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NOTES

NOTES
ARENAVIRIDAE

MICROBE OVERVIEW
Taxonomy ▪ Enveloped in lipid membrane with
▪ Zoonotic virus family glycoprotein spikes
▫ Associated with hemorrhagic fevers, ▫ Lipids in membrane → inactivation
meningoencephalitis susceptibility by organic solvents/
▪ Comprises > 20 viruses detergents
▪ Groups ▫ Also inactivated by temperatures >
55°C/131°F, ↑ ↓ pH, UV light, gamma
▫ Old World viruses (e.g. lymphocytic
irradiation
choriomeningitis virus, Lassa, Lujo)
▫ New World viruses (e.g. Junin, Machupo) Transmission
▪ Reservoir
Morphology
▫ Rodents shed virus in urine, feces,
▪ Single-stranded RNA virus
saliva, nasal secretion
▪ Ribosomes produce sand-like granular
▪ Transmission
appearance under electron microscopy
▫ Ingestion, direct contact, aerosolized-
▫ Latin: arena = sand
particle inhalation → entry into cell by
▪ Shape varies: pleomorphic–spherical GP1 glycoprotein attachment to cellular
receptors → systemic dissemination

LYMPHOCYTIC CHORIOMENINGITIS
VIRUS (LCMV)
osms.it/LCMV

inhalation, transplacentally (infected


PATHOLOGY & CAUSES mother → fetus)
▪ Post-transmission → 7–14 days incubation
▪ Arenavirus → replication in lungs → hematogenous
▫ Causes febrile illness with central dissemination → strong neurotropism
nervous system (CNS) involvement, (infects meninges, choroid plexus,
congenital infection ventricular ependyma)
▪ Reservoir
▫ Mice (M. musculus/M. domesticus); RISK FACTORS
occasional human disease outbreak
▪ Infected rodent contact; dwelling/working in
related to pet hamster/guinea pig
rodent habitats
▪ Transmission
▪ ↑ risk in substandard housing (e.g.
▫ Ingestion, aerosolized-particle mobile homes, inner-city housing), barns/

OSMOSIS.ORG 325
outbuildings
▪ Peak incidence: autumn, winter
DIAGNOSIS
LAB RESULTS
COMPLICATIONS ▪ Cerebrospinal fluid (CSF)
▪ Encephalitis, aseptic meningitis ▫ ↑ lymphocytes, ↑ protein, ↓ glucose,
▪ Transplacental infection: spontaneous negative Gram stain
abortion, neonatal neurologic deficits,
chorioretinitis, seizures, periventricular Microbe identification
calcifications, hydrocephalus, microcephaly ▪ Viral culture, polymerase chain reaction
▪ Rarely: orchitis, parotitis, myocarditis (PCR)

Serology
SIGNS & SYMPTOMS ▪ ↑ antibody titer (IgM, IgG)

▪ May be asymptomatic/mild flu-like


symptoms
TREATMENT
▪ Prodrome: headache (retro-orbital), nausea,
OTHER INTERVENTIONS
vomiting
▪ Meningitis: fever, rigors, malaise, myalgia, Prevention
arthralgia anorexia, photophobia ▪ Rodent control
▪ Encephalitis: focal seizures, cranial nerve
palsies, papilledema

326 OSMOSIS.ORG

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