PARA HEMOFLAGELLATES Flashcards
Developmental Stages of Trypanosomes
Amastigote
Promastigote
Epimastigote
Trypomastigote
Developmental Stages of Trypanosomes wherein there is no flagella
Amastigote/ Leishmanial Form
Developmental Stages of Trypanosomes wherein there is flagella found in the front of nucleus
Promastigote/ Leptomonad Form
Developmental Stages of Trypanosomes wherein there is Flagella in center of the organism
Epimastigote/ Crithidial Form
Developmental Stages of Trypanosomes wherein the flagella originates at posterior end of the organism
Trypomastigote/ Trypanosomal Form
Etiologic agent of CHAGAS DISEASE or AMERICAN
TRYPANOSOMIASIS
Trypanosoma cruzi
intermediate host of Trypanosoma cruzi
TRIATOMINE BUGS/REDUVIID BUG
a small painful reddish nodule in Chagas Disease
CHAGOMA
unilateral periorbital edema in child
ROMAÑAS SIGN
infective stage of Trypanosoma cruzi
metacyclic trypomastigotes
*In humans:
- trypomastigotes are found in the ________________________
- while, amastigotes are found in the ______________________
bloodstream, tissue cells
*In the triatomine bug:
-epimastigote and promastigote are found in the _____________________
-metacyclic trypomastigote are found in the _________________
in the midgut, in hindgut
MODE of TRANSMISSION OF T. cruzi
o Feces from Triatomine/Reduviid Bug rubbed into bite wound
o Placental Transfer
o Blood Transfusion
DIAGNOSIS for T. cruzi
o C, U, or S-shaped trypomastigotes in
blood, CSF or lymph nodes
o Xenodiagnosis
o Serological Tests
Treatment for T. cruzi
Nifurtimox and Benznidazole
Causative agent of African Sleeping Sickness
Trypanosoma brucei
intermediate host of Trypanosoma brucei
TSETSE FLY (Glossina spp.)
acute infection of Trypanosoma brucei
EAST AFRICAN SLEEPING SICKNESS/ Rhodesian trypanosomiasis
EAST AFRICAN SLEEPING SICKNESS/ Rhodesian trypanosomiasis are typically found in _______________________
EAST and SOUTH Africa
chronic infection of Trypanosoma brucei
WEST AFRICAN SLEEPING SICKNESS/Gambian trypanosomiasis
Causative agent of East African Sleeping Sickness
T. brucei rhodesiense
Causative agent of West African Sleeping Sickness
T. brucei gambiense
WEST AFRICAN SLEEPING SICKNESS/Gambian trypanosomiasis are typically found in ________________________________
WEST and CENTRAL Africa
Earliest sign in African Trypanosomiasis
a local, hard, painful
lesion at the site of inoculation
CHANCRE
T. gambiense causes coma in ________________
6-12 months
T. rhodesiense causes coma in a ______________
month
both T. gambiense and T. rhodesiense cause _______________________
elevated IgM in serum and CSF
AKA Blood Flagellates
Trypanosomes
MOT through the vectors fecal material
Stercorarian
MOT through salivary glands of the vector
Salivarian
GAMBIAN TRYPANOSOMIASIS
o 1 ST yr of infection = trypanosomes in _________________; manifestation of rice
plums consistency of lymph nodes known as ______________________
o Beginning of 2nd yr = CNS involvement, inversion of sleep cycle, and hyperesthesia
a.k.a ______________
blood and lymphatics, WINTERBOTTOM’S SIGN, KERANDEL’S SIGN
in RHODESIAN TRYPANOSOMIASIS Death occurs within ________________________
weeks to months
DIAGNOSIS of Trypanosomiasis
o Trypomastigotes in blood, lymph, or CSF
o Best sample = CSF
o Serologic tests
Diagnostic method for identifying LEISHMANIAS
tissue biopsy and serological methods
AKA tissue flagellates
Leishmania
Leishmania intermediate host
Old World Sandfly (Phlebotomus spp.)
Leishmania can be transmitted through
congenitally, through blood transfusion, by contamination of bite wounds, or by contact.
amastigotes released will invade new cells:
*L. tropica – ________________________________
L. donovani– _________________
L. braziliensis – _______________________
in lymphoid tissue of skin, in visceral organs, in skin and mucous membranes
Localized intracellularly in skin macrophages and histiocytes
Leishmania tropica
Causes Oriental sore or Cutaneous leishmaniasis, Oriental boil, or Baghdad or Delhi boil.
Leishmania tropica
Causes Espundia or Mucocutaneous Leishmaniasis
Leishmania braziliense/ Leishmania braziliensis
highly disfiguring leprosy-like tissue destruction and swelling is known as “_____________________”.
Tapir Nose
Lesions caused by this parasite resemble those of cutaneous leishmaniasis. Later,
however, even after several decades, metastatic spread to the oronasal and
pharyngeal mucosa may occur, causing highly disfiguring leprosy-like tissue
destruction and swelling
Leishmania braziliense/ Leishmania braziliensis
Causes Dumdum fever, Kala-azar, or Visceral Leishmaniasis. This is characterized by
double spiking chills and fever daily.
Leishmania donovani
causes Enlargement of spleen and liver occurs
Leishmania donovani
Leishmania donovani Amastigote spreads to viscera, multiplies in _____________________
macrophages in liver and spleen