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Created page with 'thumb|right|150px|''Trypanosoma cruzi'' - CDC/Dr. Myron G. Schultz [[Image:T.cruzi in monkey heart.jpg|thumb|right|150px|''T. cruzi'' in monkey heart - …'
[[Image:Trypanosoma.jpg|thumb|right|150px|''Trypanosoma cruzi'' - CDC/Dr. Myron G. Schultz]]
[[Image:T.cruzi in monkey heart.jpg|thumb|right|150px|''T. cruzi'' in monkey heart - Dr. L.L. Moore, Jr.]]
[[Image:T.cruzi Life cycle.jpg|thumb|right|150px|''T. cruzi'' Life Cycle Diagram - Wikimedia Commons]]
[[Image:Triatoma infestans.jpg|thumb|right|150px|''Triatoma infestans'' the Kissing bug - WHO Wikimedia Commons]]
[[Image:Chagas endemic zones 2005.jpg|thumb|right|150px|Chagas endemic zones 2005 - Wikimedia Commons]]
[[Image:Ndama.jpg|thumb|right|150px|N'dama - Trypanotolerant West African Bos taurus - Wikimedia Commons]]
*Protozoal parasites found in the blood and tissues of vertebrates

*Worldwide distribution

*Causes sleeping sickness in humans

*Particularly seen in sub-Saharan Africa
**Affects cattle production
**Causes Nagana (Wasting disease)

*Divided into two groups depending on the mode of development in the insect vector
**'''Salivarian'''
***Multiply in the foregut and proboscis
***Transmitted via inoculation during feeding
***Transmitted by [[Glossinidae|''Tsetse'' flies]]
***Also known as '''anterior station development'''
**'''Stercorarian'''
***Multiply in the hindgut
***Infective form migrates to the [[Rectum - Anatomy & Physiology|rectum]]
***Transmitted via contamination of wounds with insect faeces
***Also known as '''posterior station development'''

*All ''Trypansomes'' except for ''T. equiperdum'' have arthropod vectors
**''T. equiperdum'' is a venereally transmitted disease

*'''Non-cyclical''' transmission can also occur
**Mechanical transmission
**Transferred by interrupted feeding from one host to another
**Usually transmitted by [[Biting Flies|biting flies]], e.g. [[Tabanidae|''Tabanidae'']] and [[Stomoxys calcitrans|''Stomoxys'']]

'''Recognition'''
*Elongated, spindle shaped protozoa

*Between 8 and 39 μm in length

*Flagellate
**Flagellum runs the length of the body attached to the pellicle which forms an undulating membrane

*Kinetoplast present which contains the DNA of the single mitochondrion

'''Life Cycle'''
*Undergo morphological transformations in intermediate host before becoming infective for the next host

*Blood-sucking [[Biting Flies|flies]] ingest trypanosomes whilst taking a blood meal from an infected animal
**Trypanosomes multiply first in the gut of the [[Biting Flies|fly]]

*Salivarian trypanosomes are transmitted by [[Glossinidae|Tsetse flies]]
**Trypanosomes pass forward to the salivary glands where they transform into the infective stage
**Inoculated with saliva when [[Glossinidae|Tsetse fly]] next feeds on a host

*Stercorarian trypanosomes are transmitted by triatomid bugs, [[Tabanidae|tabanids]] and [[Biting Flies#Melophagus spp.|keds]]
**Trypanosomes pass back to the rectum
**Next host is infected when skin wounds are contaminated with infected [[Insecta|insect]] faeces

'''Pathogenesis'''
*Salivarian
**Causes wasting disease in cattle (nagana)
**Sleeping sickness in humans

*Stercorarian
**''T. cruzi'' most important in veterinary medicine
***Occurs in South America
***Infects armadillos, possums and humans
***Causes Chagas' Disease
**Transmitted by a triatomid (kissing) bug
**Chronic infections are often fatal causing heart failure
**Non-pathogenic species are transmitted by [[Tabanidae|tabanids]] and [[Melophagus spp.|keds]]
***''T. theileria'' and ''T. melophagium''

