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VIRAL DISEASE
MANOJ MAHATO, CLINICAL MICROBIOLOGIST
Anav
ANAD’S’
ANAV
ARBO
VIRUSES
2
General properties of
Arbovirus
 All members produce fatal encephalitis in 48 hr old suckling mice
1-10 days after intracerebral inoculation.
 They possess haemagglutinin for RBCs of newly hatched chicken.
 After oral feeding, mosquito-borne arbo viruses multiply in Aedes
and Culex mosquitoes.
 Tick-borne arbo viruses multiply in Ioxodid ticks.
3
Classificatio
n
 Around 450 viruses are included under arbo viruses
(arthropod-borne)
 5 families (infection in human)
 Togaviridae
 Flaviviridae
 Buniaviridae
 Reoviridae
 Rhabdoviridae
4
Medically Important
Flaviviruses
 Dengue Virus
 Yellow fever Virus
 Encephalitis Virus
 Japanese encephalitis
 Kyasanur Forest disease(KFD)
5
Japanese B encephalitis
 First discovered and originally restricted to Japan. Now large
scale epidemics occur in China, India and other parts of Asia
 The virus was named Japanese B encephalitis virus to distinguish
it from Japanese A encephalitis virus
 Transmitted by Culex tritaeniorhynchus mosquitoes
 The virus is maintained in nature in a transmission cycle involving
mosquitoes, birds (reservoirs) and pigs (amplifier hosts)
6
Mode of Transmission
7
Transmitted by Culex tritaeniorhynchus mosquitoes
 Incubation period: 5-15 days
 The course of the disease in man may be divided into three stages
 1.Prodromal stage: fever, headache and vomiting
 2.Acute encephalitic stage: signs of encephalitis characterized by
neck rigidity, convulsions, altered sensorium and coma
 3.Late stage and sequelae: Residual neurological damage
8
Sign And Symptoms
9
Vomiting and
diarrhea
Irritability or restlessness
Change in consciousness
Lethargy
Tremors or
convulsions
Headache
Sudden fever
Sign And Syptomps
Prevention And Control
 Preventive measures include mosquito control and establishment
of piggeries away from residential areas
 A formalin inactivated mouse brain vaccine using the Nakayama
strain has been employed for human immunization
 A live attenuated vaccine prepared in hamster kidney cell line
is also available
10
11
Yellow fever
Yellow fever
 Yellow fever is a mosquito-borne acute febrile illness
accompanied by hepatic necrosis
 It occurs mainly in tropical Africa and Latin America
 It does not exist in India and Nepal
 The name has been derived from ‘yellow quarantine flag’
 Yellow fever occurs in 2 major forms: urban and jungle.
12
The virus being transmitted by Aedes aegypti mosquito
13
Mode of Transmission
 Incubation period of 3-6 days,
 Patient develops fever with chills, headache, myalgia and
vomiting
 The pulse is usually slow despite a high temperature
 Serious form of disease with jaundice, albuminuria, renal failure
and haemorrhagic the patient may die of hepatic and renal failure
14
Sign And Symptoms
 There is no antiviral drug against yellow fever
 The control yellow fever can be achieved by eradicating
the vector mosquito
 Two vaccines have been developed for human use
1.The french neurotropic vaccine (Dakar) produced from
infected mouse brain
2. 17D vaccine developed by Theiler in 1937
15
Prevention And Control
16
Dengue
Virus
Dengue
Virus
 The word dengue is derived from the Swahili Ki denga pepo
meaning a sudden seizure by a demon
 Dengue fever is clinically similar to the illness caused by the
chikungunya and O’nyong-nyong viruses
 Dengue virus is widely distributed in the Caribbean region, south
east asia
 Primarily a daytime feeder
 Lives around human habitation
17
Dengue is transmitted bite of the female mosquito (Aedes aegypti)
18
Mode of Transmission
The disease may occur in two forms
1. Classical dengue fever (break-bone fever)
2. Dengue in more serious forms with hemorrhagic manifestations
19
Sign And Symptoms
 Fever, or recent history of acute fever
 Hemorrhagic manifestations
 Low platelet count (100,000/mm3 or less)
 Objective evidence of “leaky capillaries:”
 Skin hemorrhages:petechiae, purpura, ecchymoses
 Gingival bleeding
 Nasal bleeding
 Gastrointestinal bleeding:
 Hematemesis, melena, hematochezia
 Hematuria
 Increased menstrual flow 20
Sign And Symptoms
 Control measures include elimination of mosquitoes
 No effective vaccine is available
 There is no specific antiviral treatment
 The management is essentially supportive and symptomatic
 Bed rest is advisable during the acute febrile phase
 Antipyretics or cold sponging should be used to keep the body
temperature < 40C
 Analgesics and mild sedation may be required to control pain
21
Prevention And Control
ADENOVIRUS
 Adenovirus is a double stranded DNA viruses having icosahedral
symmetry
 No envelope
 Family of (Adenoviridae) is a DNA viruses originally identified
in human adenoid tissue,causing infections of the respiratory
system, conjunctiva, and gastrointestinal tract, and including some
capable of inducing malignant umors in experimental animals.
