Leishmania Donovani Flashcards
Characteristic if leishmania
Obligated intracellular parasites
Disease caused by L donovani
Visceral leishmaniasis also called kala azar
Also post kala azar dermal leishmaniasis PKDL
The amastigote forms is also called
LD body
Amastigote characteristics in Giesma or wright’s stain
Pale blue cytoplasm. Red nucleus next to red or purple kinetoplast
Definitive and intermediate host?
Mammal: definitive
Vector: intermediate
Pathogenesis of kala azar
Affect liver, spleen, reticuloendothelial system, bone marrow, RBC destruction, affects Kupffer cells but not hepatocytes
Clinical features of kala azar
Severe Anemia
Hepatomegaly
Splenomegaly
Leucopenia
Thrombocytopenia
Cachexia ( weakness, wasting)
Epistaxis
PKDL
Non ulcerative lesions on the skin
Kala azar causes production of what antibodies
IgG igM
Lymph node aspirate is useful in
African kala azaR, not indian
Treatment of kala azar
Pentavalent antimonial compounds (sodium stibogluconate)
Amphotericin B deoxycholate in antimonial resistance
Amphotericin B