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Viral Diseases – Tables
Disease Pathogen
Description
Genome
Part / s
Affected
Mode of
Infection
Type of Disease
+ Signs / Symptoms (s/s)
Compli
cations
Prevention /
Vaccine
Treatment
Common
Cold /
Rhinitis
Rhino v
RNA Virus
URT
(Upper
Resp Tract
Contagious
Air borne
Droplet, Fomites
Acute, Self resolving
S / s : Nasal discharge
Congestion, Sore throat
NEET NEET
Influenza Influenza
Virus
RNA
Retro virus
RT
+ Whole
body
Contagious
Air borne
Droplet, Fomites
+Aerosol
Acute, Self resolving;
sometimes severe/Fatal (0.1 %)
RTI (Resp Tract Infection)
+ Myalgia (muscle pain)
+ Arthralgia (joint pain)
-May cause pneumonia
(common cause of death)
Pneumo
-nia
Ear-
infection
(otitis)
Vaccine available;
But virus mutates
every season.
also changes ; hence,
not very effective
Small Pox
(Edward
Jenner)
Variola
virus
ds DNA
virus
URT
&
Skin
Most
Contagious
Air borne
-Droplet,
Fomites -
Discharge from
scabs
Acute URTI and skin disease
May be Fatal
Rash →vescicles→pustules
→scabs→ falls by 3 wks
Leave behind permenant poc
marks (deep pits / scars)
Blindness
-Otitis
media
-Death
Isolation
1st
Vaccination; by
Edward Jenner ;
1st
and only disease
eradicated from Earth
Chicken Pox
Varicella
zoster
virus
-ds DNA
URT
Skin
Most
Contagious
Air borne
-Droplet,
Fomites -
Discharge from
vesicles &
pustules
Acute self resolving, mild skin
diasease, esp in Kids
Rash (centrifugal)
-vescicles→pustules→scabs in
succession. Fall off by 3 wks
→ rarely permenant poc
marks
Herpes
Zoster /
Shingles
(neuritis
and
nerve
pain
-Isolation
-Vaccination
Available now;
Disease Pathogen
Description
Genome
Part / s
Affected
Mode of
Infection
Type of Disease
+ Signs / Symptoms (s/s)
Compli
cations
Prevention /
Vaccine
Treatment
Measles
(Rubeola)
(German
Measles
=Rubella)
Rubeola v
RNA v
URT
Skin
Air borne
Droplet
Fomites
Acute – mild disease of skin and
resp tract ; sometimes severe
-Can be fatal in immune-
compromised host
Esp Kids below 5 yrs
-Centripetal Rash on whole
body (Face, neck and
arms→trunk) + High Fever
Pneumo
nia,
-death in
malnouri
shed
kids
-MMR vaccine
After 6-9 months of
Birth
(Maternal Ig G
antibodies give
protection)
Mumps Mumps v
RNA v
Parotid
gland
Droplet-
Saliva
Acute, self resolving
Swelling behind cheeks
Pancrea-
titis
Orchitis
MMR vaccine
Rabies Rhabdo
virus
RNA
Lente (long
lasting)
virus
CNS
Encephal
itis.
Saliva, bite,
secretions
from infected
animals
Acute ; 100% fatal
Virus travels to brain from
bite site via nerves
s/s : Unprovoked Aggression &
Rage. Hydrophobia, fear of
water + Photophobia
Death
100%
RIG (immune globulins)
+ Vaccine : Multiple
doses but, useful only
in early phase +
Immunization of Pets
Polio -
myelitis
Infant Para-
lysis
ss RNA Spinal
Cord –
(Anterior
horn,
motor
neurons)
Enters by feco-
oral route.
Contamination
of food, water,
esp by stools
in drainage
water
-Chronic paralysis and
atrophy of muscles
-Rarely death
in / c/ o diaphragm involvement
- More in Kids.
Initially diarrhoea, fever, neck
stiffness followed by paralysis
of a limb (usually unilateral).
