Viruses are the smallest infectious agents that can only be seen using an electron microscope. They are obligatory intracellular parasites that contain either DNA or RNA, not both. Viruses are diagnosed through direct detection of the virus or its components using techniques like electron microscopy, immunoassays, and PCR. Indirect methods include serological diagnosis by detecting antibodies and skin tests. Viruses are cultivated inside living cells in tissue culture or laboratory animals since they cannot grow on artificial media.
A picornavirus is a virus belonging to the family Picornaviridae, a family of viruses in the order Picornavirales. Vertebrates, including humans, serve as natural hosts. Picornaviruses are nonenveloped viruses that represent a large family of small, cytoplasmic, plus-strand RNA viruses with a 30-nm icosahedral capsid.
Poxviruses are brick or oval-shaped viruses with large double-stranded DNA genomes. Poxviruses exist throughout the world and cause disease in humans and many other types of animals. Poxvirus infections typically result in the formation of lesions, skin nodules, or disseminated rash.
A picornavirus is a virus belonging to the family Picornaviridae, a family of viruses in the order Picornavirales. Vertebrates, including humans, serve as natural hosts. Picornaviruses are nonenveloped viruses that represent a large family of small, cytoplasmic, plus-strand RNA viruses with a 30-nm icosahedral capsid.
Poxviruses are brick or oval-shaped viruses with large double-stranded DNA genomes. Poxviruses exist throughout the world and cause disease in humans and many other types of animals. Poxvirus infections typically result in the formation of lesions, skin nodules, or disseminated rash.
Adenoviridae is a group of medium sized, non-enveloped, double stranded DNA viruses that replicate and produce disease in the eye and in the respiratory, gastrointestinal and urinary tracts;
Largest viruses that infect vertebrates
Can be seen under light microscope
Poxvirus diseases are characterized by skin lesions – localized or generalized
Important diseases caused by poxviruses are-
Smallpox
Monkeypox
Cowpox
Tanapox
Molluscum contagiosum
Serological test for virus identificationPlock Ghosh
This presentation consist of detailed study of serological method of virus identification. Basically ELISA is vastly used for virus detection. Western blot method is used for HIV identification.
Adenoviridae is a group of medium sized, non-enveloped, double stranded DNA viruses that replicate and produce disease in the eye and in the respiratory, gastrointestinal and urinary tracts;
Largest viruses that infect vertebrates
Can be seen under light microscope
Poxvirus diseases are characterized by skin lesions – localized or generalized
Important diseases caused by poxviruses are-
Smallpox
Monkeypox
Cowpox
Tanapox
Molluscum contagiosum
Serological test for virus identificationPlock Ghosh
This presentation consist of detailed study of serological method of virus identification. Basically ELISA is vastly used for virus detection. Western blot method is used for HIV identification.
Multiple methods are used for the laboratory diagnosis of viral infections, including viral culture, antigen detection, nucleic acid detection and other lab tests
lab diagnosis of viral infections - mayuri.pptxDrmayuribhise
T.M. River, 1937
Modified from Koch’s Postulates (proof of bacterial diseases)
Isolate virus from diseased hosts.
Cultivation of virus in host cells.
Proof of filterability.
Production of a comparable disease when the cultivated virus is used to infect experimental animals.
Reisolation of the same virus from the infected experimental animal.
Detection of a specific immune response to the virus.
Much more expensive and difficult to study animal viruses than bacteriophages
Cultivation in host cells
Living animal
Embryonated chicken eggs
Cell or tissue culture (= in vitro)
Over 60% of all infectious disease cases seen by a physician are due to viral infections.
Quality of patient specimens and their transport to the laboratory is importantViral Diagnostics in the Clinical Laboratory
Types of specimens:-
Respiratory tract infections: Nasal and bronchial washings, throat and nasal swabs, sputum
Eye infections: throat and Conjunctival swab/scraping
Gastrointestinal tract infections: stool and rectal swabs
Vesicular rash: vesicle fluid, skin scrapings
Maculopapular rash: throat, stool, and rectal swabs
CNS (encephalitis and meningitis cases): stool, tissue, saliva, brain biopsy, cerebrospinal fluid
Genital infections: vesicle fluid or swab
Urinary tract infections: urine
Blood borne infections: blood
Sterile, leak proof container
Minimal interval
Transport media
Viral infusion broth (VIB)
Sucrose-phosphate-glutamate (SPG)
Storage temperature:
4 deg C for up to 96 hours
Minus 70 deg C beyond 96 hours
Repeated cycles of freezing and thawing to be avoided
106 virus particles per ml required for visualization,
50,000 - 60,000 magnification normally used.Specimens are negatively stained by Potassium phosphotungstate and scanned under EM
Viruses may be detected in the following specimens.
