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STRUCTURE: ss (-) RNA, helical capsid, enveloped, bullet-shaped.
Transcriptase, RNA-dependent RNA Polymerase is present.
REPLICATION: Cytoplasmic.
Primary transcription ------> genome replication ------> more transcription and translation occur post-replication.
Nucleocapsids bud through host cell-membrane to form new particles.
EPIDEMIOLOGY:
Racoons are the most common animal carrier today.
Bats are most common carrier in U.S. to actually result in infection.
Also skunks, wild mammals, and unvaccinated domestic mammals.
DIAGNOSIS: Look for Negri bodies in the animal tissue.
MANIFESTATIONS:
PATHOGENESIS:
Virus replicates in striated muscle at site of bite. Then it travels up nerve endings to spinal cord and brain.
Virus hooks to Acetylcholine receptors at neuromuscular junction.
Symptoms: Fatal encephalitis. Hypertonic muscle contraction, convulsions, coma, death.
Hydrophobia happens as swallowing would precipitate a spasm of throat muscles.
TREATMENT: No treatment known.
PREVENTION: Post-exposure immunization, both passive and active, should be given prophylactically in cases of possible infection.
Human Rabies Immune Globulin (HRIG) administered on same day as first vaccine dose, but at a different site.
Human Diploid Cell Vaccine (HDCV) is the new active vaccine (inactivated virus), grown in human diploid fibroblast cells. Given in 6 doses.
Category: Microbiology Notes
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