If diaphragm→death d/t
respiratory paralysis
No cure
Life long
paralysis
and then
stiffness
in limbs
Physiotherapy + rehab
-Polio is eradicated
except Pakistan
Vaccination :
-OPV (Sabin type -
attenuated)
Given from birth +
Multiple boosters till
5-13 yrs
IPV (killed)-Salk type
-More efficient, but,
less effective at
community level for
herd immunity
Disease Pathogen
Description
Genome
Part / s
Affected
Mode of
Infection
Type of Disease
+ Signs / Symptoms (s/s)
Compli
cations
Prevention /
Vaccine
Treatment
Dengue RNA
arbo-virus
Whole
body –
Multi-
systemic
+ blood
platelets,
liver ,
eyes,
kidney
Vector
(arthropod)
borne ds –
Mosquito
Aedes
aegypti
Classical Dengue is like usual
viral fever
Acute – severe Hemorrhagic
fever - can be Fatal
Hemorrhagic type – High
fever, Bodyache, conjunctival
H’ges, Hemorrhagic purpura
(tiny bleeding spots). Rash on
chest. Cough
Thrombo
cyto
Penia
→
Bleeding
→
death
-Tourniquet Test
-No cure
Rx (Treatment)
-Platlet Transfusion
-Anti-mosquito
measures-Cover
whole body, esp
during day;
-Clean water pods.
Avoid Aspirin
Herpes
HSV-1 &
HSV-2
Herpes
viridae
(dsDNA)
Multi-
system
STD
+ Contact
(herpein ="to creep" = hide ;
Can stay in body for many yrs
(latent recurring infections).
- oro-labial herpes & genital herpes)
No Treatment
Hepatitis
Causes of Hepatitis : viruses (Viral Hepatitis)
Drugs, toxins, alcohol, contamination,
Common symptoms of Hepatitis :
Jaundice, loss of appetite, fatty stools
Hepatitis A Hepatitis A
Virus (HAV)
ss RNA
Liver
+ Multi-
sysyemic
Feco-oral Acute, mild hepatitis; rarely
fatal
Rare
No Treatment
Hepatitis
B
Serum
Hepatitis
HBV
ds DNA
Blood, STD,
wound, tear,
saliva
Chronic, fatal
Life long Carrier state
Chronic hepatitis and liver
failure, (INCURABLE)
cirrhosis
hepatic
cancer,
Death
-2nd
Gen-rDNA Vaccine
-3rd
Gen DNA Vaccine
(under trial)
Hepatitis
C (Non AB)
HCV
ss RNA
Blood, STD SAME AS Hep B
No Treatment
Hepatitis D HDV
ss RNA
Blood, STD SAME AS Hep B
It is a Defective virus & requires co-infection with Hep B
in order to manifest
Hepatitis
E (Non AB)
HEV-
ss RNA
Feco-oral Severe Hepatitis and Death in Pregnant Ladies
For NEET - only Hepatitis A & Hepatitis B are important
Corona virus : These are Group of mammalian and bird (Zoonotic ) RNA Viruses which affect humans also.
Common Corona viruses are SARS, MERS, and COVID-19. There are no vaccines or antiviral drugs to prevent human infections .
Disease Pathogen
Description
Genome
Part / s
Affected
Mode of
Infection
Type of Disease
+ Signs / Symptoms (s/s)
Compli
cations
Prevention / Vaccine
Treatment
COVID -19
All are
RNA
viruses with
Nucleo-
plasmid +
Envelop and
protein
receptors for
infection
Upper
and
Lower
Resp
Tract +
Multi-
systemic
Reservoir =
bats
Mammal→Man
Man→ Man
Touch, fomites
and Droplets
-90% patients have no / mild
symptoms (Like mild flu)
-High fatality in Elderly & those
with underlying disease, esp due
to pneumonia
Severe Acute Resp Distress
Syndrome
Middle East resp Distress
Syndrome
Pneu-
monia
&
Death
For prevention :
Maintain Covid Care
No Vaccine or
Treatment Yet
(Isolation) + Mask +
frequent hand soap
wash ? alcohol based
sanitizers
SARS-Co V
MERS-Co V
Ebola virus
disease
(EVD),
Zaire Ebola
virus
Blood +
Multi-
systemic
+ Brain
Bats .
