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Definition
Malaria Diagnosis: symptomology/epidemiology; blood smear; antibody test, PCR (Plasmodium vivax most deadly) Exo-erythrocytic cycle - liver (latent) Erythrocytic cycle - blood cells (active) Sporogonic cycle - mosquito (reproductive) |
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Babesia microti & B. divergens |
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Babesiosis Diagnosis: symptomology/epidemiology; blood smear (look for tetrad); antibody test, past- xenodiagnosis Erythrocytic cycle - blood cells sporogonic cycle - mosquito |
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Leishmaniasis Diagnosis: symptomology/epidemiology; blood smear; biopsy of skin lesions Cutaneous (blood cells) Mucocutaneous (mosquito) Visceral |
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African Sleeping Sickness (West Africa - T.b. gambiense - slow) (East Africa - T.b. rhodiensience - fast) Diagnosis: symptomology/epidemiology; visualize in blood, CSF, or lymph; serology (high IgM titers) Trypanosoma cruzii (Texas, C/S America) |
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Intestinal nematode - round worm - 20-30 cm Ascariasis Diagnosis: fecal exam (eggs); sputum exam (larvae); eosinophilia 1/4 of the planet population infected 45% of Latin America; 95% of Africa |
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Ancyclostoma duodenale & Necator americanus |
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Definition
Intestinal nematodes - hook worms - 1 cm Diagnosis: fecal exam (eggs); sputum exam (larvae); eosinophilia |
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Intestinal nematode - thread worm - 2 mm Diagnosis: fecal exam/string test (larvae); sputum exam (larvae); eosinophilia |
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Trichuris trichuria & Enterobius vericularis |
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Definition
Intestinal nematode - whip and pin worms - 1-5 cm Diagnosis: fecal exam (eggs); scotch tape test for E.v.; no eosinophilia (no tissue invasion) |
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Intestinal nematode - round worm - 1-3 mm Trichinosis Diagnosis: biopsy (cysts); serology; serum muscle enzymes (increased CPK levels); eosinophilia |
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Blood/tissue nematodes - Guinea worms - 100 cm Diagnosis: visualize looped worm; remove via stick rotated through loop on a daily basis (caduceus) |
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Blood/tissue nematode - dog hook worm - 1 cm Diagnosis: biopsy leading edge of rash |
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Blood trematode - fluke - 1 cm Diagnosis: visualize eggs in feces or urine; ultrasound of liver; eosinophilia |
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Taenia saginata and T. solium |
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Definition
Intestinal cestodes - tape worms - 2-10m Diagnosis: fecal exam (eggs or proglottids); eosinophilia |
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