Trypanosomiasis and Leishmaniasis Infections Flashcards

(32 cards)

1
Q

what type of organism is responsible for trypanosoma and leishmania

A

kinetoplastida

the haemoflagellates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is a kinetoplast

A

unicellular

single flagellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the 3 parasites that cause african trypanosomiasis

A

t congolense

t vivax

t brucei brucei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the most important hosts of african trypanosomiasis

A

cattle

infect pigs sheep and goats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how does african trypanosomiasis spread

A

tsetse flies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the pathology of african trypanosomiasis

A

Muscle tissue degeneration of edema and wasting

Myocarditis

Anemia (low PCV)

Less production (milk & meat)

Chancre at bite site

Fatal if not treated

Splenomegaly

Hepatomegaly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what happens to the muscle tissue with trypanosoma

A

muscle wasting

edema

myocarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how is trypanosoma diagnosed

A

thick blood film – microscopy

giemsa stained blood smear

concentration of buffy coat – smear

species specific PCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the significance of skin dwelling trypanosoma

A

Can live in the skin without obvious blood parasites

Can be transmitted from the skin as tsetse flies feed not only on blood but also lymph and interstitial fluid

Skin is an important reservoir

To improve diagnosis must include the skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how is trypanosoma treated

A

Samorin and Berenil

Expensive

Increasing resistance

35million doses/year

Highly toxic

Many poor quality counterfeits and frequent misuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how are tsetse flies controlled using insecticides

A

Pour on

Aerial spraying

Expensive

Environmental issues

Insecticide resistance

Lack of specificity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what disease does t equiperdum cause

A

dourine covering disease

variant of t brucei

sexually transmission

inflammation of external genital areas, skin lesions and paralysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what disease does t evansi cause

A

surra in camels and horses

fever, weakness and lethargy, weight loss and anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

which variant of trypanosoma is zoonotic

A

t brucei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the early and late stages of human africa trypanosomiasis

A

early: parasite in blood/lymph symptoms often confused with malaria
late: parasite in blood/lymph and CSF neuro disturbances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the variant of trypanosoma that causes chagas disease

17
Q

what are the signs of chagas disease

A

Chronic

  • Weakness
  • Exercise intolerance
  • Increased heart rate
  • Abnormal heart rhythms
  • Fluid accumulation

Acute

  • Fever
  • Lethargy
  • Diarrhea
  • Loss of appetite
  • Swollen lymph nodes
  • Enlarged liver or spleen
  • Seizures
  • Sudden death
18
Q

what is the vector of chagas

A

kissing bugs

triatomine bug

19
Q

how is chagas treated

A

in humans benznidazole and nifurtimox

but in animals ?

20
Q

what leishmania species cause cutaneous leishmaniasis

A

l tropica

l major

l mexicana (new world)

21
Q

what leishmania species cause mucoutaneous leishmaniasis

A

l braziliensis

22
Q

what leishmania species cause visceral leishmaniasis

23
Q

what is the spectrum of leishmania cutaneous disease

A

long term ulceration and bite site

24
Q

what is the spectrum of leishmania mucoucutaneous disease

A

development of cutaneous leishmaniasis to mucosal tissue

25
what is the spectrum of leishmania visceral disease
parasite leave incoulation site and grows in liver, spleen most severe form of disease
26
how is leishmaniasis transmitted
sandflies
27
what is the lifecycle of leishmaniasis
Metacyclic enters bloodstream Invades macrophages and becomes amastigote Amastigote replicates Amastigotes burst host cell and re invade uninfected phagocytic cells Infected macrophages taken up by sandfly Transform to promastigote and divide Migrate to proboscis and attach to epithelial cells Transform to metacyclics (not attached)
28
what does visceral leishmaniasis cause
loss of hair, skin ulceration, wasting
29
how is lieshmaniasis diagnosed
Clinical signs are not totally specific Detection of parasites in lesions/lymph node/bone marrow biopsies ELISA to detect antibodies (low sensitivity) PCR based on biopsies or lesion material Long pre-patent period \>6 months
30
what is the importance of leishmaniasis in the UK
Zoonosis Cases now being seen Due to re-homing from endemic regions Pet travel scheme No vector so not transmitted
31
what is the importance of leishmaniasis in north america
Only found in foxhounds and hunting dogs Rare in companion animals Risk of blood transmission to owners and family Rare imported cases Limited to Eastern and Southern states No known vectors Transmission by cuts and transplacentally?
32
how is leishmaniasis treated and prevented
Long prepatent period — months to years Treatment with meglumine antimonate and/or allopurinol Not 100% curative and frequent relapses Require annual follow up blood tests Put down Issues with transmission to humans Insecticide collars Vaccine available for dogs over 6 months