Difference between revisions of "Rhabdoviridae"
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| − | # | + | {{unfinished}} |
| + | |||
| + | {{toplink | ||
| + | |linkpage =Viruses | ||
| + | |linktext =VIRUSES | ||
| + | |pagetype=Bugs | ||
| + | }} | ||
| + | <br> | ||
| + | |||
| + | =Introduction= | ||
| + | Rabies is a neurological killer that has evolved a fool-proof technique of transmission, and it cleverly evades the species barrier to present a potent threat to mammalian life. While the simplicity of the virus insures its transmission, it also contributes to its weakness: its monoclonal antigenicity means that a single vaccination covers all strains of the disease. Though rabies is considered endemic in parts of the developed and undeveloped world, vaccination schemes have rendered the disease controllable to a satisfactory degree. Nonetheless, infection is still largely fatal and the disease should not be taken lightly. | ||
| + | |||
| + | =Morphology= | ||
| + | *Large, enveloped, negative-sense RNA virus | ||
| + | *'''Bullet-shaped''' with short glycoprotein spikes | ||
| + | |||
| + | =Types and Subtypes= | ||
| + | Two Genera: | ||
| + | #Lyssaviruses: 7 genotypes | ||
| + | ##'''Genotype 1''' is '''classical rabies''' | ||
| + | ##Genotypes 2-7 more limited in distribution | ||
| + | ##Genotype 4 infects '''insectivorous bats''' | ||
| + | #Vesiculoviruses are all '''exotic''' to the UK: | ||
| + | ##Vesicular Stomatitis Virus | ||
| + | ##Ephemeral Fever | ||
| + | ##Fish Rhabdoviruses, such as viral hemorrhagic syndrome and infectious haematopoetic necrosis virus | ||
| + | |||
| + | =Virulence and Pathogenesis= | ||
| + | *Rabies is moderately resistant: it can survive well in dark places at low temperatures for several days | ||
| + | *Infection occurs through a '''penetrating bite''' in which virus is transmitted via '''saliva''' | ||
| + | *'''Incubation''' period is variable but can be long (10 days to 12 months), and increases with distance of the bite to the CNS | ||
| + | **80% show signs within 4 months | ||
| + | *Primary replication of the virus occurs in the '''muscle''' | ||
| + | *The virus gains access to nervous tissue and travels toward the '''brain''', where it continues to replicate | ||
| + | *It then migrates down cranial nerves to infect salivary glands and the cornea | ||
| + | *Virus is shed in '''saliva''' and '''tears''' and can be shed BEFORE the onset of classical signs | ||
| + | *The onset of clinical signs in dogs and cats includes: | ||
| + | **Behavioral changes | ||
| + | **Pyrexia | ||
| + | **Salivation | ||
| + | **Dilation of pupils | ||
| + | *Two forms of the virus exist: | ||
| + | **'''Furious''' form: | ||
| + | ***Common to cats and dogs | ||
| + | ***Abnormal aggression, salivation, and attack without provocation | ||
| + | ***Disordered wandering | ||
| + | ***Incoordination, convulsions, coma and death within 3-10 days | ||
| + | **'''Dumb''' form | ||
| + | ***May or may not follow Furious form | ||
| + | ***Common to ruminants and horses | ||
| + | ***Ruminal tympany, tenesmus, diarrhoea | ||
| + | ***Paralysis of lower jaw, drooling saliva, tremors and progressive paralysis | ||
| + | ***In dogs, a change in voice may be observed (bellowing) | ||
| + | *Human infection is characterized by '''hydrophobia''' | ||
| + | |||
| + | =Epidemiology= | ||
| + | *Rabies is a '''NOTIFIABLE''' zoonosis | ||
| + | *Rabies is found worldwide, though currently considered exotic to the UK and Australia | ||
| + | Host Range: | ||
| + | *All mammals are susceptible | ||
| + | **Very susceptible: foxes, jackals, wolves | ||
| + | **Susceptible (10,000x virus necessary to infect): cats, rodents, bats, skunks, cattle, mongooses | ||
| + | **Moderately susceptible (100,000x virus necessary to infect): dogs, sheep, goats, horses, primates | ||
| + | *Isolates can show to some species specificity in their reservoir host | ||
| + | Reservoir species by region: | ||
| + | {| style="width:60%; height:200px" border="1" align=center | ||
| + | !'''Region''' | ||
| + | !'''Reservoir Species''' | ||
| + | |- | ||
| + | |Europe | ||
| + | |Red fox | ||
| + | |- | ||
| + | |Russia, Turkey, Middle East | ||
| + | |Dog, Raccoon | ||
| + | |- | ||
| + | |USA | ||
| + | |Raccoon, Fox, Skunk | ||
| + | |- | ||
| + | |Africa | ||
| + | |Dog, Jackal, Mongoose | ||
| + | |- | ||
| + | |Asia | ||
| + | |Dog, Mongoose | ||
| + | |- | ||
| + | |South America | ||
| + | |Dog, Vampire bat | ||
| + | |- | ||
| + | |Worldwide | ||
| + | |Insectivorous Bats | ||
| + | |} | ||
| + | *The current position of DEFRA holds bat lyssaviruses to be present in the UK | ||
| + | *Human infection and death an occur after infection with bat rabies | ||
| + | **Nocturnal bat bites account for 50% of human cases in the USA | ||
| + | *Humans develop disease but excrete little virus | ||
| + | *Immune recovered animals are rare, but are not shown to be infections | ||
| + | |||
| + | =Diagnosis= | ||
| + | *'''Isolate''' and monitor for clinical signs | ||
| + | *In the field: | ||
| + | **Remove brain core sample via straw through occipital foramen in the direction of an eye | ||
| + | **Place contents in a 50% glyerol/PBS for FAT or virus isolation, or in 10% formaldehyde for histology | ||
| + | **Whole head can also be removed and sent to lab | ||
| + | *In the lab: | ||
| + | **'''Fluorescent Antibody Test (FAT)''' on smears or frozen sections of hippocampus or cerebellum should show presence of Negri bodies | ||
| + | ***Being replaced by testing for monoclonal antibodies to nucleoprotein | ||
| + | **Histological detection of Negri bodies using Mann's or silver stains | ||
| + | **Intracerebral inoculation of mice followed by FAT testing of brain smears of affected mice | ||
| + | **RT-PCR on brain or saliva can be performed to determine genotype | ||
| + | |||
| + | =Rabies Control= | ||
| + | *Antigenicity allows a single antigenic type to vaccinate | ||
Revision as of 21:45, 13 October 2008
| This article is still under construction. |
|
|
Introduction
Rabies is a neurological killer that has evolved a fool-proof technique of transmission, and it cleverly evades the species barrier to present a potent threat to mammalian life. While the simplicity of the virus insures its transmission, it also contributes to its weakness: its monoclonal antigenicity means that a single vaccination covers all strains of the disease. Though rabies is considered endemic in parts of the developed and undeveloped world, vaccination schemes have rendered the disease controllable to a satisfactory degree. Nonetheless, infection is still largely fatal and the disease should not be taken lightly.
