Which one of the following is a classic example of a latent viral infection, in which the virus can remain dormant in the body and reactivate later?

Difficulty: Easy

Correct Answer: Cold sores

Explanation:


Introduction / Context:
Viruses can cause a wide variety of infections in humans. Some infections are acute, meaning they occur quickly and then are cleared from the body. Others can become latent, where the virus hides in certain cells and can reactivate after months or years. Understanding the difference between acute and latent infections is important in virology and medicine. This question asks you to identify a well known example of a latent viral infection.



Given Data / Assumptions:

  • We are asked for an example of a latent viral infection.
  • The options include influenza, mumps, cold sores, smallpox, and chickenpox.
  • Latent infection means the virus can remain in the body in a dormant state and reactivate later, often causing recurrent symptoms.
  • We assume typical clinical patterns for these common viral diseases.


Concept / Approach:
Cold sores are caused mainly by herpes simplex virus type 1. After the first infection, the virus travels along sensory nerves and becomes latent in nerve ganglia. Under stress, fever, or immune weakening, the virus can reactivate, travel back to the skin or mucous membranes, and cause recurrent cold sores at the same site. Influenza and mumps generally cause acute infections that are cleared from the body. Smallpox has been eradicated by vaccination and did not typically show classical latency with frequent reactivation. Chickenpox virus (varicella zoster) can become latent and later cause shingles, but the exam favourite for straightforward latent infection of the lips is cold sores.



Step-by-Step Solution:
Step 1: Recall the definition of latent viral infection: virus persists in host cells without producing active disease for long periods. Step 2: Identify herpes simplex virus as a major latent virus that causes cold sores in and around the mouth. Step 3: Understand that once a person is infected, the virus hides in nerve ganglia and can reactivate repeatedly. Step 4: Recognise that influenza infections are acute respiratory illnesses that the immune system usually clears completely. Step 5: Note that mumps and smallpox are also acute infections and are not classically known for typical latency with recurrent episodes in the same individual. Step 6: Conclude that cold sores represent the clearest example of a latent viral infection among the given options.


Verification / Alternative check:
Medical microbiology texts describe herpes simplex virus infections as prototypical latent infections. Cold sores, also called fever blisters, are repeatedly mentioned as classic examples of recurrent disease due to viral reactivation. While varicella zoster virus can also show latency and reactivate as shingles, the question focuses on simple and familiar examples; hence cold sores are often selected in general knowledge questions.



Why Other Options Are Wrong:
Influenza: Usually causes acute flu with fever and respiratory symptoms and is cleared by the immune system rather than establishing long term latency. Mumps: A viral disease that mainly affects salivary glands, typically acute and self limiting, without classic latent reactivations. Smallpox: A severe but acute viral infection now eradicated; it does not commonly present as a latent, reactivating infection. Chickenpox: Caused by varicella zoster virus which can remain latent, but the more textbook specific example for simple latent mouth lesions is cold sores.


Common Pitfalls:
Students often confuse any disease that can occur again in a population with latency in an individual. Re infection by a new virus strain is different from reactivation of the same virus in one person. It is also easy to mix up chickenpox and cold sores since both involve herpes family viruses. To avoid errors, remember that cold sores are directly linked with herpes simplex virus latency in nerve cells, making them a textbook example of latent infection.



Final Answer:
The correct answer is Cold sores.

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