Lecture 6 - Hemoflagellates Flashcards

1
Q

what is unique about the hemoflagellates T. cruzi and L. infantum

A

they initially infect the blood and migrate to organs

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2
Q

what is the form of hemoflagellates found in macrophages

A

amastigotes

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3
Q

what is the vector of Leishmania infantum

A

sandflies

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4
Q

summarize the infection of leishmania infantum in 7 steps

A
  1. sandfly takes up macrophages in blood meal and amastigote transforms to promastigotes
  2. replicates in fly midgut via binary fission
  3. promastigotes regurgitated before blood meal
  4. salivary transmission
  5. promastigote phagocytized by host macrophage
  6. disseminates through host
  7. asexual replication
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5
Q

what are the 4 ways leishmania is transmitted

A
  1. vector
  2. blood transfusion
  3. transplacental
  4. direct or perinatal
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6
Q

T/F: leishmania hurts the host through direct tissue damage and immune modulation

A

TRUE

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7
Q

what is produced by the immune system to clear a leishmania infection

A

CD4+ (cytokine secretions specifically)

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8
Q

if serology titers are ____ it is indicative of a severe leishmania

A

high

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9
Q

what are the clinical findings of Leishmania (from stages 1 to 4)

A
  1. dermal lesions
  2. lymphadenopathy
  3. hyperglobulinemia
  4. kidney disease (usually die from renal failure)
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10
Q

6 y/o foxhound presents with dry lesions surrounded in a ring of alopecia, uveitis, and indicators of non-regenerative anemia. what is your diagnosis

A

leishmania infantum

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11
Q

what tests help diagnose leishmania

A
  1. IFA or ELISA
  2. PCR
  3. amastigotes in cytology
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12
Q

what question should be asked if a dog presents with clinical symptoms similar to leishmania

A

travel history or origin of adoption

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13
Q

what is the control protocol for canine Leishmania

A
  1. vector control (preventatives)
  2. breeding control
  3. screen blood donors
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14
Q

what are the top 3 risk factors for leishmaniasis infection in the U.S.

A
  1. imported or have travel history from endemic countries
  2. US foxhounds (sometimes beagles and bassets)
  3. texas
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15
Q

a 7m/o cat recently adopted from Texas presents with dermal lesions on the ears. what is your diagnosis? Be specific

A

Leishmania mexicana

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16
Q

T/F: leishmania is NOT zoonotic

A

FALSE

17
Q

define stercorarian

A

fecal transmission in skin breaks

18
Q

how is T. cruzi transmitted

A
  1. vector (kissing bug)
  2. transplacental
  3. blood transfusion
  4. ingestion
19
Q

what kind of cells does T. cruzi have tropism for

A

cardiac

20
Q

describe the acute phase of T. cruzi

A

lymphadenopathy
febrile

21
Q

describe the latent phase of T. cruzi

A

asymptomatic

22
Q

describe the chronic phase of T. cruzi

A

gradual decline related to heart damage

23
Q

what is best to diagnose an acute phase infection? chronic?

A

acute = parasite detection via PCR
chronic = antibody detection (ELISA or IFA)