Leishmania Flashcards

1
Q

Hemoflagellate

A

Single-celled parasite that moves by means of tail-like extensions that RESIDES IN BLOOD AND TISSUE

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2
Q

Parasitemia

A

Infection in the blood

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3
Q

Kinetoplast

A

Specialized region of the mitochondria that contains DNA

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4
Q

Blepharoplast

A

Microtubule-based organelle that assemblies cilia and flagella

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5
Q

Where are hemoflagellate parasites located?

A

Blood and tissue

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6
Q

True or false:
Transmission is vector borne

A

True

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7
Q

What are the 4 forms of Hemoflagellate morphology?

A
  1. Amastigote
  2. Promastigote
  3. Epimastigote
  4. Trypomastigote
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8
Q

Where are amastigotes typically found in humans?

A

Tissue, muscle, and CNS

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9
Q

Where are trypomastigotes typically found in humans?

A

Peripheral blood.

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10
Q

What are the morphologic forms of Hemoflagellates based on?

A
  1. Shape
  2. Presence/absence of a flagellum
  3. Presence and length of undulating membrane
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11
Q

What do you sample for a labaratory diagnosis of Hemoflagellate infection?

A

Peripheral blood, lymph node and ulcer aspirations, tissue bioposies, bone marrow, CSF

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12
Q

What are the symptoms of Leishmania?

A
  1. small red papule at bite site
  2. itching
  3. fever
  4. diarrhea
  5. death
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13
Q

True or False:
The life cycle of Leishmania involves a mammalian host and an arthropod host.

A

True

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14
Q

What arthropod is responsible for Leishmania?

A

Sand fly

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15
Q

Where can Leishmania parasites be found?

A

Macrophages and other phagocytic cells in tissues.

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16
Q

What are the 3 diseases Leishmania can manifest into?

A
  1. Cutaneous leishmaniasis (CL)
  2. Mucocutaneous leishmaniasis (MCL)
  3. Visceral leishmaniasis (VL)
17
Q

What os the life cycle of Leishmania?

18
Q

What are the clinical symptoms of Leishmaniasis?

A
  1. Oriental sore, Baghdad or Delhi boil
  2. Small red papule at bite site
  3. Painless nodule
  4. Pus-containing ucler
19
Q

Where can the organism be found during an infection?

A

Organism is found only in the living tissue at the raised margin of the lesion.

  • necrotic tissue found in depressed center.
20
Q

How can you prevent and control Leishmaniasis?

A
  1. Control sand fly and reservoir host populations
  2. Use protective equipment
21
Q

True or False:
Sandflies bite at any time of day.

A

False, they bite during the morning, late in the evening, and at night.

22
Q

What is the laboratory diagnosis for Leishmaniasis?

A

Samples are taken from the margin of an active ulcer. A giemsa-stain will be done to look for amastigotes underneath ulcer fluid and ulcer tissue for promastigotes.

23
Q

What Leishmania species is responsible for MCL?

A

L. braziliensis

24
Q

What is the epidemiology of L. braziliensis?

A

Central and South America ( New World)

25
What are the 3 reservoir hosts for L. braziliensis?
Forest rodents, domestic dogs, various rainforest animals
26
What is the mode of transmission for Mucocutaneous Leishmaniasis?
Sand fly injects parasite into human.
27
What is the infective stage for humans?
Promastigotes
28
What are the clinical symptoms for Mucocutaneous leishmaniasis?
Large ulcera in nasal or oral mucosa that may result in permanent disfigurement of face if untreated.
29
What is the specimen of choice for diagnosing Mucocutaneous leishmanias?
Amastigotes
30
What is the epidemiology for L. donovani?
Northern India , Nepal, and South America.
31
What is the life cycle of L. donovani? (Visceral Leishmaniasis)
32
What are the clinical symptoms of Visceral Leishmaniasis?
Early stages resemble malaria or typhoid fever. 1. Hepatosplenomegaly 2. Diarrhea 3. Anemia 4. Kidney damage 5. Darkening of the skin.
33
How does Visceral Leishmaniasis manifest its disease?
Incubation period ranging from 2 weeks to 18 months. * Chronic cases - possible death in 1-2 years * Acute disease - lethal in weeks
34
What is the name of the unique organelle found in leishmania and trypanosomes?
35
Define "vector" and name the vector of leishmania.
36
Which cells to leishmania parasites infect in the human host?
Macrophages
37
Where does the amastigote develop into the metacylic promastigote?