Malaria Flashcards

1
Q

def

A

parasitic infection caused by protozoa: plasmodium

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2
Q

how many forms of plasmodium are there

A

5

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3
Q

what is the most life threatening form of plasmodium

A

plasmodium falciparum

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4
Q

how is malaria transmitted

A

female anophelos mosquito

rarely blood or organ transplant

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5
Q

where is malaria common

A

africa

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6
Q

who is most susceptible to malaria

A

children and pregnant women

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7
Q

what causes malaria

A

protozoa from genus plasmodium

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8
Q

what are the 5 forms of plasmodium in malaria

A
p falciparum (worst)
p vivax
p ovale
p malariae
p knowlesi
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9
Q

which are the most common forms of plasmodium

A

p falciparum

p vivax

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10
Q

where is p falciparum commonly found

A

africa

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11
Q

where is p vivax commonly found

A

asia

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12
Q

where does plasmodium go after entering the blood stream

A

hepatocytes

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13
Q

aetiology

A

female anopheles mosquito injects malaria sporozoites which enter hepatocytes
reproduction by asexual fission occurs which creates thousands of merozoites which enter the blood and causes rupture of RBCs releasing toxins
toxins induce release of cytokines from macrophages causing symptoms of malaria

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14
Q

risk factors

A

travel to endemic area (africa or asia)
inadequate chemoprophylaxis
pregnant women or children

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15
Q

features of malaria

A

Hx with risk factors for malaria (travel to endemic area, inadequate prophylaxis, non insecticide treated bed)
Hx of risk factors for severe disease (immunosuppression, pregnant, child)

fever is very common
additionally non-specific symptoms such as headache, weakness, myalgia, arthalgia, loss of appetite, diarrhoea

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16
Q

what is the gold standard investigation for malaria

A

giemsa thick and thin blood smears

17
Q

what is are you looking for with thick and thin blood smears

A

asexual form - trophozoite

sexual form - gametocytes

18
Q

what is the benefit of thick blood smears

A

more sensitive for detection of parasites

19
Q

what is the benefit of thin blood smears

A

identification and calculation of parasitaemia (for severity)

20
Q

what suggests severe malaria

A

jaundice
confusion
altered consciousnes