Virus particles are detected and identified on the basis of morphology.
A) Shape
Rabiesvirus –bullet shaped
Rotavirus –Cart wheel
Coronavirus –petal shaped peplomers
Adenovirus –space vehicle shaped
Astrovirus ---Star shaped
B) Direct detection from specimens
For viruses that are difficult to cultivate ,EM can be used as primary tool for diagnosis
Faeces Rotavirus, Adenovirus
Norwalk like viruses
Astrovirus, Calicivirus
Vesicle Fluid HSV
VZV
Skin scrapings papillomavirus, orf
molluscum contagiosum
As an alternative to tissue culture
As tissues culture is time consuming and technically demanding ,EM is used as an alternative :-
1) Vesicular rashes –HSV and VZV detection from vesicular fluid
2) Meningitis—Detection of enterovirus and mumps from CSF.
Virus detection from tissue cultures EM can be used for detection of viral growth in tissue culture
The sensitivity and specificity of EM can be improved by adding specific antiviral antibody to the specimen to aggregate the virus particles which can be centrifuged
The sediment is negatively stained and viewed under EM
Direct immumofluroscence
Introduction, classification of virus, collection, Transport, & Storage of sample for Viral diagnosis. Staining Techniques used in virology,
Processing of sample for viral diagnosis (Egg Inoculation & Tissue culture)
Arbovirus is an informal name used to refer to any viruses that are transmitted by arthropod vectors. The word arbovirus is an acronym (arthropod-borne virus). The word tibovirus (tick-borne virus) is sometimes used to more specifically describe viruses transmitted by ticks, a superorder within the arthropods.
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DIAGNOSIS OF PARASITIC DISEASES(post) P.P..pptnedalalazzwy
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14. Differences between viruses & bacteria
1. They are obligatory intracellular parasites
They can not be cultivated on artificial culture
media.
can only replicate inside living cells.
15. 2. Viruses contain only one type of nucleic acid
(DNA or RNA), never both.
16.
17. 3. They can not be cultivated on artificial
culture media.
18. 4. They are not susceptible to antibacterial
agents.
19. Diagnosis of viral infections
Diagnosis of viral infections
A- Direct methods
A- Direct methods
I. Direct detection
I. Direct detection
of viruses and //or
of viruses and or
their components
their components
II. Isolation of
II. Isolation of
viruses
viruses
B- Indirect methods
B- Indirect methods
I. Serology
I. Serology
II. Skin tests
II. Skin tests
20. A- Direct methods
A- Direct methods
I. Direct detection of viruses & / or their
components:
1. Light microscopy:
Examination of large viruses
as Poxviruses
Detection of giant cells
in Herpes infection
Detection of inclusion bodies
e.g. Negri bodies in nerve
cells in rabies
21. 2. Electron microscopy (EM):
Large number of viruses in the sample.
Size and shape of viruses.
22. 3. Immunoelectron microscopy (IEM):
Sample (unknown virus) + known specific antibody
aggregation of unknown virus particles
e.g. hepatitis A virus in stools
26. 6. Nucleic acid hybridization:
A highly sensitive and specific method.
Viral nucleic acid in sample + Specific labeled probe
hybridization
fluorescence
27. 7. Polymerase chain reaction (PCR)
Amplification of a specific sequence of nucleic acid
Detection e.g. by gel electrophoresis.
28. A- Direct methods
A- Direct methods
II. Isolation of viruses:
• Obligatory intracellular parasites
• Replicate only in living susceptible
cells
a. Laboratory animals
b. Embryonated eggs
c. Cell culture (tissue culture)
29. Cultivation of viruses
a. Laboratory animals:
Used in:
• Isolation of coxsackie viruses by inoculation in
white suckling mice.
• Rabies virus inoculation in mice.
• For research.
31. Cultivation of viruses
c. Cell culture (tissue culture)
The most widely used method
Tissues + trypsin → separate cells
Cells + growth media in
flat-sided bottles
monolayer culture
33. Types of cell lines
Primary cell
lines
Diploid cell
lines
Continuous cell
lines
Prepared
from
Organ
fragments
Human fibroblasts
derived from
embryonic tissues
Tumor cells
Examples
Monkey kidney
Number of
Passages
(subcultures)
5-10
Human embryo lung
HeLa cells from
tissue
carcinoma of cervix
50-100
Unlimited
34. Detection of Virus Replication in Tissue Culture:
1- Cytopathic Effect (CPE):
i- Cell death or lysis
37. 3- Inclusion bodies
Site of virus assembly or degenerative changes
Their location and appearance are diagnostic for a
particular virus.
a- Intracytoplasmic: e.g.
