00:00 / 00:00
Viral structure and functions
Hepatitis B and Hepatitis D virus
Epstein-Barr virus (Infectious mononucleosis)
Herpes simplex virus
Human herpesvirus 6 (Roseola)
Human herpesvirus 8 (Kaposi sarcoma)
Varicella zoster virus
BK virus (Hemorrhagic cystitis)
JC virus (Progressive multifocal leukoencephalopathy)
Poxvirus (Smallpox and Molluscum contagiosum)
Lymphocytic choriomeningitis virus
Hepatitis C virus
West Nile virus
Yellow fever virus
Human parainfluenza viruses
Respiratory syncytial virus
Hepatitis A and Hepatitis E virus
Human T-lymphotropic virus
Eastern and Western equine encephalitis virus
Prions (Spongiform encephalopathy)
0 / 15 complete
0 / 3 complete
[RARE] Rabies in a human
Rabies Symptoms and Animals
Rabies virus, formally called Rabies lyssavirus, affects the central nervous system and causes encephalitis, or acute inflammation of the brain.
It’s a viral infection transmitted by infected animals, like dogs and bats, and once symptoms develop, it’s usually fatal.
The rabies virus is part of the rhabdoviridae family of viruses.
All rhabdoviruses are single-strand RNA viruses surrounded by a helical capsid, or a helix-shaped protein layer, all within a distinct bullet-shaped outer envelope, which is covered in glycoprotein spikes.
They’re also negative sense RNA viruses, which means that before it can be used to make proteins their genetic material has to be transcribed into mRNA.
And these viruses carry their own RNA polymerase to do just that.
To understand how rabies works, first let’s look at the human nervous system.
The nervous system is divided into the central nervous system, so the brain and spinal cord, and the peripheral nervous system, which includes all the nerves that connect the central nervous system to the muscles and organs.
Neurons, the main cells of the nervous system, have nerve fibers that extend out from the neuron cell body- these are either dendrites that receive signals from other neurons, or axons that send signals along to other neurons.
Where two neurons come together is called a synapse, and that’s where one end of an axon releases neurotransmitters, further relaying the signal to the dendrites or directly to the cell body of the next neuron in the series.
Some synapses allow neurons to relay signals to other types of cells, like the neuromuscular junction where motor neurons innervate muscle cells by releasing the neurotransmitter acetylcholine.
Acetylcholine binds to nicotinic receptors on the muscle cell membrane, which are ion channels that open when acetylcholine binds to them; and they allow positive ions like sodium and calcium to cross the cell membrane, triggering a muscle contraction.
The rabies virus is a single-strand RNA virus from the rhabdovirus family, known to affect the nervous system of mammals, including humans. The rabies virus is transmitted by animal saliva, particularly from wildlife in developed countries and dogs in developing countries. After a bite from an infected animal, the virus travels in neurons in a retrograde fashion from the peripheral nervous system to the brain. After a long incubation period, the virus causes symptoms like fever and paresthesia, followed by encephalitic rabies, which causes hydrophobia, overactivation of the autonomic nervous system, aggressive behavior, and ascending paralysis. Post-exposure treatment involves wound cleaning, passive immunization, and a vaccine. When the symptoms appear before treatment is given, the virus becomes fatal.
Latest on COVID-19
Nurse Practitioner (NP)
Physician Assistant (PA)
Create custom content
Raise the Line Podcast
Copyright © 2024 Elsevier, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Cookies are used by this site.
Terms and Conditions
USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.