to?
AIDS encephalopathy, 50% develop dementia
How can viruses spread to CNS if there is the BBB?
travels via peripheral axon fibres to CNS
why aren't viruses killed when they are moving within nerves?
no class 1 molecules for immune system to recognize
Viruses traversing 2 nerves how?
viral progeny can cross synaptic junction
what 3 vessels in the brain can viruses enter via blood stream?
choroid plexus blood vessels
HSV and coronavirus can enter the brain how?
viruses replicate in 2 cells in the brain:
1. neurons: direct kill
Rabies has to grow in nerve cells?
Rabies has envelope? so what?
Yes, budding from infected cells
Rabies hides from immun system?
Australian 'Rabies' is called?
Lyssavirus from bats
thirst/terror drinking water
foaming at mouth
How long does it take rabies to get to CNS? what does that mean?
means you can vaccinate after you get bitten
Alpha herpes viruses are what 3 kinds?
does herpes have to grow in nerves? what kind of DNA? envelope?
primary infection of HSV 1 involves? spread how?
spread via saliva
What is most common cause of severe sporadic encephalitis?