Rabies (Negri bodies)
. b- Intranuclear: e.g
Herpes viruses
c- Both: e.g. Measles virus and CMV
40. 6. Interference phenomenon:
Monolayer + rubella virus → no change for
weeks
Add CPE-producing virus → NO CPE
(due to interference)
7- Detection of viral antigens
41. 8- Direct fluorescent antibody staining of
infected cells (DFA):
:Neutralization test- 9
Monolayer + unknown virus + known specific Ab
NO CPE (due to neutralization)
42. Diagnosis of viral infections
Diagnosis of viral infections
A- Direct methods
A- Direct methods
I. Direct detection
I. Direct detection
of viruses and //or
of viruses and or
their components
their components
II. Isolation of
II. Isolation of
viruses
viruses
B- Indirect methods
B- Indirect methods
I. Serology
I. Serology
II. Skin tests
II. Skin tests
43. B- Indirect methods
B- Indirect methods
I. Serological diagnosis:
Detection of antiviral antibodies
2 serum samples
acute phase & 2-3 weeks later,
to demonstrate a rising titer
(4 fold increase or more is diagnostic).
Only one sample may be used in the acute
stage to detect IgM
44. I. Serological diagnosis:
Serological methods include:
Neutralization test
Complement fixation test
Haemagglutination inhibition test
Indirect IF
ELISA
RIA
45. II. Skin tests
Used as an indication of cell-mediated immunity (CMI)
in some viral infections, e.g. mumps.
47. 1) Viruses differ from bacteria in all of the
following EXCEPT:
a) Viruses are very small in size.
b) Viruses are obligatory intracellular parasites.
c) Viruses contain both DNA and RNA.
d) Viruses cannot be cultivated on artificial
culture media.
e) Viruses are not susceptible to antibiotics.
48. 2) Sites of viral assembly in tissue culture are
called:
a)Plaques
b)Inclusion bodies
c) Viral capsid
d)CPE
e)Areas of transformation
49. 3) Regarding continuous cell lines, all of the
following are true EXCEPT:
a)They allow unlimited number of passages.
b)They are prepared from tumor cells.
c) After viral inoculation, they should be
sterilized by autoclaving.
d)They are used for isolation of viruses.
e)HeLa cell line is an example of continuous cell
lines.
50. 4) PCR may be used to diagnose viral infections
by detecting:
a)Antiviral IgM antibodies
b)Viral antigens
c) Rising titer of antiviral antibodies
d)Viral nucleic acid
e)CPE produced by the virus in tissue culture
51. 5) Direct detection of viruses and/or their
components can be done by all of the
following EXCEPT:
a)Fluorescent microscope
b)Electron microscope
c) Light microscope
d)PCR
e)Biochemical reactions
52. 6) Cultivation of viruses can be done on:
a)Blood agar
b)Tissue culture
c) MacConkey’s medium
d)Nutrient broth
e)Anaerobic media
54. 1) Viruses differ from bacteria in all the
following EXCEPT:
a) Viruses are very small in size.
b) Viruses are obligatory intracellular parasites.
c) Viruses contain both DNA and RNA.
d) Viruses cannot be cultivated on artificial
culture media.
e) Viruses are not susceptible to antibiotics.
55. 2) Sites of viral assembly in tissue culture are
called:
a)Plaques
b)Inclusion bodies
c) Viral capsid
d)CPE
e)Areas of transformation
56. 3) Regarding continuous cell lines, all of the
following are true EXCEPT:
a)They allow unlimited number of passages.
b)They are prepared from tumor cells.
c) After viral inoculation, they should be
sterilized by autoclaving.
d)They are used for isolation of viruses.
e)HeLa cell line is an example of continuous cell
lines.
57. 4) PCR may be used to diagnose viral infections
by detecting:
a)Antiviral IgM antibodies
b)Viral antigens
c) Rising titer of antiviral antibodies
d)Viral nucleic acid
e)CPE produced by the virus in tissue culture
58. 5) Direct detection of viruses and/or their
components can be done by all of the
following EXCEPT:
a)Fluorescent microscope
b)Electron microscope
c) Light microscope
d)PCR
e)Biochemical reactions
59. 6) Cultivation of viruses can be done on:
a)Blood agar
b)Tissue culture
c) MacConkey’s medium
d)Nutrient broth
e)Anaerobic media