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general informations regarding the virus
Typology: Schemes and Mind Maps
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Family: Paramyxoviridae
Family,Genus,Species Genus: Morbillivirus Species: Measles virus
Carries RNA- dependent RNA polymerase cDirect cell-to-cell fusion โ syncytia Replication in the cytoplasm (not in the nucleus) PHYSIOLOGY Cell lysis releases new virions
H protein โ binds to CD150/SLAM receptors F protein โ promotes entry and syncytia formation Causes immunosuppression Facilitates secondary bacterial infections
Highly contagious: Rโ = 12โ 18 No surface or food transmission Airborne: respiratory droplets/aerosol TRANSMISSION Incubation: 10 โ 12 days Contagious: 4 days before to 4 days after rash
Upper respiratory tract Lymphoid tissues & bloodstream Skin Eyes CNS Immune system initial infection viremia rash conjunctivitis encephalit is, SSPE immunosuppr ession ORGANS AFFECTED wich organs are affected by measles?
Specimens: nasopharyngeal swab, blood, urine RT-PCR: viral RNA detection ELISA IgM: recent infection ELISA IgG: past infection/vaccination Viral culture: Vero/B9 5 a cells Microscopy: syncytia (not routine) MICROBIOLOGICAL DIAGNOSIS
Typical signs + epidemiology (unvaccinated) Triad: fever + rash + cough/conjunctivitis/rhinitis Koplik spots: early and specific Lab confirmation: PCR or IgM Mandatory reporting to authorities CLINICAL DIAGNOSIS