*Enlarged [[Lymph Nodes - Anatomy & Physiology|lymph nodes]] and [[Spleen - Anatomy & Physiology|spleen]]
**Causes lymphoid exhaustion
**Associated with plasma cell hypertrophy and hypergammaglobulinaemia
***Due to an increase in [[Immunoglobulin M - WikiBlood|IgM]]
**With infections of increased duration, the [[Lymph Nodes - Anatomy & Physiology|lymph nodes]] and [[Spleen - Anatomy & Physiology|spleen]] shrink due to exhaustion of their cellular elements

*Anaemia
**Red blood cells are removed from circulation ('''haemolytic''')
**Is a cardinal feature of the disease

*Degeneration and inflammation of multiple organs
**E.g. Skeletal muscle, myocardium and CNS

'''Clinical Signs'''
*In ruminants:
**Anaemia
**Enlargement of the [[Lymph Nodes - Anatomy & Physiology|lymph nodes]]
**Progressive loss of body condition
**Fever and appetite loss occur during parasite peaks
**Chronic disease usually terminates in death of the animal if untreated
**Can cause abortion, infertility and decreased growth in herds

*In horses:
**Acute or chronic infections of ''T. brucei''
**Oedema of the limbs and genitalia

*In pigs:
**''T. congolense'' infections are mild or chronic
**''T. simiae'' infections are hyperacute usually leading to death from pyrexia in a few days

*In dogs and cats:
**''T. brucei'' and ''T. congolese''
**Acute infections
**Fever, anaemia, myocarditis, corneal opacity
**Occasionally neurological signs present, such as increased aggression, ataxia and convulsions

*In donkeys:
**''T. brucei'' in [[Protozoal Skin Infections - Donkey|skin infections]]

'''Epidemiology'''
*Vector distribution
**[[Glossinidae|Tsetse flies]] found in riverine, savannah and forest habitats
**Up to 20% [[Biting Flies|flies]] infected
**[[Biting Flies|Flies]] infected for life

*Parasite virulence
**Some parasitaemic animals survive for long periods of time
***E.g. ''T. brucei'' and ''T. congolense''
***Increases the opportunity for infection of [[Biting Flies|flies]]
**Some trypanosomes kill their host in 1-2 weeks
***E.g. ''T. vivax''
***Decreases the chances of [[Biting Flies|fly]] infection
**Trypanosomes avoid host immune defences by altering glycoprotein coat (surface antigen) before host [[Immunoglobulins - WikiBlood|antibody]] response
***'''Antigenic variation''' can occur many times over several months causes relapsing parasitaemia

*Host response
**Trypanotolerant wild animals remain parasitaemic for prolonged periods without showing clinical signs of disease
***Cause lasting reservoirs of infection
**Most domestic livestock are susceptible to trypanosomosis
**Some local breeds of sheep, goats and cattle are trypanotolerant
***E.g. ''Bos indicus''

'''Diagnosis'''
*Demonstrate trypanosomes in blood
**Giemsa stained smears
**Fresh blood films
***Motile trypanosomes
**Haematocrit tube
***Motile trypanosomes at the plasma/buffy coat interface

'''Control'''
*[[Glossinidae|Tsetse fly]] control
**Spraying and trapping

*Prophylactic drug treatment
**Change drug group periodically to decrease the chances of resistance occurring
**May lead to protective immunity but livestock will still be susceptible to heterologous challenges

*Barrier fences and buffer zones
**Separate livestock and wild animals

*Trypanotolerant livestock

'''Other trypanosomes'''
*Mechanically transmitted by [[Biting Flies|biting flies]]
**E.g. Surra affecting horses and camels in North Africa, Asia and South America
**''T. equinum'' in South America
**''T. evansi'' in Asia

*Venereally transmitted
**E.g. Dourine
***Transmitted by ''T. equiperdum''
***Causes genital and abdominal oedema, emaciation and CNS signs
***Affects horses and donkeys in Africa, Asia, Central and South America

*Non-pathogenic species occur in the UK
**In sheep caused by ''T. melophagium''
**In cattle caused by ''T. theileri''

[[Category:Parasites]][[Category:Protozoa]]
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