 Many adenovirus infection are subclinical and virus persist in
hosts for months
22
 Adenoviruses are usually spread from an infected person to
others through
 Close personal contact, such as touching or shaking hands
 Coughing and sneezing
 Touching an object or surface with adenoviruses on it, then
 Touching your mouth, nose, or eyes before washing your hands
23
Mode of Transmission
 Common cold
 Sore throat
 Bronchitis
 Pneumonia
 Diarrhea
 Pink eye (conjunctivitis
24
Sign And Symptoms
 Hand washing before and after handling material an infected person.
 Alcohol-based hand sanitizers
 Covering mouth and nose with a tissue when coughing or sneezing
helps prevent spread of the virus.
 Keeping swimming pools adequately chlorinated.
 Avoiding sharing towels and utensils etc. with an infected person.
 Avoidance of close contact with a person ill with adenovirus
infection.
25
Prevention And Control
Respiratory Syncytial
Virus
 Respiratory syncytial virus is a member of the Pneumovirus
genus of the family Paramyxoviridae .
 The virus is an enveloped, non-segmented virus containing a
single negative-strand of RNA.
 RSV is the most common virus causing respiratory infections in
children and almost by the age of 2 years
26
 RSV is spread via direct contact
 Contaminated hands, surfaces, and respiratory secretions
 Unprotected coughing and sneezing
27
Mode of Transmission
 Fever (typically lowgrade)
 Cough
 Tachypnea
 Cyanosis
 Retractions
 Wheezing
 Rales
28
Sign And Symptoms
 Routine hand washing
 Careful handling of contaminated materials
 Limit contact with hospital visitors
 Oxygen supplementation
 Antibiotics – given for suspected bacterial
 Nebulized hypertonic saline
 Ribavirin is the only approved drug for the treatment of severe
RSV.
29
Prevention And Control
30
THANK YOU

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Vral disease

  • 1. VIRAL DISEASE MANOJ MAHATO, CLINICAL MICROBIOLOGIST
  • 3. General properties of Arbovirus  All members produce fatal encephalitis in 48 hr old suckling mice 1-10 days after intracerebral inoculation.  They possess haemagglutinin for RBCs of newly hatched chicken.  After oral feeding, mosquito-borne arbo viruses multiply in Aedes and Culex mosquitoes.  Tick-borne arbo viruses multiply in Ioxodid ticks. 3
  • 4. Classificatio n  Around 450 viruses are included under arbo viruses (arthropod-borne)  5 families (infection in human)  Togaviridae  Flaviviridae  Buniaviridae  Reoviridae  Rhabdoviridae 4
  • 5. Medically Important Flaviviruses  Dengue Virus  Yellow fever Virus  Encephalitis Virus  Japanese encephalitis  Kyasanur Forest disease(KFD) 5
  • 6. Japanese B encephalitis  First discovered and originally restricted to Japan. Now large scale epidemics occur in China, India and other parts of Asia  The virus was named Japanese B encephalitis virus to distinguish it from Japanese A encephalitis virus  Transmitted by Culex tritaeniorhynchus mosquitoes  The virus is maintained in nature in a transmission cycle involving mosquitoes, birds (reservoirs) and pigs (amplifier hosts) 6
  • 7. Mode of Transmission 7 Transmitted by Culex tritaeniorhynchus mosquitoes
  • 8.  Incubation period: 5-15 days  The course of the disease in man may be divided into three stages  1.Prodromal stage: fever, headache and vomiting  2.Acute encephalitic stage: signs of encephalitis characterized by neck rigidity, convulsions, altered sensorium and coma  3.Late stage and sequelae: Residual neurological damage 8 Sign And Symptoms
  • 9. 9 Vomiting and diarrhea Irritability or restlessness Change in consciousness Lethargy Tremors or convulsions Headache Sudden fever Sign And Syptomps
  • 10. Prevention And Control  Preventive measures include mosquito control and establishment of piggeries away from residential areas  A formalin inactivated mouse brain vaccine using the Nakayama strain has been employed for human immunization  A live attenuated vaccine prepared in hamster kidney cell line is also available 10
  • 12. Yellow fever  Yellow fever is a mosquito-borne acute febrile illness accompanied by hepatic necrosis  It occurs mainly in tropical Africa and Latin America  It does not exist in India and Nepal  The name has been derived from ‘yellow quarantine flag’  Yellow fever occurs in 2 major forms: urban and jungle. 12
