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Hemoflagellates, Malaria
Hemoflagellates, Malaria & Babesia sp.
98
Medical
Undergraduate 4
03/13/2009

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Term
Hemoflagellates found in blood and tissues
Definition
Trypanosoma
Term
Hemoflagellates found in tissue macrophages
Definition
Leishmania
Term
Diagnostic and infective stage of Trypanosoma
Definition
Trypomastigote seen in blood smears
Term
Diagnostic stage of Leishmania
Definition
Amastigote, known as LD bodies, found in macrophages from clinical specimens
Term
Cause of malaria
Definition
Plasmodium
Term
May be confused with early ring forms of Plasmodium
Definition
Babesia
Term
Causative agent of West African sleeping sickness
Definition
Trypanosoma brucei gambiense
Term
Vector for Trypanosoma brucei gambiense and Trypanosoma brucei rhodesiense
Definition
tsetse fly
Term
Reservoir hosts of Trypanosoma brucei gambiense
Definition
cattle, sheep, hogs and humans
Term
Where are trypomastigotes found in late infection of West African sleeping sickness and East African sleeping sickness?
Definition
Central nervous system and lymph nodes
Term
Trypanosoma brusei gambiense trypomastigotes are highly pleomorphic- what does this mean?
Definition
Many different shapes/forms in the same blood smear. They may be long and slender with long flagellum or short and fat with no flagellum
Term
Symptoms of West African sleeping sickness with lymph node involvement
Definition
headaches, malaise, weight loss, remittent fevers, Winterbottom's sign, rash, and increase in serum and CSF IgM.
Term
enlargement of lymph nodes in posterior cervical region is called-
Definition
Winterbottom's sign
Term
causative agent of East African sleeping sickness
Definition
Trypanosoma brucei rhodesiense
Term
Reservoir hosts for Trypanosoma brucei rhodesiense
Definition
wild animals
Term
Which infection is more severe and rapidly fatal, West or East African sleeping sickness?
Definition
East African sleeping sickness is more severe
Term
Winterbottom's sign indicates infection of...
Definition
sleeping sickness. Found in Trypanosoma brucei gambiense infection. May be absent from Trypanosoma brucei rhodesiense.
Term
Causative agent of Chagas' disease, also known as American trypanosomiasis.
Definition
Trypanosoma cruzi
Term
Vector for Trypanosoma cruzi
Definition
reduvid bug, also known as kissing bug
Term
Diagnostic stage of Trypanosoma cruzi
Definition
amastigotes found in macrophages of heart muscle and CNS as LD bodies; trypomastigotes found in blood smear
Term
Infective stage of Trypanosoma cruzi
Definition
trypomastigotes in feces of vector
Term
Method of infection for Trypanosoma cruzi
Definition
Reduvid bug bites and fecally contaminates wound. Transmission may also occur congenitally, or through blood transfusions and organ transplants.
Term
Trypomastigote that characteristically assumes a C or U shape in stained blood smears
Definition
Trypanosoma cruzi
Term
chagoma
Definition
an erythematous subcutaneous nodule seen most frequently on the face; caused by reduvid bug bite and infection with Trypanosoma cruzi
Term
Romana's sign
Definition
unilateral edema of eyelids and conjunctivitis caused by infection of Trypanosoma cruzi through mucosa surrounding eye.
Term
Acute symptoms of Trypanosoma cruzi infection
Definition
After 2-3 weeks, include high fever, myocarditis, hepatosplenomegaly, erythematous rash, edema of feet, legs and face; possible CNS involvement
Term
Serological testing for Trypanosoma cruzi
Definition
ELISA, complement fixation
Term
Causative agent of Old World cutaneous leishmaniasis
Definition
Leishmania tropica complex
Term
Separation into Leishmania tropica major and Leishmania tropica minor is based on-
Definition
clinical, cultural, epidemiologic and immunologic differences
Term
Oriental sores are caused by..?
Definition
Leishmania tropica complex
Term
Diagnostic stage of Leishmania tropica
Definition
amastigotes in macrophage of skin lesion
Term
Vector for Leishmania tropica
Definition
sand fly
Term
infective stage of Leishmania tropica
Definition
promastigote which multiplies in gut of sand fly
Term
Wet or rural cutaneous leishmaniasis
Definition
Leishmania tropica major
Term
Dry or urban cutaneous leishmaniasis
Definition
Leishmania tropica minor
Term
Reservoir hosts of Leishmania tropica major
Definition
gerbils and rodents
Term
Reservoir hosts for Leishmania tropica minor
Definition
dogs and rats
Term
Clinical disease includes firm, painless papule that develops at the site of the insect bite
Definition
Leishmania tropica
Term
Icubation period of Leishmania tropica major
Definition
2 weeks
Term
Incubation period of Leishmania tropica minor
Definition
2 months to 3 years
Term
Papules are moist and covered with a serous exudate; ulcerate rapidly; usually found on lower limbs
Definition
L. tropica major
Term
lesion is dry; ulceration occurs after several months; papules usually located in facial area
Definition
L. tropica minor
Term
What is the Montenegro skin test and what is it used for?
Definition
delayed hypersensitivity reaction to a suspension of killed promastigotes administered intradermally; used to diagnose Leishmania tropica infection
Term
Specimen of choice for diagnosing Leishmania tropica
Definition
aspirate or biopsy taken from the base of the papule
Term
Definitive diagnosis of Leishmania tropica infection is made from-
Definition
demonstration of amastigotes in tissues or promastigotes in culture
Term
Causative agents of New World cutaneous leishmaniasis also known as mucocutaneous leishmaniasis
Definition
Leishmania braziliensis complex and Leishmania mexicana complex
Term
Geographic location of New World cutaneous leishmaniasis (L. braziliensis and L. mexicana)
Definition
South and central America, Yucatan peninsula and southern Texas
Term
Vector for Leishmania braziliensis and Leishmania mexicana
Definition
sand fly
Term
Diagnostic stage for Leishmania braziliensis and Leishmania mexicana
Definition
amastigotes in macrophages of aspirates and biopsies from margin of lesion
Term
Infective stage of Leishmania brazieliensis and Leishmania mexicana
Definition
promastigote
Term
Diagnosis of Leishmania braziliensis and L. mexicana is similar to diagnosis of...