-Direct contact
with body
fluids-blood,
semen or
breast milk
is a viral haemorrhagic fever of
humans and
other primates caused
Death
(50%)
Bio-safety Level 4
Containment zones
(quarantine)
Epstein-Barr
virus (HSV)
DNA v (Infectious mononucleosis,
cancer
NA
cyto-megalo
virus CMV) –
HSV
DNA Fetus /
Lungs
Congenital deformities, Abortion
– if infection during pregnancy
NA
HPV Human
Papilloma V
DNA Cervix &
genitals
Sexual contact Cervical cancer of uterus and
Genital warts
Vaccine
Disease
Pathogen
Description
Genome
Part / s
Affected
Mode of
Infection
Type of Disease
+ Signs / Symptoms (s/s) &
Complications
Prevention / Vaccine
Treatment
HIV
Human
Immunodefic
iency
virus
HIV 1
(from chimp)
-global
-High
virulance
HIV 2
( from
meganbee)
-Only Africa
Both
enveloped
Retro Virus
Lente virus
With
2 copies of
ss RNA
infects
immune
cells
(initially
macropha
ges
Then T
cells
+
dendritic
cells
Gay,
homosexuals,
polygamic
heterosexuals
indulging un
unprotected
sex & drug
users
Blood, STD,
wound, tear,
saliva
breast milk
NOT BY
touch hug/kiss/
sharing food
-Begins with Usual Viral symptoms
Then
-2 months WINDOW PERIOD (ELISA –VE)
: Because, virus is multiplying in Macro or
dendritic cells
-Without treatment, average survival time
=9 to 11 years,
Invariably 100% FATAL
For Mass Screening
– ELISA which
detects HIV-1
antibodies ( -ve during
window period) -
Cheaper and faster
test
-For confirmation
reactive ELISA results
are retested by
western blot
or,
immuno-
fluorescence
assay (IFA)
But
100% diagnosis is by
nucleic acid testing
i.e.viral RNA by PCR
AIDS AIDS – few months to many years later
When T4 cells < 200/ml
progressive failure of immune system
→allowing life-threatening
-opportunistic infections and
-cancers
Complications : Opportunistic infections
-Pneumocystis carinii pneumonia (PCP),
- Mycoplasma infections
- Kaposi's sar coma (KS) d/t HSV.
-Toxoplasma gondii
Viral Diseases Table  HHD (2)  CRACK NEET with Dr. Sheth

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Viral Diseases Table HHD (2) CRACK NEET with Dr. Sheth

  • 1.
  • 2. Viral Diseases – Tables Disease Pathogen Description Genome Part / s Affected Mode of Infection Type of Disease + Signs / Symptoms (s/s) Compli cations Prevention / Vaccine Treatment Common Cold / Rhinitis Rhino v RNA Virus URT (Upper Resp Tract Contagious Air borne Droplet, Fomites Acute, Self resolving S / s : Nasal discharge Congestion, Sore throat NEET NEET Influenza Influenza Virus RNA Retro virus RT + Whole body Contagious Air borne Droplet, Fomites +Aerosol Acute, Self resolving; sometimes severe/Fatal (0.1 %) RTI (Resp Tract Infection) + Myalgia (muscle pain) + Arthralgia (joint pain) -May cause pneumonia (common cause of death) Pneumo -nia Ear- infection (otitis) Vaccine available; But virus mutates every season. also changes ; hence, not very effective Small Pox (Edward Jenner) Variola virus ds DNA virus URT & Skin Most Contagious Air borne -Droplet, Fomites - Discharge from scabs Acute URTI and skin disease May be Fatal Rash →vescicles→pustules →scabs→ falls by 3 wks Leave behind permenant poc marks (deep pits / scars) Blindness -Otitis media -Death Isolation 1st Vaccination; by Edward Jenner ; 1st and only disease eradicated from Earth Chicken Pox Varicella zoster virus -ds DNA URT Skin Most Contagious Air borne -Droplet, Fomites - Discharge from vesicles & pustules Acute self resolving, mild skin diasease, esp in Kids Rash (centrifugal) -vescicles→pustules→scabs in succession. Fall off by 3 wks → rarely permenant poc marks Herpes Zoster / Shingles (neuritis and nerve pain -Isolation -Vaccination Available now;
