Trypanosomiasis

Содержание

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Introduction The name is derived from Greek word, trypano means (borer)

Introduction

The name is derived from Greek word,
trypano means (borer)
soma

means (body)
They are unicellular flagellate protozoa.
Have spiral like motion.
Need more than one host to complete its life cycle.
Often transmitted by a vector.
Generally found in intestine, but some time found in blood stream or in heart.
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Trypanosoma

Trypanosoma

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Morphology of trypanosome

Morphology of trypanosome

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African Trypanosomiasis (Sleeping Sickness)

African Trypanosomiasis (Sleeping Sickness)

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The parasites Belong to a group of closely related trypanosomes in

The parasites

Belong to a group of closely related trypanosomes in

the Trypanosoma brucei species complex. Three morphologically indistinguishable species are recognized:
T. brucei infects game animals/livestock (causes nagana)
T. rhodesiense causes E. African trypanosomiasis
T. gambiense causes W. and Central African sleeping sickness
(Some authors consider these as subspecies: T. brucei brucei, T. b. rhodesiense, T. b. gambiense.)
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T. rhodesiense causes E. African trypanosomiasis T. gambiense causes W. and Central African sleeping sickness Distribution

T. rhodesiense causes E. African trypanosomiasis
T. gambiense causes W. and Central African sleeping

sickness

Distribution

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Trypanosoma brucei species

Trypanosoma brucei species

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Transmission A bite from an infected tsetse fly causes African trypanosomiasis.

Transmission

A bite from an infected tsetse fly causes African trypanosomiasis.
Blood transfusions

are a rare cause of parasitic transmission.
In rare cases, accidental transmission in the laboratory has been implicated.
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Life cycle

Life cycle

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Pathogenesis

Pathogenesis

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Clinical presentation Incubation period may be from few days to weeks.

Clinical presentation

Incubation period may be from few days to weeks.
The

first clinical manifestation of African trypanosomiasis chancre occurs at the site of inoculation .
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Clinical presentation

Clinical presentation

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Diagnosis

Diagnosis

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Diagnosis General Anemia, hypergammaglobulinemia, low complement levels, elevated ESR, thrombocytopenia, hypoalbuminemia,

Diagnosis

General
Anemia, hypergammaglobulinemia, low complement levels, elevated ESR, thrombocytopenia, hypoalbuminemia, but not

eosinophilia or abnormal liver function.
The total IgM level is higher in blood and CSF.
A definitive diagnosis of infection requires actual detection of trypanosomes in blood, lymph nodes, CSF, skin chancre aspirates, or bone marrow.
However, symptomatic improvement after empiric treatment is the usual confirmatory test in areas where diagnostic studies are not readily available.
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Imaging Studies CT scanning and MRI of the head: Both head

Imaging Studies

CT scanning and MRI of the head: Both head CT

scanning and MRI reveal cerebral edema and white matter enhancement, respectively, in patients with late-stage African trypanosomiasis.
EEG in neurologic involvement usually shows slow wave oscillations (delta waves), a nonspecific finding
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Treatment

Treatment

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American Trypanosomiasis ( Chagas Disease)

American Trypanosomiasis ( Chagas Disease)

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Distribution

Distribution

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Morphology

Morphology

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Transmission

Transmission

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Life cycle

Life cycle

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Transmission

Transmission

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Pathogenesis

Pathogenesis

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Pathogenesis

Pathogenesis

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Diagnosis

Diagnosis

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Diagnosis (Xenodiagnosis)

Diagnosis (Xenodiagnosis)

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Diagnosis

Diagnosis

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Clinical presentation Chronic stage. In chronic stage these parasites reside in

Clinical presentation

Chronic stage.
In chronic stage these parasites reside in heart

and midgut, and some time in hind gut causing giantism of the midgut.
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Clinical presentation Gigantism of midgut

Clinical presentation

Gigantism of midgut

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Treatment

Treatment