Morphology
- Large, enveloped, negative-sense RNA virus
- Bullet-shaped with short glycoprotein spikes
Types and Subtypes
Two Genera:
- Lyssaviruses: 7 genotypes
- Genotype 1 is classical rabies
- Genotypes 2-7 more limited in distribution
- Genotype 4 infects insectivorous bats
- Vesiculoviruses are all exotic to the UK:
- Vesicular Stomatitis Virus
- Ephemeral Fever
- Fish Rhabdoviruses, such as viral hemorrhagic syndrome and infectious haematopoetic necrosis virus
Virulence and Pathogenesis
- Rabies is moderately resistant: it can survive well in dark places at low temperatures for several days
- Infection occurs through a penetrating bite in which virus is transmitted via saliva
- Incubation period is variable but can be long (10 days to 12 months), and increases with distance of the bite to the CNS
- 80% show signs within 4 months
- Primary replication of the virus occurs in the muscle
- The virus gains access to nervous tissue and travels toward the brain, where it continues to replicate
- It then migrates down cranial nerves to infect salivary glands and the cornea
- Virus is shed in saliva and tears and can be shed BEFORE the onset of classical signs
- The onset of clinical signs in dogs and cats includes:
- Behavioral changes
- Pyrexia
- Salivation
- Dilation of pupils
- Two forms of the virus exist:
- Furious form:
- Common to cats and dogs
- Abnormal aggression, salivation, and attack without provocation
- Disordered wandering
- Incoordination, convulsions, coma and death within 3-10 days
- Dumb form
- May or may not follow Furious form
- Common to ruminants and horses
- Ruminal tympany, tenesmus, diarrhoea
- Paralysis of lower jaw, drooling saliva, tremors and progressive paralysis
- In dogs, a change in voice may be observed (bellowing)
- Furious form:
- Human infection is characterized by hydrophobia
Epidemiology
- Rabies is a NOTIFIABLE zoonosis
- Rabies is found worldwide, though currently considered exotic to the UK and Australia
Host Range:
- All mammals are susceptible
- Very susceptible: foxes, jackals, wolves
- Susceptible (10,000x virus necessary to infect): cats, rodents, bats, skunks, cattle, mongooses
- Moderately susceptible (100,000x virus necessary to infect): dogs, sheep, goats, horses, primates
- Isolates can show to some species specificity in their reservoir host
Reservoir species by region:
| Region | Reservoir Species |
|---|---|
| Europe | Red fox |
| Russia, Turkey, Middle East | Dog, Raccoon |
| USA | Raccoon, Fox, Skunk |
| Africa | Dog, Jackal, Mongoose |
| Asia | Dog, Mongoose |
| South America | Dog, Vampire bat |
| Worldwide | Insectivorous Bats |
- The current position of DEFRA holds bat lyssaviruses to be present in the UK
- Human infection and death an occur after infection with bat rabies
- Nocturnal bat bites account for 50% of human cases in the USA
- Humans develop disease but excrete little virus
- Immune recovered animals are rare, but are not shown to be infections
Diagnosis
- Isolate and monitor for clinical signs
- In the field:
- Remove brain core sample via straw through occipital foramen in the direction of an eye
- Place contents in a 50% glyerol/PBS for FAT or virus isolation, or in 10% formaldehyde for histology
- Whole head can also be removed and sent to lab
- In the lab:
- Fluorescent Antibody Test (FAT) on smears or frozen sections of hippocampus or cerebellum should show presence of Negri bodies
- Being replaced by testing for monoclonal antibodies to nucleoprotein
- Histological detection of Negri bodies using Mann's or silver stains
- Intracerebral inoculation of mice followed by FAT testing of brain smears of affected mice
- RT-PCR on brain or saliva can be performed to determine genotype
- Fluorescent Antibody Test (FAT) on smears or frozen sections of hippocampus or cerebellum should show presence of Negri bodies
Rabies Control
- Antigenicity allows a single antigenic type to vaccinate