W28-L4: Malaria Flashcards

1
Q

Where is the global burden of P. falciparum?

A

Africa mainly

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2
Q

Where is the global burden of P. vivax?

A

Mainly in Central America and asia

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3
Q

Why doesn’t P. vivax affect africa much?

A

african populations have genetic protection against these species

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4
Q

Who is at greatest risk of malaria?

A

Young children and pregnant women

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5
Q

What communities does malaria affect most?

A

Resource poor communites

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6
Q

What is the life cycle of malaria?

A

incubate in liver for 7-10 days, released as merozoites and infect RBC, replicate in bloodstream, liver stage is completely asymptomatic

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7
Q

Does malaria have animal reservoirs?

A

No

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8
Q

When in the lifecycle is the disease of malaria present?

A

Blood stage

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9
Q

What are clinical features of uncomplicated malaria?

A

Flu like illness with fever headaches

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10
Q

What are the clinical features of severe malaria?

A

Severe anaemia, cerebral complications, respiratory distress

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11
Q

What is the treatment of mild malaria?

A

Short course of effective anti-malarial tablets

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12
Q

What is the treatment of severe malaria?

A

Antimalarias IV, IV fluids, intensive care

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13
Q

What causes the development of malaria illness

A

Unrestricted replication of malaria in the bloodstream

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14
Q

What are the three types of malaria immunity?

A
  1. Prevents severe malaria
  2. Prevents any malaria
  3. Prevents malaria in pregnancy
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15
Q

What are reasons for slow development of immunity to malaria?

A

Parasite and host factors

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16
Q

What are the important immune cells in response to malaria?

A

T and B cells to produce antibodies and CD 4 and 8 responses

17
Q

What is the immune response to sporozoites?

A

Antibodies that inhibit the infection of hepatocytes

18
Q

What is the immune response to the liver stage of malaria?

A

CD 8 T cells against infected hepatocytes

19
Q

To which stage is the bulk of the immune response in malaria?

A

Blood stage

20
Q

What is immune response in the blood stage

A

Cell mediated: CD 4+ (RBC have no MHC so no CD 8)

Antibodies: To merozoites and infected RBCs