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VIRAL INFECTION - Faculty of Medicine

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Intracytoplasmic inclusion bodies(molluscum bodies)PathogenesisPoliovirus infects oropharynx secreted in saliva andswallowMultiplies in intestinal mucosa and lymph nodesHematogenous spreadingInvade to CNS and replicate in spinal cord (spinalpoliomyelitis), or brain stem (bulbar poliomyelitis)* Virus destroys motor neuron in anterior horn <strong>of</strong>spinal cord or brain stem*PoliomyelitisCentral nervous system• Clinical features- flaccid paralysis- muscle atrophy- hyporeflexiaPoliovirus• Causes poliomyelitis• Transmitted by fecal-oral route• Most asymptomatic• 1/100 <strong>of</strong> infected patientsdisease(spinal poliomyelitis, bulbar poliomyelitis)Rabies virus• Cause <strong>of</strong> rabies (encephalitis)• Transmitted by saliva <strong>of</strong> dog or cat bites• Clinical:- malaise, headache, fever, dysphagiafallowed by period <strong>of</strong> acute neurologicsymptom including disorientation,hallucination, seizure, coma and deadfrom res. failure

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