MICROBIOLOGY PPT LECTURE NOTES | Karya Tulis Ilmiah

Rabies
virus






Shape: bullet
Genome: -ssRNA
enveloped virus
CPE: Negri body

Structure of Rabies Virus





抵抗力不强, 60C 30min 或 100C
2min 可灭活。可被强酸、强碱、乙醇、

乙醚、肥皂水、去垢剂等灭活。
在脑组织中室温或 4C 可持续 1 - 2 周。
甘油中可保存数月。

Reservoir
Urban forms: Dogs and
cats
 Sylvatic forms: Bats,
foxes, raccoons 莞熊 ,
wolves, skunks 臭鼬 ,
coyotes 丛林狼 , mongooses
猫鼬 , and biting animals


Transmission




By bite or scratch

Via saliva
Airborne ( bats)

BAT

armadillo

Cat

raccoon

fox

dog

Rabies or hydrophobia









Fever
Dysphagia 咽下困难
Altered mental
status
Excitement,
agitation
Paralysis 麻痹

Hydrophobia 恐水
 Hypersalivation 多




Nausea, vomiting
恶心 ; 作呕

 Headache
 malaise 不适


Laboratory diagnosis




Diseased dog: viral antigen and Negri body
in brain tissue.
Patient: IF assay, PCR.

Prevention and
treatment

Prevention and
treatment




Bite Geographical area, type of animal,
severity and site of bite.

Animal




Live - observe in cage:
If survives > 8 days, then NOT rabies.
Dead - brain
- Negri bodies
- IFA
- virus isolation

Prevention and
treatment
Man


Live - difficult diagnosis
- clinical picture, skin biopsy, corneal
impression (antibodies only appear
very late)
Dead - brain sent to Onderstepoort
"Negri bodies" in cytoplasm of brain
cells; immunofluorescence virus
isolation .

Human
papillomavirus (HPV)

Biological properties









naked dsDNA
virus with 9 ORF
belongs to
Papovaviridae
more than 60
types
artificial
cultivation unsuccessful.

Transmission




contact infection
sexual infection
congenital infection.

Pathogenesis




Host-specific
Tissue-specific.

Disease






Cutaneous warts
Epidermodysplasia verruciformis
Mucosal HPV infections
 Cervical cancer and other cancers:
A significant proportion of cancers is
associated with HPV infection: 11% of all
cancers in women and 2% of all cancers in

men.

LIFE CYCLE OF HUMAN
PAPILLOMAVIRUS


Laboratory diagnosis




- Cytology
- Histology
- Colposcopy in the case of genital
HPV infections.
- Electron microscopy.
- Immunocytochemistry can detect
major capsid protein but are
generally group specific not type
specific

- DNA detection techniques. This is
the only way to type HPVs.PCR

PARVOVIRUSES

Human parvovirus B19

DISTINCTIVE PROPERTIES








Are small, naked viruses with
icosahedral nucleocapsids.
Contain single-stranded DNA
and replicate in the nucleus.

Include human parvovirus
(B19) and adenoassociated
virus, a defective virus of the
dependovirus genus that
requires adenovirus to replicate.
Human pathogen, B19, has
tropism for red blood cell
progenitors

Human diseases associated with B19
parvovirus
Syndrome
Fifth diseases

Host or condition
Children
Adilts

Clinical features
Cutaneous rash
Arthralgiaarthrtis

Transient
aplastic crisis
Pure red cell
aplasia
Hydrops
fetails

Underlying
hemolysis
Immunodeficienci
es
Fetus

Severe acute
anemia
Chronic anemia
Fatal anemia

EPIDEMIOLOGY




These
organisms
are
widely
distributed in nature.
Enters the body through:
The respiratory tract
Blood transfusions
Vertically from mother.

DIAGNOSIS
PARVOVIRUS B-19 SEROLOGY
Serology



Direct detection of the viral DNA may be
achieved by PCR

Interpretation

IgGIgM-

No past infection
Patients susceptible to
infection

IgG+
IgM-

There has been a past
infection
Patient probably immune

IgG + or –
IgM
equivocal

Current or recent infection
Patient should be retested
in a few weeks

IgG+
IgM+

Ongoing or recent infection
Fetus may be at risk if
patient pregnant

IgG- (or
equivocal)
IgM+

Current infection
Patient should be retested
in a few weeks

Prevention and Treatment




Immunological: no vaccines are
available
Treatment: Commercial
immunoglobulin preparations
contain parvo B19 antibodies can
successfully eliminate the
infection in immunocompromised
patients