Coronavirus disease 2019 (COVID-19) - Structure
Origin - City of
Wuhan, Hubei Province, Central China
In early December 2019, numerous people with unknown causes of pneumonia
were observed in Wuhan City, Hubei
Province, Central China. Then, scientists studied the genome of the virus and
named 'coronavirus disease 2019 (COVID-19), caused by the severe acute
respiratory syndrome coronavirus 2 (SARS-CoV-2).
The primary (main) site of infection- The virus was identified in the respiratory tract of the patients
Structure - SARS-CoV-2 is an
enveloped, non-segmented, positive-sense RNA virus that is within
the sarbecovirus, ortho corona virinae subfamily found in humans, and
other mammals. It's about 65-125nm in diameter, containing single strands of
RNA and provided with crown-like spikes on the outer surface.
Structurally, it has four main proteins
- Spike
(S) glycoprotein
- Small
envelope (E) glycoprotein
- Membrane
(M) protein
- Nucleocapsid
(N) protein
Each protein has its own function. for example, S glycoprotein is found
in the outer portion of the virus, and it binds with the host (human/animal)
through angiotensin-converting enzyme 2
(ACE2) expressed in lower respiratory tract cells.
Mode of transmission -
1. Direct inhalation of infected droplets (produced
during coughing or sneezing by infected person) and direct contact with
surfaces and fomites soiled by infected respiratory secretions
2. Special situations associated with aerosol generation (cardiopulmonary resuscitation, endotracheal intubation, open suctioning, bronchoscopy, nebulisation and use of non-invasive ventilation) can lead to aerosol generation and spread
Duration - On
the surfaces maybe a few hours to a few days; the survival duration is likely
to be considerably low at a higher temperature and low humidity conditions, but
debatable.
Symptoms - Fatigue, fever, dry cough, myalgia (muscle pain) and dyspnoea (difficulty in breathing), with less common symptoms being nasal congestion, headache, runny nose, sore throat, vomiting and diarrhoea.
Diagnosis - The virus in the respiratory specimen (nasopharyngeal and oropharyngeal swab/ endotracheal secretions or bronchoalveolar lavage) by using specific RT-PCR
Reference-
1. Coronavirus envelope protein: current
knowledge. Virol J. 2019;16:69
2.Coronavirus disease 2019
(COVID-19): current status and future perspectives
3.COVID-19 in Children: Clinical Approach and
Management
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