Quiz 7 - Granger - Malaria Flashcards

1
Q

The pathogen in malaria is what?

A

Protozoan

  • Mosquito transmission
  • Anopheles

*Single host is: humans

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2
Q

Malaria is associated with what environment?

A

Swampy areas

-Mal-Air

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3
Q

T/F - Malaria infection can be lethal.

A

TRUE

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4
Q

Malignant (dangerous) malaria is from what species?

A

Anopheles spp.

-Plasmodium falciparum

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5
Q

Who is at risk for death from malaria?

A

6 months to 6 years

Non-immune adults

Pregnant women

Emigrants returning from home visits

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6
Q

US cases of malaria?

A

1727 in 2013

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7
Q

Severe malaria occurs in?

A

Sickle cell trait in children

Denizens of endemic areas

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8
Q

Look up life cycle of malaria

A

Do it

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9
Q

Knob structures in RBCs are found with what spp.?

A

Plasmodium falciparum

-These are very, very lethal, like 100% lethal

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10
Q

What are the benefits to the parasite of sequestration?

A

Evade spleen clearance

Low pH that favors replication
-Also, high pCO2

Leads to enormous parasite mass in severe malaria

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11
Q

T/F - Severe malaria is distinct form septic shock.

A

TRUE

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12
Q

What is the triad of malaria lethality?

A

Acidosis

Coma

Anemia

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13
Q

T/F - Affected tissues may not present symptoms and signs.

A

TRUE

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14
Q

What are the two main sites of sequestration?

Others?

A
  • Brain
  • Retina

Others:

  • Mesentery
  • Viscera
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15
Q

What is the three pronged approach for combating malaria in the world?

A

Insecticide impregnated bed nets

Residual insecticide spraying

Pre-emotive tx with ACT
-ACT - Artemisinin-based combo therapy)

Cost?

  • Philanthropists
  • Lack of acquired immunity in increasingly older individuals
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16
Q

Prevention for travelers?

A

Prophylaxis with anti-malarials

  • Weekly, daily
  • Toxicity

Mosquito repellant w/ DEET

Permethrin-impregnated bed nets

Permethrin-treated clothing

17
Q

Management of malaria.

A

IV or oral, depends on severity

WHO recommends:

  • Artemisinin derivatives
  • Quinine or quinidine