Definition
Leishmania tropica complex
Term
Chiclero ulcer
Definition
Development of nodules which resemble leprosy; found in Leishmania mexicana complex infection
Term
Causes single or multiple lesions similar to other cutaneous leishmaniasis. Untreated lesions can spread matastatically to the nasal or oral mucosa
Definition
Leishmaniasis braziliensis complex
Term
What infection results in progressive ulceration and erosion of mucosal linings?
Definition
Leishmania braziliensis complex
Term
Visceral leishmaniasis, Kala azar, death fever and Dum-dum fever are all names for an illness caused by what organism?
Definition
Leishmania donovani complex
Term
What is the vector for Leishmania donovani complex?
Definition
Sand fly
Term
Geographical location of Leishmania donovani complex
Definition
India, Africa, Europe, Asia, the Mediterranean, Central and South America
Term
Infected cells of reticuloendothelial system can be found throughout the body in spleen, liver and bone marrow in what infection?
Definition
Leishmania donovani complex
Term
Infections in which a sand fly bites a person and regurgitates promastigotes
Definition
Leishmania donovani complex, Leishmania tropica complex, Leishmania braziliensis complex, Leishmania mexicana complex
Term
Kala azar or black sickness
Definition
Darkening of facial, hand, feet, and abnormal skin is often seen in light colored persons in India, caused by Leishmania donovani complex
Term
What two organs are enlarged in Leishmania donovani complex infection?
Definition
liver and spleen
Term
Death results from complications such as septicemia, pneumonia, or bacillary/amebic dysentery in this infection
Definition
Leishmania donovani complex
Term
Specimens used to check for Leishmania donovani complex
Definition
liver biopsy, bone marrow, and buffy coat preparations; tissue obtained by splenic puncture
Term
Marked increase in IgG and IgM is present in what infection?
Definition
Leishmania donovani complex
Term
What causes malaria?
Definition
Plasmodium
Term
Benign Tertian Malaria
Definition
Plasmodium vivax
Term
Tertian Malaria
Definition
Plasmodium ovale
Term
Quartan Malaria
Definition
Plasmodium malariae
Term
Malignant Tertian Malaria/ Blackwater fever
Definition
Plasmodium falciparum
Term
Vector for all four Plasmodium species
Definition
female Anopheles mosquito
Term
What disease is usually associated with traveling in tropical areas?
Definition
Malaria
Term
Diagnostic stages of Plasmodium
Definition
trophozoite, schizont with merozoites, merozoites from ruptured schizont. Seen on Giemsa or Wright-stained blood smears collected prior to fever spike.
Term
Life cycle of Plasmodium
Definition
Sexual cycle, Asexual cycle, Erythrocytic phase, Exoerythrocytic phase
Term
Which Plasmodium stage occurs primarily in the liver?
Definition
Exoerythrocytic phase
Term
Infective stage of Plasmodium
Definition
sporozoites injected from salivary gland of mosquito
Term
Plasmodium Accole forms
Definition
masses at periphery of RBC. ("joined together")
Term
Plasmodium trophozoite with vacuole in middle; vacuole pushes nuclear chromatin to one side forming a ringed structure
Definition
Ring forms of Plasmodium
Term
mature stage of Plasmodium
Definition
schizont
Term
nuclear segments walled off by cytoplasm in schizont; RBC bursts and releases these to infect new cells
Definition
merozoites
Term
sporozoites of P. ovale and P. vivax in resting stage in liver; when active cause a relapse years later
Definition
Hypnozoites
Term
fine red granules in cytoplasm of P. vivax and P. ovale
Definition
Schuffner's dots
Term
Dark red, wedge-shaped markings in P. falciparum
Definition
Maurer's dots
Term
pale pink dots in cytoplasm of P. malariae
Definition
Ziemann's stippling
Term
Which Plasmodium species has Duffy negative immunity?
Definition
P. vivax
Term
Which Plasmodium species can have two or three rings per cell?
Definition
P. falciparum
Term
Which two Plasmodium species infect young RBC's, causing them to become enlarged?
Definition
P. vivax and P. ovale
Term
Which Plasmodium species infects old RBC's?
Definition
P. falciparum
Term
Which Plasmodium species has a banana or crescent shaped gametocyte and double dotted chromatin rings like headphones?
Definition
P. falciparum
Term
In which Plasmodium species do red blood cells containing the troph stage have ragged, fimbriated edges?
Definition
P. ovale
Term
Which Plasmodium species has Hemoglobin S, G6PD deficiency immunity?
Definition
P. falciparum
Term
What is the "maltese cross"?
Definition
The tetrad formation of Babesia species
Term
Distribution of Babesia?
Definition
worldwide
Term
What organism is a parasite of domestic wild animals, particularly dogs and cattle?
Definition
Babesia
Term
Vector for Babesia
Definition
Tick
Term
Diagnostic stage of Babesia
Definition
trophs in Giemsa or Wright-stained blood smears
Term
Infective stage of Babesia
Definition
sporozoites from tick
Term
Why is Babesia sometimes confused with Plasmodium?
Definition
It looks similar to early ring forms of malarial parasites, particularly P. falciparum
Term
Symptoms of Babesia infection
Definition
malaise, headache, chills, sweating, fatigue and weight loss.
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