Spread via blood stream (Viraemia) to other tissues
Some viruses can spread to distant sites
Virus reaches blood via lymphatic system
Primary viraemia (clinically silent – increases virus levels allowing infection of distant organs)
Secondary viraemia (virus replication in other organs leads to high concentrations of virus in circulation)
Infection spreads to more sites
Allows entry and exit routes from host to differ
Usually have longer incubation period (more severe pathology)
Greater involvement of adaptive immune responses and IgG