  • 3. Disease Pathogen Description Genome Part / s Affected Mode of Infection Type of Disease + Signs / Symptoms (s/s) Compli cations Prevention / Vaccine Treatment Measles (Rubeola) (German Measles =Rubella) Rubeola v RNA v URT Skin Air borne Droplet Fomites Acute – mild disease of skin and resp tract ; sometimes severe -Can be fatal in immune- compromised host Esp Kids below 5 yrs -Centripetal Rash on whole body (Face, neck and arms→trunk) + High Fever Pneumo nia, -death in malnouri shed kids -MMR vaccine After 6-9 months of Birth (Maternal Ig G antibodies give protection) Mumps Mumps v RNA v Parotid gland Droplet- Saliva Acute, self resolving Swelling behind cheeks Pancrea- titis Orchitis MMR vaccine Rabies Rhabdo virus RNA Lente (long lasting) virus CNS Encephal itis. Saliva, bite, secretions from infected animals Acute ; 100% fatal Virus travels to brain from bite site via nerves s/s : Unprovoked Aggression & Rage. Hydrophobia, fear of water + Photophobia Death 100% RIG (immune globulins) + Vaccine : Multiple doses but, useful only in early phase + Immunization of Pets Polio - myelitis Infant Para- lysis ss RNA Spinal Cord – (Anterior horn, motor neurons) Enters by feco- oral route. Contamination of food, water, esp by stools in drainage water -Chronic paralysis and atrophy of muscles -Rarely death in / c/ o diaphragm involvement - More in Kids. Initially diarrhoea, fever, neck stiffness followed by paralysis of a limb (usually unilateral). If diaphragm→death d/t respiratory paralysis No cure Life long paralysis and then stiffness in limbs Physiotherapy + rehab -Polio is eradicated except Pakistan Vaccination : -OPV (Sabin type - attenuated) Given from birth + Multiple boosters till 5-13 yrs IPV (killed)-Salk type -More efficient, but, less effective at community level for herd immunity
  • 4. Disease Pathogen Description Genome Part / s Affected Mode of Infection Type of Disease + Signs / Symptoms (s/s) Compli cations Prevention / Vaccine Treatment Dengue RNA arbo-virus Whole body – Multi- systemic + blood platelets, liver , eyes, kidney Vector (arthropod) borne ds – Mosquito Aedes aegypti Classical Dengue is like usual viral fever Acute – severe Hemorrhagic fever - can be Fatal Hemorrhagic type – High fever, Bodyache, conjunctival H’ges, Hemorrhagic purpura (tiny bleeding spots). Rash on chest. Cough Thrombo cyto Penia → Bleeding → death -Tourniquet Test -No cure Rx (Treatment) -Platlet Transfusion -Anti-mosquito measures-Cover whole body, esp during day; -Clean water pods. Avoid Aspirin Herpes HSV-1 & HSV-2 Herpes viridae (dsDNA) Multi- system STD + Contact (herpein ="to creep" = hide ; Can stay in body for many yrs (latent recurring infections). - oro-labial herpes & genital herpes) No Treatment Hepatitis Causes of Hepatitis : viruses (Viral Hepatitis) Drugs, toxins, alcohol, contamination, Common symptoms of Hepatitis : Jaundice, loss of appetite, fatty stools Hepatitis A Hepatitis A Virus (HAV) ss RNA Liver + Multi- sysyemic Feco-oral Acute, mild hepatitis; rarely fatal Rare No Treatment Hepatitis B Serum Hepatitis HBV ds DNA Blood, STD, wound, tear, saliva Chronic, fatal Life long Carrier state Chronic hepatitis and liver failure, (INCURABLE) cirrhosis hepatic cancer, Death -2nd Gen-rDNA Vaccine -3rd Gen DNA Vaccine (under trial) Hepatitis C (Non AB) HCV ss RNA Blood, STD SAME AS Hep B No Treatment Hepatitis D HDV ss RNA Blood, STD SAME AS Hep B It is a Defective virus & requires co-infection with Hep B in order to manifest Hepatitis E (Non AB) HEV- ss RNA Feco-oral Severe Hepatitis and Death in Pregnant Ladies For NEET - only Hepatitis A & Hepatitis B are important
