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VIRAL INFECTION - Faculty of Medicine

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Influenza Antigenic Changes• Antigenic Drift– Minor change, same subtype– Caused by point mutations in gene– May result in epidemicMechanism <strong>of</strong> theCytokine StormEvoked byInfluenza virus• Antigenic Shift– Major change, new subtype– Caused by exchange <strong>of</strong> gene segments– May result in pandemicInfluenza virus• Influenza• Avian influenza (Bird flu)• Mexico influenza or Swine influenza(2009 influenza)Influenza• Clinical feature:- rapid onset <strong>of</strong> fever, myalgia,headache, weakness, cough- progressive symptom 3-5 day- clinical subside 2 weeks• Complication: pneumonia, lunghemorrhage, hyaline membrane disease• Killed viral vaccineInfluenza• Self limited infection <strong>of</strong> upper airway,but can extending to lower air way• Destroy mucociliary function followedby secondary bacterial infectionAvian influenza (Bird flu)- Caused by influenza virus type A, H5N1- disease <strong>of</strong> bird, chicken, duck- transmitted to human by direct contactwith affected animals- virus dies from heat (70 ‘c)NORMAL TRACHEAL MUCOSALycke and Norrby Textbook <strong>of</strong> Medical Virology 19937 DAYS POST-<strong>INFECTION</strong>

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