Leishmania Flashcards

1
Q

Where are amastigote forms found in humans?

A

Liver, spleen, bone marrow, and peripheral blood.

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2
Q

Where are promastigote forms found?

A

Gut of sandfly and in laboratory cultures.

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3
Q

How is Leishmaniasis transmitted?

A

By the bite of infected sandflies.

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4
Q

What happens after the promastigotes enter the host?

A

They convert to amastigotes, multiply, and rupture macrophages.

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5
Q

What causes Visceral Leishmaniasis (Kala azar)?

A

Leishmania donovani.

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6
Q

What causes Mucocutaneous Leishmaniasis?

A

Leishmania brazilensis.

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7
Q

What causes Cutaneous Leishmaniasis (Oriental sore)?

A

Leishmania tropica.

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8
Q

What are the possible outcomes of Leishmaniasis infection?

A

Sub-clinical infection, recovery (immune to reinfection), or death.

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9
Q

What organs are affected in Visceral Leishmaniasis (VL)?

A

Bone marrow, liver, and spleen.

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10
Q

List common symptoms of VL.

A

Fever, hepatosplenomegaly, anemia, cachexia, and skin pigmentation.

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11
Q

When does it develop?

A

<2 years after recovery from Kala Azar.

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12
Q

What are the skin manifestations?

A

Depigmented macules, papules, or nodules.

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13
Q

What characterizes Cutaneous Leishmaniasis?

A

Skin sores resembling a volcano with a raised edge and central crater.

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14
Q

What is a common outcome of these sores?

A

Scarring and disfigurement, especially on the face.

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15
Q

How does Mucocutaneous Leishmaniasis occur?

A

When a cutaneous lesion spreads to mucous membranes like the nose or mouth.

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16
Q

Is this type common in the Middle East?

A

Rarely associated with Leishmania tropica in the Middle East.

17
Q

What are the methods for diagnosing Leishmaniasis?

A

Microscopy, culture, immunological methods, and indirect tests.

18
Q

What specimens are used for demonstration of amastigotes?

A

Splenic aspirate, liver biopsy, bone marrow, FNAC, and skin sections.

19
Q

How can Leishmaniasis be prevented?

A

Suppressing the reservoir (e.g., dogs, rodents) and the vector (sandflies).

20
Q

What is the treatment for Cutaneous Leishmaniasis?

A

Surgical excision, cautery, freezing, laser, or systemic therapy like Pentostam.

21
Q

What is the drug of choice for Visceral Leishmaniasis?

A

Liposomal amphotericin-B (AmBisome®).