  • 13. The virus being transmitted by Aedes aegypti mosquito 13 Mode of Transmission
  • 14.  Incubation period of 3-6 days,  Patient develops fever with chills, headache, myalgia and vomiting  The pulse is usually slow despite a high temperature  Serious form of disease with jaundice, albuminuria, renal failure and haemorrhagic the patient may die of hepatic and renal failure 14 Sign And Symptoms
  • 15.  There is no antiviral drug against yellow fever  The control yellow fever can be achieved by eradicating the vector mosquito  Two vaccines have been developed for human use 1.The french neurotropic vaccine (Dakar) produced from infected mouse brain 2. 17D vaccine developed by Theiler in 1937 15 Prevention And Control
  • 17. Dengue Virus  The word dengue is derived from the Swahili Ki denga pepo meaning a sudden seizure by a demon  Dengue fever is clinically similar to the illness caused by the chikungunya and O’nyong-nyong viruses  Dengue virus is widely distributed in the Caribbean region, south east asia  Primarily a daytime feeder  Lives around human habitation 17
  • 18. Dengue is transmitted bite of the female mosquito (Aedes aegypti) 18 Mode of Transmission
  • 19. The disease may occur in two forms 1. Classical dengue fever (break-bone fever) 2. Dengue in more serious forms with hemorrhagic manifestations 19 Sign And Symptoms
  • 20.  Fever, or recent history of acute fever  Hemorrhagic manifestations  Low platelet count (100,000/mm3 or less)  Objective evidence of “leaky capillaries:”  Skin hemorrhages:petechiae, purpura, ecchymoses  Gingival bleeding  Nasal bleeding  Gastrointestinal bleeding:  Hematemesis, melena, hematochezia  Hematuria  Increased menstrual flow 20 Sign And Symptoms
  • 21.  Control measures include elimination of mosquitoes  No effective vaccine is available  There is no specific antiviral treatment  The management is essentially supportive and symptomatic  Bed rest is advisable during the acute febrile phase  Antipyretics or cold sponging should be used to keep the body temperature < 40C  Analgesics and mild sedation may be required to control pain 21 Prevention And Control
  • 22. ADENOVIRUS  Adenovirus is a double stranded DNA viruses having icosahedral symmetry  No envelope  Family of (Adenoviridae) is a DNA viruses originally identified in human adenoid tissue,causing infections of the respiratory system, conjunctiva, and gastrointestinal tract, and including some capable of inducing malignant umors in experimental animals.  Many adenovirus infection are subclinical and virus persist in hosts for months 22
  • 23.  Adenoviruses are usually spread from an infected person to others through  Close personal contact, such as touching or shaking hands  Coughing and sneezing  Touching an object or surface with adenoviruses on it, then  Touching your mouth, nose, or eyes before washing your hands 23 Mode of Transmission
  • 24.  Common cold  Sore throat  Bronchitis  Pneumonia  Diarrhea  Pink eye (conjunctivitis 24 Sign And Symptoms
  • 25.  Hand washing before and after handling material an infected person.  Alcohol-based hand sanitizers  Covering mouth and nose with a tissue when coughing or sneezing helps prevent spread of the virus.  Keeping swimming pools adequately chlorinated.  Avoiding sharing towels and utensils etc. with an infected person.  Avoidance of close contact with a person ill with adenovirus infection. 25 Prevention And Control
  • 26. Respiratory Syncytial Virus  Respiratory syncytial virus is a member of the Pneumovirus genus of the family Paramyxoviridae .  The virus is an enveloped, non-segmented virus containing a single negative-strand of RNA.  RSV is the most common virus causing respiratory infections in children and almost by the age of 2 years 26
  • 27.  RSV is spread via direct contact  Contaminated hands, surfaces, and respiratory secretions  Unprotected coughing and sneezing 27 Mode of Transmission
  • 28.  Fever (typically lowgrade)  Cough  Tachypnea  Cyanosis  Retractions  Wheezing  Rales 28 Sign And Symptoms
  • 29.  Routine hand washing  Careful handling of contaminated materials  Limit contact with hospital visitors  Oxygen supplementation  Antibiotics – given for suspected bacterial  Nebulized hypertonic saline  Ribavirin is the only approved drug for the treatment of severe RSV. 29 Prevention And Control