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لعشاق الفيروسات....Virology update

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  • #16
    الدرس الثالث



    The coronaviruses were originally grouped into the family Coronaviridae on the basis of the crown or halo-like appearance given by the glycoprotein-studded envelope on electron microscopy. This classification has since been confirmed by unique features of the chemistry and replication of these viruses. Most human coronaviruses fall into one of two groups: 229E-like and OC43-like. These differ in both antigenic determinants and culturing requirements: 229E-like coronaviruses can usually be isolated in human embryonic fibroblast cultures; OC43-like viruses can be isolated, or adapted to growth, in suckling mouse brain. There is little antigenic cross-reaction between these two types. They cause independent epidemics of indistinguishable disease. A new coronavirus, NL63, was recovered from a 7 month old child with bronchiolitis.



    Figure 4: Electron micrograph of coronavirus


    Figure 5: Schematic representation of coronavirus

    Coronavirus organisation. A model of the coronavirus structure showing the organisation of the spike (3)2 membrane (M), and envelope (E) glycoproteins. The RNA is protected by a helical capsid of N protein monomers.
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    • #17
      Epidemiology & Pathogenesis

      Transmission is usually via airborne droplets to the nasal mucosa,but it may also be transmitted by the hands to the mucosa of the nose or eyes. Virus replicates locally in cells of the ciliated epithelium, causing cell damage and inflammation.

      The epidemiology of coronavirus colds has been little studied. Waves of infection pass through communities during the winter months, and often cause small outbreaks in families, schools, etc. Immunity does not persist, and subjects may be re-infected, sometimes within a year. The pattern thus differs from that of rhinovirus infections, which peak in the fall and spring and generally elicit long-lasting immunity. About one in five colds is due to coronaviruses.


      Clinical manifestations

      • Coronaviruses invade the respiratory tract via the nose.

      • incubation period of about 3 days,

      • they cause the symptoms of a common cold, including nasal obstruction, sneezing, runny nose, and occasionally cough. The disease resolves in a few days, during which virus is shed in nasal secretions.

      • There is some evidence that the respiratory coronaviruses can cause disease of the lower airways but it is unlikely that this is due to direct invasion.

      • Other manifestations of disease such as multiple sclerosis have been attributed to these viruses but the evidence is not clear-cut.
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      • #18
        Diagnosis

        There is no reliable clinical method to distinguish coronavirus colds from colds caused by rhinoviruses or less common agents. For research purposes, virus can be cultured from nasal swabs or washings by inoculating organ cultures of human fetal or nasal tracheal epithelium. The virus in these cultures is detected by electron microscopy or other methods. Recently PCR methods have become increasingly used for coronavirus detection. These sensitive techniques should shed light in the burden of these viral infections.


        SARS

        It has been proven that severe acute respiratory syndrome (SARS) is caused by SARS-associated coronavirus, a novel coronavirus. SARS originated in Guangdong Province , the People's Republic of China at the end of 2002. by June 15, 2003, SARS had spread to more than 32 countries or regions all over the world and affected 8,422 people and killed 916. Identification of the SARS causative agent and development of a diagnostic test are important. Detecting disease in its early stage, understanding its mode of transmission and implementing specific prevention measures for the disease are dependent upon swift progress. Due to the efforts of the WHO-led network of laboratories testing for SARS, tests for the novel coronavirus have been developed with unprecedented speed. The genome sequence reveals that this coronavirus is only moderately related to other known coronaviruses. WHO established the definitions of suspected and confirmed and probable cases. On 17 March 2003, WHO called upon 11 laboratories in 9 countries to join a collaborative multi–center research project on SARS diagnosis. This network took advantage of modern communication technologies to share outcomes of investigation of clinical samples from SARS cases in real time. Clinicians from Asia, Canada and the USA introduced their own experience of treatment on SARS. Scientists have made great progress in the clinical diagnosis and treatment of SARS. However, there are still many difficulties and problems to be solved in the course of conquering SARS.


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        • #19
          تمت الاضافة لفهرس المواضيع المميزة
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          • #20
            موضع رائع ويستاهل التميز

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