malaria Flashcards
What are the main types of plasmodium causing malaria
P. Falciparum and P. vivax
What organs are predominately affected in malaria
Brain, lungs and placenta
What is the difference in global distribution of P. Falciparum and P. Vivax
Falciparum - mostly central Africa
Vivax - mostly South America and Indonesia
Outcomes of malaria during pregnancy
Low birth weight
Still births
Miscarriage
Which type of plasmodium causes the most disease and which has a dormant liver stage
Most disease - falciparum
Liver stage - vivax
Which type of plasmodium can cross species infect
P. knowlesi
Explain the life cycle of malaria
Sporozoites Injected by Mosquitos –> travels to the liver where they replicate for 7-10 days –> burst out of the hepatocytes as merozoites –> infect red blood cells –> replicate to huge numbers = disease –> parasite becomes sexual form –> taken up again by Mosquitos
Malarial disease is only during which stage of infetion
Blood stage
Is malaria carried in female or male Mosquitos
Female
What are the symptoms of mild uncomplicated malaria
Flu like symptoms - fever, headache and malaise
What are the three main complications of severe malaria
Severe anaemia
Cerebral complications
Respiratory distress and metabolic acidosis
What are the cerebral complications of severe malaria
Convultions
Coma
Long term neurological deficits
What is the treatment for mild malaria
Short course of anti malarial tablets
Need extra drug (primaquine) if infected with P. vivax
What is the treatment of severe malaria
Anti malarials Blood transfusion if required IV saline Supportive treatment Anticonvulsants and anticoagulants if needed
What is the run of the mill anti malarial drug
Artemisinin