Neglected tropical diseases 4 Flashcards

(32 cards)

1
Q

What causes chagas disease?

A

parasitic protozoan–> Trypanosoma cruzi

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2
Q

Which organism spreads T. Cruzi?

A

Kissing bugs, triatomine bug

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3
Q

Where is chagas disease mainly seen?

A

Continental latin american countries

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4
Q

Non insect methods of chagas disease transmission?

A

Blood transfusion, oral, congenital

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5
Q

Two phases og chagas disease?

A

Acute and chronic

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6
Q

How is chagas disease prevented?

A

Insectisides and bed nets

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7
Q

How is chagas disease treated?

A

anti-parasitic medication, benznidazole and nifurtimox

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8
Q

Effectivity of chagas treatment over time?

A

Decreases over time

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9
Q

Three forms of T.Cruzi?

A

Trypomastigotes, amastigotes, epimastigotes

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10
Q

Replicative forms of T. Cruzi?

A

Epimastigotes and amastigotes

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11
Q

Where are epimastigotes found?

A

Insect midgur

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12
Q

Where are amastigotes found?

A

Mammalian cells

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13
Q

Where are trypomastigotes found?

A

Insect vector and bloodstream of human host

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14
Q

Features of trypomastigotes?

A

Non-proliferative but can infect new cells

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15
Q

Where do triatomine bugs usually bite?

A

Face/mouth

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16
Q

What happens after the triatomine bug bites on the face/mouth?

A

T.cruzi enters the human bloodstream via the wound site

17
Q

Where in the triatomine bug is T.Cruzi found?

18
Q

What happens to trypomastigotes after they have infected a cell near the bite wound?

A

They transform into an amastigote

19
Q

What happens once amastigotes are formed?

A

They multiply by binary fission in the cells of the infected tissue

20
Q

What causes localised swelling at the wound site of the T.cruzi infection?

A

Binary fission of amastigotes in the cells of the infected tissue

21
Q

What happens to amastigotes once they have replicated via binary fission?

A

They transform into trypomastigotes, and burst into the bloodstream

22
Q

What can trypomastigotes do once in the bloodstream?

A

Travel to new infection sites, where they transform into amastigotes b4 replicating again

23
Q

What occurs in the new infection sites?

A

Massive swelling

24
Q

What happens if another triatomine bugs bites someone infected with T.Cruzi?

A

It ingests t.cruzi

25
What happens to trypomastigotes once they enter the gut of the triatomine bug?
They transform into epimastigotes and multiply in the guts of the insect
26
Where do t.cruzi viruses transform from epimastigotes into trypomastigotes in the triatomine bug?
The hindgut
27
Pathogenesis of acute phase of chagas disease?
Fever, fatigue, body aches early on Romana's sign, chagomas, myocarditis later on
28
What is romanas sign?
Swelling on the eyelids, side of face near the bite would where the bug faeces were deposited and rubbed into the eye or wound site
29
What are chagomas?
Inflammatory nodules at the bite site caused by early T.Cruzi multiplication
30
What happens if the acute phase persists for longer than 8 weeks?
It enters the chronic phase
31
Presentation of chronic phase of chagas disease?
life threatening dilations of hert, nervous system and digestive system
32
What causes dilations of critical organs in chagas disease?