WLA VA:COVID19: Difference between revisions

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==Background==
==Introduction==
* Disease name = COVID-19
* Virus = SARS-CoV-2 (previously 2019-nCoV


=== Virology ===
* Coronaviruses are a common human pathogens (discovered in the1960s to cause the common cold).
** During epidemics, they are the cause of up to one-third of community-acquired upper respiratory tract infections in adults; may cause diarrhea in infants and children as well)
* SARS-CoV-2 is a novel coronavirus (a new strain not previously identified in humans)
** Likely primary source = bats
** A betacoronavirus in the same subgenus as the severe acute respiratory syndrome (SARS) virus
** Receptor-binding gene region is very similar to that of the SARS coronavirus (uses angiotensin-converting enzyme 2 [ACE2] for cell entry)
** Middle East respiratory syndrome (MERS) virus, another betacoronavirus, appears more distantly related
* Viral survival time of SARS-CoV-2:
** Stainless steel: persists for 3 hours (or longer)
** Underscores the importance of environmental cleaning / disinfection
*** Cleaning gets rid of the proteins that would interfere with a disinfectants effectiveness
** Note: studied in a simulated lab environment. Lab virions not covered in protein and mucus and other things that would mimic real life and that could prolong survival


==Clinical Features==
==Clinical Features==

Revision as of 01:52, 18 March 2020

Introduction

  • Disease name = COVID-19
  • Virus = SARS-CoV-2 (previously 2019-nCoV

Virology

  • Coronaviruses are a common human pathogens (discovered in the1960s to cause the common cold).
    • During epidemics, they are the cause of up to one-third of community-acquired upper respiratory tract infections in adults; may cause diarrhea in infants and children as well)
  • SARS-CoV-2 is a novel coronavirus (a new strain not previously identified in humans)
    • Likely primary source = bats
    • A betacoronavirus in the same subgenus as the severe acute respiratory syndrome (SARS) virus
    • Receptor-binding gene region is very similar to that of the SARS coronavirus (uses angiotensin-converting enzyme 2 [ACE2] for cell entry)
    • Middle East respiratory syndrome (MERS) virus, another betacoronavirus, appears more distantly related
  • Viral survival time of SARS-CoV-2:
    • Stainless steel: persists for 3 hours (or longer)
    • Underscores the importance of environmental cleaning / disinfection
      • Cleaning gets rid of the proteins that would interfere with a disinfectants effectiveness
    • Note: studied in a simulated lab environment. Lab virions not covered in protein and mucus and other things that would mimic real life and that could prolong survival

Clinical Features

Differential Diagnosis

Evaluation

Management

Disposition

See Also

External Links

References