Hepatitis
A
Hepatitis
E
Norwalk virus
Astro virus
Rota virus
100

How are these viruses transmitted?


Fecal-oral route (contaminated food or water, close personal contact).

100

How are these viruses transmitted?


Fecal-oral route, primarily via contaminated water, especially in resource-limited areas.


100

Are there rapid diagnostic tests available?

Enzyme Immunoassays (EIAs)

100

Can Astrovirus be cultured in laboratory settings?

No, Astrovirus cannot be routinely cultured in standard laboratory cell lines, limiting its diagnosis to molecular and antigen-based methods.

100

Can Rotavirus be cultured in laboratory settings?

Rotavirus can be cultured in specific cell lines (e.g., MA104 cells), though molecular methods like RT-PCR are more commonly used for diagnosis.

200

What specimens are required for diagnosis?

Stool samples,Blood samples

200

What are the main diagnostic methods?

Detect IgM anti-HEV for acute infection and IgG anti-HEV for past infection or immunity.

200

What are other diagnostic methods?


Electron Microscopy (EM): Visualizes viral particles in stool (used rarely).


Genotyping: Helps identify Norovirus strains during outbreak

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200

How long does an Astrovirus infection usually last?

Astrovirus infections generally last between 2 to 4 days.

200

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300

Liver Function Tests (LFTs)


Elevated levels of ALT and AST

300

Can these viruses be cultured in the lab?

Difficult to culture; diagnosis relies on serology and molecular methods.


300

Are blood tests used for Norovirus diagnosis?

No, blood tests are not typically used, as the virus does not cause systemic infection.

300

What is the typical age group affected by Astrovirus?

Astrovirus primarily affects young children, the elderly, and immunocompromised individuals.

300

Are vaccines available for Rotavirus?

Yes, there are vaccines available, such as Rotarix and RotaTeq, which are used to prevent Rotavirus infections in infants.

400

Why does Hepatitis A not cause chronic liver disease despite being a hepatotropic virus?

Hepatitis A virus (HAV) is non-cytopathic, and liver damage results from the immune response, not persistent infection, preventing chronicity.

400

Which genotype of Hepatitis E is zoonotic?

Genotypes 3 and 4 are zoonotic, transmitted from animals like pigs and deer to humans.

400

How does genotyping of Norovirus assist in epidemiological investigations?

Genotyping helps identify specific Norovirus strains, such as GII.4, allowing for the tracking and source identification during outbreaks.


400

What are the major genotypes of Astrovirus, and how do they influence diagnostic strategies?


Major human Astrovirus genotypes (e.g., GI.1, GII.1) vary in genetic sequence, necessitating the use of specific primers and probes in RT-PCR to accurately detect and differentiate strains in clinical settings.


400

What are the main complications associated with Rotavirus infection?

The main complications include dehydration, electrolyte imbalances, and, in severe cases, hospitalization or death if not treated promptly.


500

Why is Hepatitis A more common in children but often asymptomatic in this age group?

Children's immune systems respond less aggressively to HAV, leading to mild or asymptomatic infections, whereas adults mount a stronger immune response, causing more severe symptoms.

500

Why is Hepatitis E particularly dangerous in pregnant women?

Hepatitis E can lead to fulminant hepatic failure, with mortality rates up to 25% in the third trimester due to hormonal and immunological changes.

500

What is the typical incubation period for Norovirus infection before symptoms appear?

The incubation period for Norovirus infection is typically between 12 to 48 hours.

500

How does the asymptomatic shedding of Astrovirus affect outbreak control and diagnosis?

Asymptomatic shedding of Astrovirus in infected individuals complicates outbreak control and diagnosis, as even those without symptoms can transmit the virus to others.

500

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