  • 5. Corona virus : These are Group of mammalian and bird (Zoonotic ) RNA Viruses which affect humans also. Common Corona viruses are SARS, MERS, and COVID-19. There are no vaccines or antiviral drugs to prevent human infections . Disease Pathogen Description Genome Part / s Affected Mode of Infection Type of Disease + Signs / Symptoms (s/s) Compli cations Prevention / Vaccine Treatment COVID -19 All are RNA viruses with Nucleo- plasmid + Envelop and protein receptors for infection Upper and Lower Resp Tract + Multi- systemic Reservoir = bats Mammal→Man Man→ Man Touch, fomites and Droplets -90% patients have no / mild symptoms (Like mild flu) -High fatality in Elderly & those with underlying disease, esp due to pneumonia Severe Acute Resp Distress Syndrome Middle East resp Distress Syndrome Pneu- monia & Death For prevention : Maintain Covid Care No Vaccine or Treatment Yet (Isolation) + Mask + frequent hand soap wash ? alcohol based sanitizers SARS-Co V MERS-Co V Ebola virus disease (EVD), Zaire Ebola virus Blood + Multi- systemic + Brain Bats . -Direct contact with body fluids-blood, semen or breast milk is a viral haemorrhagic fever of humans and other primates caused Death (50%) Bio-safety Level 4 Containment zones (quarantine) Epstein-Barr virus (HSV) DNA v (Infectious mononucleosis, cancer NA cyto-megalo virus CMV) – HSV DNA Fetus / Lungs Congenital deformities, Abortion – if infection during pregnancy NA HPV Human Papilloma V DNA Cervix & genitals Sexual contact Cervical cancer of uterus and Genital warts Vaccine
  • 6. Disease Pathogen Description Genome Part / s Affected Mode of Infection Type of Disease + Signs / Symptoms (s/s) & Complications Prevention / Vaccine Treatment HIV Human Immunodefic iency virus HIV 1 (from chimp) -global -High virulance HIV 2 ( from meganbee) -Only Africa Both enveloped Retro Virus Lente virus With 2 copies of ss RNA infects immune cells (initially macropha ges Then T cells + dendritic cells Gay, homosexuals, polygamic heterosexuals indulging un unprotected sex & drug users Blood, STD, wound, tear, saliva breast milk NOT BY touch hug/kiss/ sharing food -Begins with Usual Viral symptoms Then -2 months WINDOW PERIOD (ELISA –VE) : Because, virus is multiplying in Macro or dendritic cells -Without treatment, average survival time =9 to 11 years, Invariably 100% FATAL For Mass Screening – ELISA which detects HIV-1 antibodies ( -ve during window period) - Cheaper and faster test -For confirmation reactive ELISA results are retested by western blot or, immuno- fluorescence assay (IFA) But 100% diagnosis is by nucleic acid testing i.e.viral RNA by PCR AIDS AIDS – few months to many years later When T4 cells < 200/ml progressive failure of immune system →allowing life-threatening -opportunistic infections and -cancers Complications : Opportunistic infections -Pneumocystis carinii pneumonia (PCP), - Mycoplasma infections - Kaposi's sar coma (KS) d/t HSV. -Toxoplasma gondii