Life cycle Leishmania spp. Flashcards

1
Q

What is the classification of Leishmania spp.?

A

Intracellular protozoa in the category flagellates

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2
Q

How is leishmania spp transmitted?

A

Blood meal of a sandfly on a human host

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3
Q

What are the life cycle steps of leishmania spp. in the human host?

A
  1. Infected sandfly bites the host takes a bloodmeal and injects promastigote stage into the skin. This is the infective stage of Leishmania
  2. Promastigotes which are flagellated are phagocytized by macrophages or other types of mononuclear phagocytic cells. A phagocyte is an immune cell that specializes in ingulfing and destroying foreign particles. A phagolysosome is a cytoplasmic structure inside the phagocytes that possesses several degradative properties such as a low pH.
  3. Promastigotes can not survive in the harsh environment of the lysosomes so they differentiate into amastigotes form. This is the tissue stage and are non-flagellated. Promastigotes and amastigotes differ in cell membrane. The amastigotes cell membrane allows it to survive the harsh environment of the phagolysosomes.
  4. Amastigotes multiply by asexual replication in cells of various tissues and infect other cells
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4
Q

What are the lifecycle steps of Leishmania spp. in the sandfly?

A
  1. When a sandfly takes another blood meal it ingests macrophages infected with amastigotes.
  2. Through the ingested macrophages the sandfly has ingested a parasitized cell
  3. Amastigotes transform into promastigote stages in the gut of the sandfly.
  4. These cells will develop and divide further in the gut and migrate to the proboscis of the sandfly
  5. The life cycle starts all over again
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5
Q

What type of life cycle does Leismania spp. have?

A

Indirect life cycle

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6
Q

What is the definitive and or intermediate host of leismania spp?

A

Both Human and Sandfly are intermediate hosts

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7
Q

Can Leismania spp. survive without the host?

A

It’s an obligated parasite so it’s unable to survive without the host

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8
Q

What are reservoirs of Leishmania spp?

A

Humans. Or small rodents, dogs, gerbils. Can become chronic parasite that helps the parasite survive within them.

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9
Q

What causes Leismania infection to have symptoms and what is the incubation time?

A

The parasite resides in macrophages or mononuclear phagocytic cells. Amastigotes can multiply here and rapture the cell or infect other macrophages. This causes immunodeficiency and can cause to death.

Incubation time is between 2 weeks to 6 months or even years

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10
Q

What types of clinical outcomes are caused by leismania?

A

Cutaneous leishmaniasis in the skin
Visceral leishmaniasis in the organs
Muccosal leishmaniasis in the mucous membranes

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11
Q

What are the symptoms of visceral leismaniasis?

A

fever, weight loss and enlarged spleen and liver. Some patients have swollen glands and certain blood tests are abnormal

95% mortality rate

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12
Q

Which species of Leismania cause cutaneous leishmaniasis?

A

L. Major

L. Tropica

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13
Q

Which species of Leismania cause visceral leishmaniasis?

A

L. Infantum

L. Donovani

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14
Q

What species of Leismania causes mucosal leishmaniasis?

A

L. Braziliensis

L. aethiopica

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15
Q

Where is visceral leishmaniasis mostly found?

A
India
Bangladesh
Nepal
Sudan
Brazil
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16
Q

What is the endemic region for all Leishmania species?

A

Tropics and subtropics. Rain forests in central and South America to deserts in west Africa

17
Q

What methods are used to diagnose Leishmania spp infection?

A

Microscopy
Isoenzyme analysis
Serology
Molecular diagnosis

18
Q

How is microscopy for Leishmania done?

A

Visualizing amastigotes through giemsa and hematoxylin and eosin (H&S) stains